Public Policy Annotated Bibliography
One potential public policy issue that may be of interest to me is the issue of mandatory staffing ratios for hospitals so as to ensure that adequate quality care is available to patients. Fox and Abrahamson (2009) note that nursing care arguably falls into the realm of protecting the common good, and therefore requires government oversight (p. 235). The sources in this bibliography relate to this issue and provide context for it.
ANA. (2019). Nurse staffing. Retrieved from
https://www.nursingworld.org/practice-policy/advocacy/state/nurse-staffing/
ANA states that proper nurse-patient ratio should be based on variety of factors, including patient needs, admissions rate, experience of staff, unit layout, and resources available. The thesis is supported by empirical research on the issue. It is an article with great relevance to the topic, and it provides rich context showing the complexity of the issue.
Clarke, S. P., & Aiken, L. H. (2003). Registered nurse staffing and patient and nurse
outcomes in hospitals: a commentary.Policy, Politics, & Nursing Practice,4(2), 104-111.
The authors show that hospital staffing is a public health issue by referencing existing literature and empirical data, but their thesis is that higher quality staffing is what policy should addressnot simply ratios. The work is relevant to the topic and is helpful in sifting through the complexities of the issue in a logical manner.
Dousay, T., Childers, B., Cole, M., Hill, T., & Rogers, C. (2016). Lower Nurse-to-Patient
Ratio: Higher Patient Satisfaction. Retrieved from https://scholarworks.moreheadstate.edu/cgi/viewcontent.cgi?article=1105&context=student_scholarship_posters
The authors conducted peer-reviewed research to support their thesis, which is that low nurse-patient ratios are better for patient health, meaning the more patients assigned to a single nurse the lower quality of care can be expected. This source is relevant to the topic as...
…a practical perspective from the standpoint of cost and applies it to the issue.Rondeau, K. V., & Wagar, T. H. (2016). Human resource management practices and
nursing turnover.Journal of Nursing Education and Practice,6(10), 101.
The authors give evidence to show that nursing turnover costs an estimated $30,000 per nurse per hospital. This is relevant to the policy topic because it has bearing on the topic of cost, discussed by other researchers.
Twigg, D. E., Myers, H., Duffield, C., Giles, M., & Evans, G. (2015). Is there an
economic case for investing in nursing carewhat does the literature tell us?.Journal of advanced nursing,71(5), 975-990.
The authors argue that the 4:1 patient-nurse ratio is the best ratio that should be mandated by government policy. The authors support the thesis with existing research, and the thesis is relevant to the policy topic as it describes what ratio should be mandated.
Nurse Staffing Shortage Issue Nursing Staffing Shortage One of the greatest challenges to the continued development of a high quality health care delivery system is the continued and frequently increasing shortage of qualified nurses active in the profession of nursing. The nursing shortage has waxed and waned for decades but seems to currently be in a state of constant shortage (Fox & Abrahamson, 2009, pp.235-236). In addition the research associated with low
Staffing in Nursing Staffing and Other Nursing Issues The main topic of this paper is staffing related to the field of nursing, here it is very important to realize a correct balance between the demand of nurses and available nurses at any medical facility. Since the duty of any medical professional like a doctor requires much assistance from a subordinate such as nurse therefore it is vital for any organization to fulfill
Nursing Shortages "The United States is projected to have a nursing shortage that is expected to intensify as baby boomers age and the need for health care grows. Compounding the problem is the fact that nursing colleges and universities across the country are struggling to expand enrollment levels to meet the rising demand for nursing care…" (American Association of Colleges of Nursing). Minimal Nurse Staffing - Negative Impacts for Patients Agency for Healthcare
Leadership and Management In the medical field, the recent topic of debate relates to Nurse Staffing Ratios where many argue that governments need to intervene in setting minimum staffing laws. Currently, the only state that has enacted a law is California and nurse unions in other states are fighting for the implementation of the same in their workplaces. However, most of the attempts made by other states to implement California's
Nurse-to-Patient Ratios in Illinois The Facts For many years the ongoing nursing shortage has required nurses to work longer hours and care for more patients, causing many of them to make fatal and near-fatal mistakes on the job that could have otherwise been avoided. Illinois has attempted to remedy this situation by enacting The Nurse Staffing by Patient Acuity Law on August 24, 2007 ("The Nurse Staffing by Patient Acuity Law," 2012).
This study will look for a hospital which has a wide variation in terms of educational attainment of its nurses. The nursing population of this chosen hospital will then become the participants of this study. Only the currently-employed; full-time nurses are eligible for the survey. IV. Data Collection and Analysis This study will use secondary information. The researcher will request the educational attainment data of their employed nurses to the Human
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