Difficult Staffing Situations Karen worked at a community psychiatric hospital on the night shift. Karen had worked each shift at the hospital based on her family's needs. Karen was well liked and respected as a hard worker who did not complain. Psychiatric hospitals must admit anyone who harms themselves or others, even if they are full, or find them a bed elsewhere. It was common for patients to sleep in the day lounge on the coach, chairs and floor. The hospital never staffed early admissions and there were always admissions, which led to an increase in the patient-to-staff ratio and safety became a major issue (Bronn 2010). Nursing shortages contribute to overwork, fatigue and errors. Having worked several times as a nursing supervisor in a home, this nurse knew that there were not enough nurses to go around and that no consideration should be taken into account for admissions, but that all Exits had to be taken into account to reduce the need for staff and justify the numbers on paper. The hospital was often understaffed, it was difficult to recruit nurses, especially young nurses, data shows that young nurses are not attracted to psychiatric nursing, which could be the cause of a shortage of nurses. psychiatric nurses (Seed, Torkelson, Annatour 2010). ).Typical staffing models are 4 night staff per 42 patients, one Registered Nurse (RN) and one Mental Health Technician (MHT) for each of the 2 parties, with each party sharing the same nursing position. That night there were only 1 MHT and 2 RN. The night nurse's duties include admissions, chart verification, including ensuring that every order from the last 24 hours has been correctly transcribed, completed correctly, and documented. The night nurse also had to copy Medicati...... middle of paper ......te: A 30-month emergency department review. Emergency Medicine Australasia, 20, 521. doi: 10.1111/j.1742-6723.2008.01140.xSeed, SM, Torkelson JD, Annatour R., (2010). The role of the hospital psychiatric nurse and its effect on job satisfaction. Issues in Mental Health Nursing, 31, 160. doi: 10.3109/01612840903168729Seed, SM, Torkelson JD, Annatour R., (2010). The role of the hospital psychiatric nurse and its effect on job satisfaction. Issues in Mental Health Nursing, 31, 161. DOI: 10.3109/01612840903168729Souder, E., O'Sullivan, P., (2003). Disruptive behaviors of elderly people in institutional settings. Gerontological Nursing, 29, (8) 31. Retrieved from http://web.ebscohost.com/ehost/detail?vid=17&hid=111&sid=a7dccb27-7a16-469f-b7ef-24717bacd3ef%40sessionmgr15&bdata=JnNpdGU9ZWhvc3QtbGl2ZSZzY29wZ T 1zaXRl#db= c8h&AN=2003139601