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Cook, D. A., Pencille, L. J., Dupras, D. M., Linderbaum, J. A., Pankratz, V. S., & Wilkinson, J. M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants. PloS One, 13(1), e0191943. Web.
This article compares and contrasts the perspectives of primary care doctors, specialists, nurse practitioners, generalist and specialist physicians on the topic of practice diversity and practice guidelines. The majority of clinicians agree that there should be less heterogeneity in clinical practice, but they are less optimistic that this will ultimately occur (Cook et al., 2018). More time to implement standards is seen as possibly useful, although easier access to regulations is not a major obstacle to standardization of practice.
Gan, I. (2020). A scoping review of the nursing workforces changing demography: Supporting babyboomer nurses. Journal of Nursing Management, 28(7), 1473-1480. Web.
To further research on the topic of Baby-Boomer nurses delaying retirement and to increase their impact on patient care, this scoping study explores the potential of telecommuting. According to the results, nurses in the baby-boomer generation can benefit from telecommuting and other forms of flexible employment to satisfy their individual requirements and make meaningful contributions to clinical practice (Gan, 2020). This strategy helps baby-boomer nurses keep working and provides a new resource to those working on the front lines.
Karakachian, A., & Colbert, A. (2019). Nurses moral distress, burnout, and intentions to leave: An integrative review. Journal of Forensic Nursing, 15(3), 133-142. Web.
This comprehensive research review illuminates the effects of demotivation on the nursing workforce, specifically on nurses burnout and quit intentions. The high expense of healthcare and its decline in quality as a result of staff turnover are both consequences of the severe nursing shortage impacting the country (Karakachian & Colbert, 2019). The topic of moral distress has received extensive attention from researchers in the nursing field and beyond.
McHugh, M. D., Aiken, L. H., Sloane, D. M., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: A prospective study in a panel of hospitals. The Lancet, 397(10288), 1905-1913. Web.
In this publication, the authors made an effort to pinpoint how nurse recruitment and patient mortality, hospitalisations, and length of stay were impacted by laws governing nurse-to-patient ratios. There is strong evidence that hospitals with higher nurse staffing have more positive patient outcomes (McHugh et al., 2021). Minimal level nurse-to-patient ratio requirements are one strategy intended to ensure improved staffing. Thus, minimum nurse-to-patient ratio rules are a workable strategy with a strong return on investment for enhancing patient outcomes.
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