Nurse Shortage
Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness for each of these six articles on why the article may or may not provide sufficient evidence for your practice change.
Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to Prevent Workplace Incivility: Nurses’ Perspective. Iranian Journal of nursing and midwifery research, 22(2), 157–163. https://doi.org/10.4103/1735-9066.205966
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2021). Nursing Shortage. StatPearls [Internet]. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175/
Makam, A. N., Nguyen, O. K., Xuan, L., Miller, M. E., Goodwin, J. S., & Halm, E. A. (2018). Factors Associated With Variation in Long-term Acute Care Hospital vs. Skilled Nursing Facility Use Among Hospitalized Older Adults. JAMA internal medicine, 178(3), 399–405. https://doi.org/10.1001/jamainternmed.2017.8467
Nagarajan, N. R., & Sixsmith, A. (2021). Policy Initiatives to Address the Challenges of an Older Population in the Workforce. Aging International, 1–37. Advance online publication. https://doi.org/10.1007/s12126-021-09442-w
Pakkonen, M., Stolt, M., Charalambous, A., & Suhonen, R. (2021). Continuing education interventions about person-centered care targeted for nurses in older people long-term care: a systematic review. BMC nursing, 20(1), 67. https://doi.org/10.1186/s12912-021-00585-4
Raso, R., Fitzpatrick, J. J., & Masick, K. (2021). Nurses’ Intent to Leave their Position and the Profession During the COVID-19 Pandemic. The Journal of nursing administration, 51(10), 488–494. https://doi.org/10.1097/NNA.0000000000001052
Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021).
Sample Paper
Nurse Shortage
Nurse shortage is one of the major issues affecting the healthcare system. Nurses form the largest workforce in the healthcare system. The nurses perform essential tasks in the healthcare system, such as administering medications, wound care, patient education, and patient treatment follow-up programs. Staffing shortage describes the insufficiency of human power in handling the workload, and thus one nurse will have to take care of more patients and nursing duties. This paper provides an analysis of articles important in providing evidence-based change for the problem.
Abdollahzadeh et al. (2017)
The researchers conducted a qualitative study to establish the nurses’ perspectives on workplace incivility. The article identifies the issue of workplace incivility as a contributor to poor patient care and inadequate quality of performance among healthcare providers. The article is relevant to the issue of nurse shortage because workplace incivility is one of the issues that contribute to high turnover rates in hospitals, thus leading to the nursing shortage in the processes of care delivery. Discussing with the nurses the key suppressive issues of incivility and how to counter the incivility in the workplaces may help reduce the rates of staffing shortage in the healthcare sector. The study used a descriptive qualitative study, which effectively collected adequate data from the nurses on the issue of incivility. The study results were consistently presented with nurses pointing sources of conflicts such as poor completion of tasks, nurse shortage, and communication barriers. The nurses advocated for improved communication, high levels of collaboration and teamwork, decreasing workload, and providing nurse support. Despite these strengths, however, the study does not guide how to handle incivility personally to maintain positive results.
Haddad et al. (2021)
The nursing article focuses on the issue of nurse shortage in the healthcare system. The article is relevant to the topic of study on nurse shortage. The article identifies various issues contributing to nursing shortage such as nurse burnout, the large population of the aging group, imbalance in work and family life since most of the nurses are women and high population growth rate that increases. The article also discusses the various methods that organizations should adopt to increase retention rates, reduce turnover rates, and provide a balance in nurse-patient ratios. The article relies on previous articles authored by revered authors and peer-reviewed study articles. The weakness of the article is that it is not a research article and does not provide an in-depth literature review. This could have improved the source’s reliability for evidence-based practice in the application of the suggested interventions.
Makam et al. (2018)
The researchers identified the issue of optimal care among elderly patients. The study’s main aim was to identify the predictors of variation for the long-term acute care hospital vs. Skilled Nursing Facility transfer for the hospitalized elderly people. The study results indicated that tracheostomy and proximity to the LTAC were the strongest predictors of LTAC transfer. The study’s relevance to the topic of nurse shortage is limited since the study’s problem does not directly link with the topic of study. The study thus provides weak evidence for the topic of nurse shortage in the healthcare sector.
Nagarajan and Sixsmith (2021)
The researchers focused on the social and economic constraints of the elderly population. The value of the elderly population in social and economic dimensions shows the importance of maintaining the population healthy and active. The researchers aimed to get an overview of the policy initiatives and the role of technology in overcoming key challenges facing the elderly population in developed countries. The study’s findings suggested that all stakeholders understand the role of policies in retaining the elderly nation in the workforce. The results indicated that technology could be used as an essential tool in facilitating the participation of the elderly population in the workforce. The study details the importance of engaging the elderly population in the workforce for their social and economic liveliness. This study is not directly linked with the study problem on nurse shortage but can be used to recall the retired nurses in closing the nurse shortage gap in the healthcare sector.
Pakkonen et al. (2021)
Pakkonen and colleagues, in their study, focused on the value of continuing education for nurses to the care services in the long-term care homes. The elderly population is one of the vulnerable populations, and thus the quality of care should be enhanced in protecting and enhancing the health of the elderly people. The researchers conducted a systematic review on the impact of continued education for nurses on elderly care in long-term care facilities. The study results indicated that the continued nurse education contributed to a positive outcome for the patients in the long-term care facilities. From the results, it is clear that elderly patients require care to be delivered in various dimensions. The first focus is on person-centered interventions that focus on medical care. Medication is a clinical input by nurses to the patients to ensure that they improve on their health. The second dimension is providing an interactive and caring culture in the healthcare facility. Nurses in providing quality care of life should have a higher level of job satisfaction. The study used a systematic search for the evidence materials, limiting biasness. Also, the study is relevant for the research problem on nurse shortage, indicating the importance of continued nurse education for improved caregiving in long-term care facilities. The study does not indicate the steps to be followed in reducing nurse shortages in healthcare facilities.
Raso et al. (2021)
Raso and colleagues, through the study, aimed at establishing the relationship between the perceptions of the pandemic impact on the clinical nurses and their intention to leave their occupational positions. The study’s foundation is laid on the nurse burnout issue caused by increased demand for healthcare services during the height of the COVID-19 pandemic. The qualitative cross-sectional study had a large sample of 5000 participants, which effectively enhances the reliability of the results. From the study results, 11% of the population showed intention to leave their jobs due to the pandemic impact, while 20% remained undecided on the issue. This article is relevant for the research topic on the effects of nurse shortage in care facilities. The study calls for consideration of nurses’ welfare by the organization to improve retention rates. The study’s weakness is that it does not provide details on how the issue of nurse shortage can be improved in healthcare facilities.
References
Abdollahzadeh, F., Asghari, E., Ebrahimi, H., Rahmani, A., & Vahidi, M. (2017). How to Prevent Workplace Incivility?: Nurses’ Perspective. Iranian Journal of nursing and midwifery research, 22(2), 157–163. https://doi.org/10.4103/1735-9066.205966
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. StatPearls [Internet].
Makam, A. N., Nguyen, O. K., Xuan, L., Miller, M. E., Goodwin, J. S., & Halm, E. A. (2018). Factors associated with variation in long-term acute care hospital vs skilled nursing facility use among hospitalized older adults. JAMA internal medicine, 178(3), 399-405.
Nagarajan, N. R., & Sixsmith, A. (2021). Policy Initiatives to Address the Challenges of an Older Population in the Workforce. Aging International, 1–37. Advance online publication. https://doi.org/10.1007/s12126-021-09442-w
Pakkonen, M., Stolt, M., Charalambous, A., & Suhonen, R. (2021). Continuing education interventions about person-centered care targeted for nurses in older people long-term care: a systematic review. BMC nursing, 20(1), 67. https://doi.org/10.1186/s12912-021-00585-4
Raso, R., Fitzpatrick, J. J., & Masick, K. (2021). Nurses’ Intent to Leave their Position and the Profession During the COVID-19 Pandemic. The Journal of nursing administration, 51(10), 488–494. https://doi.org/10.1097/NNA.0000000000001052
