According to Meyer & O’Brien-Pallas (2010), to address organizational problems such as staff shortages, a systemic perspective is demanded, one which integrates “clinical, organizational, financial, and outcome variables from a nursing perspective” (p. 2829). All too often, staffing is merely addressed from an individual, closed systems perspective. For example, nurses are encouraged to join an organization through the use of an introductory bonus, or to remain with a retention bonus. This only skims the surface of the problem, which is rooted in deeper and more systemic problems within the healthcare system, including a shortage of nursing faculty, high levels of nursing burnout, and low levels of support for nursing and nurses on an administrative level.
The Problem: Nursing Shortage
Within my own institution, there is a clear nursing shortage. Nurses are being forced to care for patients at a higher ratio of caregivers to patients, even though this has been shown to result in higher rates of medical errors, due to nursing fatigue. There is also the issues of horizontal violence, or nurses bullying other nurses, which can be exacerbated due to tensions on staff. Looking through the problem through a systems perspective of inputs, throughput, output, cycles of events, and negative feedback, according to Meyer & O’Brien-Pallas (2010) can be useful. Inputs, in the case of studying a human relations issue, take the form of both patients and nurses; it can also include institutional personnel outside of the immediate environment. With this problem, addressing input-related problems by increasing staff numbers is critical, although the other elements of open systems theory must likewise be addressed.
Open System Concepts: Problems and Solutions
For example, according to the American Association of Colleges of Nursing (AACN) (2017), “faculty shortages...
Resources
Meyer, R. M., & O’Brien-Pallas, L. L. (2010). Nursing services delivery theory: An open system approach. Journal of Advanced Nursing, 66(12), 2828–2838. Retrieved from: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3017742/
Nursing faculty shortage. (2017). American Association of Colleges of Nursing (AACN). Retrieved from: http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing- Faculty-Shortage
Nursing shortage fact sheet. (2017). American Association of Colleges of Nursing (AACN). Retrieved from: http://www.aacnnursing.org/News-Information/Fact-Sheets/Nursing- Shortage
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