Full Sentence Outline – Nursing Shortage
Deidra Viers
646-B02
School of Business, Liberty University
Introduction: It is no secret the United States is in the middle of a National Nursing Shortage
crisis. The nursing shortage we are experiencing today is said to continue through 2030
(Mehdaova, 2017). Nursing shortages have been periodically happening since the early 1900s.
Different factors have led to each, from World Wars to economic recessions. The current
shortage that we are experiencing is unlike any other er have seen before. There is no simple
solution for the shortage, but strategies and practices can be put into place. Advances in
education, in the workplace, and policies could help.
Thesis Statement: The shortage of nursing staff is a national and international issue. Registered
Nurses (RNs) play a critical role in health care (Juraschek et al., 2019). Inadequate staffing leads
to poor health care services and adverse events. Most say the effects of the pandemic are going to
play a bigger role in nurses taking an early retirement.
Question(s)/Issues Being Addressed: What effects has the nursing shortage had on patient care?
I. Nurses make up half the global health Workforce. (200-350 words)
A. What is known about the current shortage, and how can it be stalled?
1. A nine million nurse shortage was estimated in 2014 and was predicted to
decrease by two million by 2030, but disproportionality affects regions such
as Africa (Drennan and Ross, 2019).
2. The demand for nurses is increasing in all countries. Nurses are an essential
part of health care to reduce health inequalities and to have stable health
systems.
B. What do we know about the current nursing workflow?
1. The WHO estimated 21 million nurses/midwives globally in 2014. “Despite
the 2008 global financial crisis, the number of nurses has grown in many
countries” (OECD, 2018).
2. The WHO predicts there will be an increased global demand for health and
social care staff and the creation of 40 million new jobs by the year 2030
(Bhayat et al. 2021)
II. What effects are nursing shortages having on patient safety? (300-450 words)
A. Health care outcomes have become a priority since the (IOM) published “To Err
is Human.”
1. According to James (2013), 210 thousand annual deaths in United States
hospitals are associated with adverse events. The nursing shortage with the
increasing demands on health care are jeopardizing this outcome.
2. Patient-centeredness does not just include patient care but includes delivery of
care such as proper nutrition, communication, treatment, education, and
preventing these adverse events.
B. Compensating RN shortage by using nursing assistants
1. Many hospitals rely on LPNs and CNAs to provide nursing care. There has
been some concern surrounding the possible effects of patient safety by
relying on assistants.
2. Although nursing assistants play an essential role in hospital safety, they
shouldn’t be viewed as substitutes for RNs.
III. Will staffing shortages force nursing home closures? (200-300 words)
1. More than one-third of nurses have left their jobs in nursing homes over
the past 12 months, and one in ten nurses working in nursing homes are
employed on contracts (Raynor, 2016).
IV. What does the Covid-19 Pandemic tell us about resilience in nursing? (350-450 words)
A. There are ways that nurse leaders can develop their resilience.
1. Hudgins (2016) suggests that resilience is an essential skill for leaders, and
successful leaders understand the difference between ‘being strong’ in the
face of adversity and being ‘resilient.’
2. The WHO (2020) recommends that all health care staff be protected from
developing chronic stress and poor mental health during the covid-19
pandemic and suggests leaders focus on long-term occupational capacity
rather than short-term crisis responses.
V. The role of the nurse leader. (200-300 words)
A. Technology that is aimed at improving patient care
1. Nurses at the bedside face challenges such as insufficient workflow and
communication issues across care teams, which leads to dissatisfaction.
Many organizations are finding ways to overcome communication barriers
with the use of technology.
2. Many organizations find that technology itself can be a barrier to
communication and the quality of care.
A. Barriers to technology.
1. As many as two-thirds of technology projects exceed the budget and
timeline, one-half of the technology projects end up out of control.
2. Three categories can impede the innovation process relevant to new
technology—organizational, end-user, and technology itself.
VI. Nursing in the future.
1. There are opportunities to learn and find better ways to do things in
practice and contribute to policymaking through evidence-based research
and empowerment strategies.
2. Nurses need leadership’s help and written policies developed to assist with
their work and risk management during emergencies and disasters. They
also need strong leadership.
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