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Submit a summary of six of your articles on the discussion board. Discuss one strength and one weakness to each of these six articles on why the article may or may not provide sufficient evidence for your practice change. (articles found on last page of attachment)

 

Running head: HEALTH AND MEDICAL
The impact of nurse shortage on the quality of care in the primary healthcare facilities
Jessica Mock
Grand Canyon University- NRS 490
June 2, 2019
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HEALTH AND MEDICAL
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Introduction
There is need for adequate nursing personnel in every hospital to ensure sufficient health
services to the patients. Nurses are part of the health specialists with necessary knowledge and
competency to handle clients and patients at family level, clinics and even at the hospitals.
Health centers with adequate nursing personnel provide effective healthcare attention to their
patients effectively. The proposed topic will focus on the effect of the nurse shortage on the
hospital patient care a situation in the context US primary healthcare facilities.
Discussion
In the recent past, there has been a shortage of nursing personnel in the US primary
healthcare centers which has adversely affected the patients. Nurses provides variety of
healthcare services to the hospital-based patients in their midst (Veenema et al., 2017). Firstly, it
is the responsibility of the nursing units to ensure medication administration to the patients. For
example, a nurse in charge of an admitted patient will ensure such a patient takes the medication
as per the doctor prescriptions following the exact dose and timeline. The nursing personnel
ensure patient can move freely within the restricted zone in the healthcare in case their admission
allows such movements. Thirdly, it is the role of a nurse to ensure patient takes their meals on
time within the hospital so that they are able to remain healthy. Similarly, in the nursing units, a
Registered Nurse will be part of the leading team which helps in delegating duties regarding
patient care in the hospital premises (Smolowitz et al., 2015). In other words, Registered Nurses
guides in giving directives to the Licensed Practical Nurses to provide health attention to the
patients in the hospital set up. For example, under the supervision of the Registered Nurses,
Licensed Practical Nurses provide healthcare to the mentally challenged patients in the US health
centers (DePasquale & Stange, 2016).
HEALTH AND MEDICAL
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On the other hand, the witnessed decline in the number of the nursing personnel in the
US primary healthcare facilities threatens the lives of the patients (Snavely, 2016). One of the
main impacts as a result of the shortage of the nurse is lack of workforce to administer patient
medication appropriately. For example, a health canter with nearly fifty admitted patients and
only one or two nurses will compromise their attention to some patient regarding medicine
administration (Dellefield et al., 2015). On the same note, patients who require to movement
either outside or within the hospital may find it hard due to shortage of nurses. Hospitalized
patients will also encounter difficulties during meals time such as breakfast, lunch and dinner
due to lack of sufficient directives from a professional nurse (Bragadóttir, Kalisch &
Tryggvadóttir, 2017). Such a situation may end up worsening the patient health status due to lack
of meals considering their nature of medication. Still, patients in the primary health facilities will
not receive professional health attention due to lack of supervision and monitoring by the
Registered Nurse personnel.
There is a couple of significance linked to addressing the issue of the nursing shortage in
the US primary health facilities. Firstly, adequate nursing personnel will ensure different patients
under their care; take their mediation as per the doctor prescriptions. Secondly, patient including
them restricted in a wheelchair will get a chance to move freely with the hospital via the help of
a nurse or licensed practical nurse. It is worth addressing the problem to ensure only professional
and competent Registered Nurses offer directives in the US health facilities to the patients within
the premises (Staggs, et al, 2016). The health department ought to increase the number of the
nurses including Registered Nurses and Licensed Practical Nurses to curb the limitation of the
nursing personnel in the US healthcare facilities. In so doing, the hospital based patients will
receive sufficient health attention which aligns with their hospital charges.
HEALTH AND MEDICAL
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References
Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of
missed nursing care in hospitals. Journal of clinical nursing, 26(11-12), 1524-1534.
Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship
between registered nurses and nursing home quality: An integrative review (2008-2014).
Nursing economic$, 33(2), 95-108.
DePasquale, C., & Stange, K. (2016). Labor supply effects of occupational regulation: Evidence
from the nurse licensure compact (No. w22344). National Bureau of Economic Research.
Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L.
(2015). Role of the registered nurse in primary health care: Meeting health care needs in
the 21st century. Nursing Outlook, 63(2), 130-136.
Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United
States. Nursing Economics, 34(2), 98-101.
Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. (2017). Nursing skill mix, nurse staffing
level, and physical restraint use in US hospitals: a longitudinal study. Journal of general
internal medicine, 32(1), 35-41.
Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., … &
Larson, E. (2016). Nurses as leaders in disaster preparedness and response—A call to
action. Journal of Nursing Scholarship, 48(2), 187-200.

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