AnEvaluation Plan: A Policy for Partnership with Nursing Schools toLower the Nurse-Patient Ratio
Anevaluation Plan: A Policy for Partnership with Nursing Schools toLower the Nurse-Patient Ratio
Apartnership between the hospital and local nursing schools isperceived to be the most viable and cost-effective solution to theissue of a high nurse-patient ratio. According to Larkin (2015), apartnership between the nursing schools can give the hospital anopportunity to increase the nurse per capita by inviting nursingstudents to undertake their internships in the hospital and employingthe best out of the interns once they graduate. It is postulated thatthis kind of partnership can reduce the nurse turnover by loweringthe burnout of registered nurses and increasing their jobsatisfaction. Larkin (2015) assumed that nurses who are satisfiedwith their job will deliver quality care, thus enhancing thetreatment outcome. This project will discuss how the hospital-nursingschools partnership plan can be evaluated to determine whetherprojections made by Larkin (2015) are achieved or not.
Thegoal of the present evaluation plan is to determine the effectivenessof the hospital-nursing school partnerships in enhancing thetreatment outcome, nurses’ job satisfaction, and satisfaction ofall members of staff after the establishment of the partnership. Thevariables to be considered in the evaluation will include staffperception and attitude, patient perception and attitude, and nurses’satisfaction.
Theevaluation plan will be implemented by a multidisciplinary team. Theteam will comprise of representatives from the HR department andnurse leaders.
Theeffectiveness of the hospital-nursing schools partnership will beevaluated using three different methods. First, a survey will beconducted to determine the perception and satisfaction of nursesbefore and after the implementation of the partnership program. Ahigh nurse-patient ration is associated with nurse burnout sincenurses are overworked. Overworking of nurses reduces their motivationand reduces their satisfaction with the job (Cimiotti, Aiken, Sloane& Wu, 2012).
Thesecond method will involve the determination of the rate of nurseturnover before and after the implementation of the hospital-nursingschool partnership. A high nurse-patient ratio is often described asa poor working condition. This is because nurses are forced to workfor longer hours than expected. A in the satisfaction of nurses as aresult of poor working condition (being overworked) are more likelyto leave their current job than those working in hospitals with a lownurse-patient ratio (Garretson, 2004).
Thethird method will involve a patient discharge survey before and afterthe implementation of the hospital-nursing schools partnership. Ahigh nurse-patient ratio is associated with a poor patient outcome,which reduces their discharge rate (Cimiotti, Aiken, Sloane & Wu,2012). This implies that measures to reduce the nurse-patient rationare expected to enhance patient outcome.
Theevaluation process will focus on three major types of variables. Thefirst variable, perception and attitude of staff towards the hospitalor the working condition, will be used to determine whether theprogram partnership succeeded in enhancing staff satisfaction. Thesecond variable, patients’ attitudes towards the services offeredby the hospital will be used to determine whether the partnership hasenhanced the treatment outcome. The third variable, rate of nurseturnover, will be used to assess whether the hospital-nursing schoolshave reduced the nurse-patient ratio, increase nurse satisfaction,and lowered their intention to leave their present jobs.
Surveyquestions to determine nurses satisfaction
Q.1. Why did you choose to work for this hospital?
Q.2. How would you rate your level of satisfaction with your currentjob from a score of 1-10?
Q.3. Are you satisfied with the amount of work and shifts allocated youin each working day?
Q.If offered with a similar job in another hospital would you take it?
Surveyquestions for assessing patients’ attitude
Q.1. During your stay at this hospital, how often did nurses attend toyou?
Q.2. After observing your relationship with nurses, would you concludethat they gave you the attention you expected?
Q.3. Would you recommend this hospital to a friend or someone that youlove?
Q.4. In a score of 1-5 how would you rate the level of quality in thishospital?
Thetwo surveys will be conducted using the same set of question beforeand after the implementation of the hospital-nursing schoolpartnership program. This will help in determining changes that canbe attributed to the implementation of the partnership program.
Thesuccess of any program in achieving the intended objectives can onlybe determined by conducting an effective evaluation of the program.The present evaluation plan will help the hospital to determine if anurse-nursing school partnership program will succeed in reducing thenurse-patient ration and addressing the effects (such as a lack ofjob satisfaction among nurses and employees and a decline intreatment outcome) associated with a high ratio. The use of amultidisciplinary team to perform the evaluation will ensure that theevaluation process if objective. The key variables that will beconsidered during the evaluation include patient perception, staffperception, and the rate of nurse turnover.
Cimiotti,P., Aiken, H., Sloane, M. & Wu, S. (2012). Nurse staffing,burnout, and health care-associated infection. AmericanJournal of Infection Control,40, 486-490.
Garretson,S. (2004). Nurse to patient ratios in American health care. NursingStandards,19, 14-37.
Larkin,S. (2015). Solutions for the current nursing shortage. NursingCommunity.Retrieved November 14, 2015, fromhttp://nursinglink.monster.com/benefits/articles/7939-solutions-for-the-current-nursing-shortage?page=2