Topic 2 DQ1
During your practicum, determine what clinical problem or issue the organization is
facing. Discuss two implications for nursing.
Like other healthcare facilities, Kaiser Vallejo Medical Center also face a serious nursing
shortage and high turnover rate. It is very common many nurses need take extra shift or double
shift. According to a 2018 survey conducted by the National Council of State Boards of Nursing
and The Forum of State Nursing Workforce Centers, 50.9% of the RN workforce is age 50 or
older. The Health Resources and Services Administration projects that more than 1 million
registered nurses will reach retirement age within the next 10 to 15 years. On the other hand,
there is not enough new nurse to replace the retired nurse. According to AACN’s report on
2019 Enrollment and Graduations in Baccalaureate and Graduate Programs in Nursing
nursing schools turned away more than 75,000 qualified applicants from baccalaureate and
graduate nursing programs in 2018 due to insufficient number of faculty, clinical sites, classroom
space, and clinical preceptors, as well as budget constraints. Almost two-thirds of the nursing
schools responding to the survey pointed to a shortage of faculty and/or clinical preceptors as a
reason for not accepting all qualified applicants into their programs.
The nursing shortage is impacting the current nursing workforce. Nurses are often working
longer shifts with higher patient-to-nurse ratios. The conditions are contributing to greater
fatigue, more stress, potential injury, and ever-increasing job dissatisfaction. Nurses working in
these conditions are more susceptible to suffering the effects of burnout and are at risk of making
In addition, the nursing shortage is impacting the business-side of the healthcare industry also. In
2016, nursing turnover in hospitals was reported to be above 16% with a turnover cost per nurse
of over $44,000. Annually, this equates to financial losses of $4.21 million. Almost 92% of
hospitals report that their Emergency Department is experiencing overcrowding and an
astonishing 81% report patients on gurneys in the hallway greater than 6 hours every day.
AACN. (2019). Nursing Shortage. Retrieved from -
Topic 2 DQ2
What is the main issue for your organization in addressing a solution to evidence-
based nursing practice? Discuss what might be the first step in addressing and
resolving this issue.