Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61%, compared to 65% nationwide. Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well. In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves. This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.
For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:
Writing the Final Paper
The Final Paper:
use these references as well in the paper.
Barakzai, Ed.D. M. & Curtis, K. (2007). Crisis in Care The Nursing Shortage in the San Joaquin Valley. Central California Center for Excellence in Nursing. College of Health and Human Services. California State University, Fresno.
Editor (2003). Partnering to Find Solutions to the Nursing Shortage. On the Pulse. Johns Hopkins Nursing. Magazines.nursing.jhu.edu/2007/08/partnering-to findsolutions-to-the-nursing-shortage.
Sufin, J. (2003). The Nursing Shortage.Gotham Gazette. The place for New York Policy and Politics. www.gothamgazette.com/index.php/health/1716-the-nursingshortage.
Medical Executive Council (2016). Nursing Shortage Effect on the Health Care Industry : Current Trends, Future Growth. Health care insights. Discover what’s new in healthcare industry. http://www.schumacherclinical.com/health-careinsights/2016/1/nursing-shortage-effect-on-the-health-care-industry-currenttrends-future-growth.
Frates, J. (2014). Health care management: Theory in action . San Diego, CA: Bridgepoint Education, Inc.
outline I sent to teacher.
I. Nursing Shortage • Reason for shortage • Effects of Nursing shortage on Patient Care • Solving the nurse Shortage • The Nursing Shortage Future II. Johns Hopkins Implementation and nursing shortage • Nursing shortage issues • Implementation • Solution for the shortage III. Mercy Hospital nursing shortage • Issues with nursing shortage • How to cut cost and resolve issues • Solutions IV. Hospitals in New York • The Effect on Care • A Difficult Job • Efforts to recruit • Retention incentives • Future of Nursing in New York 2 – 2 – 1 1. Remember to include an introduction to alert the reader as to the direction of the paper. [Alisa Wagner] FINAL PAPER PREPARATION V. San Joaquin Valley Nursing Shortage • The demand for Nurses • The supply of Nurses • Retention & Attrition • The Need for Nurse present & future • Problem • Recommendations VI. Conclusion • Implementing solutions to resolve the nurse shortage