NURS FPX 4010 Assessment 4 Stakeholder Presentation

NURS FPX 4010 Assessment 4 Stakeholder Presentation

Organizational Issue
Sanford Medical Center, Bismarck provides excellent medical care
It achieves this by combining compassion patient care, advanced technology, and expertise
However, the facility is understaffed in the nursing department
Insufficient nursing staff compromises patient welfare and outcomes
Overwhelmed nurses tend to ignore details or don fully engage with patients
This can leave patients feeling dissatisfied with nurse performance

With the growing patient population, Sanford Medical Center is struggling to source, attract, and retain adequate numbers of trained and qualified healthcare professionals, especially nurses and physicians. While the reasons for this are varied, a shortage of nurse faculty, budget cuts, and nurses reaching retirement age are some of the reasons for short staffing at the facility


Why Care about Understaffing?
Hospitals that experience understaffing jeopardize patient’s safety
Overworked nurses suffer from burnout or fatigue that lower their focus
Lack of focus on tasks can result in:
missed nursing care,
medical errors, and
a lack of engagement
Patients in understaffed facilities experience:
A high risk of infection
A rise in postoperative complications
Increased number of falls
High in-hospital mortality

(Hensel et al., 2017)
Understaffing can negatively affect nurses. When there are fewer nurses, it means they will handle the same amount of work which thus longer working hours. If this happens without or with little relief, their mental, physical, and emotional health can be broken down. Injured or sick nurses may not show up to work thus compounding the staffing problem. More so, nurses under constant stress may develop multiple health problems, such as depression, high blood pressure, heart disease, and exhaustion. On part of patients, a scarcity of nurses can reduce patient satisfaction. Negative patient views of nursing care often relate to missed care that can be due to short staffing. Also, patients may lose confidence in the care they get when nurses are too rushed to explain medications or coordinate care with others.


Why Interdisciplinary Team is Relevant
The issue of understaffing cannot be completely solved on an individual level
As such, concepts like teamwork and interdisciplinary communication are important in such discussions
Hospitals cannot adequately provide nurses for each shift
Teamwork skills are needed to facilitate patient safety and ensure efficiency of nursing units
Inclusion of methods and concepts from other disciplines like psychology, management, and social studies could improve nursing
Utilization of ethical principles could greatly enhance efficiency of nursing teams
An interdisciplinary approach can:
Improve patient outcomes, satisfaction levels, and processes
Reduce length of hospital stay
Avoid duplication of assessments resulting in more holistic care records
Reduces burnout, medical errors, and increases patient safety
(IntraHealth Librarian, 2021)


Hensel et al. (2017) stressed the importance of interdisciplinary approach in solving the problem of understaffing. They argued that practical and theoretical aspects of nursing could be greatly improved by including concepts and methods from other fields, mainly from the psychology, management, and sociology. They also noted that management strategies could be applied to operating nursing shifts and ethical principles could improve the efficiency of nursing teams. An opportunity for discussion afforded by interdisciplinary care planning can be used for carers, patient, and their family to design their ongoing plan.


Interdisciplinary Plan
Short staffing in the nursing department can leave patients feeling dissatisfied with nurse performance
Objective: help management at Sanford to attract and retain excellent nurse staff to alleviate the problem of understaffing
The sooner this decision is taken, the more effective it is
If successfully implemented, there will be adequate nursing staff
This will ensure:
quality patient care,
improved patient satisfaction, and
reduced fatigue or burnout:


What will the Interdisciplinary Team Do?
Teamwork is an ingredient to delivery medical care to patients
Healthcare is a multidisciplinary profession in which nurses, doctors, and healthcare professionals from various specialties must share resources, work together, and communicate often
Such an approach is needed in addressing the understaffing problem at Sanford
The role of each interdisciplinary team member include:
HR manager: communicate hiring and retention policies
Psychologists: help nurses cope with mental challenges like depression due to fatigue and long working hours
Business analysts: assess the need for new staff and training needs, if any
Administration: communicate between departments & manage budgets
Nurse supervisor: prevent work & interpersonal conflicts among nurses

Implementation & Resource Management
Can be done by internal hiring team or through outsourcing companies
Hiring/retention implementation is the hardest part
A wrong step can lead to failure of the entire retention/hiring program
Hiring/retention implementation can be segregated into:
Practical administrative arrangements
Conducting the hiring process
If done by internal hiring team, the process entails:
Blocking the dates
Mobilizing resources
Managing the contingencies
Executing the plan
The hiring should be arranged when it most required from the business perspective

Effective Resource Managment
To esnure no resource is wasted, the following practices can be employed :
Plan resources for 90-95% in case there are emergencies
Focus on critical and valuable resources to ensure the tasks get finished
Use a computer software to track the project’s resources
Note the duration of time required for each resource to see how it fit into overall schdule
estimate the number of resources needed daily or weekly to better grasp what will be needed and when
Get resource reports to monitor productivity
Improve and increase communication between resource and project manhers and team members
spot problems earlier in the process
account for non-project time such as paid time off & adminstative time in advance
Limit or avoid the number of parallel tasks/multitasking
understand resources that are in short supply and focus on them

How the Plan Justify Resource Expenditure
Sanford Medical Center will require approximately $576, 000 to implement this change
At least five more nurses will be added which can cost about $250,000 yearly
The facility will also incur some hiring costs such:
Advertising the opening,
The time cost of an internal recruiter,
Time cost of the person conducting the interviews,
Background checks and drug screens, and
Other prior-employment assessment tests
The average cost per hire is about $4,000, translating to about $20,000
After the recruitment, new nurses will need some training
An average of $1200will be spent on training per nurse
Annual salary and employee benefits once hired will be around $60,000 for each nurse

Successful implementation of hiring and retention program ensure safe and adequate nurse staffing
Suffcient nurse staffing may:
Prevent nurse burnout/fatigue
Reduce patient care costs
Increase patient satisfaction
Improve patient outcomes
Patients recommend the hospital and give it a high rating
Measures of success include:
Increased and improved patient and nurse satisfaction
Increased productivity level per nurse
Reduced turnover rates
Reduced mortality rate, readmissions, and transfers to other facilities


IntraHealth Librarian. (2021). Why is teamwork in health care important? HRH Global Resource Center.
Hensel, K. O., van den Bruck, R., Klare, I., Heldmann, M., Ghebremedhin, B., & Jenke, A. C. (2017). Nursing staff fluctuation and pathogenic burden in the NICU-effective outbreak management and the underestimated relevance of non-resistant strains. Scientific Reports, 7(1), 1-7.


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