NURS 8100 Assignment: Application 1: Identification of a Practice Issue for the Evidence-Based Practice (EBP) Assignment

Practice Issue

Nurses play a critical role in the delivery of healthcare services to the populations in need. They utilize the knowledge and skills in nursing science assess, plan, implement, monitor, and evaluate the effectiveness of the care. They also explore the need for innovative interventions that can be implemented for the realization of the goals of their organization. The ability of the nurses to undertake these activities is dependent on the human resource interventions that are utilized to achieve the needs of the diverse workforce. This includes ensuring that interventions that promote their personal and professional development are adopted. It also includes the adoption of strategies that will minimize the rate of staff turnover in the organization. Therefore, this research paper explores the issue of increasing rates of turnover among the nurses in the institution wherein the author works.

The Selected Issue

The selected issue for my research is high rate of turnover among nurses in my organization. The organization the author works with is a hospital that specializes in providing a wide range of services including outpatient visits, in-patient care, general and specialized surgery, and laboratory investigations. Over the past few years, the organization has consistently faced the challenge of retaining its nurses. The rate of turnover among the nurses has been high, affecting adversely the safety and quality of care given to the diverse populations. In response to this issue, the hospital adopted the provision of professional development opportunities to the nurses as a way of reducing the rates of turnover among them (Aluwihare‐Samaranayake et al., 2018). The nurses were provided with regular training opportunities in their areas of specialization. They also worked closely with clinical mentors and supervisors that assisted them in embracing the right behaviors and skills for their practice. Despite these interventions, the rate of turnover among the nurses in the hospital has been high. The impacts of the high rate of staff turnover have included high workload for the remaining nurses, decline in the quality of care, and burnout among the nurses. Evidence has consistently shown that the adoption of interventions that focus on promoting the personal and professional development of the nurses are important in improving their satisfaction with their jobs and reduced intent to leave the organization among them.

Turnover among the nurses is not only an issue facing America but also the other global states too. A high rate of turnover among the nurses is associated with significant adverse outcomes. As shown by Perreira, Berta and Herbert (2018), a high rate of turnover among the nurses lowers the safety and quality of care given in an institution. It also results in an increased level of workload to the existing nurses since they have to meet the diverse demands of the patients. The issue also has adverse impact on the operational costs incurred in an organization. The operational costs in an organization are expected to rise due to the issue because of factors such as recruiting, hiring, training, and retaining new staffs. According to statistics reported by Kurnat-Thoma et al. (2017), the high rate of staff turnover is estimated to account between five and fifteen percent of the annual operating budget of health organizations.

The causes of a high rate of staff turnover are varied and include job dissatisfaction, poor communication between them and their managers, complex organizational structures that inhibit innovation, and lack of opportunities that promote personal and professional development of the nurses. Several interventions have been adopted in the past to address the issue of high rate of turnover among the nurses. One of them is focusing on promoting opportunities that promote employee growth and development. This includes interventions such as training and rewarding performance (Mahoney, Schumann, & Fox, 2018). My organization has focused on training its nurses to address the issue. However, it has been successful in curbing the issue, hence, the need for further analysis of the case to improve retention rate among the nurses in the hospital.

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Conclusion

Improving the retention rate among the nurses is important in promoting safety and quality of care. However, the hospital wherein the author works suffers from the issue of high rate of turnover among the nurses. This is irrespective of the professional development initiatives that it has put in place. A high rate of turnover among the nurses has adverse effect on the healthcare system. Therefore, further analysis should be undertaken to determine the ways in which the issue can be solved effectively in the hospital.

References

Aluwihare‐Samaranayake, D., Gellatly, I., Cummings, G., & Ogilvie, E. L. (2018). A contextual work‐life experiences model to understand nurse commitment and turnover. Journal of advanced nursing, 74(9), 2053-2063.

Kurnat-Thoma, E., Ganger, M., Peterson, K., & Channell, L. (2017). Reducing annual hospital and registered nurse staff turnover—A 10-element onboarding program intervention. SAGE Open Nursing, 3, 2377960817697712.

Mahoney, C. B., Schumann, P. L., & Fox, M. L. (2018). Differences in turnover intentions of nurse practitioners by practice area in the United States. Journal of Organizational Psychology, 18(5).

Perreira, T. A., Berta, W., & Herbert, M. (2018). The employee retention triad in health care: Exploring relationships amongst organisational justice, affective commitment and turnover intention. Journal of clinical nursing, 27(7-8), e1451-e1461.

In many of the courses in the DNP program, you have been asked to analyze research
literature when exploring issues in health care. Reflect now on an issue in your practice
area that has different outcomes from what is supported by the literature. For example,
the literature evidence notes that nosocomial infections are reduced when procedures
such as hand washing, glove use, and isolation strategies are implemented. In your
clinical area, you have implemented these strategies and you are not seeing a reduction
in nosocomial infections.
For Application 1, you select an issue that will serve as the launching point for your
Evidence-Based Practice (EBP) Assignment.
Before you proceed with this assignment, you may wish to review the overview of the
full EBP Assignment.

To prepare for Application 1:

 Consider the specifics of your practicum setting, as well as practice-related challenges
in your specialty area that interest you. Brainstorm practice issues in which an outcome
is different from what would be expected according to the research literature.
 Select one issue to focus on for this assignment. This will be your issue for the entire
EBP Assignment, so be sure it is one that will enable you to fulfill the project
requirements (e.g., you can develop new approaches to practice). You may wish to
speak with your Practicum Mentor about your selection.
 Explore the research literature on this issue.

To complete:

In a 1- to 2-page paper, address the following:
 Provide a summary of the selected practice issue in which the outcome is different from
what would be expected according to the research literature. (Note: The issue you
select must be suitable for completing the entire EBP Assignment.)

By Day 7

Application 1 is due.
Submission and Grading Information
To submit your completed Assignment for review and grading, do the following:
 Please save your Assignment using the naming convention “WK2Assgn+last name+first
initial.(extension)” as the name.
 Click the Week 2 Assignment Rubric to review the Grading Criteria for the
Assignment.
 Click the Week 2 Assignment link. You will also be able to “View Rubric” for grading
criteria from this area.
 Next, from the Attach File area, click on the Browse My Computer button. Find the
document you saved as “WK2Assgn+last name+first initial.(extension)” and click Open.
 If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit
my paper(s) to the Global Reference Database.
 Click on the Submit button to complete your submission.
Grading Criteria
To access your rubric:
Week 2 Assignment Rubric
Check Your Assignment Draft for Authenticity
To check your Assignment draft for authenticity:
Submit your Week 2 Assignment draft and review the originality report.
Submit Your Assignment by Day 7
To submit your Assignment:
Week 2 Assignment

Practicum

As you begin your practicum activities, make sure that you have submitted and received
approval for all of the required paperwork. Be sure to keep track of your practicum hours
using the provided time log.
By Day 7 of Week 3
Reminder: You submit your time log and a journal entry during Week 3. See the
Practicum Guidelines in the Practicum area of the Course Overview page for a
complete description of the practicum.

Week in Review

This week, you evaluated outcomes in a specialty practice area different from research
evidence and applied reasoning strategies in a nursing specialty area.
Next week, you will examine the current state of science in your specialty area.