Nursing shortage and the need for more

Present a proposal for addressing or improving a quality patient indicator within a healthcare

organization, including evidence-based and peer-reviewed support, an implementation plan, and considerations of organizational and leadership roles. Please follow instructions in rubric and guidelines for further information.

Also Milestones 1,2,3,4 are attached below as they’ve been done in the prior weeks and are to be used as reference and guidance to complete final project. Also look at feedback from professor attached below for milestones 1 & 2 as they were missing critical elements.

Your presentation should be approximately 15–20 slides, not including reference slides and introductory slides. You should include

appropriate speaker notes, and you may include an audiovisual recording of your presentation in your submission.

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Mary Manning Walsh Nursing Home is located in Manhattan New York and it offers short term rehabilitation and residential skilled nursing. The short term rehabilitation is aimed at speeding the recovery and improves the transition of individuals from hospital to home after undergoing an intensive disease or surgery. The organization mainly serves the upper East Side of Manhattan and has been in existence for more than sixty years. The organization has a religious order in approaching various issues including caring for the elderly. It takes care of all people regardless of their faith in an environment that can rarely be found in the traditional nursing facilities. The mission of the organization is to offer holistic care to every resident in an environment of Christian understanding and faith. It bases it values and ethics on the teachings of the Roman Catholic Church. All the activities that the organization conducts are aimed at portraying respect for life through love and compassion. It offers residential skilled nursing care for patients that require 24-hour care with a singular mission of helping all patients and improving patient outcomes. The organization has maintained a great reputation over the years for the quality patient care it provides.

Improvement opportunity

The organization receives very many patients each and every day and it does not have enough nurses to take care of the high number of patients. The availability of enough nurses is a quality patient indicator. Due to the nursing shortage, the available nurses work for very long hours which leads to fatigue and job dissatisfaction. Nurses in the facility are also more prone to making medical errors and mistakes (Steege, 2017). They do not spend enough time with patients in order to create meaningful nurse-patient relationships which are very important in improving patient outcomes. Patient quality has been greatly compromised due to the shortage of nurses in the health facility. Other effects of the nursing shortage include overcrowding in emergency rooms, increased mortality rate and increased turnover among the nurses. Some of the nurses have quit the organization because of the extensive duties laid on them as a result of not having adequate nurses. The organization is majorly funded by the Catholic church and it at times gets federal grants. It is in a great financial state therefore it should address the nurses’ shortage issue in order to optimize patient safety. For it to achieve this, all the stakeholders within the organization must be involved. Patient safety is based on adequate and efficient care which is majorly provided by nurses. Without enough nurses, the safety of patients in the organization is in jeopardy.

Purpose

The purpose of this proposal is to outline the measures the organization can take to address the nursing shortage problem. The proposal suggests that the organization should focus on the wages and benefits of the nurses in order to attract more nurses and retain the existing ones. Just like any other professional, nurses are always looking for organizations that greatly value them and offer better wages and salaries. Adjusting the current compensation and benefits package for the nurses is the best way to address the nursing shortage in both the short and long term.

Proposal initiative

My initiative entails evaluating current compensation and benefits package for nurses and determining whether it levels with that of other organizations or whether it is better. The only way the organization will be able to attract new nurses and retain the current ones is by offering a package that is better than those ones of other organizations in the region (Snavely, 2016). The first step in this initiative is conducting research in various institutions in the region and country wide to see the packages they offer their nurses. The next step is comparing the package the organization offers with the other packages investigated. The final step is making adjustments and improving the package to ensure it is very competitive not only on the regional but also on the national level. Through this, the organization will be able to attract more nurses regionally and nationally. Nursing shortage and the need for more

Leadership

The management is responsible of ensuring that the organization provides optimal patient care therefore it must address the nursing shortage problem. The management has tried to address the issue by advertising the nurses’ positions but there are minimal applicants therefore it must do something to increase the pool of applicants. The most effective way to do this is to offer a very competitive compensation and benefits package that individuals can hardly resist. Leadership is very important in ensuring this initiative is successfully adopted. Firstly, the management should come up with a team to investigate the compensation and benefits packages that other organizations regionally and nationally offer. The management should offer all the resources required to conduct the investigation nationally. The results from this investigation should be utilized in developing a competitive package that will ensure the current nurses have no reason to leave the organization and increase the pool of applicants. By improving the compensation and benefits package, the organization will be able to attract and retain nurses therefore addressing the nursing shortage in both the short and long run.

References

Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.

Steege, L. M., & Rainbow, J. G. (2017). Fatigue in hospital nurses—‘Supernurse’culture is a barrier to addressing problems: A qualitative interview study. International Journal of Nursing Studies, 67, 20-28.