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Case Study # 103032 :: Nursing Shortage Effects
This paper looks at the effects of the nursing shortage on an emergency department.
Written in 2008; 1,215 words; 6 sources; APA; $ 41.95
Paper Summary:
In this article, the writer notes that while the universal perceived shortage of health care personnel is serious in that its major impacts on health care delivery can be felt by patients directly, no other profession is harder hit than the nursing profession. The writer discusses the effects of the shortage of nurses concentrating on an emergency department. The organization selected for discussion is the emergency department of a community-based teaching hospital that provides tertiary care for the surrounding community and most of the county. The writer concludes that while it is understandable that operations cannot be encumbered by inexperienced personnel, the core values of nurses as coaches and mentors should be shown as an example for younger staff to follow and respect, regardless of the situation or even the fact that the hospital is not a full-fledged teaching institution unto itself.

Outline:
Introduction
Problem Identification
Leadership Behaviors
Cultural Diversity Issues
Problem Resolution and Recommendations for Improvement
Implications and Conclusions
From the Paper:
"To increase the number of candidates, the experience criteria was dropped, favoring new graduates on the premise that they could be more easily taught to conform to the system instead of more experienced nurses firmly set in the manner in which they practice. Although the nurse managers maintained an open-door policy, this was rarely utilized by the junior nurses in voicing their complaints."
"The senior nurses, who had been practicing in the department for several years, were recognized as informal leaders on the floor and were valued for their operational, "field" input. This was almost always the charge nurse and one other senior per shift. They also adapted the leadership style of their superiors, as department operations were already efficient enough to run without management and coordination."

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