Topic 5 Q1: Stakeholders Essay
Stakeholder involvement in quality improvement initiatives is a profound strategy for realizing positive outcomes. According to Magwood et al. (2022), stakeholders are “any individual or group who is responsible for or affected by health and health-related decisions that can be informed by research evidence” (p. 3). This definition encompasses patients, healthcare professionals, the public, patient advocates, suppliers, policymakers, research organizations, and payers of health services.
An example of a healthcare issue that necessitates stakeholder support and involvement is addressing the nurse shortage to improve the quality of patient care in the emergency department. In this sense, it is essential to perceive this need from the lenses of the internal and external environments of the emergency department. In this sense, the root causes of nurse shortages in emergency departments include a lack of employee retention policy, uncivil workplace culture, a high nurse turnover rate, a lack of coordination between the healthcare organization and nurse educators, and competition from other healthcare organizations. Examples of internal and external stakeholders involved in addressing the issue of nurse shortages include nurses, nurse leaders, the head of the human resource department, policymakers, and nurse educators.
Involving these stakeholders in organization-level strategies for addressing nurse shortages is a prerequisite for implementing sustainable measures and avoiding counterproductive and superficial solutions that focus on short-term fixes. Examples of sustainable measures for tackling nurse staff shortages include implementing preceptorship and mentorship programs to enhance the successful transition from students to healthcare professionals, safe staffing, transition planning, employee retention, and providing opportunities for career development. According to Maurer et al. (2022), engaging stakeholders promotes inclusion and partnerships necessary for implementing evidence-based practice. Also, it improves coordination, and communication, and prevents fragmented processes and interventions. Finally, stakeholder involvement fosters collaboration and enables interdisciplinary teams to pursue a collective course of action.
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References
Magwood, O., Riddle, A., Petkovic, J., Lytvyn, L., Khabsa, J., Atwere, P., Akl, E. A., Campbell, P., Welch, V., Smith, M., Mustafa, R. A., Limburg, H., Dans, L. F., Skoetz, N., Grant, S., Concannon, T. W., & Tugwell, P. (2022). PROTOCOL: Barriers and facilitators to stakeholder engagement in health guideline development: A qualitative evidence synthesis. Campbell Systematic Reviews, 18(2). https://doi.org/10.1002/cl2.1237
Maurer, M., Mangrum, R., Hilliard-Boone, T., Amolegbe, A., Carman, K. L., Forsythe, L., Mosbacher, R., Lesch, J. K., & Woodward, K. (2022). Understanding the influence and impact of stakeholder engagement in patient-centered outcomes research: A qualitative study. Journal of General Internal Medicine, 37(S1), 6–13. https://doi.org/10.1007/s11606-021-07104-w
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Topic 5 DQ 1
Stakeholder support is necessary for successful project implementation. Consider your internal stakeholders, such as the facility, unit, or health care setting where the change proposal is being considered, and your external stakeholders, like an individual or group outside the health care setting. Why is their support necessary to the success of your change proposal, and how will you go about securing that support?
Use this topic: Addressing the Nurse Shortage to Improve the Quality of Patient Care in Emergency Departments. Miami, Florida for city and state stakeholders.
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