Chat with us, powered by LiveChat NURS 6052 Essentials of EvidenceBased Practice Walden University Nursing Question - Uni Pal

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EVIDENCE-BASED PROJECT, PART 4: RECOMMENDING AN EVIDENCE-BASED PRACTICE CHANGEThe collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.RESOURCESBe sure to review the Learning Resources before completing this activity.Click the weekly resources link to access the resources. WEEKLY RESOURCESTo Prepare:Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.Consider the best method of disseminating the results of your presentation to an audience. The Assignment: (Evidence-Based Project)Part 4: Recommending an Evidence-Based Practice ChangeCreate an 8- to 9-slide narrated PowerPoint presentation in which you do the following:Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.Add a lessons learned section that includes the following:A summary of the critical appraisal of the peer-reviewed articles you previously submittedAn explanation about what you learned from completing the Evaluation Table within the Critical Appraisal Tool Worksheet Template (1-3 slides)Alternate Submission MethodYou may also use Kaltura Personal Capture to record your narrated PowerPoint. This option will require you to create your PowerPoint slides first. Then, follow the Personal Capture instructions outlined on the Kaltura Media Uploader guideLinks to an external site.. This guide will walk you through downloading the tool and help you become familiar with the features of Personal Capture. When you are ready to begin recording, you may turn off the webcam option so that only “Screen” and “Audio” are enabled. Start your recording and then open your PowerPoint to slide show view. Once the recording is complete, follow the instructions found on the “Posting Your Video in the Classroom Guide” found on the Kaltura Media Uploader page for instructions on how to submit your video. For this option, in addition to submitting your video, you must also upload your PowerPoint file which must include your speaker notes. BY DAY 7 OF WEEK 10Submit Part 4 of your Evidence-Based Project. Review the following submission instructions for the type of submission you choose. SUBMISSION INFORMATION – NARRATED POWERPOINTBefore submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area. To submit your completed assignment, save your Assignment as WK11Assgn_LastName_FirstinitialThen, click on Start Assignment near the top of the page.Next, click on Upload File and select Submit Assignment for review.SUBMISSION INFORMATION – KALTURA PERSONAL CAPTURETo submit your Kaltura media:Click on Start Assignment near the top of the page.Next, click Text Entry and then click the Embed Kaltura Media button.Select your recorded video under My Media.Check the box for the End-User License Agreement and select Submit Assignment for review.Congratulations! After you have finished all of the assignments for this module, you have completed the course. Please submit your Course Evaluation by Day 7.RubricNURS_6052_Module06_Week10_Assignment_RubricNURS_6052_Module06_Week10_Assignment_RubricCriteriaRatingsPtsThis criterion is linked to a Learning OutcomePart 4: Disseminating ResultsCreate a, 8-9-slide narrated PowerPoint presentation of your Evidence-Based Project:Briefly describe the following: your healthcare organization and culture, current opportunity for change, scope of issue, and EBP best practice recommendation.Explain how you would plan knowledge transfer and dissemination.Describe measurable outcomes with the implementation of EBP best practice.Summarize lessons learned.75 to >67.0 ptsExcellentThe narrated presentation accurately and completely summarizes the evidence-based project. The narrated presentation is professional in nature and thoroughly addresses all components of the evidence-based project. …The narrated presentation accurately and clearly describes in detail the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. …The narrated presentation accurately and clearly describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. …The narrated presentation clearly and accurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned.67 to >59.0 ptsGoodThe narrated presentation adequately summarizes the evidence-based project. The narrated presentation is professional in nature and adequately addresses the components of the evidence-based project. …The narrated presentation accurately describes in detail the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. …The narrated presentation accurately describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. …The narrated presentation accurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned.59 to >52.0 ptsFairThe narrated presentation vaguely, inaccurately, or incompletely summarizes the evidence-based project. The narrated presentation may be professional in nature and somewhat addresses the components of the evidence-based project. …The narrated presentation inaccurately or vaguely describes the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation. …The narrated presentation inaccurately or vaguely describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing specific and relevant examples. …The narrated presentation vaguely or inaccurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned.52 to >0 ptsPoorThe narrated presentation vaguely and inaccurately summarizes the evidence-based project or is missing. The narrated presentation is not professional in nature and inaccurately and incompletely addresses the components of the evidence-based project or is missing. …The narrated presentation vaguely and inaccurately describes the healthcare organization and culture, current opportunity for change, scope of the issue, and EBP best practice recommendation, no examples are provided, or it is missing. …The narrated presentation vaguely and inaccurately describes how to plan for knowledge transfer, disseminate the results of the project to an audience, citing no specific and relevant examples. …The narrated presentation vaguely or inaccurately describes measurable outcomes with the implementation of the EBP best practice and summarizes lessons learned.75 ptsThis criterion is linked to a Learning OutcomeResource Synthesis5 to >4.0 ptsExcellentThe narrated presentation fully integrates at least two outside resources and two or three course-specific resources that fully support the presentation.4 to >3.5 ptsGoodThe narrated presentation integrates at least one outside resource and two or three course-specific resources that may support the presentation.3.5 to >3.0 ptsFairThe narrated presentation minimally integrates resources that may support the presentation.3 to >0 ptsPoorThe narrated presentation fails to integrate any or presents minimal resources to support the presentation.5 ptsThis criterion is linked to a Learning OutcomePresentation Narration10 to >0.0 ptsExcellentNarration is present.0 ptsPoorNarration is missing.10 ptsThis criterion is linked to a Learning OutcomePowerPoint Presentation:The presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.5 to >4.0 ptsExcellentThe presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.4 to >3.0 ptsGoodEighty percent of the presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.3 to >2.0 ptsFairSixty to seventy nine percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.2 to >0 ptsPoorLess than sixty percent of the presentation follows these guidelines: presentation is professional; images are appropriately attributed; images are clear. The presentation text is readable. Presentation flows well and is presented in a logical order.5 ptsThis criterion is linked to a Learning OutcomeWritten Expression and Formatting—English Writing Standards:Correct grammar, mechanics, and proper punctuation.5 to >4.0 ptsExcellentUses correct grammar, spelling, and punctuation with no errors.4 to >3.0 ptsGoodContains a few (one or two) grammar, spelling, and punctuation errors.3 to >2.0 ptsFairContains several (three or four) grammar, spelling, and punctuation errors.2 to >0 ptsPoorContains many (five or more) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.5 ptsTotal Points: 100PreviousNext1
Critical Appraisal Tool
Worksheet Template
Evaluation Table
Use this document to complete the evaluation table requirement of the Module 4 Assessment, Evidence-Based Project, Part 3A: Critical
Appraisal of Research
Full APA formatted citation of
the selected article.
Evidence Level *
(I, II, or III)
Article #1
Mandal, L.,
Seethalakshmi, A., &
Rajendrababu, A.
(2020). Rationing of
nursing care, a deviation
from holistic nursing: A
systematic review.
Nursing Philosophy,
21(1), e12257.
https://doi.org/10.1111/n
up.12257
Article #2
Drennan, V. M., & Ross,
F. (2019). Global nurse
shortages: the facts, the
impact, and action for
change. British medical
bulletin, 130(1), 25-37.
https://doi.org/10.1093/bm
b/ldz014
Article #3
Turale, S., &
Nantsupawat, A. (2021).
Clinician mental health,
nursing shortages, and
the COVID‐19
pandemic: Crises within
crises. International
nursing review, 68(1),
12-14.
Level II
Level II
Level III
© 2021 Walden University, LLC
Article #4
Van den Heede, K.,
Balcaen, K.,
Bouckaert, N.,
Bruyneel, L.,
Cornelis, J., Sermeus,
W., & Van de
Voorde, C. (2023).
Improving hospital
nurse staffing during
the pandemic:
Implementing the
2019 Fund for Health
Care Staff in
Belgium. Health
Policy, 128, 69-74.
III
1
2
Conceptual Framework
Holistic nursing
Global nurse shortage
Qualitative study
Quasi-experimental
study
Systematic review
Literature Review
Qualitative study
Mixed-methods
approach
20 studies published in
English between 2000
and 2019
Multiple sources
Nurses working in
COVID-19 wards
Randomized
controlled trial
Nursing care rationing,
holistic nursing
Nurse shortages, patient
complexity, changes in
healthcare delivery
Stress, burnout, anxiety
Nurse education
shortage, impact on
patient care
Content analysis
Content analysis
Semi-structured
interviews
Qualitative analysis
Qualitative analysis
Content analysis
Describe the theoretical basis for
the study (If no one is mentioned
in the article, say that here).**
Design/Method
Describe the design and how the
study was carried out (In detail,
including inclusion/exclusion
criteria).
Sample/Setting
The number and characteristics of
patients, attrition rate, etc.
Major Variables Studied
List and define dependent and
independent variables
Measurement
Identify primary statistics used to
answer clinical questions (You
need to list the actual tests
done).
Data Analysis Statistical or
Qualitative findings
© 2021 Walden University, LLC
Quantitative and
qualitative analysis
2
3
(You must enter the actual
numbers determined by the
statistical tests or qualitative
data).
Findings and Recommendations The global occurrence
of nursing care rationing
General findings and
is influenced by various
recommendations of the research factors, such as the
scarcity of nurses,
heightened patient
intricacy, and shifts in
healthcare provision.
The review revealed a
significant correlation
between nursing care
rationing and various
negative outcomes,
including a decline in
the quality of care,
heightened job
dissatisfaction, and
increased susceptibility
to burnout among
nurses. The authors
propose that it is
imperative to support
nurses in their endeavors
to deliver
comprehensive care
while simultaneously
advocating for
The global shortage of
nurses is a matter of great
concern, as it is exerting a
substantial influence on
the provision of healthcare
services. The scarcity is
anticipated to exacerbate
in the forthcoming years,
thereby exerting an
additional adverse
influence on the caliber of
healthcare. The authors
propose several strategies
to mitigate the nurse
shortage, encompassing
augmenting the number of
nurses undergoing
training, enhancing the
working environment for
nurses, and reevaluating
the healthcare delivery
paradigm.
© 2021 Walden University, LLC
Nurses employed in
COVID-19 wards are
encountering elevated
stress, burnout, and
anxiety levels. The
above adverse mental
health consequences are
influenced by various
factors, such as the high
job demands, the
potential for contracting
infections, and the
pervasive uncertainty
surrounding the ongoing
pandemic.
Findings: The study
found that the fund
effectively increased
nurse staffing,
leading to improved
quality of care.
Recommendations:
The authors
recommend that other
countries consider
implementing similar
programs to improve
nurse staffing and the
quality of care.
3
4
Appraisal and Study Quality
Describe the general worth of this
research to practice.
What are the strengths and
limitations of the study?
What risks are associated with
implementing the suggested
practices or processes detailed in
the research?
redesigning healthcare
systems to effectively
tackle the underlying
factors contributing to
the rationing of nursing
care.
The review was
conducted meticulously,
and the findings were
substantiated by robust
evidence. The review
encompassed a
heterogeneous array of
studies, and the results
exhibited congruity
across the various
studies.
The review was conducted
with a high level of rigor,
and the available evidence
strongly substantiated the
findings. The review
encompassed a thorough
examination of the
worldwide scarcity of
nurses, and the results
exhibited uniformity
across various references.
The study was wellconducted, and the data
support the findings.
The study was limited
by its small sample size
and focus on nurses
working in one setting.
However, the findings
are still important for
understanding the
mental health of nurses
working in COVID-19
wards.
Study Quality: The
study was welldesigned, and the
data supported the
findings well.
Limitations: Its
relatively small
sample size and focus
on nurses working in
Belgian hospitals
limited the study.
The global scarcity of
nurses is a pressing
concern that significantly
impacts the delivery of
healthcare services. There
is an expectation that the
scarcity will intensify in
the upcoming years,
leading to a further
Nurses employed in
COVID-19 wards are
encountering elevated
stress, burnout, and
anxiety levels. The
adverse psychological
consequences are
influenced by various
factors, such as the high
The fund was
effective in
increasing nurse
staffing.
Increased nurse
staffing led to
improvements in the
quality of care.
What is the feasibility of use in
your practice?
Key findings
Nursing care rationing is
associated with
decreased quality of
care, increased job
dissatisfaction, and
burnout among nurses.
© 2021 Walden University, LLC
4
5
Outcomes
General Notes/Comments
detrimental impact on
healthcare quality. The
authors present a range of
strategies aimed at
addressing the nurse
shortage. These strategies
include increasing the
number of nurses in
training, improving the
working conditions for
nurses, and reassessing the
healthcare delivery model.
Nurses need to be
The authors suggest
supported in their efforts boosting nurse training,
to provide holistic care, improving working
and healthcare systems
conditions, and rethinking
must be redesigned to
healthcare delivery to
address the factors
alleviate the nursing
contributing to nursing
shortfall.
care rationing.
The review included
The review was well-done
diverse studies, and the
and supported by
findings were consistent evidence. The review
across studies.
consistently covered the
global nursing shortage.
The evaluation did not
include quantitative data,
so how the nursing deficit
hurts care is unclear.
© 2021 Walden University, LLC
job demands level, the
potential for contracting
the virus, and the
unpredictability of the
ongoing pandemic.
The authors call for
increased support for
nurses’ mental health
and for changes to be
made to the healthcare
system to reduce the
stress and burnout of
nurses.
The study exhibited a
high methodological
rigor, and the outcomes
hold significant
implications for
comprehending the
psychological wellbeing of nurses
operating in COVID-19
wards. Nevertheless, the
research was
The study found that
the fund effectively
increased nurse
staffing, leading to
improved quality of
care.
The study was
conducted in a realworld setting, and the
findings will likely be
generalizable to other
settings. The study
provides evidence
that increasing nurse
staffing can improve
the quality of care.
5
6
constrained by its
limited sample size and
narrow scope, which
solely encompassed
nurses in a specific
environment.
*These levels are from the Johns Hopkins Nursing Evidence-Based Practice: Evidence Level and Quality Guide

Level I
Experimental, randomized controlled trial (RCT), systematic review RTCs with or without meta-analysis

Level II
Quasi-experimental studies, systematic review of a combination of RCTs and quasi-experimental studies, or quasiexperimental studies only, with or without meta-analysis

Level III
A nonexperimental, systematic review of RCTs, quasi-experimental with/without meta-analysis, a qualitative, qualitative
systematic review with/without meta-synthesis

Level IV
Respected authorities’ opinions, nationally recognized expert committee/consensus panel reports based on scientific evidence.

Level V
Literature reviews, quality improvement, program evaluation, financial evaluation, case reports, nationally recognized
expert(s) opinion based on experiential evidence
**Note on Conceptual Framework
© 2021 Walden University, LLC
6
7

The following information is from Walden academic guides, which help explain conceptual frameworks and why they are used
in research. Here is the link https://academicguides.waldenu.edu/library/conceptualframework

Researchers create theoretical and conceptual frameworks that include a philosophical and methodological model to help
design their work. A formal theory provides context for the outcome of the events conducted in the research. The data
collection and analysis are also based on the theoretical and conceptual framework.

Grant and Osanloo (2014) state, “Without a theoretical framework, the structure and vision for a study are unclear, much like a
house that cannot be constructed without a blueprint. By contrast, a research plan that contains a theoretical framework allows
the dissertation study to be strong and structured with an organized flow from one chapter to the next.”

Theoretical and conceptual frameworks provide evidence of academic standards and procedures. They also explain why the
study is pertinent and how the researcher expects to fill the gap in the literature.

Literature does not always clearly delineate between a theoretical or conceptual framework. With that being said, there are
slight differences between the two.
© 2021 Walden University, LLC
7
8
References
Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact, and action for change. British medical bulletin,
130(1), 25-37.
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a deviation from holistic nursing: A systematic
review. Nursing Philosophy, 21(1), e12257.
Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages, and the COVID‐19 pandemic: Crises within crises.
International nursing review, 68(1), 12-14.
Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., & Van de Voorde, C. (2023). Improving
hospital nurse staffing during the pandemic: Implementing the 2019 Fund for Health Care Staff in Belgium. Health Policy,
128, 69-74.
© 2021 Walden University, LLC
8
Workplace Environment Assessment
Natalie V. Farquharson
Walden University
NURS 6052: Essentials of Evidence-Based Practice
Dr. Connie Cooper
July 16, 2023
Workplace Environment Assessment
Best Practice Proposal: Enhancing Nursing Staffing to Improve Patient Care Outcomes
Introduction: The evaluated research articles illuminate nursing staff shortage, resource
scarcity, and patient care outcomes. Critical assessment yields a best practice to address these
issues and improve patient care. The best practice is increasing nursing staffing in healthcare
settings to mitigate the adverse effects of staffing shortages on patient care.
Best Practice: Increased nursing staffing ensures enough resources and comprehensive
treatment. Rationing nursing care owing to restricted resources and staffing is harmful, according
to Mandal, Seethalakshmi, and Rajendrababu (2020). Drennan and Ross (2019) discuss
worldwide nursing shortages and healthcare. Turale and Nantsupawat (2021) investigate how
nursing shortages affect clinicians’ mental health. Van den Heede et al. (2023) state nurse
education affects patient outcomes.
These findings suggest prioritizing and investing in nursing staffing measures in
healthcare institutions. A multifaceted approach includes:

Healthcare organizations should actively seek and hire more skilled nurses to overcome
shortages. Targeted recruitment drives, partnerships with nursing schools, and appealing
incentives to attract and retain nurses can achieve this.

Implementing an evidence-based nurse-to-patient ratio policy ensures enough staffing to
fulfil patient requirements. These policies should account for patient complexity and
understanding to give nurses enough time to deliver holistic care.

Investing in continual professional development for nurses can improve patient care.
Training, ongoing education, and mentorship programs help nurses grow their careers
and offer high-quality care.

Fostering a positive workplace: Nurse satisfaction and retention depend on a supportive
workplace. Organizations should prioritize work-life balance, burnout, and nursing
mental health. Examples are a flexible schedule, self-care resources, and a culture of
praise and recognition.
Research supports excellent practice. Insufficient staffing causes nursing care rationing,
which compromises patient care, according to Mandal et al. (2020). Drennan and Ross (2019)
emphasize worldwide nurse shortages in healthcare systems. Turale and Nantsupawat (2021)
illuminate nurses’ mental health issues owing to workload and shortages. Van den Heede et al.
(2023) state nurse education affects patient outcomes.
Healthcare businesses can improve patient care by following the best practice to handle
staffing and resource shortages. With enough staff, nurses can give patients the attention,
monitoring, and interventions they need. Professional development and a healthy work
environment can improve nurse job satisfaction, burnout, and retention.
Conclusion: Critical analysis of research articles suggests increasing nursing staffing.
This best practice can reduce the detrimental effects of staffing shortages and resource scarcity
on patient care. Increased recruiting, nurse-to-patient ratio policies, professional development,
and a happy work atmosphere will improve patient care quality and safety. Healthcare
policymakers and managers must invest in nursing staffing for holistic, patient-centered care.
References
Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact, and action for
change. British medical bulletin, 130(1), 25-37. https://doi.org/10.1093/bmb/ldz014
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a
deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.
https://doi.org/10.1111/nup.12257
Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages, and the
COVID‐19 pandemic: Crises within crises. International nursing review, 68(1), 12-14.
Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., & Van
de Voorde, C. (2023). Improving hospital nurse staffing during the pandemic:
Implementing the 2019 Fund for Health Care Staff in Belgium. Health Policy, 128, 6974.
1
Staff Shortage in Nursing
Natalie V. Farquharson
Walden University
NURS 6052: Essentials of Evidence-Based Practice
Dr. Connie Cooper
June 10, 2023
2
Staff Shortage in Nursing
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a
deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.
Connection with the Topic
This article aligns with my topic, inadequate resources, and nursing staffing, as it further
explores the situation. It provides information on why nurses find it hard to complete patient care
activities due to limited resources and scarcity (Mandal et al., 2020). The article utilizes the
ethics of human dignity in treatment that is not followed.
The Aim of the Research
The article aims to explain why there is rationing in healthcare service delivery. It
provides reasons why most hospitals are being overwhelmed. The article shows the connection
between limited resources and delayed service delivery (Mandal et al., 2020). It ends with
showing how nurse shortage affects service provision.
Method Applied
The review utilized the value of the quantitative study. Fifty-seven studies were analyzed
and reviewed (Mandal et al., 2020). After the analysis, the author developed a detailed report on
resource scarcity and inadequate staffing and how it has affected service delivery. The literature
was sourced from Medline, CINAHAL, PsycINFO, and Embases databases.
Strengths of The Method
3
One advantage of using a quantitative study is the accuracy and reliability of the results.
The method is data-based. When data is analyzed, the results are accurate. The idea of theoretical
analysis is eliminated, which makes then results reliable and precise.
Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact, and
action for change. British medical bulletin, 130(1), 25-37.
Connection with the Topic
The article analyzes the global shortage of nurses. It appreciates that nurses make up half
of the world’s healthcare workforce. The article examines what has caused the current shortage
and the mechanism that can be used to change the current situation (Drennan & Ross, 2019). The
article thus aligns with my study of staff shortage in nursing.
The Aim of the Research
Addressing the nursing shortage requires data-driven initiatives where the situation must
be looked at from statistical analysis (Drennan & Ross, 2019). The starting point should be
understanding the number of nurses needed globally. The next step is developing a mechanism
for filling the current gap. It should offer the educational requirement of the nurses.
Method Applied
It is evident that quantitative analysis has been applied in this research. The authors of
this article have extensively used data analysis. The idea was to analyze global data to
understand the staff shortage in nursing (Drennan & Ross, 2019). The method gives a numerical
view of the situation.
Strengths of The Method
The method is scientific and fast. Software such as SPSS is used to analyze the data. It
means that the results are generated within a few seconds when the data is fed to the software.
4
With software usage, it means cases of errors in the process are eliminated, making the results
reliable and accurate.
Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages, and the
COVID‐19 pandemic: Crises within crises. International nursing review, 68(1), 12-14.
Connection with the Topic
Nurses around the world are being forced to work under enormous pressure. The
increased pressure has had a toll on the mental health of many nurses. The Covid19 Pandemic
escalated the situation (Turale & Nantsupawat, 2021). Many nurses are fighting depression
silently. My topic is analyzing the nursing staff shortage, which the article articulates by showing
how the situation is evolving.
The Aim of the Research
The article aims to show how the shortage of nurses resulted in the available nurses being
overworked. It examines how the situation led to many nurses suffering from mental health
problems (Turale & Nantsupawat, 2021). It goes a notch further to explain how the COVID-19
pandemic made the situation uncontrollable.
Method Applied
The article has used Qualitative research. The method goes for context analysis to
understand the prevailing situation. It allowed the authors to ask questions that cannot be
expressed numerically. The results are a vital narration that explains the global shortage of
nurses (Turale & Nantsupawat, 2021).
Strengths of The Method
It is important to note that qualitative research gives the research a broad scope of
operation. It means that the study gains a deeper understanding of the nursing shortage and how
5
it has contributed to their mental health anguish. The method focuses on understanding the
nurses and how covid19 escalated their situation.
Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., &
Van de Voorde, C. (2023). Improving hospital nurse staffing during the pandemic:
Implementation of the 2019 Fund for Health Care Staff in Belgium. Health Policy, 128, 6974.
Connection with the Topic
The article investigates the impact of nurses’ education and shortage on patient care
outcomes. The research provides the required educational needs of nurses to provide patients
with the best care (Van den Heede et al., 2023). It also examines how the shortage is affecting
patient care. The study aligns with my topic, staff shortage in nursing, as it analyzes the situation
during covid19.
The Aim of the Research
The research aims to analyze the nurse education shortage and how it affects patient care.
The idea is to examine how these two critical factors contribute to patient treatment (Van den
Heede et al., 2023). The research tries to understand why this gap in the number of nurses is
needed and the potential solution.
Method Applied
The researchers have employed a mixed-methods approach. Numerical data has been
provided to show the numbers of nurses worldwide (Van den Heede et al., 2023). It has been
used to analyze the ideal number that is required. To explain the context qualitative study has
been employed. It offers the theoretical framework of the study.
Strengths of The Method
6
The method can provide more substantial evidence and more confidence in findings. The
data provided is crucial to support the argument being put forward. By combining quantitative
and qualitative approaches, the method eliminates the limitations of each technique. It makes the
finding reliable and well-analyzed.
Staff Shortage in Nursing
Natalie V. Farquharson
Walden University
NURS 6052: Essentials of Evidence-Based Practice
Dr. Connie Cooper
Staff shortage
in nursing
➢ Staff shortage in nursing is an issue
which has for the longest time faced
the healthcare industry (House-Kokan,
2023). This issue deserves immediate
attention because the growing
demand of health care is on the rise .
➢ The demand and supply of nurses do
not match this need for proper health
care has contributed to staff shortage
in nursing .
➢ The detrimental impact of staff
shortage in nursing is very impactful in
the quality of patient care . This is
because nurses play a very key and
supporting role when it comes to
patient care .
➢ The key roles of nurses entail:
providing direct patient care,
monitoring vital signs, administering
medications, and coordinating
treatment plans.
How I
developed
the PICO(T)
Question
In developing my PICO(T) I considered the following approach
(P for problem )
➢What exactly leads to staff shortage in hospitals?
(I for intervention)
➢What strategies or interventions can be implemented to address the
staff shortage in nursing?
(c for control)
➢What are the measures that health care institution or the government
can do to mitigate this issue?
(O for Outcome)
➢What are the impacts of implementing interventions to address the
staff shortage in nursing on patient care outcomes, nurse well-being,
and healthcare costs?
(T for Time frame)
➢What is the timeframe required for implementing and evaluating the
effectiveness of interventions to address the staff shortage in nursing?
The Research
Databases Used
CINAHL
MEDLINE
Evidence Pyramid
Cochrane database
of systematic reviews
Peer-reviewed articles
➢Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact and action for
change. British medical bulletin, 130(1), 25-37.
➢Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a deviation
from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.
➢Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages and the
COVID‐19 pandemic: Crises within crises. International nursing review, 68(1), 12-14.
➢Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., & Van de
Voorde, C. (2023). Improving hospital nurse staffing during the pandemic: Implementation of the
2019 Fund for Health Care Staff in Belgium. Health Policy, 128, 69-74.
Evidence used in the peer
reviewed article
11. Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact and action
for change. British medical bulletin, 130(1), 25-37.
➢This article analyzes the global shortage of nurses. It appreciates that nurses make up half of the
world’s healthcare workforce.
➢The strength of this article lies in the usage of SSPSS software to analyze results, hence minimal
errors.
2. Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a
deviation from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.
➢This article explores the understaffing of nurses and provides information on why nurses find it hard
to complete patient care activities due to limited resources and scarcity. The article utilizes the ethics
of human dignity in treatment that is not followed.
➢The strength of this article is the utilization of quantitative study which promotes the accuracy and
reliability of the results.
Evidence used in the peer
reviewed article
3. Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages and the COVID‐19 pandemic: Crises within crises. International nursing
review, 68(1), 12-14.
➢The article aims to show how the shortage of Nurses resulted in the Available nurses being overworked. It examines how the situation led to many nurses
suffering from mental health Problems. It goes a notch further to explain how the COVID-19 pandemic made the situation uncontrollable.
➢The strength of this article lies in the fact that it utilizes qualitative research to give the research a broad scope of operation. This means It means that the study
gains a deeper understanding of the nursing shortage and how it has contributed to their mental health anguish.
4. Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., & Van de Voorde, C. (2023). Improving hospital nurse staffing during
the pandemic: Implementation of the 2019 Fund for Health Care Staff in Belgium. Health Policy, 128, 69-74.
➢The research article aims to analyze the nurse educator shortage and how it affects patient care. The idea of the article is to examine how these two critical
factors contribute to patient treatment. The research tries to understand why this gap in the number of nurses is needed and the potential solution.
➢The strength of this article lies in combining quantitative and qualitative approaches, hence eliminates the limitations of each technique. This makes the finding
reliable and well-analyzed.
Reference
Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact and action for
change. British medical bulletin, 130(1), 25-37.
House-Kokan, M. A. M. (2023). Beyond Role Transition: Specialty Nurses’ Narratives of Learning
to Teach.
Mandal, L., Seethalakshmi, A., & Rajendrababu, A. (2020). Rationing of nursing care, a deviation
from holistic nursing: A systematic review. Nursing Philosophy, 21(1), e12257.
Turale, S., & Nantsupawat, A. (2021). Clinician mental health, nursing shortages and the
COVID‐19 pandemic: Crises within crises. International nursing review, 68(1), 12-14.
Van den Heede, K., Balcaen, K., Bouckaert, N., Bruyneel, L., Cornelis, J., Sermeus, W., & Van de
Voorde, C. (2023). Improving hospital nurse staffing during the pandemic: Implementation of the
2019 Fund for Health Care Staff in Belgium. Health Policy, 128, 69-74.

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