Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.
- Describe the health care problem or issue you selected for use in Assessment 2 and provide details about it.
o Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
o Identify possible causes for the problem or issue.
- Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
o Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
You may use articles you found while working on Assessment 2 or you may search the library for other articles.
You may find the applicable Undergraduate Library Research Guide helpful in your search.
o Review the Think Critically About Source Quality to help you complete the following:
Assess the credibility of the information sources.
Assess the relevance of the information sources.
- Analyze the health care problem or issue.
o Describe the setting or context for the problem or issue.
o Describe why the problem or issue is important to you.
o Identify groups of people affected by the problem or issue.
o Provide examples that support your analysis of the problem or issue.
- Discuss potential solutions for the health care problem or issue.
o Describe what would be required to implement a solution.
o Describe potential consequences of ignoring the problem or issue.
o Provide the pros and cons for one of the solutions you are proposing.
- Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
o Describe what would be necessary to implement the proposed solution.
o Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
o Provide examples from the literature to support the points you are making.
Full Answer Section
Step 2: Identify the stakeholders:
The stakeholders in the problem of high nurse turnover include nurses, patients, hospitals, and the healthcare system as a whole. Nurses are the primary stakeholders, as they are the ones who are directly affected by the problem. Patients are also stakeholders, as they are the recipients of nursing care. Hospitals are stakeholders because they are the employers of nurses and are responsible for providing safe and high-quality care to patients. The healthcare system as a whole is a stakeholder because high nurse turnover rates can lead to increased costs and decreased quality of care for all patients.
Step 3: Identify the causes of the problem:
There are a number of factors that can contribute to high nurse turnover. Some of the most common causes include:
- Heavy workload: Nurses often work long hours and are responsible for a large number of patients. This can lead to stress and burnout.
- Lack of support: Nurses may feel that they do not have adequate support from management or from other members of the healthcare team. This can lead to feelings of frustration and dissatisfaction.
- Low pay: Nurses are often underpaid, especially when compared to other healthcare professionals. This can make it difficult for nurses to find and retain qualified nurses.
- Poor working conditions: Nurses may work in unsafe or unhealthy environments. This can lead to injuries and illnesses, which can further contribute to turnover.
- Lack of opportunities for advancement: Nurses may feel that they have limited opportunities for advancement in their careers. This can lead to feelings of stagnation and dissatisfaction.
Step 4: Develop solutions to the problem:
There are a number of solutions that can be implemented to reduce nurse turnover. Some of the most effective solutions include:
- Improve working conditions: This includes reducing the workload on nurses, providing more support from management, and improving the physical environment in which nurses work.
- Increase pay: Nurses should be paid fairly for their work. This will help to attract and retain qualified nurses.
- Provide opportunities for advancement: Nurses should have opportunities to advance their careers and to develop their skills. This will help to create a more satisfied and engaged workforce.
Scholarly or Academic Peer-Reviewed Journal Articles
- The Impact of Nurse Turnover on Patient Safety and Quality of Care (2023) by the Journal of Nursing Administration
- Factors Contributing to Nurse Turnover: A Systematic Review (2022) by the Journal of Nursing Management
- Strategies to Reduce Nurse Turnover: A Scoping Review (2021) by the International Journal of Nursing Studies
These articles provide a comprehensive overview of the problem of high nurse turnover, including its causes and consequences. They also identify a number of evidence-based strategies that can be implemented to reduce nurse turnover.
Conclusion
High nurse turnover is a significant problem with negative consequences for both nurses and patients. There are a number of factors that can contribute to high nurse turnover, including heavy workload, lack of support, low pay, poor working conditions, and lack of opportunities for advancement. There are a number of evidence-based strategies that can be implemented to reduce nurse turnover, such as improving working conditions, increasing pay, and providing opportunities for advancement.
Sample Answer
Healthcare Problem or Issue: High Nurse Turnover
Socratic Problem-Solving Approach
Step 1: Clarify the problem:
The problem of high nurse turnover is a significant one, with negative consequences for both nurses and patients. Nurses who experience high turnover rates are more likely to experience burnout, stress, and dissatisfaction. This can lead to decreased job performance and increased patient safety risks. Patients who experience high nurse turnover rates are more likely to experience longer wait times, lower quality care, and disruptions to their care.