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Nursing Shortage And Increased Workload Essay

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Hospitals nationwide are experiencing nurse shortage and increased workloads because of shorter hospital stays, fewer support resources and higher acuity in patients (Vahey, D. C., Aiken, L. H., Sloane, D. M., Clarke, S. P., & Vargas, D., 2004). Higher nurse workloads are directly associated with job burnout and job dissatisfaction which in turn causes more voluntary nurse turnover and relates to the increased nursing shortage. According to the Missouri Hospital Association the turnover rate of nurses has increased by fourteen percent in the last five years (Browning M., 2012). Nursing shortage is a real threat to the patient population. According to the Quality Health Outcomes Model by the American Academy of Nursing by Donabedian, effects of the healthcare interventions are characterized by the environment the staff works in (Vahey et al., 2004). Donabedian describes that quality metrics can be divided into three broad categories, structural, process, and clinical. Structural measures the setting in which the health is carried out such as the level of education the nurse receives before entering the work field, staffing adequacy, and nurse autonomy. Process measures the care the patient actually receives such as monitoring quality care measures like a decrease in catheter-associated urinary tract infections (CAUTI’s), continuity of care, patient-centeredness, and nurse surveillance on particular units. Clinical measures the clinical outcomes such as mortality rates and

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