STAFF SHORTAGE IN NURSING

Research Critique Guidelines – Part II

Student’s name: Liliana Faura

University affiliation: GCU

Course: NRS-433V

Quantitative Studies

Article 1

Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … & Missed Care Study Group. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of advanced nursing, 74(7), 1474-1487. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033178/

Background of the study

This article is about the relationship between nurse staffing and the omissions in nursing care. This research tends to identify the nursing care which is missed in acute adult inpatient wards. Additionally, it seeks to ascertain the evidence that exists for the association of the missed care with nurse staff. Therefore, this is an indication that the problem being researched is the missed care in acute adult inpatient wards. The research has been able to establish an association between nurse staffing levels and adverse patient outcomes. The outcome of adverse patients includes in-hospital mortality. According to the article, low registered nurse staffing is associated with the missed reports of nursing care in hospitals. Missed care is a problem of nurse staffing adequacy. Basically, nurse staffing has the role of maintaining patient safety. Maintaining patient safety is one of the safe staffing guidelines for hospital wards. The guidelines are presented by the National Institute for Health and Care Excellence. In addition to that, the National Institute for Health and Care Excellence has been able to highlight the need for more evidence on the indicators that reflect on patient outcomes which are impacted by the nurse staffing. Therefore, according to this research, low registered nursing staff leads to the omission of essential care. Additionally, missed care is attributed to nurse staffing adequacy.

This quantitative study is significant as it supports the fact that hospitals are facing a major challenged due to low registered nursing staff. Therefore, this study presents a clear picture of how low registered nursing staff in hospitals affects the quality of care provided. The purpose of this study is to identify nursing care most frequently missed in acute adult inpatient wards and to determine evidence for the association of missed care with nurse staffing. Additionally, it establishes the relationship that exists between the nurse staffing levels and the adverse patient outcomes such as in-hospital mortality. The objective is to measure the missed care on the patient’s outcomes. The research questions that guided the study are; what are the nursing care tasks most frequently missed in acute hospitals adult inpatient wards, as reported by staff or patients or captured in administrative data? and What are the associations between missed care and nurse staffing levels or skill mix in acute hospitals adult inpatient wards?

How does this article support the nurse practice issue you chose?

This article will help in answering my PICOT question which is “How has staff shortage in nursing levels impacted nurse to patient ratios, patient safety, and quality of care in the last two years?” as it has been able to identify some of the impacts of the nursing shortage. The interventions and comparisons groups I identified and those in this study compare as they are both about the impact of the quality of patient care as attributed by the nursing shortage.

Method of Study

The method that was used in this study is an examination and review of literature on nurse staff. The second article has used a five-step for conducting a systematic review. The two methods are different as the first one has used the existing literature and study while the second one has used steps in undertaking research.

The method identified in this study is an examination and review of literature on nurse staff. The benefit is that it provides greater in-depth information. The limitation is that some studies may not be scientific.

Results of Study

The finding of this study is that the relationship between missed care and nurse staffing levels in hospitals has been widely studied in many countries. This is an indication that nurse staffing levels have a greater impact on the care of patients. Most of the findings from the review of literature related to registered nursing staffing levels. The care that is reported mostly is that there have been missing factors such as talking and comforting patients. Due to the negligence of such factors, the quality of care provided may indicate prioritization of clinical care in staff shortages.

The implication of this study in nursing practice is that it shows the effects of nursing shortages in hospitals and patients. it also shows the implication of missed care in association with the nurse staffing levels.

Outcomes Comparison

The anticipated outcome for my PICOT question is to ascertain the effects that staff shortage has on the patient ratio, safety, and quality of care.

The outcome of this article compares to my anticipated outcomes as they both discuss the impact of the nursing shortage.

Article 2

Alshutwi S. (2017). The Influence of Supervisor Support on Nurses’ Turnover Intention. iMedPub Journals. Vol. 4 No. 2: 56 http://www.hsprj.com/health-maintanance/the-influence-of-supervisor-support-on-nurses-turnover-intention.pdf

Background of the study

This study is about the impact of supervisor support on the turnover intention of nurses. The problem identified by this study is the worsening of maintaining adequate nursing staff which is been a challenge facing many healthcare organizations. The significance of this study on nursing is that it provides more information about the impact of supervisor support on nurse’s turnover intention. It also provides some of the potential factors that may be attributed to the nursing shortage in hospitals.

The purpose of this research is to review and critique the published empirical research on supervisor support as an approach to reduce turnover intention and make recommendations for further research. The objective of the study is to focus on proximal support or supervisor support. The research question of this study is; what is the association between supervisor support and turnover intention?

How does this article support the nurse practice issue you chose?

The nurse practice issue that I chose is a staff shortage in nursing. This article will answer my PICOT question which is “How has staff shortage in nursing levels impacted nurse to patient ratios, patient safety, and quality of care in the last two years?” as it discusses how supervision as a factor impacts nursing shortage.

The interventions and comparisons groups I identified and those in this study compare as they both discuss the factors that impact nursing shortage and how this impacts the quality of care.

Method of Study

This method has used a five-step for conducting a systematic review. The first article used an examination and review of the literature on nurse staff. They both differ as the first one has used the existing literature while the second has followed a systematic approach.

The benefit of this method is that it provides a systematic map for a researcher to follow. Its limitation is that the researcher is limited towards following the given steps.

Results of Study

The key finding of this study is that nursing policies are needed to promote supervisor supportive behaviors such as training programs and workshops. Additionally, the researcher provides that supervisor support should be used as an innovative approach

The implication of this study is that it provides a framework that can be used in reducing the problem of the nursing shortage.

Outcomes Comparison

The anticipated outcome for my PICOT question is to ascertain the effects that staff shortage has on the patient ratio, safety, and quality of care.

The outcome of these articles compares to my anticipated outcomes as both provide a framework that can be used in reducing the problem of the nursing shortage.

References

Alshutwi S. (2017). The Influence of Supervisor Support on Nurses’ Turnover Intention. iMedPub Journals. Vol. 4 No. 2: 56

Griffiths, P., Recio‐Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., … & Missed Care Study Group. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of advanced nursing, 74(7), 1474-1487.

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