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After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.Quality and finances go hand-in-hand because quality is increasingly linked to a hospital’s financial health, adverse outcomes related to inadequate staffing will have a growing impact on ahospital’s bottom line. The most direct example of the quality–finance link can be seen in the Center for Medicare & Medicaid Services’ (CMS) Inpatient Prospective Payment System rules, which state that hospitals will no longer be reimbursed for any patient care needed as a result of ahospital-acquired condition. Many of these events can be directly tied to or influenced by nursingcare. Many studies have shown that hospital-acquired events like postoperative infections, urinary tract infections, pneumonia and pressure ulcers were preventable conditions that could bereduced with increased nurse staffing (Buljac-Samardžić & van Woerkom, 2018). Nursing is the single most important factor involved in patient satisfaction in every part of the hospital. My proposal to adequately staff the ER by reducing the patient/nurse ratio to 4:1. This will increase patient safety, patient and nurse satisfactions rates and reduce errors, nosocomial infections and sentinel evens. Adverse events studied including pneumonia, pressure ulcers, infections, patient falls/injuries, sepsis and adverse drug events were associated with increased costs. Adequate nurse staffing has been shown to reduce these events.ReferencesBuljac-Samardžić, M., & van Woerkom, M. (2018). Severity and workload of nursing. Escola Anna Nery 22(1), 53-134. Heather V., Shin Hye, P., & Sandra, B.-B. (2018). Characteristics of the Nursing Practice Environment Associated with Lower Unit-Level RN Turnover. The Journal of Nursing Administration, 6(1), 31-86. RESPONSE 1Hospitals facing financial uncertainty have sought to reduce nurse staffing as a way to increase profitability. However, nurse staffing has been found to be important in terms of quality of patient care and nursing related outcomes. Nurse staffing can provide a competitive advantage to hospitals and as a result better financial performance, particularly in more competitive markets (Buljac-Samardžić & van Woerkom, 2018). Nurse staffing levels had a positive association with financial performance in competitive hospital markets, but no significant association was found in less competitive hospital markets. Hospitals have experienced financial uncertainty due to lower reimbursements from payers, higher acuity patients and growing competition from rival organizations and as a result, hospitals are continually seeking ways to reduce costs.
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Nursing, nursing practice, Emergency Department, van Woerkom