Developing Of Evidence Based Practice Project

The nursing profession according to American Academy of Nurse Practitioners reveals a symbiotically natural relationship between the number of nurses to that of patients and similar relationship cited in the number of hour’s nurses’ practice. Generally the problem is one of human resource management against a background of output in this case- patients’ outcome. In other words the problem lies in the association between nurse staffing and patients’ outcome.

Lower registration of nurses staffing can directly be attributed to lower rates of patients’ outcome. Outcome here refers to the patients’ reciprocation to medical attention offered by nurses.  The problem basically revolves around poor working conditions for nurses.  These problems vary from long overtime hours, an inconsiderately large number of patients to nurse ratios leading to work overloads.  The academic level of the nurses too poses direct impact on the out come of patients.

The personal and professional interests identifiable in this problem include the distribution of nurse skills and experience.  A direct symbiotic relationship exists between the professional skills of nurses and the patient response to medical attention.  The more skilled the nurses the more positive or desirable the patients respond to medical attention and care.

Besides the skills of the nurse, experience ranked as a high factor in determining the patient response to medical care.  The academic qualification is also a personal and professional issue that poses direct significance to the problem in question.  As said earlier, the more equipped one is academically in the nursing profession determines the outcome of patients directly.  Finally in the issue of professional and personal issues affecting the practice problem is the proportion or temporary and full-time nurse hours.

A direct relationship exists between the full-time and temporal nurse hours.  This is the issue of work security.  The temporal hour nurse being without Job security has direct impact on the patient outcome.  In other words, a nurse without security of job will have a lower rate of patient outcome.  On the other hand a full-time nurse stands a better opportunity to study both his/her patients and the nature of their complications.

The standard recommendations for the practice guidelines include increasing nurse staffing in hospitals.  Location of considerate number of hours to the nurses to enable them come-up with a recommendable patient outcome.  Recognize other factors that can affect the outcome of interests’ especially medical-based care.  Other guidelines include the condition of other projects.  Potential areas of study could vary from medical care patient characteristics and organization of nursing units as well as staff.  Patient levels analysis should definitely classify better control matters such as co-morbidity.

Recommendable to as a guideline is the adoption of hierarchical models that could control both nursing and institutional level of effects.  The guidelines should also consider studies which practically and empirically addresses a specific nurse staffing policies.  The study should also include the consistency of the association between nurse staffing patient outcome and economic outcomes.

In conclusion the problem of nurses staffing has several dimensions of approach all of which can lead to better patient outcomes.  The problem revolves around the number of hours, the length of a working day for a nurse, skill level, academic qualification and permanence of the contract.  The solution to this problem can only be found in good practices in human resource administration in medical circles.  An appropriate number of working hours and a considerable number of patients per every nurse for good patient outcomes.


Kane, R., Shamliyan, T., Mueller, C., Duval, S., & Wilt, T. (2007).Evidence Report/Technology Assessment. Minnesota. Minnesota Evidence-based Practice Centre.