The PICOT question is: In licensed nurses at LMH (P), does improved retention and recruitment policy (I) compared to current strategies without adequate policy (C) enhance nurses’ satisfaction and retention (O) over 12 weeks (T)?

 

  • Population (P): Licensed nurses at LMH
  • Intervention (I): Improved retention and recruitment policy, including attractive salary, professional training and a respectful setting
  • Comparison (C): Current strategies without adequate policy
  • Outcomes (O): Enhanced nurses’ satisfaction and retention
  • Time (T): Over 12 weeks

Facilitating Discussions with Stakeholders

Engagement with key stakeholders, such as physicians, nurses, nurse managers, hospital administrators, and leadership, is critical to understanding opinions and gathering significant input on the nursing shortage practice gap at LMH. A critical step was to conduct group meetings with stakeholders through both formal and informal sessions. Interaction offered a forum for the interprofessional team to exchange opinions on how to address the nurses’ issues and policy and funding consequences affecting the practice gap. Techniques like brainstorming and scenario analysis were used to facilitate discussion. Face-to-face meetings offered successful communication among stakeholders, encouraging open talk and building a feeling of shared responsibility to fill the practice gap.

The interactive discussions facilitated ideas sharing and targeted interventions (Paguio et al., 2020). Collaboration with hospital administration and quality enhancement groups resulted in an in-depth knowledge of organizational priorities and constraints, aiding in the development of tailored interventions. Supportive environments and open communication channels helped to develop trust among nurses, boosting job satisfaction (Jankelová & Joniaková, 2021). Digital communication modes like email, online forums, and digital feedback tools proved effective in improving stakeholder participation (Antonio et al., 2020). The significance of openness in communication was prioritized to convey information and inspire team collaboration.

Conclusion

The recognition of a practice gap and a nursing shortage at LMH demands a team effort toward revolutionary change. Hospital leadership can establish targeted efforts aimed at closing the gap and raising care quality by utilizing evidence, engaging stakeholders, and adhering to evidence-based practice. Interdisciplinary collaboration and communication offer the common goal of a health system by improving nurses’ satisfaction and care quality.

References

AACN. (2024). Nursing shortage fact sheet. Aacnnursing.org. https://www.aacnnursing.org/news-data/fact-sheets/nursing-shortage

Antonio, M. G., Davis, S., Smith, M., Burgener, P., Price, M., Lavallee, D. C., & Lau, F. (2022). Advancing digital patient-centered measurement methods for team-based care. Digital Health25(8). https://doi.org/10.1177/20552076221145420

Beauvais, B., Kruse, S. C., Ramamonjiarivelo, Z., Pradhan, R., Sen, K., & Fulton, L. (2023). An exploratory analysis of the association between hospital labor costs and the quality of care. Risk Management and Healthcare Policy, 16, 1075–1091. https://doi.org/10.2147/rmhp.s410296

HRSA. (2022). Nurse workforce projections, 2020-2035. Hrsa.gov. https://bhw.hrsa.gov/sites/default/files/bureau-health-workforce/Nursing-Workforce-Projections-Factsheet.pdf

Jankelová, N., & Joniaková, Z. (2021). Communication skills and transformational leadership style of first-line nurse managers in relation to job satisfaction of nurses and moderators of this relationship. Healthcare9(3), 346–346. https://doi.org/10.3390/healthcare9030346

Lucy, I. (2024). Data deep dive: A national nursing crisis. Uschamber.com. https://www.uschamber.com/workforce/nursing-workforce-data-center-a-national-nursing-crisis

Mitchell, R. D., O’Reilly, G. M., Phillips, G. A., Sale, T., & Roy, N. (2020). Developing a research question: A research primer for low-and middle-income countries. African Journal of Emergency Medicine10<

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