NURS FPX 8045 Assessment 5 Nursing Project Proposal & Communication Assessment

Understanding the link between nursing shortages and patient outcomes, the authors urged for a strategy that retains patient-to-nurse ratios while enhancing treatment quality and lowering costs. Lasater et al. (2021), using an observational study method, aimed to investigate the relationship between increased nurse workloads caused by understaffing and patient mortality and the duration of stay and medical cost for hospitals. Using multilevel random-effects logistic regression models, the authors offered concise information about nursing ratios that vary from 4.2 to 7.6 patients per nurse. Using the Johns Hopkins methodology, this study comes in category three. The data on nurse-to-patient ratios exhibits an extensive approach to evidence gathering and analysis, which improves the data’s accuracy and emphasizes the importance of establishing suitable nurse-to-patient ratio policies.

Nurses’ involvement at work, job happiness, and intention to leave are critical metrics of hospital performance. Lowering intent to leave and improved satisfaction mitigate the nursing shortage. In the health setting, Wei et al. (2023), investigated the impact of nurses’ satisfaction and engagement in enhancing hospital performance and solving understaffing. The authors underlined the explicit study question: “What is the association between nurses’ job participation, fulfillment, the perceived level of services, and intention to quit job?” Using Convergent Care Theory, the authors highlight elements that impact nurse engagement and work fulfillment.

NURS FPX 8045 Assessment 5 Nursing Project Proposal & Communication Assessment

Workplace culture and teamwork lead to enhanced nurses’ job satisfaction, which is linked to increased job engagement and care quality. The authors utilized a conceptual model founded on the theory and existing literature. The model included four structures: work involvement, job fulfillment, standard of care, and intention to leave. Using the Johns Hopkins practice, this research fits into category three because it used a quantitative descriptive correlational design. The study inspires further discourse by highlighting limitations like bias in self-selection and additional research suggestions. The evidence table based on the critical appraisal of five articles is mentioned in the appendix.

Literature Synthesis Using MEAL Plan

The study selected for appraisal offers helpful knowledge of nursing staff issues, including strategies to address the reported nursing shortage practice gap at LMH. The selected articles explore factors contributing to the nurse shortages, including poor policy, lack of funding planning, absence of training, inadequate nurse-to-patient ratio policy, heavy workload, and poor workplace setting (Lasater et al., 2021; Peutere et al., 2024; Tamata & Mohammadnezhad, 2023). Each article provides valuable information on aspects of approaches to address the nurse shortage, ranging from the impact of nurse development training to strategies improving nurses’ job satisfaction and reducing intention to leave, in improving care quality and addressing the nurse shortage issue.

Retention strategies include supportive organizational culture, collaboration, and offering skill development training (Suprapto et al., 2023; Wei et al., 2023). The adequate nurse-to-patient ratio legislation causes less nurse burnout, enhanced job satisfaction, and nurse retention. Consequences of a poor ratio, including compromised patient safety and insufficient care services, are outlined in articles (Lasater et al., 2021). The studies utilize several approaches, such as meta-analyses and systematic reviews, quantitative analyses, and observational studies, to address the problem question; the inquiries are based on theoretical frameworks relevant to nursing shortage challenges, such as Convergent Care Theory, which guide the authors’ investigation of the reported practice gap. Each study has thorough data collection and analysis, offering findings that result in a comprehension of the practice gap in hospitals.

Writing Feedback

The writing syntax was cleared and refined to make the content more explicit and understandable based on input from the previous assessment. Feedback was critical in making potentially tricky concepts more accessible to comprehend by minimizing the usage of jargon. The feedback helped refine the material in each paragraph, making it easier to establish a consistent framework and clear linkages across the review. The comments assisted with content organization, ensuring that information was given logically and there was cohesion.

The logical sequence of assessment&nbs