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2
1 ANALYSIS OF A PERTINENT HEALTHCARE ISSUE
Jadiam Lopez
MSN, Walden University
NURS-6053
2 DR LEIGH ANN FARMER

12/08/2021
3 IN RECENT YEARS, NURSE SHORTAGE HAS BEEN A
MAJOR CRISIS
FACING THE GLOBE. THIS HAS MAINLY BEEN MORE
EVIDENT AS THE
WORLD CONTINUES TO COMBAT THE COVID 19
PANDEMIC. THE COUNTRY
HAS FACED A SIGNIFICANT CHALLENGE DUE TO THE
INCREASING
HEALTHCARE DEMAND AND THE NUMBER OF NURSES
AND PHYSICIANS
AVAILABLE FOR RESPONDING ADEQUATELY TO
COMBATING THE
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PANDEMIC. THIS CHALLENGE OF INADEQUATE
PHYSICIANS, NURSES, AND
DOCTORS FOR SERVING THE COMMUNITIES IS
EXPECTED TO WORSEN AS
THE COUNTRY’S POPULATION INCREASES AND AGES.
NURSING
SHORTAGES ARE SAID TO BE THE PRIMARY CAUSE OF
MEDICAL ERRORS
AND THE INCREASED ILLNESS AND DEATH RATES. THE
LEADING CAUSE OF
NURSE SHORTAGE IS THE HIGH NUMBER OF NURSES
ENTERING THE
RETIREMENT AGE, AN AGING POPULATION REQUIRING
MORE MEDICAL
CARE, AND THE FACULTY SHORTAGES LIMITING THE
CAPACITY OF
NURSING SCHOOLS TO ADMIT MORE STUDENTS.
Impact of Nursing Shortages in an Organization In 2014, a
study was conducted in American
hospitals in regard to nursing shortage. They found that a rise in
nurses; workload by one
patient maximized the possibility of dying in 30 days of
admission by 7%. The researchers as

well found out that each 10% rise in bachelor’s degree nurses
was related to a drop in patient
mortality by 7% (Haddad, Annamaraju, & Toney-Butler, 2020).
4 INSUFFICIENT
NURSE STAFFING IS AS WELL ASSOCIATED WITH HIGH
PATIENT
MORTALITY RATES. In facilities with limited number of
nurses, the mortality risk for
patient tends to be about 6% more on units which were
understaffed in comparison to the
well-staffed units. When a nurse’s workload is high due to high
patient turnover, mortality
risk as well tends to rise. Based on a study conducted by the
American Association of Colleges
of Nursing (2020), there tends to be 4.9 fewer death in 10000
patients on intensive care units
that is staffed with high percentage of nurses with bachelor’s
degree.
1 SUMMARY OF THE ARTICLES
The article by Mark et al. (2019), aims at dealing with the
identified causes of the nursing
shortage in health care facilities as well as other nation.
According to the findings of this

study, the nursing shortage causes tend to be multifaceted
without worldwide or local
evaluation of its nature, inefficient planning and use of
accessible nursing resources,
ineffective recruitment or undersupply of news staff and
worldwide people’s health
conditions. Nursing shortages tends to be at a critical point of
healthcare services on both the
local as well as worldwide levels. Nursing policy need to
prepare as well as put in place
national social security aims in the services offered by the
nurses. The programmed may
involve general issues which may involve enhancing working as
well as employment
conditions, making use of mechanism managing salary as well
as offering the chances for long
term learning with the use of mobile as well as technological
creativity as a sustainable
solution.

The article by Seren and his associates, (2019), found out that
nursing shortage is the main
issues in healthcare. Nurses’ commitments are an essential issue
which should be addressed.
The study majored on evaluating the impact of job satisfaction
as well as work contexts on the
nurses’ organizational commitment. The establishment of
techniques for maximizing job
satisfaction in nurses as well as developing positive work
environment might leads
administrators to maximize organizational commitment in
assisting to the issue of nursing
shortage.
Strategies to address the organization of national healthcare
issue Involvement of nursing
policy is one of the solutions that can be used in handling
shortages of nurses. 5 THE NEW
POLICIES MAY INVOLVE NEW PAYMENT AGREEMENTS,
EMERGENCY
HIRING PLANS, REGISTERS NURSE’S RESIDENCY
PROGRAMS, SPECIAL
CONTRACTING SYSTEMS, RURAL ALLOWANCE
POLICIES, AS WELL AS

RECRUITING AND GUARANTEEING INCENTIVES FOR
NURSING GRADUATES
AND FULL-TIME GOVERNMENT EMPLOYMENT9. If the
existing policies remain,
they will apply downward pressure on nursing workforce wages
and benefits. Hospitals' wage
and working conditions decisions have a big impact on whether
it's easy or difficult to recruit
and retain nurses. If working in an ambulatory care setting is
less stressful and more
gratifying than working in a hospital, hospitals might raise
compensation to compensate for
the disparities in working circumstances and recruit more nurses
(Mark et al. 2019). Better
employment offers in health care facilities tends to attract
nurses as well as reduce the
turnover. However, implementing these policies may be
expensive for the facility. Increasing
the wages for the nurses may be costly to the facility.
6 ACCORDING TO SEREN ET AL. (2019), the establishment
of techniques used to
maximize job satisfaction among nurses and developing positive
work environment may lead
administrators to maximize organizational commitment in

helping to the issue of nursing
shortage. A satisfying work environment for nurses allows them
to implement nursing skills,
make autonomous nursing care choices and enhanced high
nursing or clinical competence on
their professional lives. 7 HEALTH CARE FACILITIES.
Health care facilities can create a
positive work environment by building an environment in which
humor is encouraged. Nurses
as well require a safe place to voice their issues as well as
ideas.
8 NURSING SHORTAGE IS A GLOBAL ISSUE THAT IS
FACING THE HEALTH
CARE SYSTEM. Without the implementation of any decisive
actions, nurses will have to
work under too much stress. 9 THE NURSES TEND TO FEEL
THE WEIGHT OF
INCREASED AGING POPULATION AND INCREASED
ACCESS TO PUBLIC

HEALTH CARE.
References
10 AMERICAN ASSOCIATION OF COLLEGES OF
NURSING. (2020). Nursing
Shortage. 11 RETRIEVED FROM
HTTPS://WWW.AACNNURSING.ORG/NEWS-
INFORMATION/FACT-SHEETS/NURSING-SHORTAGE
3 HADDAD, L., ANNAMARAJU, P., & TONEY-BUTLER, T.
(2020). Nursing
Shortage. StatPearls. 12
HTTPS://WWW.NCBI.NLM.NIH.GOV/BOOKS/NBK493175/
MARĆ, M.,
BARTOSIEWICZ, A., BURZYŃSKA, J., CHMIEL, Z., &
JANUSZEWICZ, P. (2019).
13 A NURSING SHORTAGE–A PROSPECT OF GLOBAL
AND LOCAL POLICIES.
3 INTERNATIONAL NURSING REVIEW, 66(1), 9-16.
14 SEREN INTEPELER, S., ESREFGIL, G., YILMAZMIS, F.,
BENGU, N., GUNES
DINC, N., ILERI, S., & DIRIK, H. F. (2019). 3 ROLE OF JOB
SATISFACTION AND
WORK ENVIRONMENT ON THE ORGANIZATIONAL

COMMITMENT OF
NURSES: A CROSS-SECTIONAL STUDY. CONTEMPORARY
NURSE, 55(4-5),
380-390.
1
1 ANALYSIS OF A PERTINENT HEALTHCARE ISSUE
Jadiam Lopez
MSN, Walden University
NURS
-
605
3
2 DR LEIGH ANN FARMER
12/08/
2021

1
Analysis of a Pertinent Healthcare Issue Jadiam Lopez MSN,
Walden University NURS-6053
Dr Leigh Ann Farmer 12/08/2021
Citations (14/14)
1 Another student's paper
3 Another user's paper
4 https://www.termpaperwarehouse.com/essa y-on/Reducing-
The-Nursing-Shortage/235538
6
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi?article=4
492&context=dissertations
7 https://en.wikipedia.org/wiki?curid=8433460
10 https://en.wikipedia.org/wiki?curid=8857878

Matched Text
Suspected Entry: 100% match
Uploaded - WK2Assgn-LopezJ.doc.docx
ANALYSIS OF A PERTINENT HEALTHCARE
ISSUE
Source - Another student's paper
Analysis of a Pertinent Healthcare Issue
SUMMARY OF THE ARTICLES
Summary of Articles

ANALYSIS OF A PERTINENT HEALTHCARE
ISSUE
Analysis of a Pertinent Healthcare Issue
DR LEIGH ANN FARMER
Leigh Ann Farmer
DR LEIGH ANN FARMER
Leigh Ann Farmer
IN RECENT YEARS, NURSE SHORTAGE HAS
BEEN A MAJOR CRISIS FACING THE GLOBE
Source - Another user's paper
In recent years, nurse shortage has been a major
crisis facing the globe

BBLEARN/originalityReportPrint?course_id=_16911853 _1&pa
THIS HAS MAINLY BEEN MORE EVIDENT AS THE
WORLD CONTINUES TO COMBAT THE COVID 19
PANDEMIC
evident as the world continues to combat the COVID
19 pandemic
THE COUNTRY HAS FACED A SIGNIFICANT
CHALLENGE DUE TO THE INCREASING
HEALTHCARE DEMAND AND THE NUMBER OF
NURSES AND PHYSICIANS AVAILABLE FOR
RESPONDING ADEQUATELY TO COMBATING
THE PANDEMIC
challenge due to the increasing healthcare demand
and the number of nurses and physicians available
for
THIS CHALLENGE OF INADEQUATE PHYSICIANS,

NURSES, AND DOCTORS FOR SERVING THE
COMMUNITIES IS EXPECTED TO WORSEN AS
THE COUNTRY’S POPULATION INCREASES AND
AGES
physicians, nurses, and doctors for serving the
communities is expected to worsen as the country’s
population
NURSING SHORTAGES ARE SAID TO BE THE
PRIMARY CAUSE OF MEDICAL ERRORS AND
THE INCREASED ILLNESS AND DEATH RATES
Nursing shortages are said to be the primary cause of
medical errors and the increased illness and
THE LEADING CAUSE OF NURSE SHORTAGE IS
THE HIGH NUMBER OF NURSES ENTERING THE
RETIREMENT AGE, AN AGING POPULATION
REQUIRING MORE MEDICAL CARE, AND THE
The leading cause of nurse shortage is the high
number of nurses entering the retirement age, an

aging
FACULTY SHORTAGES LIMITING THE CAPACITY
OF NURSING SCHOOLS TO ADMIT MORE
STUDENTS
HADDAD, L., ANNAMARAJU, P., & TONEY-
BUTLER, T
Haddad, L., Annamaraju, P., & Toney-Butler, T
INTERNATIONAL NURSING REVIEW, 66(1), 9-16
International nursing review, 66(1), 9-16

ROLE OF JOB SATISFACTION AND WORK
ENVIRONMENT ON THE ORGANIZATIONAL
COMMITMENT OF NURSES
Role of job satisfaction and work environment on the
organizational commitment of nurses
A CROSS-SECTIONAL STUDY
A Cross-Sectional Study
CONTEMPORARY NURSE, 55(4-5), 380-390
Contemporary nurse, 55(4-5), 380-390
Uploaded - WK2Assgn-LopezJ.doc.docx Source -
https://www.termpaperwarehouse.com/essay-

INSUFFICIENT NURSE STAFFING IS AS WELL
ASSOCIATED WITH HIGH PATIENT MORTALITY
RATES
on/Reducing-The-Nursing-Shortage/235538
Insufficient nurse staffing is related to higher patient
mortality rates
THE NEW POLICIES MAY INVOLVE NEW
PAYMENT AGREEMENTS, EMERGENCY HIRING
PLANS, REGISTERS NURSE’S RESIDENCY
PROGRAMS, SPECIAL CONTRACTING SYSTEMS,
RURAL ALLOWANCE POLICIES, AS WELL AS
RECRUITING AND GUARANTEEING INCENTIVES
FOR NURSING GRADUATES AND FULL-TIME
GOVERNMENT EMPLOYMENT9
Various policies had been implemented worldwide to
combat nursing shortage, classified as new payment
agreements, emergency hiring plans RN residency
programs, special contracting systems, rural
allowance policies and recruiting and guaranteeing
incentives for nursing graduates and full-time
government employment
ACCORDING TO SEREN ET AL

Source -
https://scholarworks.waldenu.edu/cgi/viewcontent.cgi
?article=4492&context=dissertations
According to Hall et al
HEALTH CARE FACILITIES
Source - https://en.wikipedia.org/wiki?curid=8433460
health care facilities
NURSING SHORTAGE IS A GLOBAL ISSUE THAT
IS FACING THE HEALTH CARE SYSTEM
The nursing shortage is a major global issue facing
many health care systems and posing a threat to
hospitals, staff, and patients
Uploaded - WK2Assgn-LopezJ.doc.docx Source - Another
student's paper

perId=5064545465&&attemptId=ce44a1c… 10/11
THE NURSES TEND TO FEEL THE WEIGHT OF
INCREASED AGING POPULATION AND
INCREASED ACCESS TO PUBLIC HEALTH CARE
As the health care system is strained by an aging
population and increased access to public health
care, nurses feel the weight of patient responsibility
the most
AMERICAN ASSOCIATION OF COLLEGES OF
NURSING
Source - https://en.wikipedia.org/wiki?curid=8857878
American Association of Colleges of Nursing
RETRIEVED FROM
HTTPS://WWW.AACNNURSING.ORG/NEWS-
INFORMATION/FACT-SHEETS/NURSING-
SHORTAGE

Retrieved from https://www.aacnnursing.org/news-
information/fact-sheets/nursing-shortage
HTTPS://WWW.NCBI.NLM.NIH.GOV/BOOKS/NBK4
93175/ MARĆ, M., BARTOSIEWICZ, A.,
BURZYŃSKA, J., CHMIEL, Z., & JANUSZEWICZ, P
https://www.ncbi.nlm.nih.gov/books/NBK493175/
Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z.,
& Januszewicz, P
A NURSING SHORTAGE–A PROSPECT OF
GLOBAL AND LOCAL POLICIES
A nursing shortage–a prospect of global and local
policies
SEREN INTEPELER, S., ESREFGIL, G.,
YILMAZMIS, F., BENGU, N., GUNES DINC, N.,
ILERI, S., & DIRIK, H

Seren Intepeler, S., Esrefgil, G., Yilmazmis, F., Bengu,
N., Gunes Dinc, N., Ileri, S., Ataman, Z., & Dirik, H
perId=5064545465&&attemptId=ce44a1c… 11/11
Running head: GUIDED IMAGERY AND PROGRESSIVE
MUSCLE RELAXATION
2
2
Change Project
Amisadai Mederos
Denver College of Nursing
NUR445 - Capstone
Sharon Bator
November 29, 2021
Change Project
Lewin’s Change Theory would work best for the change project
regarding geriatrics falls. The theory shows an interaction
between individuals and the environment. Individuals have the
power to implement change in an environment. It contains three

steps in which change happens (Burnes, 2020). The first step is
unfreezing. To implement change in an organization, there is a
need to identify the need for change and how it will help the
organization. In the unfreezing stage, the need for change is
identified and the reasons. It involves breaking restraining
forces such as poor communication (Burnes, 2020). The driving
forces are training and management support. There is problem
identification and ensuring support from the management.
The second step in the model is changing. It involves setting a
new mindset for the members of the organization and making
group decisions (Burnes, 2020). For instance, there can be a
group meeting to discuss the problem and the need for change.
After the discussion, decisions can be made on the area that
requires change and the necessary change that is required.
Efficient communication is required during that change process.
It is a crucial process because new norms and standards are
formulated. It helps in stepping into the final step.
The final step is refreezing. In this step, there is a need to
identify how to integrate the change into the culture and any
barriers to change. The barriers should be solved through
communication and open discussions (Burnes, 2020). A way of
sustaining change is also identified, such as a leadership system
and promoting a reward system. Therefore, the model suggests
that change can be implemented in any organization following
the three steps. Efficient application of the theory will eliminate
chaos and any instability in an organization.
Stages of Implementing the Change Project
The proposed project is about preventing geriatric falls after an
anesthetic procedure. The main problem of focus is if geriatrics
under anesthesia given pain medication would be at a lower risk
of falls compared to those with no pain medication. From the
interview, the director mentions that older adults do not process
medicine quickly and are at a higher risk of falls. Aleycia
suggests the need for change on the alarm system to identify the
specific room where a patient requires help. The first step is
unfreezing, where the problem is identified (Burnes, 2020).

Communication is required to ensure the problem is well known
and the need for change is established. The second step would
be to implement change in the system and implement a system
where the alarms are identifiable for each room. Finally, the
refreezing process involves the identification of any potential
errors and ensuring nurses understand the system.
Reference
Burnes, B. (2020). The origins of Lewin’s three-step model of
change. The Journal of Applied Behavioral Science, 56(1), 32-
59.
Develop a 3- to 4-page paper, written to your organization's
leadership team, addressing the 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
and 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 and explain how they may
impact your organization both positively and negatively. Be
specific and provide examples.--
Written Expression and Formatting - Paragraph Development
and Organization:
Paragraphs make clear points that support well-developed ideas,
flow logically, and demonstrate continuity of ideas. Sentences
are carefully focused—neither long and rambling nor short and
lacking substance. A clear and comprehensive purpose
statement and introduction is provided which delineates all
required criteria.--
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation--
Written Expression and Formatting - The paper follows correct
APA format for title page, headings, font, spacing, margins,
indentations, page numbers, parenthetical/in-text citations, and
reference list.--
Develop a 3
-
to 4
-
page paper, written to your organization's leadership team,
addressing the selected national healthcare issue/stressor and
how it is impacting
your work setting. Be sure to address the following:

·
Describe the national healthcare issu
e/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 and explain how the
healthcare
issue/stressor is being addressed in oth
er organizations.
--
·
Summarize the strategies used to address the organizational
impact of national
healthcare issues/s
tressors presented in the scholarly resources you selected and
explain how they may impact your organization both positively
and negatively. Be
specific and provide examples.
--

Written Expression and Formatting
-
Paragraph Development and Organization:
Paragraphs make clear poi
nts that support well
-
developed ideas, flow logically, and
demonstrate continuity of ideas. Sentences are carefully focused
—
neither long and
rambling nor short and lacking substance. A clear and
comprehensive purpose
statement and introduction is provided
which delineates all required criteria.
--
Written
Expression and Formatting
-
English writing standards:
Correct grammar, mechanics, and proper punctuation
--
Written Expression and Formatting
-
The paper follows correct APA format for title
page, headings, font, spacing,
margins, indentations, page numbers,

parenthetical/in
-
text citations, and reference list.
--
Develop a 3- to 4-page paper, written to your organization's
leadership team,
addressing the 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 and 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 and
explain how they may impact your organization both positively
and negatively. Be
specific and provide examples.--
Written Expression and Formatting - Paragraph Development
and Organization:
Paragraphs make clear points that support well-developed ideas,
flow logically, and
demonstrate continuity of ideas. Sentences are carefully

focused—neither long and
rambling nor short and lacking substance. A clear and
comprehensive purpose
statement and introduction is provided which delineates all
required criteria.--
Written Expression and Formatting - English writing standards:
Correct grammar, mechanics, and proper punctuation--
Written Expression and Formatting - The paper follows correct
APA format for title
page, headings, font, spacing, margins, indentations, page
numbers,
parenthetical/in-text citations, and reference list.--
2
Nurse Shortage
Student's Name
Institutional Affiliation
Course Name and Number
Instructor's Name
Due Date

In recent years, nurse shortage has been a major crisis
facing the globe. This has mainly been more evident as the
world continues to combat the COVID 19 pandemic. The
country has faced a significant challenge due to the increasing
healthcare demand and the number of nurses and physicians
available for responding adequately to combating the pandemic
(Seren et al.,2019). This challenge of inadequate physicians,
nurses, and doctors for serving the communities is expected to
worsen as the country’s population increases and ages.
Nursing shortages are said to be the primary cause of medical
errors and the increased illness and death rates. In most
healthcare facilities with high patient-to-nurse ratios, nurses
experience exhaustion and discontent, leading to higher patient
mortality and failure-to-rescue rates than facilities with lower
patient-to-nurse ratios (Marć et al., 2019). The leading cause of
nurse shortage is the high number of nurses entering the
retirement age, an aging population requiring more medical
care, and the faculty shortages limiting the capacity of nursing
schools to admit more students.
My health system working setting have responded to issue of
nurse shortage by increasing nurse salaries as the current
nurses are most dissatisfied with their salaries. Therefore,
increasing salaries and bonuses can help rectify this problem
and motivate more students to pursue the nursing profession.
Equally, health facilities have opted for seasonal employment of
temporary nurses during periods with high hospital admittances.
Generally, people do not get sick at the rate throughout the
year. Depending on the season, hiring nurses can help reduce
the patient care waiting period and resolve the issue.
Additionally, nurse education should be restructured and
made more accessible and convenient by giving students the
option of enrolling in online and distance learning programs.
This option can enable individuals who would have else rejected
the profession to reconsider enrolling in the program. Online
and distance learning helps attract members of other careers to

achieve nursing qualifications. The alternative is more
attractive for those nurses who are not comfortable with the
conservative teaching techniques presently used by nurse
instructors.
References
Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., &
Januszewicz, P. (2019). A nursing shortage–a prospect of global
and local policies. International nursing review, 66(1), 9-16.
Seren Intepeler, S., Esrefgil, G., Yilmazmis, F., Bengu, N.,
Gunes Dinc, N., Ileri, S., ... & Dirik, H. F. (2019). Role of job
satisfaction and work environment on the organizational
commitment of nurses: a cross-sectional study. Contemporary
nurse, 55(4-5), 380-390.
1
Nurse Shortage
Student's Name
Instructor's Name
Due Date

1
Nurse Shortage
Student's Name
Instructor's Name
Due Date

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