The lack of mental health access in the state of Texas impacts nursing practices significantly. At the micro level of the healthcare system, the lack of access leads to increased burnout and compassion fatigue which has a direct impact on patient care at the bedside. This has historically increased medical/medication errors, communication and high turnover. At the meso level, work environments are affected as some programs designed to support staff are offered during standard hours which restricts assess to certain shifts. The greatest challenge at the meso level is the high workloads and increasing staffing shortages that nurses are experiencing which leaves little to no room for nurses to engage in self-care. Lastly, impacts at the macro level greatly impact workforce stability, patient safety and care. Creating a culture of safety in the workplace is crucial, this improves retention, leads to more successful patient outcomes and cuts costs on several different levels throughout an organization.
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