The nursing shortage in the healthcare system

Problem Statement

Retention of experienced nurses and reduction of their turnover are chronic and costly challenges that many clinical facilities face. Organizations are focused on retaining their most specialized and talented nursing workforce to provide quality services and deal with the risk of nurse shortage being experienced in the United States. To this end, these organizations are focusing on increasing the satisfaction and retention of the nurses by promoting professional development, healthy working surrounding, and meaningful recognition. Despite the implementation of these approaches, the nursing turnover has continued to increase. Nursing turnover has the potential to directly affect a hospital’s ability to foster quality improvement and fiscal performance. For every Registered Nurse (RN), the financial implication tied to individual turnover ranges from $40300 to $64000. Furthermore, a percentage reduction in the turnover can financially save the hospital an average of $410,500 annually. In the contemporary healthcare sector, the RN total turnover rate is 19.1% for a population of full time and part time RN, respectively. Nonetheless, there is a significant difference in rate subject to geographic location, hospital size, specialty, and non-profit status.

Notably, in the South Central region, the nursing turnover has been on the increase among Ambulatory nurses who feel less engaged and dissatisfied, which ultimately contributes to increased turnover. The turnover has a negative fiscal impact on the healthcare organizations within the South Central Region. Loss of revenue due to turnover is associated with the shortage of workforce to meet patients’ demands and the cost of recruiting new nurses. Additionally, facilities in the South Central Region invest in the nurses by providing them with additional training and education to ensure that they are up-to-date with advancements in clinical care. This investment is made by the clinical facilities in the region; thus, making the facilities to be more concerned with retaining highly skilled and specialized nurses. As such, this project is conceived to propose a strategy that can be adopted to solve the current problem of nursing turnover in the South Central Region.

Don't use plagiarized sources. Get Your Custom Essay on
The nursing shortage in the healthcare system
Just from $9/Page
Order Essay

Background of The Problem

In the contemporary healthcare system, the nursing shortage is considered as one of the main problem facing the system. Projections to 2020 suggest that there will be a shortage of professional and experienced nurses, which will have an adverse impact on the healthcare system that will have a negative ripple effect on patient outcome. Increased nursing turnover continues to exacerbate the nursing shortage issue in the clinical setting.

According to Nursing Solutions (2018), nursing turnover takes place in a healthcare organization whenever a nurse leaves a part-time or full-time position. This leaving may be voluntary or involuntary. Voluntary turnover involves a nurse seeking opportunity in other organization, whereas involuntary is exist from the job market due to termination on competency grounds. One of the factors that determine turnover is engagement. Nursing engagement refers to the level of satisfaction with the working environment among nurses.

Nursing staff members make up a large percentage of clinicians in the healthcare setting. This means that increased nursing turnover greatly impacts the productivity of an organization and reduces the quality of care and decreases the revenues. As such, it is vital for an organization to come up with approaches that would increase nursing retention than to undergo the rigorous process of hiring new nurses who are highly competent. One of the causes of increased nurses’ turnover stems from fresh graduate nurses (FGNs), leaving the workforce. In the clinical setting, FGNs experience challenges in transitioning in the healthcare environment. These challenges lead to high levels of burnout, decreased engagements, and turnover intention. This is a matter of great concern as an experienced nursing workforce is aging and approaching the retirement age. Additionally, this aging workforce is also faced with stressful situation in their family and work life that makes them opt out of the workforce or seek employment in other organizations without the clinical setting. Hence, if proper intervention strategies are not put in place to deal with these trends that exacerbate nursing turnover, the impending nursing shortage will be inevitable.

With the adverse consequences of increased nursing turnover, there is a large body of literature which had been developed to address the concerns of nursing retention and engagement. Notwithstanding, there are various complexities and factors that need to be considered in an effort to retain qualified and experienced nurses in a clinical setting that is demanding and specialized. Although most organizations have knowledge of the fact that nursing retention is a primary strategic imperative, most of these organizations do not integrate this issue in their operational plan. Currently, evidence-based approaches used to deal with the issue of nursing retention are centric to improving the behavior of nursing leaders. The rationale for this focus is that the behaviors of nurse leaders are positively correlated with employee engagement and retention. Particularly, three of the most used intervention to promote nursing retention include recognition, communication, and autonomy.

Proposed Intervention: Nursing Shared Governance

Description

Shared governance is a concept that is rooted in the structural empowerment theory as developed by Kanter. In accordance with Kanter’s model, the employee’s working surrounding dictates their tendencies and engagement level. As such, this model holds that employees are more probable to achieve objective when they have access to structures of opportunity and power within the organization. On the one hand, power structure stems from the ability to access resources, information, and support that make duties more meaningful. On the other hand, opportunity structures our personal opportunities to grow and learn within one’s profession. Additionally, in order to make the employees’ duties meaningful, this model suggests that all stakeholders should be involved in the development of policies and protocols. Ultimately, with the increase in empowerment, the model postulates that retention and engagement will also increase.

Considering the structural empowerment theory and its application in the clinical setting presents an intervention opportunity. As RNs are given the power to engage in governance through constant involvement in clinical councils, they tend to grow in their leadership roles and begin to feel empowered. It is noteworthy that the concept of nursing shared governance was first introduced in nursing in 1984 by Porter, O’Grady, and Finnegan. In this pioneer application, Porter, O’Grady, and Finnegan (1984) established the significance of engaging bedside clinicians in the making of decisions concerning matters associated with the nursing profession. The authors recommended a flat nursing structure that gave power and opportunities to nurses who were closest to the patients by letting them hold informal and formal positions in the hospital committees.

Nursing shared governance by using structural empowerment is an essential element of the Magnet Model (ANCC, 2014). The Magnet Model is made up of five main components: “transformational leadership; structural empowerment; exemplary professional practice; new knowledge, innovation, and improvement; and empirical quality results” (ANCC, 2014).

In order to solve the nursing turnover problem that is caused by ambulatory nurses being unengaged in the clinical setting, the component of focus within the Magnet Mode will be structural empowerment. According to ANCC (2014), structural empowerment relates to the utilization of shared governance with the aim of promoting shared decision making and supporting ambulatory nurses in their role as primary decision makers. The proposed implementation of the nursing shared governance within the South Central Region will be guided by structural empowerment.

Rationale

Ambulatory nurses in the South Central Region are reported to feel unengaged. By definition, this means that they are not satisfied with their current job description, and may be intending to leave the workforce or join another organization where they feel engaged. The proposed change in practice focuses on the establishment of a Nursing Shared Governance. This is an important change in practice as it will present nurses in the ambulatory unit with the opportunity to make decisions in matters affecting them or their working environment. By so doing, the nurses are likely to feel empowered, thus being satisfied as they know that their job is meaningful. Besides, this intervention is significant because it enables nurses in the ambulatory section to grow in their profession. Particularly, this is associated with taking up a leadership role which was initially not possible. Furthermore, this strategy will also improve and increase communication between nurses as they share and present challenges and opportunities that present themselves within their working environment.

 


Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently
 

Online Academic Help With Different Subjects

Literature

Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.

Finance

Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!

Psychology

While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.

Engineering

Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.

Nursing

In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.

Sociology

Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.

Business

We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!

Statistics

We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.

Law

Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper

What Will You Get?

We provide professional writing services to help you score straight A’s by submitting custom written assignments that mirror your guidelines.

Premium Quality

Get result-oriented writing and never worry about grades anymore. We follow the highest quality standards to make sure that you get perfect assignments.

Experienced Writers

Our writers have experience in dealing with papers of every educational level. You can surely rely on the expertise of our qualified professionals.

On-Time Delivery

Your deadline is our threshold for success and we take it very seriously. We make sure you receive your papers before your predefined time.

24/7 Customer Support

Someone from our customer support team is always here to respond to your questions. So, hit us up if you have got any ambiguity or concern.

Complete Confidentiality

Sit back and relax while we help you out with writing your papers. We have an ultimate policy for keeping your personal and order-related details a secret.

Authentic Sources

We assure you that your document will be thoroughly checked for plagiarism and grammatical errors as we use highly authentic and licit sources.

Moneyback Guarantee

Still reluctant about placing an order? Our 100% Moneyback Guarantee backs you up on rare occasions where you aren’t satisfied with the writing.

Order Tracking

You don’t have to wait for an update for hours; you can track the progress of your order any time you want. We share the status after each step.

image

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

Areas of Expertise

Although you can leverage our expertise for any writing task, we have a knack for creating flawless papers for the following document types.

image

Trusted Partner of 9650+ Students for Writing

From brainstorming your paper's outline to perfecting its grammar, we perform every step carefully to make your paper worthy of A grade.

Preferred Writer

Hire your preferred writer anytime. Simply specify if you want your preferred expert to write your paper and we’ll make that happen.

Grammar Check Report

Get an elaborate and authentic grammar check report with your work to have the grammar goodness sealed in your document.

One Page Summary

You can purchase this feature if you want our writers to sum up your paper in the form of a concise and well-articulated summary.

Plagiarism Report

You don’t have to worry about plagiarism anymore. Get a plagiarism report to certify the uniqueness of your work.

Free Features $66FREE

  • Most Qualified Writer $10FREE
  • Plagiarism Scan Report $10FREE
  • Unlimited Revisions $08FREE
  • Paper Formatting $05FREE
  • Cover Page $05FREE
  • Referencing & Bibliography $10FREE
  • Dedicated User Area $08FREE
  • 24/7 Order Tracking $05FREE
  • Periodic Email Alerts $05FREE
image

Our Services

Join us for the best experience while seeking writing assistance in your college life. A good grade is all you need to boost up your academic excellence and we are all about it.

  • On-time Delivery
  • 24/7 Order Tracking
  • Access to Authentic Sources
Academic Writing

We create perfect papers according to the guidelines.

Professional Editing

We seamlessly edit out errors from your papers.

Thorough Proofreading

We thoroughly read your final draft to identify errors.

image

Delegate Your Challenging Writing Tasks to Experienced Professionals

Work with ultimate peace of mind because we ensure that your academic work is our responsibility and your grades are a top concern for us!

Check Out Our Sample Work

Dedication. Quality. Commitment. Punctuality

Categories
All samples
Article review
Thesis/Thesis chapter
Research paper
Article review
A Holistic Response to Crime Victimization
Master's
Law
9
View this sample
Thesis/Thesis chapter
Post Covid-19 Economic Recovery
PhD
Economics
60
View this sample
Research paper
Final Case Analysis: Organizational Ethical Dilemmas
Undergrad. (yrs 3-4)
Business Studies
8
View this sample
Research paper
Communicable Disease
Master's
Nursing
8
View this sample
Research paper
Mental health
Master's
Nursing
10
View this sample

It May Not Be Much, but It’s Honest Work!

Here is what we have achieved so far. These numbers are evidence that we go the extra mile to make your college journey successful.

0+

Happy Clients

0+

Words Written This Week

0+

Ongoing Orders

0%

Customer Satisfaction Rate
image

Process as Fine as Brewed Coffee

We have the most intuitive and minimalistic process so that you can easily place an order. Just follow a few steps to unlock success.

See How We Helped 9000+ Students Achieve Success

image

We Analyze Your Problem and Offer Customized Writing

We understand your guidelines first before delivering any writing service. You can discuss your writing needs and we will have them evaluated by our dedicated team.

  • Clear elicitation of your requirements.
  • Customized writing as per your needs.

We Mirror Your Guidelines to Deliver Quality Services

We write your papers in a standardized way. We complete your work in such a way that it turns out to be a perfect description of your guidelines.

  • Proactive analysis of your writing.
  • Active communication to understand requirements.
image
image

We Handle Your Writing Tasks to Ensure Excellent Grades

We promise you excellent grades and academic excellence that you always longed for. Our writers stay in touch with you via email.

  • Thorough research and analysis for every order.
  • Deliverance of reliable writing service to improve your grades.
Place an Order Start Chat Now
image

error: Content is protected !!
Open chat
1
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.

Order your essay today and save 20% with the discount code DEADLINE