This assignment is a four part assignment which two parts is alr

This assignment is a four part assignment which two parts is
already completed leaving part 3 to be completed and then part
four will be the final piece (part 1, 2, and 3 together to make the
final piece) I have attached part 1 and 2 which is already
complete, so you have an idea and must follow topic.
****************Part 3****************
· To assess a clinical issue that is the focus of the Quality
Improvement Project. ( The clinical issue I choose is nurse
shortage during this pandemic and the burnout nurses are
enduring from it.) which is already showed in part 1 and 2!!
· Create an outline of the action plan for the project.
· Evaluate the clinical project.
Content Requirements:
1. Identify stakeholders that will be impacted by the quality
improvement project.
2. Identify and discussed resources including budget needed to
implement the quality improvement project.
3. Develop an action plan for change including a proposed
implementation timeline
*This part is to be 4-6 pages in length, excluding the title,
abstract and references page.
*Incorporate a minimum of 3 current (published within last five
years) scholarly journal articles or primary legal sources
(statutes, court opinions) within your work.
*Journal articles and books should be referenced according to
current APA style (the library has a copy of the APA Manual).
*This paper should be formatted per current APA and references
should be current (published within last five years) scholarly
journal articles or primary legal sources (statutes, court
opinions)
****** Part 4 ( please use the attached part 1, 2 and 3 and use

to complete part 4 which is the final piece.
· Putting it all together for the final Quality Improvement
Project.
Content Requirements:
1. A description of the clinical issue to be addressed in the
project.
2. A SWOT (strengths, weaknesses, opportunities, threats)
analysis for the project. Analysis of the strengths, weaknesses,
opportunities, and threats related to the quality improvement
process.
3. An outline of the action plan for the project.
4. An assessment of clinical issue that is the focus of the quality
improvement project.
5. Discuss stakeholders and decision makers who need to be
involved in the quality improvement project.
6. Discuss resources including budget, personnel and time
needed for the quality improvement project.
7. Discuss potential strategies for implementation and
evaluation.
The final piece Must include the below:.
· The final project is to be 8 - 12 pages in length and formatted
per current APA, excluding the title, abstract and references
page.
· Incorporate a minimum of 12 current (published within the
last five years) scholarly journal articles or primary legal
sources (statutes, court opinions) within your work.
· Journal articles and books should be referenced according to
the current APA style (the library has a copy of the APA
Manual).
Part 1- (Already complete)
Abstract
The covid-19 pandemic is presenting a great issue to the

provision of quality healthcare services to the patients. The
process of dealing with the covid-19 pandemic requires well-
being of the nurses both physically and mentally. The mental
and physical issues caused by the nursing shortages affects the
delivery of quality healthcare services and improvement in the
safety of the patients during this pandemic. The shortages of
numbers increase the possibilities of medication errors and this
tampers with the quality healthcare services delivered to the
patients. It increases the risks of infections for both nurses and
patients thus extending the chain of covid-19 transmission.
Nursing shortages in the covid pandemic
The identified clinical issue is on how nursing shortages during
this covid pandemic is putting nurses and patient at risk within
the healthcare facilities. Nursing shortages are described as a
situation whereby the demand for the nursing professionals like
the registered nurses is exceeding the supply either locally,
nationally, or globally. COVID-19 has affected millions of
individuals in the entire world and this has overwhelmed the
healthcare systems of the nations. It has also affected healthcare
providers like the nurses who are considered to be on the
frontline in helping to protect the lives of every individual who
is affected. Nursing shortages are amongst the issue that affects
the performance of the nurses in the facilities. Due to the rise in
the number of patients who are visiting the facilities for chronic
illness, both nurses and patients are highly exposed to the risk
of covid infections (Arabi et al., 2020).
The need for change
The risk of nurses to covid infection is associated with the
shortages in nurses. The shortages of nurses imply that they are
working under a high level of pressure and this is affecting the
mechanisms of dealing with COVID-19. The severity of nurse
shortages affects the process of handling emergencies and
disasters. Many healthcare facilities were not prepared for this
pandemic hence are considered to be less resilient. The shortage
of nurses is considered to be a lower level of resilience and this

affects the sustainability of the healthcare services as well as
the well-being and health of the nurses. When nurses are
working under pressure, it is becoming hard to follow the strict
guidelines and adhere to the protocol that is set to help in
handling the patients (Arabi et al., 2020).
Nursing shortages not only affects the physical well-being of
the nurses but also their mental health. This exposes patients to
an increased rate of errors such as exposure to nosocomial
infections like COVID-19-associated hospital infections. These
infections are then passed from one patient to the other and then
to the families. The infection is also passed from one nurse to
another nurses. This problem makes it impossible to break the
chain of COVID-19 infections (Arabi et al., 2020).
The best practice to the issues
Several solutions can help in dealing with the issue of nurse
shortages during this covid pandemic. According to Legido-
Quiley et al (2020), it is important to recall the retired nurses
who are experienced in handling emergencies and pandemics. In
this case, the retired or the staff nurses who are well equipped
with the knowledge, skills, and attitudes are called upon to help
in the provision of holistic care for the patients who are
infected with covid-19. This solution is important since it
ensures that the healthcare facilities increase their abilities to
receive more patients (Legido-Quigley, et al., 2020).
Another solution is for the financial department along with the
CFO to work together and find a good enough pandemic salary
to offer current employees and new ones in order to keep them
from seeking employment elsewhere. Also, calling volunteers
like the nursing interns and student nurses who are in the final
semester of nursing school and ready to have an experience of
working in a clinical setting is also a good idea. In this case, it
is necessary to ensure that nurses are having clear plans for the
management and supervision of the volunteers when identifying
their roles and tasks that are supposed to be accomplished. The
nursing experts must be brought on board to help in dealing
with emergencies and dangerous situations. These nurse experts

can help in outlining the potential risks from the pandemic and
help in the creation of the long-term plan that is important in
the modification of the risks (Thobaity et al., 2019).
References
Arabi, Y. M., Murthy, S., & Webb, S. (2020). COVID-19: a
novel coronavirus and a novel challenge for critical
care. Intensive Care Med., 46(5), 833-836. doi:10.1007/s00134-
020-05955-1
Legido-Quigley, H., Mateos-Garcia, J. T., Campos, V. R., Ge-
Sanchez, M., Muntaner, C., & McKee, M. (2020). The resilience
of the Spanish health system against the COVID-19
pandemic. Lancet Public Health, 5(5), e251-ee252.
doi:10.1016/S2468-2667(20)30060-8
Thobaity, A. A., Alamri, S., Plummer, V., & Williams, B.
(2019). Exploring the necessary disaster plan components in
Saudi Arabian hospitals. International Journal of Disaster Risk
Reduction, 41, 101316.
https://doi.org/10.1016/j.ijdrr.2019.101316
PART 2
Abstract
The study is meant to help in analyzing the strengths,
weaknesses, opportunities, and threats that define the current
situation of nurses’ shortage during this pandemic to enable
and promote the provision of quality healthcare services and to
develop suggestions. The study herein is qualitative
research. During this covid-19 pandemic, it has been difficult to
handle the situation as the number of infections is greater than
the number of nurses available. A large number of infections is
more than the estimated nurse-patient ratio (Renato 2018).
Strengths of the nurse shortage solutions
In this case, the retired or the staff nurses who are well
equipped with the knowledge, skills, and attitudes in the
provision of holistic care for the patients who are infected with

covid-19. The retired nurses provide efficient knowledge and
skills in handling patients due to the experience and familiarity
in dealing with such matters. This is a positive impact that helps
in solving the problem of nurse shortage and provide the current
nurse with the overtime experience on how to handle difficult
situations without falling victim one same.
This solution is important since it ensures that the healthcare
facilities increase their abilities to receive more patients and
attend to a large number of sick people being brought in without
much strain as work will be subdivided because there are
enough personnel.
Another proposed solution is that the financial department along
with the CFO to work together and find a good enough
pandemic salary to offer current employees. This is because
nurses have a lot of work to do and therefore require a lot of
motivation not to give up (Butt 2015). Paying nurses, a fair
amount will encourage them to be more committed in their job
and promote service provision. Salary increment will also lead
to a rise in a student willing to venture into the nursing
field and this will help improve the healthcare
department by quality service provision while keeping them
from seeking employment elsewhere
Using student interns as volunteers during this intense moment
will also help in providing the nursing department with extra
personnel and the government will also be able to save money
of having to employ more nurses and use the funds in
providing medicines and other health equipment (Prosen2021).
Involving nursing experts to help in dealing with emergencies
and dangerous situations can help in outlining the potential
risks from the pandemic and help in the creation of the l ong-
term plan that is important in the modification of the risks
(MARTIN 2010).
Weaknesses of the proposed solutions
The weaknesses related to this suggestion is that the nurses
shall be required to work overtime due to the increased number
of patients leaving very little time for the nurses to rest and

attend to their activities or even spent time with their families.
Salary increment is a benefit to the nurses but has its weakness
in that it shall lead to inequality and wage distortion in various
medical and allied positions. Using student interns as volunteers
have its shortcomings in that the students are not working under
contract this in case they mess or commit a certain wrong to a
patient there shall be no recourse. The volunteers are not
expecting to be paid and thus they are not going to provide
efficient services to patients as they lack motivation and likely
not to assist the health sector
much (Khanlou and Orazietti 2020).
Opportunities that may arise from the suggested solutions
To avoid using retired nurses and the pressure of
nurse’s shortage, the society shall realize the need for nurses,
and this shall encourage more people to join the
nursing platform. The suggestions
shall present opportunities for research as they create a wide
research area. It shall also provide student volunteers or interns
with the ability to solve problems and be able to think
practically through the nursing profession and work under
expert guidance.
Implementation of these suggestions shall provide a very
large working field where patients can share
their situations with nurses easily. The experience shall provide
an opportunity for the nurses to perceive and serve as life
coaches to patients.
Threats against suggested solutions.
Using retired nurses to solve the shortage of nurses has got its
shortcomings too, retired nurses are often old. Old age is
associated with a low immune system as there is a reduction in
the production of the B and T cells by the bone marrow and
thymus making them vulnerable to the underlying pandemic. We
could thus lose important people in the society as the pandemic
would be a threat to their immune system. The suggestions also
pose a high risk for contracting occupational Illness or
contagious diseases for example COVID-19, the safety

equipment provided is not enough to be used by every nurse
(Rani 2020).
The nurses shall also face a high rate of exhaustion experience
as the high number of patients being brought in shall
require attention and this demands that the nurses be on their
feet most of the time working up and down to help the patients
this it’s so tiresome.
The nursing experience shall also sleep deprivation
and biological arrhythmia to personnel.
Conclusion and suggestions.
According to the qualitative research which was carried out
through the analysis of the SWOT to provide an actual plan
for quality improvement, the data helps to determine that there
are opportunities under the nursing profession and it is thus
important to deal with nurses shortage by trying out the use
of experts in the field and recalling retired nurses in times of
need to present their expertise in the field once again and the
strength in using student interns as volunteers shall encourage
students to get the urge to take the opportunity presented to
them and this shall settle the issue of nurse shortage especially
during pandemic when their services are most needed.
References.
Renato, De Oliveira Marcos. 2018. "What Are the Main
Obstacles For The Shortage Of Nurses In The USA?". Nursing
& Care Open Access Journal 5 (4).
doi:10.15406/ncoaj.2018.05.00149.
Butt, Manzoor. 2015. "Training Community Based Nurses in
Impoverished Areas Of Developing Countries: A Practical
Solution
To A Rapidly Emerging Global Shortage Of Health Workers
Force". Middle East Journal of Nursing 9 (2): 31-35.

doi:10.5742/mejn.2015.92652.
Prosen, Mirko. 2021. "Strengthening Nurses' Resilience and
Reducing Burnout During The COVID-19 Pandemic". Kontakt.
doi:10.32725/kont.2021.001.
MARTIN, SHARON DEZZANI. 2010. "Nurses’ Ability and
Willingness to Work During Pandemic Flu". Journal of Nursing
Management 19 (1): 98-108. doi:10.1111/j.1365-
2834.2010.01190.x.
Khanlou, Nazilla, and Brenda E. Orazietti. 2020. "Article
Reprint: Nurses Respond To COVID-19 Pandemic: Mental
Health Support for Frontline Nurses". INYI Journal, 27-28.
doi:10.25071/1929-8471.24.
Rani, R. Golda Sahaya. 2020. "Meticulous to Nurses Protection:
COVID-19 Pandemic". Journal of Medical Science and Clinical
Research 08 (06). doi:10.18535/jmscr/v8i6.122.

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