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NHS FPX 6008 Assessment 2 Identifying a Local Health Care Economic Issue

Needs Analysis for Change


Capella University

FPX 6008

Professor’s Name

January 2024

Needs Analysis for Change

A systematic evaluation of the St. Hope Hospital has brought to light compelling reasons to address the economic healthcare issue of inadequate staffing. Looking closely at the St. Hope Hospital in the United States, it is clear that insufficient staff is causing some big problems. Firstly, when there are not enough people to take care of patients, we are seeing more mistakes, especially with medications, and more patients falling. These issues not only hurt the patients but also end up costing a lot more due to longer hospital stays and extra treatments. It is like a chain reaction – not having enough staff leads to more problems, and those problems end up making healthcare more expensive. Talking to the people who work here, it is obvious that not having enough staff is taking a toll on everyone.

Financial and economic factors shape how things work in healthcare, especially at St. Hope Hospital in the US. When we talk about cost-benefit, it means that money decisions can affect the quality of care patients get. If the focus is too much on saving money, it might lead to not having enough staff, which can hurt patient care (Mbunge, 2020). On the other hand, smart investments in good staff and advanced technology can make patient care better. Supply and demand are like the basic rules of how much healthcare is available. If there are not enough healthcare professionals, patients might have to wait longer for care, and that could make them less satisfied.

 Another big thing is the return on investment (ROI). It is all about making sure that the money spent on things like new technology or staff training pays off by making patient care better. All these financial decisions impact how the hospital runs and how good the care is. Looking at healthcare spending in the country’s GDP is like understanding how big a piece of the economic pie healthcare takes. In the US, healthcare spending is a huge part of the economy. The more money spent on healthcare, the more it becomes a big part of the overall economic picture. This matters for policymakers because the share of healthcare spending in the GDP tells them how well the economy is doing and helps them decide on things like funding for healthcare and managing risks when the economy changes (Beckman & Countryman, 2021). So, it’s like finding the right balance to keep both the hospital and the whole country economically healthy.

Summary of the Economic Issues of Inadequate Staff

The economic issue of inadequate staffing significantly impacts an individual’s health and well-being. Insufficient staffing leads to compromised patient care, increased stress for healthcare providers, and strain on organizational resources. Prolonged waiting times, higher chances of medical errors, and challenges in meeting patient needs are observable outcomes (Pan et al., 2020). This not only affects our day-to-day work and the well-being of colleagues but also has broader implications for the community, resulting in decreased patient satisfaction, potential reputational damage to the organization, and compromised healthcare accessibility.

Rationale for Pursuing the Issue

The decision to focus on the economic issue of inadequate staffing stems from its profound impact on both patient outcomes and the overall effectiveness of healthcare delivery. The rationale is rooted in the recognition that addressing staffing shortages is not only critical for ensuring quality patient care but also essential for optimizing organization’s efficiency (Khanal et al., 2020) . The economic considerations come into play as the inadequacy of staff directly affects operational costs, patient satisfaction, and the financial sustainability of the healthcare system. By addressing this issue, we aim to contribute to the enhancement of patient well-being, the improvement of organizational resilience, and the overall efficacy of healthcare services provided to the community.

Gap Contributing to the Issue

The identified gap contributing to the issue of inadequate staffing lies in the misalignment between staffing levels and patient care needs. Inadequate workforce planning and resource allocation contribute to staffing shortages, leading to compromised patient care quality and increased workload for healthcare providers. This gap highlights the need for a comprehensive approach to workforce management, including strategic recruitment, training initiatives, and technology-driven solutions (Rodrigues, 2020). The misalignment between staffing resources and patient demand underscores the urgency of addressing this gap to ensure the provision of high-quality, accessible healthcare services while maintaining the financial sustainability of the healthcare organization.

Socioeconomic and Diversity Disparities

A thorough examination reveals socioeconomic and diversity disparities in the impact of inadequate staffing, particularly affecting vulnerable populations. Public health data demonstrates that individuals from lower socioeconomic backgrounds face increased barriers to healthcare access when staffing is inadequate. For example, aggregated data from a national health survey highlights that patients in lower-income brackets experience longer wait times for essential medical interventions. Similarly, research indicates that minority populations, including racial and ethnic groups, often bear a disproportionate burden of the consequences associated with inadequate staffing, leading to disparities in healthcare outcomes (Khatri & Assefa, 2022). These disparities underscore the urgency of tailored interventions that consider the unique needs and challenges of diverse and economically disadvantaged groups

Ethical and Culturally Equitable Solutions

In addressing the economic challenge of inadequate staffing within a healthcare organization, ethical and culturally equitable solutions are imperative to enhance the quality of care and services. Ethical considerations necessitate a commitment to patient-centered care, recognizing the inherent dignity of all individuals. Culturally equitable solutions require a nuanced understanding of diverse patient populations, encompassing factors such as language, cultural beliefs, and socioeconomic status. Implementing language access services, providing cultural competency training for staff, and fostering a diverse and inclusive workforce are key strategies (George et al., 2020). Such initiatives not only improve patient-provider communication but also contribute to a healthcare environment that respects the diverse backgrounds and values of both patients and healthcare professionals.

Supporting Evidence

Supporting this assertion, a comprehensive review of scholarly resources showcases consistent evidence of the impact of inadequate staffing on socioeconomic and diversity disparities in healthcare. Studies highlight that individuals with lower socioeconomic status are more likely to encounter delays in accessing care, receive suboptimal services, and face increased healthcare disparities. Additionally, the research underscores how staffing shortages can exacerbate existing healthcare disparities among diverse populations, contributing to compromised patient outcomes. This evidence underscores the ethical imperative of implementing solutions that actively address the identified disparities, aiming to foster a healthcare system that is not only economically sustainable but also culturally responsive and equitable for all.

Evidence-Based Sources

The evidence-based sources provided address the issue of inadequate staffing in healthcare and its multifaceted impact on various aspects of patient care, healthcare worker well-being, and organizational sustainability. Each source contributes valuable insights to support the understanding of the problem and potential solutions. Here’s a brief summary of what each source specifically addresses:

  • This study reveals a direct correlation between inadequate nursing staffing levels and increased patient mortality rates. Hospitals with lower nurse-to-patient ratios showed a higher incidence of adverse events, emphasizing the critical need to address staffing shortages for improved patient outcomes (Aiken et al., 2021).
  • This study provides an economic analysis demonstrating that investing in adequate staffing levels can result in long-term cost savings. The study underscores that reducing turnover, preventing medical errors, and improving patient satisfaction contribute to overall financial sustainability in healthcare organizations (Snoswell et al., 2020).
  •  This research explores the impact of inadequate staffing on healthcare worker burnout. The findings reveal a significant correlation between understaffing and increased levels of stress and burnout among healthcare professionals, emphasizing the urgency to address staffing issues for staff well-being (Dall’Ora et al., 2020).
  • This qualitative study delve into patient experiences during periods of inadequate staffing. Patients reported dissatisfaction with extended wait times, reduced attention from healthcare providers, and a perceived decline in the quality of care. This patient-centric perspective highlights the importance of addressing staffing shortages for enhanced patient satisfaction (Abidova et al., 2020).

Potential Change or Implementation Plans

Recognizing the compelling evidence-based findings, potential change or implementation plans could include:

  • Implementation of Nurse Staffing Ratios: Establishing and enforcing evidence-based nurse-to-patient ratios to ensure adequate staffing levels, as suggested by Aiken et al’s study, could be a foundational change to enhance patient outcomes.
  • Investment in Workforce Development Programs: Following Snoswell’s economic insights, healthcare organizations can invest in workforce development programs, including recruitment, training, and retention initiatives, to build a robust and stable staff, reducing turnover costs and improving long-term financial sustainability.
  • Introduction of Staff Wellness Programs: To address healthcare worker burnout, organizations can implement staff wellness programs, incorporating mental health support, resilience training, and workload management strategies based on findings from Dall’Ora et al.’s research.
  • Enhancement of Patient Engagement and Feedback Mechanisms: In response to Abidova et al.’s patient perspectives, healthcare organizations can establish mechanisms for continuous patient engagement and feedback to address concerns related to staffing shortages, ensuring a patient-centered approach in implementation plans.

Predicted Outcomes and Opportunities for Growth

The proposed change or implementation plan aimed at addressing inadequate staffing in healthcare is anticipated to yield several positive outcomes and opportunities for growth. One of the primary predicted outcomes is an improvement in patient care quality, as the implementation of nurse staffing ratios and workforce development programs aligns staffing levels with patient needs. This can lead to reduced adverse events, shorter wait times, and enhanced overall patient satisfaction. Additionally, the introduction of staff wellness programs is expected to mitigate healthcare worker burnout, fostering a more positive work environment and contributing to increased staff retention.

Moreover, these changes are likely to create opportunities for organizational growth by establishing a more resilient and efficient healthcare system. Adequate staffing can result in increased productivity, with healthcare professionals better able to meet patient demands effectively. This efficiency can translate into cost savings and long-term economic benefits for the organization, enabling investment in additional resources, technology, and training programs. Furthermore, the implementation of patient engagement and feedback mechanisms will provide opportunities for continuous improvement, aligning healthcare services with the evolving needs and expectations of the community.

Economic Benefits for Patients

The economic benefits for patients arising from the proposed change or implementation plan are substantial. With improved staffing levels, patients can expect reduced waiting times for medical interventions, leading to more timely and efficient healthcare services. Additionally, the enhanced quality of care resulting from adequate staffing reduces the likelihood of medical errors, potentially decreasing the need for costly additional treatments or extended hospital stays. Improved patient satisfaction, stemming from a more attentive and responsive healthcare environment, can contribute to positive health outcomes and long-term economic benefits for patients, as they experience more effective and streamlined healthcare services. Overall, the economic benefits for patients are closely tied to the anticipated improvement in the quality and efficiency of healthcare delivery.

NHS FPX 6008 Assessment 2: Identifying a Local Health Care Economic Issue Conclusion

In conclusion, addressing the issue of inadequate staffing in healthcare through the proposed change or implementation plan holds significant promise for positive outcomes and growth opportunities. Anticipated improvements in patient care quality, staff well-being, and organizational efficiency align with the overarching goal of creating a resilient and patient-centered healthcare system. The potential economic benefits for patients, such as reduced waiting times, enhanced quality of care, and improved satisfaction, underscore the broader positive impact on both individual healthcare experiences and overall community well-being. As we navigate these changes, it is essential to recognize that the success of the implementation plan relies on a commitment to continuous improvement, adaptability, and a steadfast focus on optimizing healthcare delivery. By addressing inadequate staffing, we not only pave the way for economic benefits but also reaffirm our dedication to providing accessible, equitable, and high-quality healthcare services for the benefit of patients and the broader community.

NURS FPX 6008 Assessment 2: Identifying a Local Health Care Economic Issue References

Abidova, A., Alcantara, P., & Moreira, S. (2020). Predictors of patient satisfaction and the perceived quality of healthcare in an emergency department in Portugal. WestJEM 21.2 March Issue, 21(2), 391–403. https://doi.org/10.5811/westjem.2019.9.44667

Beckman, J., & Countryman, A. (2021). The importance of agriculture in the economy. American Journal of Agricultural Economics, 103(5). https://doi.org/10.1111/ajae.12212

Dall’Ora, C., Ball, J., Reinius, M., & Griffiths, P. (2020). Burnout in nursing: a theoretical review. Human Resources for Health, 18(1), 1–17. https://doi.org/10.1186/s12960-020-00469-9

George, M., Davey, R., Mohanty, I., & Upton, P. (2020). “Everything is provided free, but they are still hesitant to access healthcare services”: why does the indigenous community in Attapadi, Kerala continue to experience poor access to healthcare?. International Journal for Equity in Health, 19(1). https://doi.org/10.1186/s12939-020-01216-1

Khanal, P., Devkota, N., Dahal, M., Paudel, K., & Joshi, D. (2020). Mental health impacts among health workers during COVID-19 in a low resource setting: a cross-sectional survey from Nepal. Globalization and Health, 16(1). https://doi.org/10.1186/s12992-020-00621-z

Khatri, R., & Assefa, Y. (2022). Access to health services among culturally and linguistically diverse populations in the Australian universal health care system. BMC Public Health, 22(1), 1–14. https://doi.org/10.1186/s12889-022-13256-z

Mbunge, E. (2020). Effects of COVID-19 in South African health system and society. Diabetes & Metabolic Syndrome: Clinical Research & Reviews, 14(6), 1809–1814. https://doi.org/10.1016/j.dsx.2020.09.016

‌Pan, D., Yang, J., Zhou, G., & Kong, F. (2020). The influence of COVID-19 on agricultural economy and emergency mitigation measures in China: A text mining analysis. PLOS ONE, 15(10), e0241167. https://doi.org/10.1371/journal.pone.0241167

Rodrigues, R. (2020). Legal and human rights issues of AI: Gaps, challenges and vulnerabilities. Journal of Responsible Technology, 4(100005), 100005. sciencedirect. https://doi.org/10.1016/j.jrt.2020.100005

Snoswell, C., Taylor, M., Comans, T., Smith, A., Gray, L., & Caffery, L. (2020). Determining if telehealth can reduce health system costs. Journal of Medical Internet Research, 22(10), e17298. https://doi.org/10.2196/17298

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