NRS 493 Submit a summary of six of your articles on the discussion board
NRS 493 Submit a summary of six of your articles on the discussion board
Nurses okay a vital role in keeping the health setting on track. The nursing shortage is a massive issue in the healthcare industry. Research shows that the nursing shortage is becoming a huge problem for healthcare professionals, and there is a projected shortage of one million nurses in the year 2020 (Haddad et al., 2022). As per the strong points of this article, it is a ray of hope for the upcoming nursing professions as it clearly states the increase in demand for nurses. Many places have irrelevant information, as many organizations work entirely for nurses’ welfare.
The pandemic disrupted the peace of healthcare professionals as there has been a considerable lapse in the overall operations. Research shows a higher level of burnout in the nursing profession (Galanis et al., 2021). Although the article favors the nurses, it is strongly believed that doctors and physicians have to endure the same stress as the nurses did. The nursing shortage will put a massive dent in the healthcare setting. Research shows that many nurses will leave the nursing profession by the end of 2030 (“4 Ways to Address The Nursing Shortage in 2021 – Apploi”, 2022). Although the research is concrete, the exit of an individual from a profession is unlikely to happen regardless of the conditions. Evidence-based practices are regarded as one of the most vital parts of patient care. Starting with a fundamental question and going to further diagnostics is a part of the overall process (“Overcome Barriers to Applying an Evidence-Based Process for Practice Change,” 2022). The downside to the approach is that it has become somewhat outdated in some healthcare settings. The prevalence of present research lays the basis for evidence-based practices (“Adopt an Evidence-Based Practice Model to Facilitate Practice Change,” 2022). There are, however, certain occurrences that involve a proper examination. These are the areas where evidence-based practices might not be feasible.
4 Ways to Address The Nursing Shortage in 2021 – Apploi. Apploi. (2022). Retrieved 4 May 2022, from https://www.apploi.com/blog/nursing-shortage/4-ways-to-address-the-nursing-shortage-in-2021/.
Adopt an Evidence-Based Practice Model to Facilitate Practice Change. ONS Voice. (2022). Retrieved 4 May 2022, from https://voice.ons.org/news-and-views/adopt-an-evidence-based-practice-model-to-facilitate-practice-change.
Galanis, P., Vraka, I., Fragkou, D., Bilali, A., & Kaitelidou, D. (2021). Nurses’ burnout and associated risk factors during the COVID‐19 pandemic: A systematic review and meta‐analysis. Journal of advanced nursing, 77(8), 3286-3302.
Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2022). Nursing shortage. In StatPearls [Internet]. StatPearls Publishing.
Overcome Barriers to Applying an Evidence-Based Process for Practice Change. ONS Voice. (2022). Retrieved 4 May 2022, from https://voice.ons.org/news-and-views/overcome-barriers-to-applying-an-evidence-based-process-for-practice-change.
Self-scheduling has been found to decrease nurse turnover which leads to staffing shortages (Wright et al., 2017). Studies have been conducted all over the world in an effort to improve nurse retention. Self-scheduling has been found to improve job satisfaction and autonomy, which decreases hospital turnover and hospital costs. In my own life, my managers and directors have helped me create a family friendly schedule for the past 17 years. This has allowed my husband and I to work opposite schedules, not need babysitters or child-care for our children, and increased job satisfaction for both of us. Allowing parents to be a good employee as well as a good parent increases job satisfaction and employee retention. I have also found that offering part-time positions improves employee retention at my small hospital. When you only have 12 full-time positions, retaining three nurses in part-time positions may cost extra in relationship to hospital paid benefits, but I think overall savings (of not rehiring and training new employees) outweigh that small additional cost.
Wright, C., McCartt, P., Raines, D., & Oermann, M. H. (2017). Implementation and Evaluation of Self-Scheduling in a Hospital System. Journal for nurses in professional development, 33(1), 19–24. https://doi.org/10.1097/NND.0000000000000324
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Thanks for sharing your post. You mentioned that many nurses will leave the nursing profession by the end of 2030. The reasons behind this is multifold. Several reasons include, a lack of potential educators, high turnover, and inequitable workforce distribution. The national average for turnover rates is 8.8 % to 37.0%, depending on geographic location and nursing specialty. Without adequate staffing ratios, nurses are responsible for caring for more patients, leading to additional interruptions which is shown to put increase patient safety errors which puts patients at risk for harm. At the facility I currently work, we experienced a significant shortage of nurses about September 2021 – December 2021. In this timeframe, several patient incidents occurred due to errors made by overworked nurses. This resulted in Corporate stepping in activating float pool nurses and offering bonus for additional shifts worked. This is the exact same compensation and support we had been asking for but to no avail. Until the nurse shortage began to hit Administration in the pockets, unfortunately, they were not in support of showing our nursing staff any support or appreciation.
Haddad LM, Annamaraju P, Toney-Butler TJ. Nursing Shortage. (2022). In: StatPearls [Internet]. Treasure Island (FL): StatPearls Publishing; 2022 Jan-. Available from: https://www.ncbi.nlm.nih.gov/books/NBK493175
Correcting the shortage will require a paradigm shift. Changes that require expenditure are a hard sell to organizations. We need to reduce hospital-acquired line infections, urinary infections, pneumonia, and pressure injuries, among other issues. There is plenty of research on the outcomes of high nurse-to-patient ratios, including the above and increased patient mortality and nurse turnover (Adolfo et al., 2021). It seems a simple solution to those on the front lines, yet it is not happening. The barrier is when administrators realize it affects profits and their paycheck: in the long run, it would increase profits. However, I dare to say greed and fear motivate the resistance. The change in the payer model, and financial risk from insurers to the provider, has changed profits and consequently the health care culture.
Cultural emphasis shifts from quality care to the conservation of resources and rapid mergers of health plans and institutional providers. With all the turmoil, as rules change, eliminating or minimizing primary and support services is the strategy to save money. This shift is dominant since Covid as it took away decisions from patients and families because of the rationing of resources, yet, new mergers are still happening (Adolfo et al., 2021).
This shift undermines the old school health care ethics of advocacy for staff and patients. There is unhealthy competition in market-based health care that claims profit and market shares as successful performance (Adolfo et al.,2021). The challenge to health care providers is to educate our organizations on the human capital of their actions. It will require reeducation of our administrators back to old school ethics. Nurses have that influence if they choose.
Adolfo, C., Albougami, A., Roque, M., & Almazan, J. (2021). Nurses’ attitudes toward quality improvement in hospitals: Implications for nursing management systems. Nursing Practice Today, 8(3), 206–215. https://doi-org.lopes.idm.oclc.org/10.18502/npt.v8i3.5935
Nursing shortages continues to be an ongoing problem, and our patients are affected greatly when we continue to work short. Our patients are growing sicker and are requiring more time and care. Our nursing workload is increasing and the time that we are able to spend with our patients is decreased. When we have such as heavy workload, our time being spent collaborating with our patients and with the physician, decreases. This is where medical errors can happen and can lead to a poor communication amongst the interdisciplinary team, including our patients. Our patient’s quality of care decreases as well. Our patients are at a great risk for infection and poor outcomes when we are not able to spend time understanding and caring for their needs. Our nurses are having to take on such a great deal of workload that we are seeing an increase in our nurse burnout. Our nurses are being burned out by limited resources and shortages; our nurse satisfaction rates are going down. When nurses are feeling unsatisfied with their jobs, our patients care is also affected. Our nurses are not able to practice at the highest level that they can when they are feeling burned out, and unsatisfied with their positions. This is leading to an increase in workload and an increase in errors as well. We are not able to spend our time and knowledge in using our critical thinking skills. We may not be able to notice with the decrease in time spend on patient care when something may be going on with our patients.
Carayon P, Gurses AP. Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. In: Hughes RG, editor. Patient Safety and Quality: An Evidence-Based Handbook for Nurses. Rockville (MD): Agency for Healthcare Research and Quality (US); 2008 Apr. Chapter30.https://www.ncbi.nlm.nih.gov/books/NBK2657/?msclkid=95d7694fcf0a11ec82c716076c8b358e
Laursen, D. H., Christensen, K. B., Christensen, U., & Frølich, A. (2017). Assessment of short and long-term outcomes of diabetes patient education using the health education impact questionnaire (HeiQ). BMC Research Notes, 10, 1–9. https://doi-org.lopes.idm.oclc.org/10.1186/s13104-017-2536-6
The article discusses the use of a HeiQ to gauge patient’s health knowledge related to their disease process. The results indicate it is a good method to gauge and construction education for patients by evaluating what they already know.
The strength of this article relates to a method that can be used by health care workers or educators to assess the needs of the patient. They can gauge the health knowledge of the patient and see where they are lacking in their disease knowledge. It gives a route for my practicum to add a method to test patient knowledge.
The weakness of the article is that telephone interviews were used, as opposed to written questions. Although this was also reported as a strength, the authors worried about their findings. They felt it may be possible that they were missing some aspects due to the telephonic interviews and their findings may not be the norm.
Butler, R., Griffey, J., Mayles, C., Parbery-Gray, L., & Rockett, L. (2022). Adapting provision of structured diabetes education from face-to-face to virtual during the COVID-19 pandemic. Journal of Diabetes Nursing, 26(1), 1–5.
This article discusses switching from in person visits for diabetes education to tele visits, virtually and the success and good reception the authors found for it. It could be a potential method I could incorporate into my practicum on how to deliver quality, well received diabetes care.
A strength of the article was the satisfaction of the tele call visit for the patient’s, there was significant satisfaction at 97%. This indicates that it is a well-received method of instruction. This could be a good method to incorporate into my practicum.
The weakness of the article happens to also be what was so well liked by the patients. This tele education method found that technology has its own issues with software problems and some patients not able to use the technology or thinking the technology was a scam.
ROMO-ROMO, A., GÓMEZ-VELASCO, D. V., GALÁN-RAMÍREZ, G. A., JANKA-ZIRES, M., BRITO-CÓRDOVA, G. X., GÓMEZ-MUNGUÍA, L., SARMIENTO-MORENO, A. L., GÓMEZ-PÉREZ, F. J., GARCÍA-ULLOA, C., HERNÁNDEZ-JIMÉNEZ, S., AGUILAR-SALINAS, C. A., & ALMEDA-VALDES, P. (2021). Diabetes education and self-care behaviors in patients with diabetes in Mexico. Revista Mexicana de Endocrinología, Metabolismo y Nutrición, 8(4), 183–191. https://doi-org.lopes.idm.oclc.org/10.24875/RME.20000115
This article discusses the overall aspect of diabetes and the necessity to educate patients. The article discusses the findings of patient’s prior to and after receiving diabetes education. This article relates to my practicum by discussing the very thing I will discuss. Their findings indicate that diabetes education and knowledge is deficient but post education, the patient’s knowledge is increased. The article indicates that in my practicum, it would be helpful to use primary research. Also, it is important to suggest the need to standardize education with evidence based research in order to make results consistent.
One strength of the article is reinforcing how education positively impacts the lives of diabetic patients. It found that educating has a positive outcome with better diabetes control and increased disease knowledge. Their findings indicate that diabetes education is necessary in order to have better patient outcomes.
One weakness or limitation of the study relates to the education provided and data collection. The diabetes education varied from different educators; it was not standardized. The data collection was from second party research, they utilized other people’s data to formulation conclusions.
Paxton, R. (2021). School diabetes education: The benefits of a virtual package during the COVID-19 pandemic. Journal of Diabetes Nursing, 25(3), 1–6.
This article discusses going from in person diabetes education, to virtual due to the covid pandemic and their findings. This article relates to my practicum as it discusses a method to deliver diabetic education in a timely and cost-effective way.
One strength of the article is empirical data that shows a cost savings related to virtual education compared to in person teaching. This result shows that my practicum project can have data, backing the suggestion for virtual education in diabetes. Buy in would be greater if evidence is shown of cost savings possibilities.
One weakness of the article is the study size. The article references 31 students that were educated, this is not a large sample size. The findings can be looked upon favorably for virtual teaching, but the sample size is too small to make a broad statement that this is a for sure finding.
Wilson, V. (2021). Diabetes education to provide the necessary self-management skills. British Journal of Community Nursing, 26(4), 199–201. https://doi-org.lopes.idm.oclc.org/10.12968/bjcn.2021.26.4.199
This article discusses how important diabetes education is and why it is necessary. It points to diabetes being mostly a self-managed disease, the patient is responsible to control their diabetes at most times. This requires them to be educated on how to do that. This article speaks to my practicum by qualifying the need for education and the value of that education since most diabetes management is by self and at home.
One strength of the article is its explanation of the value of education for these diabetic patients. It explains the education benefit to the patient clearly, this is of value to my practicum as I can utilize the overall thoughts of the article.
The big weakness in this article is its simplicity. It doesn’t really get into data which is needed for my practicum project. It would be nice to have some numbers to show value and results, instead of merely statements to the fact.
Luo, H., Bell, R. A., Winterbauer, N. L., Xu, L., Zeng, X., Wu, Q., Rafferty, A. P., & Watson, A. M. (2022). Trends and Rural-Urban Differences in Participation in Diabetes Self-management Education Among Adults in North Carolina: 2012-2017. Journal of Public Health Management & Practice, 28(1), E178–E184. https://doi-org.lopes.idm.oclc.org/10.1097/PHH.0000000000001226
This article is beneficial to my practicum as it breaks down a patient population and diabetes education results. The populations are separated into urban and rural populations. It describes the difference between the two. This information can be used to add to the practicum project, as an indicator of variance between location of diabetic patients. The article concluded that rural diabetic patients do not have as good of diabetes self-care as those in the urban setting. The point being, my practicum should speak to the need to address disparities with patient location when teaching, to be aware of this.
A strength of this article is the extensive data that was collected regarding disparities in patient diabetes education based on their location. Urban versus rural settings. The data is clear and statistically significant. I would be confidant using this data in my practicum.
A weakness of the study was the education type. There was no mention of the type of education the patients received. The assumption is that multiple sources for knowledge were included in all participants. There was no information as to whether or not the education was American dietary association approved or if it was an unaccredited organization that provided the education.