ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Sample Answer for ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053 Included After Question
The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primary healthcare and by reducing the stress on the healthcare system.
Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an industry facing multifaceted issues that evolve over time.
In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.
RESOURCES
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES
To Prepare:
- Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
- Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected.
- Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.
The Assignment (2-3 Pages):
Analysis of a Pertinent Healthcare Issue
Develop a 2 to 3 page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:
- Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
- Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
- Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.
The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.
BY DAY 7 OF WEEK 2
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A Sample Answer For the Assignment: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Title: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
The Selected National Healthcare Stressor
The selected national stressor in the healthcare sector for the assignment is medical errors. Medical errors have been defined as the failure of undertaking or completing planned actions as intended or completion utilizing a wrong plan. Medical errors results in negative health outcomes such as harm to patients (Makary & Daniel, 2016). Medical errors are a critical issue being experienced in the US healthcare systems. It is estimated that medical errors account for 3.9% of all the events in patients hospitalized with cardiac problems. The incidence of medical errors in the U.S. healthcare system is estimated to be 25 in every 100 outpatients. This rate makes medical errors the most frequent cause of injury caused by medical care in not only the US but also other developed economies. It is further reported that between 44000 and 98000 people in the US die on an annual basis from adverse events due to medical errors (Ohta et al., 2019).
Impact on My Organization
The issue of medical errors is not only affecting the state but also our organization too. The impacts of medical errors are evident in the institution. One of them is the increased hospital stay among the admitted patients. Patients who suffer adverse events of medical errors often stay too long in the hospital due to unintended care needed by them. The other impact is the increase in the operational costs. The insurance reimbursement claims due to incidences of medical errors have also been high in the institution. The hospital also has to spend its resources in lawsuits due to harm in care. The last impact is the rise in the mortality rate in the affected patients. Patients with chronic conditions such as heart failure and kidney disease often die due to the complications of medical errors (Kaur et al., 2019). Therefore, these effects of medical errors have affected the ability of my organization to achieve its objectives.
Article Summary on How the Issue is Being Addressed in Other Organizations
The articles that were selected to explore the issue of medical errors include those by FDA (2019) and Pérez et al. (2019). The article by FDA (2019) reveals that the incidence of medical errors in the US is high. The number of reported medical errors annually in the state is more than 100,000. The outcomes of these errors include disability, hospitalization, and death. Pérez et al. (2019) echo similar assertions in their research where medical errors were identified as the leading stressors experienced in not only the US healthcare system but also globally too. The articles by Pérez et al. (2019) and FDA (2019) provide practical solutions that health organizations in America can embrace to address the issue of medical errors. They include container labelling and proprietary branding to minimize the risk of confusion in drug dispensing. The articles also point the need for provider training, prioritized counselling to providers, and refresher training opportunities to minimize the risk of medical errors (FDA, 2019; Pérez et al., 2019). Health organizations in my state have embraced a number of interventions to address the issue of medical errors in their setting. They include increasing nurse to patient ratio to minimize burnout, adopting technology use to increase efficiency, improving inter-professional communication, and incident reporting and review to minimize the risk of future occurrence of medical errors.
Strategies Used to Address the Impacts of the Stressor and Impact on my Organization
Studies have been conducted to identify and determine the effectiveness of various strategies utilized to address the issue of medical
errors. The research by Zikhani (2016) provides a seven-step approach that health organizations can use to prevent and minimize the risk of medical errors. The seven steps include health provider education and training, development of rules and policies, implementation of protocols such as checklists and reminders and simplifications and standardization of procedure. The steps also include automation and computerization of organizational functions and forcing function. According to Zikhani (2016), an effective use of these seven steps of preventing and minimizing medical errors creates patient safety culture in an organization.
Consistent findings to the above are seen in the study by Adelman et al. (2017) where automation and computerization of operations in the NICU resulted in the significant reduction in wrong-patient orders. Distinct naming of drugs and ID re-entry was also associated with a significant reduction in the overall incidence rate of medical errors. Other strategies proposed by Rishoej et al. (2018) in their study include standardization of procedures, provide education, refresher training for skill acquisition, and the adoption of double-check processes to minimize the risk of confusion.
The above strategies have significant implications to our hospital. They increase the need for the provision of training to the healthcare providers on different types of medical errors and ways of preventing them. They also raise the need for the provision of refresher training courses to the healthcare providers to ensure that they remain up-to-date on the effective strategies to address the issue of medical errors. The other implication is the need for the development and implementation of policies and regulations that relate to medication errors in the organization. The hospital needs to develop policies that guide the manner in which medical errors in the institution are prevented and addressed. The last implication is the need for provider transparency and responsibility in communicating error incidences. Medical errors should be utilized as a learning tool rather than for punitive purposes. The lessons learned from the errors are used to prevent similar occurrences in the future. Therefore, the strategies have a positive impact on the organization.
References
Adelman, J. S., Aschner, J. L., Schechter, C. B., Angert, R. M., Weiss, J. M., Rai, A., Berger, M. A., Reissman, S. H., Yongue, C., Chacko, B., Dadlez, N. M., Applebaum, J. R., Racine, A. D., & Southern, W. N. (2017). Evaluating Serial Strategies for Preventing Wrong-Patient Orders in the NICU. Pediatrics, 139(5). https://doi.org/10.1542/peds.2016-2863
FDA. (2019). Working to Reduce Medication Errors. FDA. https://www.fda.gov/drugs/drug-information-consumers/working-reduce-medication-errors
Kaur, A. P., Levinson, A. T., Monteiro, J. F. G., & Carino, G. P. (2019). The impact of errors on healthcare professionals in the critical care setting. Journal of Critical Care, 52, 16–21. https://doi.org/10.1016/j.jcrc.2019.03.001
Makary, M. A., & Daniel, M. (2016). Medical error—The third leading cause of death in the US. Bmj, 353.
Ohta, Y., Miki, I., Kimura, T., Abe, M., Sakuma, M., Koike, K., & Morimoto, T. (2019). Epidemiology of Adverse Events and Medical Errors in the Care of Cardiology Patients. Journal of Patient Safety, 15(3), 251–256. https://doi.org/10.1097/PTS.0000000000000291
Pérez, C. D., Fuentes, P. S., García, E. J., Pérez, C. D., Fuentes, P. S., & García, E. J. (2019). Addressing medical errors: An intervention protocol for nursing professionals. Revista Da Escola de Enfermagem Da USP, 53. https://doi.org/10.1590/s1980-220×2018012703463
Rishoej, R. M., Lai Nielsen, H., Strzelec, S. M., Fritsdal Refer, J., Allermann Beck, S., Gramstrup, H. M., Thybo Christesen, H., Juel Kjeldsen, L., Hallas, J., & Almarsdóttir, A. B. (2018). Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: A focus group study. Therapeutic Advances in Drug Safety, 9(7), 343–353. https://doi.org/10.1177/2042098618771541
Zikhani, R. (2016). Seven-step pathway for preventing errors in healthcare. Journal of Healthcare Management, 61(4), 271–281.
A Sample Answer 2 For the Assignment: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Title: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
This paper is determined to analyze Obesity and its impacts as a pertinent national issue in the United States. It will also explain how the health issue is being addressed in other organizations. Obesity is a treatable health disease that is a worldwide concern, associated with excess fat in the body. It is genetically and environmentally caused. It is diagnosed by a healthcare provider and is classified as having a body mass index (BMI) of 30 or greater (Fryar et al, 2018).
Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). Moreover, Obesity is a serious healthcare problem associated with reduced quality of life and more impoverished mental health conditions. Similarly, it is also associated with an increase in the number of deaths in the United States. (Chiao et al., 2015). Obesity is a nutritional disorder that is related to unhealthy eating.
There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. Among the most concerning chronic health conditions is Obesity. Irrespective of whether an adult or a child experiences the condition, Obesity has been connected to poor life quality and various numerous killer comorbid conditions such as some types of cancer, stroke, heart disease, and diabetes (Chiao et al., 2015). Even though the disease has devastating effects on the population, it remains a complex health concern caused by a combination of individual factors like genetics and behavior and various other causes like physical activity, environment, food, skills, and education. Multiple factors such as exposures, medication use, dietary pattern, and lack of physical activity have also been shown to contribute (Werneck et al., 2018). Even though various interventions have been used to prevent and manage Obesity, the condition seems to be increasing among the population. (Fryar et al, 2018).
The Impact of Obesity on the Nursing Professionals.
Nursing professionals face different problems in the healthcare system. These problems may be associated with the work environment as well as the treatment issues. Obesity has both mental and physical health complications for people of all ages. The complications related to Obesity range from medical conditions such as hypertension, diabetes, some types of cancer, stroke, and heart disease. Also, Obesity is associated with reduced self-esteem, social isolation, as well as depression.
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The dominance of Obesity was 42.4% in 2017-2018. Moreover, from 1999–2000 through 2017–2018, the bulk of Obesity increased from 30.5% to 42.4%, and the prevalence of severe Obesity risen from 4.7% to 9.2%. Its related conditions include heart disease, stroke, type 2 diabetes, and certain types of cancer that are leading causes of preventable, premature death. Similarly, the estimated annual medical cost of Obesity in the United States was $147 billion in 2008 U.S. dollars; the medical cost for people who have Obesity was $1,429 higher than those of normal weight. (NCHS 2017-2018). The working adults of non-Hispanic blacks (49.6%) had the highest age-adjusted higher number of Obesity. Similarly, working-age of Hispanic (44.8%) and non-Hispanic White adults (42.2%) (Fryar et al, 2018).
The age-adjusted dominance of Obesity among U.S. adults was 42.4% in 2017–2018. The prevalence was 40.0% among younger adults aged 20–39, 44.8% among middle-aged adults aged 40–59, and 42.8% among older adults aged 60 and over. There were no significant differences in prevalence by age group (Fryar et al, 2018).Among men, the prevalence of Obesity was 40.3% among those aged 20–39, 46.4% among those aged 40–59, and 42.2% among those aged 60 and over. Among women, the prevalence of Obesity was 39.7% among those aged 20–39, 43.3% among those aged 40–59, and 43.3% among those aged 60 and over. None of the differences by age were significant. There was no significant difference in the prevalence of Obesity between men and women overall or by age group (Fryar et al, 2018).
The health problem has had profound financial implications. It has a substantial economic burden on the USA economy and other world’s governments and States. The resulting poorer health outcomes for obese individuals means that such people have to use the health care services more frequently, implying a notable increase in health care costs and burn out of nurses. As of the year 2016, close to two billion adults were overweight. Over six hundred and fifty million were classified as obese globally—implying that close to forty percent of the adult population were overweight, with thirteen percent among them obese. As of 2019, the statistics for children under five were not better as thirty-eight million of this population were classified as obese or overweight.
Strategies Used in the Mitigation of Obesity
The management of Obesity often requires evidence-based practices that aim at increasing safety measures. Currently, there are training processes that aim at reducing the increasing rates of mortalities associated with Obesity. The training processes include management of eating habits, engagement in physical activities, and other healthy behaviors. Educational processes on eating patterns are also undertaken to reduce the cases of Obesity (Cipriani et al., 2016). Besides, the proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Conclusion
Obesity is a serious healthcare issue associated with reduced quality of life and lower mental health conditions. Moreover, it is related to an increase in the number of complications such as diabetes, high blood pressure, heart diseases, stroke, and other types of cancers (Cipriani et al., 2016). There are different risk factors of Obesity, including overeating, overconsumption of junk foods, reduced physical activities, and genetic inheritance (Werneck et al., 2018). The main problem is the increasing cases of Obesity among the population. And this has negatively impacted nursing professionals. The proposed solution to the health problem includes educational programs and behavioral change among the population. Educational and behavioral change interventions are essential in the management of Obesity.
Reference
Cipriani, G., Lucetti, C., Danti, S., Carlesi, C., & Nuti, A. (2016). Violent and criminal manifestations in dementia patients. Geriatrics & gerontology international, 16(5), 541-549. doi.10.1111/ggi.12608
Chiao, C. Y., Wu, H. S., & Hsiao, C. Y. (2015). Caregiver burden for informal caregivers of patients with dementia: A systematic review. International Nursing Review, 62(3), 340-350.doi.10.1111/inr.12194
Fryar, C. D., Carroll, M. D., & Ogden, C. L. (2018). Prevalence of overweight, obesity, and severe obesity among children and adolescents aged 2–19 years: United States, 1963–1965 through 2015–2016. http://www.publicnow.com/view/57BFCB292A6D12A9A3EE633921C052DED8F0D94B
Werneck, A. O., Oyeyemi, A. L., Gerage, A. M., Cyrino, E. S., Szwarcwald, C. L., Sardinha, L. B., & Silva, D. R. (2018). Does leisure‐time physical activity attenuate or eliminate the positive association between Obesity and high blood pressure? The Journal of Clinical Hypertension, 20(5), 959-966. doi.10.1111/jch.13292
A Sample Answer 3 For the Assignment: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Title: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
The value of nursing care has a direct relationship with quality and safety outcomes. The nursing shortage is a persistent national health issue affecting the ability of nurses to provide effective nursing care to patients; thus, undermining the safety and quality of care. The effects of the nursing shortage in healthcare are multifaceted impacting nurses, patients, and healthcare organizations. Nursing shortage leads to work overload, resulting in burnout and stress for nurses. According to studies, burnout and stress has multiple negative outcomes, including medication errors, adverse events, high rates of infections, patient safety issues, poor nurse performance, high turnover rates, increased length of hospital stay, and negative patient experience(Dall’Ora et al., 2020). These factors have quality and safety implications as hospitals struggle to enhance the patient experience, reduce infection, adverse events, length of hospital stay, and other quality indicators and improve overall population health. The purpose of this paper is to analyze the effects of the nursing shortage at my organization and identify possible strategies for remedying the healthcare stressor from scholarly sources.
National Healthcare Issue/Stressor and Its Impact on the Organization
A recent quality assessment and audit at my organization revealed several issues negatively impacting quality and safety outcomes. First, the review noted a higher rate of hospital-acquired infections (HAI) than the value of last year’s review. Secondly, the assessment also pointed out that some patients had a longer hospital stay (LOS) than necessary. Thirdly, the review revealed significant cases of medication errors and adverse events such as avoidable patient falls. A separate assessment investigating the experience of nurses and patients with work and care, respectively, also showed that nurses are stressed because of the high workload. A significant portion of the patient population surveyed reported a low level of satisfaction with the services and care experience. Equally, nurses reported high workload, stress, and low job satisfaction.
Summary of Two Articles
The article, A nursing shortage – a prospect of global and local policies, examines the factors driving nursing shortage around the world, primarily, the rising population of senior citizens. According to the article, the nursing shortage has no single cause but multiple interrelated factors. Some of the contributors tothe nursing shortage include ineffective planning and utilization of nursing resources, demographic changes, and poor recruitment practices (Marć et al., 2018). The authors provide strategies for addressing the nursing shortage from policies point of view. Similarly, the article, Discuss Reasons for Acute and Chronic Problems with The Crisis of Nursing, acknowledges that recruitment and retention of nurses remains a crisis in countries worldwide. The author argues that one of the causes of the perennial nursing shortage is the nursing education structure, which dwells on theory and allocates less time for practical experience (Wada, 2020). As such, nurses enter the profession with less practical experience, giving them anxiety and a high tendency to quit. Additionally, the article notes that time constraints and high workloads limit the nurses’ ability to deliver ideal care(Wada, 2020).
Recognizing the negative implications of the nursing shortage, organizations have come up with strategies attempting to address the issue and enhance patient outcomes. One of the strategies implemented in other organizations is an onboarding program to reduce new nurses’ turnover rates. A recent RN Staffing report reveals that the turnover rate for novice nurses is 18.7%, a 2.8% increase from the 2020 survey (NSI Nursing Solutions, 2021). Novice nurses are likely to resign because of poor organizational culture, bullying, challenging clinical environment, and feelings of isolation. Onboarding programs help new nurses feel welcomed, supported, and part of the community. The second strategy used in other organizations is long-term training and development of nurses. Studies link training and development to motivation, staff engagement, better performance, and staff satisfaction, reducing turnover rates (Zahoor & Mustafa, 2020).
Summary of Strategies Used To Address the Organizational Impact of Nursing Shortage
The articles selected provide various strategies for addressing nurse shortages. According to Wada (2020),higher wages attract and retain nurses leading to a low turnover rate. Additionally, improving the relationship between nurses and physicians and other healthcare workers is essential as nurses want recognition and respect, enhancing motivation. An additional strategy is to identify and address the negative factors affecting the work environment, such as hard shifts and heavy workload. Similarly, managerial support and the adoption of information technology to eliminate manual work are also strategies for improving nurse retention rates (Wada, 2020). Strategies reported by Marć et al. (2018) include salary regulation to ensure fair compensation, creating a positive work environment, implementing information technology, and introducing lifelong learning for professional development. My organization can benefit from these strategies to improve staff retention. For example, introducing an onboarding program for novice nurses is a good idea, as most face challenges acclimatizing with the organizational culture, work environment, and challenging shifts, causing them frustrations that lead to turnover. Nevertheless, the organization will face challenges implementing some of these strategies; for example, salary increase and training and development require resources, yet, the organization’s financial resources are already strained.
Conclusion
Nurse shortage is a profound health stressor that undermines quality and safe care services to patients and populations. Scholarly articles provide several strategies to address the problem, promote nurse retention, and improve the quality and safety of care. One strategy is increasing wages to ensure fair compensation for the challenging nursing work and enhance motivation. The second strategy is introducing training and development to help nurses learn new skills and knowledge and attain professional development. Other techniques are creating a positive work environment, implementing an onboarding program for new nurses, effective management, and implementing information technology to reduce workload.
References
Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Hum Resour Health, 18, 41. https://doi.org/10.1186/s12960-020-00469-9.
Marć, M., Bartosiewicz, R., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2018). A nursing shortage – a prospect of global and local policies. International Nursing Review, 9-16. https://doi.org/10.1111/inr.12473.
NSI Nursing Solutions. (2021). 2021 NSI National Health Care Retention & RN Staffing Report. NSI Nursing Solutions, Inc.
Wada, Y. (2020). Discuss reasons for acute and chronic problems with the crisis of nursing shortage in relation to nursing education and review The Strategies and. Nursing & Primary Care, 4(4), 1-4. https://www.scivisionpub.com/pdfs/discuss-reasons-for-acute-and-chronic-problems-with-the-crisis-of-nursing-shortage-in-relation-to-nursing-education-and-review-the-1337.pdf.
Zahoor, H., & Mustafa, N. (2020). Training and development and health workers’ motivation and performance. Intraders.
A Sample Answer 4 For the Assignment: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Title: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
You have shared an interesting topic. It is unfortunate that physicians are unable to provide high quality care, contributing to cadre delay and increased wait times. The need for physicians and other medical services has been on increased demand as people are living longer and chronic diseases are more prevalent (Auerbach et al., 2018). It is also unfortunate that the training times are longer, making it longer for physicians to complete their education and training (Auerbach et al., 2018). Poghosyan et al. (2018) share that by 2025, there will need to be 52,000 medical doctors to meet the demand just in primary care alone. Veterans also need medical care due to the post traumatic stress that some experience and other mental issues or coping issues to life in general.
You made a good point regarding nurse practitioners being helpful. Norful et al. (2018) share how comanagement between medical doctors and nurse practitioners will combat staffing shortages by having both of them share responsibilities and handle tasks, such as refills on medications, educating the patient, and disease management. It helps with cohesion and will help the patients receive the care that they need in a timely manner.
Thank you for sharing.
References
Auerbach, D. I., Staiger, D.O., & Buerhaus, P.I. (2018). Growing ranks of advanced practice clinicians – Implications for the physician workforce. New England Journal of Medicine, 378(25), 2358-2360.
Norful, A.A., de Jacq, K., Carlino, R., & Poghosyan, L. (2018). Nurse practitioner-physician comanagement: A theoretical model to alleviate primary care strain. Annals of Family Medicine, 16(3), 250-256.
Poghosyan, L., Norful, A., & Laugesen, M. (2018). Removing restrictions on nurse practitioners’ scope of practice in New York state: Physicians’ and nurse practitioners’ perspectives. Journal of the American Association of Nurse Practitioners, 30(6), 354-360.
A Sample Answer 5 For the Assignment: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Title: ANALYSIS OF A PERTINENT HEALTHCARE ISSUE NURS 6053
Nurses are critical to the healthcare sector, however the shortage of nurses is a crisis faced by health care organization before, during and post covid pandemic. The US Bureau of Labour Statistics projects that between 2020 and 2030, 275,000 additional nurses will be needed (Haddad et al., 2022). Despite the evidence of increase, the supply of registered nurses are low, nurses are even leaving the profession all together because of exposure to unsafe practices and burn out which can put their licences at risk. Griffiths et al., 2021, identified the results of poor nursing staffing which includes drop in quality of care, increase rate of medical error, increase wait time and more stress on current nursing staff. Organization needs to develop a plan to ensure that this crisis is well managed in their respective institution. This plan should include attraction and retention of nurses with patients’ safety and nurses job satisfaction as a major goal of staffing.
References
Griffiths, P., Saville, C., Ball, J. E., Jones, J., & Monks, T. (2021). Beyond ratios – flexible and resilient nurse staffing options to deliver cost-effective hospital care and address staff shortages: A simulation and economic modelling study. International Journal of Nursing Studies, 117(117), 103901. https://doi.org/10.1016/j.ijnurstu.2021.103901Links to an external site.
Haddad, L. M., Pavan Annamaraju, & Toney-Butler, T. J. (2022, February 22). Nursing shortage. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK493175
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