Wk3d1d2p Discussion 1 The national stressor I chose is the short-staffing issue, and as the need for nurses in the workforce increases the stressor I ch

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Wk3d1d2p Discussion 1
The national stressor I chose is the short-staffing issue, and as the need for nurses in the
workforce increases the stressor I chose is amplified. Unfortunately, as that is happening, the
numbers of patients in the hospital increases and the ratios for nurses to patient increases to
unsafe numbers. This pandemic has proven, after applying a tremendous pressure on the
nursing staff, that nurses need adequate ratios (Cabrera & Zabalegui, 2020). It is important to
note that the patient to nurse ratio is a primary predictor variable of outcomes such as
in-hospital mortality, length of stay, and 30-day readmission (Lasater et al., 2021). There are
things that influence policy such as cost, however, ultimately patient safety should be the
primary deciding factor. One study found that, at least in New York, if legislation were to pass
and the law be set at a ratio of 4:1 then the conservative numbers would show that hospitals
could save $720 million and 4,370 lives could be saved as well.

The biggest issue I have seen at my hospital is the burnout related to staffing and patient
ratios. This has resulted in staff leaving, and due to word-of-mouth, there are less applicants
coming to the hospital. I believe that if hospitals set a standard of 4:1 patient ratio then there will
be an increase in the workforce due to staff retention. Nursing burnout would be reduced as well
as turnover rate.


Cabrera, E., & Zabalegui, A. (2020). Nurses workforce and competencies. A challenge for

systems more than ever. Nurse education in practice, 48,
102858. https://doi.org/10.1016/j.nepr.2020.102858

Lasater, K. B., Aiken, L. H., Sloane, D. M., French, R., Anusiewicz, C. V., Martin, B., Reneau,

K., Alexander, M., & McHugh, M. D. (2021). Is Hospital Nurse Staffing Legislation in the Public’s
Interest?: An Observational Study in New York State. Medical care, 59(5),
444–450. https://doi.org/10.1097/MLR.0000000000001519

Discussion 2
Competing needs, including those of patients, the workforce, and resources, may influence the
creation of a policy because competing demands must fit with the policy’s objective. When it
comes to making better healthcare choices, including quality and a high degree of patient
happiness is critical. In primary care, the idea of competing needs is not new. A quarter of a
century ago, the authors realized that competing demands such as acute care, patient requests,
chronic illnesses, psychosocial problems, screening, behavioral change counseling, and patient
care administration and management were a significant barrier to providing specific services to
patients. (Korownyk et al., 2017).

The expense of running a business is one of the conflicting demands that influence the
nurse shortage. This competing needs to the organization’s production objective and the
demand from patients. Even though nurses seldom mention the organization’s productivity while
providing patient care, someone within the organization must ensure that the operating
expenses are kept below the established productivity standards in order for the organization to
stay afloat. Efforts by hospitals to offer patients intelligible, useful pricing information will go a
long way toward creating a more transparent market for medical services. Unfortunately, these
initiatives will not be enough to establish pricing competition that can help hospitals save money.
Changes in insurance coverage may cause individual service rates, hence costs, to become
essential for hospitals. However, the perplexing pricing structure for medical treatments, as well
as the anomalies it causes, have drawn the notice of government authorities and the general
public (Carrol & Lord, 2016). Nurses’ capacity to give the best treatment following ethical
standards may be harmed due to increased organizational costs when paid less than
anticipated pay. For example, in the organization I work, nurses are assigned six patients every
twelve-hour shift because a patient’s acuity might provide a difficulty for the nurse providing
care. Nurses typically spend thirty to forty minutes in one patient’s room while another patient
calls and waits for the same nurse, which can be stressful and frustrating.

My organization has been engaging in staff bonuses and offering intensives, which may
positively impact a patient’s healthcare result. Nurses’ demands must be met innovatively while
patients get the finest and safest care possible. To renew and maintain the nursing workforce,
an atmosphere that empowers and inspires nurses is required. Empowering employees to make
judgments about staffing ratios based on high demand and acuity levels will reduce burnout and
a strong desire to quit the job. Many companies have approved and pursued Magnet
Certification in order to deliver excellent nursing operations, as well as a high degree of patient
safety, quality, and satisfaction (Haddad et al., 2020)


Carroll, N., & Lord, J. C. (2016). The growing importance of cost accounting for hospitals.
Journal of health care finance, 43(2), 172. Retrieved on December 13, 2021, from

Haddad, L. M., Annamaraju, P., & Toney-Butler, T. J. (2020). Nursing shortage. StatPearls
[Internet]. Retrieved on December 13, 2021, from


Korownyk, C., McCormack, J., Kolber, M. R., Garrison, S., & Allan, G. M. (2017). Competing
demands and opportunities in primary care. Canadian Family Physician, 63(9), 664-668.

Retrieved on December 13, 2021, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5597006/

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