Nurse Understaffing Name Institution The main aim of optimum nurse staffing in hospitals is to ensure the delivery of quality care to the patients. Hospitals with low level of staffing tend to give high rates of negative patient outcomes such as pneumonia infections and even deaths. Therefore an optimum nurse staffing level is a prerequisite for the provision of quality healthcare in the hospitals. This paper shall delve into the effects that are associated with a low level staffing policy in hospitals. Peer reviewed journals that are going to be considered to explain the effect of the mentioned change. They are listed in the table below. Author’s last name and initial Year of publication Title of the article Title of the publication volume no (issue no) Pages of the article. Staggs V. Olds D. Cramer E. & Shorr R. 2016 Nursing skill mix nursing staffing levels and physical restraint nurses. Due to this the hospital should improve nurse staffing to increase nurse retention. West E. Barron D. Harrison D. Rafferty A. Rowan K. & Sanderson C. (2014). Nursing staffing medical staffing and mortality in intensive care: An observational Study. International Journal of Nursing Studies 81 781-794. Nurses understaffing is more likely to lead to impact the chances of survival for the critically ill negatively. For instance an investigation into the number of outcomes in the intensive care units reveals that inadequate staffing affects the patient survival rates negatively. On the other hand optimal staffing is associated with higher survival rates for the critically ill patients. Furthermore the study that has been conducted in this article points out that availability of the nursing staff has a proportional effect on the quality of care. Therefore it is prudent to review the staffing policies so as to improve the healthcare system. [...]
Written communications in nursing incorporates the use of evidence or research published in the literature from scholarly references. Scholarly references are defined as work which is peer reviewed and published in a professional journal. For example, any of the literature in the Library, would be considered scholarly references. Using published research to support the viewpoint of nursing, especially in cases being made for change, will enhance the argument. An annotated bibliography is a list of resources you anticipate using to support your argument. Developing an annotated bibliography will help you organize your research. To create a purposeful annotated bibliography, the following information should be included: the specific citation, a brief summary or paragraph about the article, and how it pertains to your research question. Instructions: This is a 3 step project: 1.Identify a change 2.Find 6 articles 3.Write an annotated bibliography for each article Please read the detailed instructions below carefully. Step 1: Write 3–4 sentences answering the following questions: •Identify and describe a recent change occurring in your workplace. It could be a change in the levels of staffing, a change in policy, such as time off or tuition reimbursement, a change in use of equipment or supplies, a change in charting/computerized medical records, etc. ◦Describe the change in 4 sentences. 1 of the sentences should address the rationale for the change. Step 2: Begin researching scholarly articles from the Library from the past 5 years related to the change issue identified in Step 1. •Complete a 6 columns table of the references found including the following: ◦Author last name, first initial ◦(Year) ◦Title of article. ◦Title of Publication, ◦Volume # (Issue #) ◦Pages of the article •A minimum of 6 scholarly references are needed to complete this assignment; you may find more. SAMPLE Change Issue: Low census staffing policy Currently, staff go home when the patient census is low based on tenure, so that the same staff are continually going home resulting in a lower paycheck for these nurses. The proposed change is to rotate all staff to leave when the census is low, regardless of tenure so the burden of potentially lower pay is shared among the entire staff, and not the same few. Author Last Name, First Initial. (Year). Title of Article. Title of Publication, Volume # (Issue #), Pages. 1. Smith, A. (2011). Low census staffing: Making it fair. Journal of Scholarly Affairs, 1(4), 110-113. Step 3: This step requires the development of an annotated bibliography for each of the 6 articles listed for step 2. This step should be 6 paragraphs total (one for each article summarized and analyzed) and approximately 450-700 words in 2- 3 double spaced pages. Consider the following in 450-700 words (6 paragraphs total) in 2-3 double spaced pages: •Summarize the main points for each of the 6 references (within the last five years) from Step 2 each in its own paragraph. •Use the MEAL method of writing where each paragraph contains a minimum of 4 sentences and where: ◦M= Main point ◦E= an Example and/or Evidence (citation) ◦A= Analysis and refers to what was significant about the article and how the article was related to the change topic you selected. ◦L= Link or transition to the main topic ◦Be sure to include at least 1 analysis sentence about each reference in that paragraph. •Remember to cite each article appropriately (Author Last Name, Year) and include an APA formatted reference page. (See p. 49 of the APA 6th edition).