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Different decision-making approaches of care from a multidisciplinary perspective

writing a 6–8-page paper identifying, comparing and contrasting at least 3 different decision-making approaches of care from a multidisciplinary perspective using a pertinent and significant topic in nursing (examples might include nursing shortage and nurse turn-over, nurse staffing ratios, unit closures and restructuring, use of contract employees (i.e., registry and travel nurses), continuous quality improvement and patient satisfaction, and magnet designation or another current and relevant nursing issue) the topic MUST BE APPROVED by your nursing instructor before writing the paper. . You are required to use APA 7th edition format and the page count does not include title page or reference page. Reflect on your own decision-making practices and the implications this will have regarding differing approaches taken of nursing leaders and staff nurses/clinical practitioners in decision making within to issues in practice. To complete this assignment, do the following:

Select and describe an issue in nursing that impacts nurses at all levels from bedside to advanced practice. Make sure to provide an adequate background and its significance to all levels of nursing using a strong review of the literature. Additionally, this should include a thorough literature review that provides a good understanding of what the cause of this problem is; what is suggested to address this problem. Essentially, this review must support your choices of the decision-making models and this needs to include how all levels of nursing practice (the bedside nurse to the APN are impacted by the problem).
Identify how you would expect a nurse leader/manager, a bedside/staff nurse and an Advanced practice nurse (CNO or NP) to address your selected issue using at least 3different decision-making approaches which are clearly supported by the literature review. This must first include aa detailed analysis/overview of the selected decision making models and how they are used in practice. Then a detailed analysis of how these decision-making approaches/models would address the problem/along with a detailed analysis of how each of the three selected models would be applied to address the selected issue/problem making sure to incorporate this at all levels of practice. One of the decision-making models may be more applicable to the bedside nurse; whereas the other more applicable to the APN; however, all levels of nursing practice need to be addressed with at least one of the chosen 3 decision-making models. However, this does not mean that each decision-making model

Sample Answer

Let’s outline a structure and content approach for your 6-8 page paper on decision-making in nursing, focusing on the nursing shortage and turnover as the chosen topic. Remember, this is a framework; you’ll need to conduct your own literature review and tailor the content to your specific findings and instructor’s requirements.

1. Introduction (1-1.5 pages):

Hook: Start with a compelling statistic or anecdote illustrating the impact of the nursing shortage and turnover on patient care or the nursing profession.
Background: Define the nursing shortage and turnover, explaining its scope and significance. Provide historical context and trends. Emphasize the global nature of the problem, while focusing on the specific context relevant to your paper (e.g., a specific country, region, or type of healthcare setting).
Significance for All Nursing Levels: Clearly articulate how the nursing shortage and turnover affect nurses at all levels:
- Bedside/Staff Nurses: Increased workload, stress, burnout, decreased job satisfaction, impact on patient safety.

Full Answer Section

- Nurse Leaders/Managers: Difficulty in staffing units, managing budgets, maintaining quality of care, recruitment and retention challenges.
- Advanced Practice Nurses (APNs): Impact on their ability to provide comprehensive care, mentor staff, and contribute to organizational improvement.
Problem Statement: Clearly state the problem you are addressing: the negative consequences of the nursing shortage and turnover on nurses and patient care.
Purpose of the Paper: State the purpose of your paper: to analyze different decision-making approaches to address the nursing shortage and turnover from a multidisciplinary perspective.
Thesis Statement: Your main argument – for example: “This paper will examine three decision-making approaches – [Model 1], [Model 2], and [Model 3] – and analyze their applicability in addressing the nursing shortage and turnover crisis, demonstrating how each approach can be utilized by nurses at different levels of practice.”

2. Literature Review (2-2.5 pages):

Causes of Nursing Shortage and Turnover: Explore the contributing factors, citing scholarly research:
- Work environment (e.g., workload, staffing ratios, management support).
- Compensation and benefits.
- Job satisfaction and burnout.
- Career development opportunities.
- Demographics (aging workforce, fewer nurses entering the profession).
Impact on Patient Care: Discuss the consequences of the shortage and turnover on patient safety, quality of care, and patient outcomes.
Current Strategies and Interventions: Review existing strategies to address the issue, including recruitment and retention programs, improved work environments, and innovative staffing models.
Decision-Making Models: Introduce the three decision-making approaches you’ve chosen. Provide a detailed overview of each model, including its theoretical underpinnings, steps involved, strengths, and limitations. Explain why you selected these specific models and how they are relevant to the nursing shortage and turnover issue. This section is crucial for justifying your chosen models.

3. Application of Decision-Making Approaches (2-2.5 pages):

Model 1 (e.g., Shared Governance):
- Detailed analysis of how this model is used in practice.
- How this model would address the nursing shortage and turnover problem.
- Specific examples of how a bedside nurse, nurse leader/manager, and APN would utilize this model in addressing the issue. Provide concrete scenarios. For example, how might a shared governance council, with representation from all levels of nursing staff, address staffing concerns or develop retention initiatives?
Model 2 (e.g., Evidence-Based Decision Making):
- Detailed analysis of how this model is used in practice.
- How this model would address the nursing shortage and turnover problem.
- Specific examples of how a bedside nurse, nurse leader/manager, and APN would utilize this model. For example, how might evidence about effective retention strategies be used by a nurse manager to develop a new unit-based program? How might an APN use evidence to advocate for changes in organizational policy related to workload?
Model 3 (e.g., SWOT Analysis):
- Detailed analysis of how this model is used in practice.
- How this model would address the nursing shortage and turnover problem.
- Specific examples of how a bedside nurse, nurse leader/manager, and APN would utilize this model. For example, how might a unit conduct a SWOT analysis to identify its strengths and weaknesses related to staff retention and develop targeted interventions?

4. Reflection and Implications (1-1.5 pages):

Personal Decision-Making Practices: Reflect on your own decision-making style and how it aligns (or differs) with the approaches discussed in the paper. Consider your own role (e.g., student, staff nurse) and how these models might apply to your practice.
Implications for Nursing Leaders and Staff: Discuss the implications of the different decision-making approaches for nursing leaders and staff nurses. How might these different approaches impact communication, collaboration, and the overall work environment? How can these approaches be used to bridge the gap between leadership and staff perspectives on the nursing shortage and turnover issue? Consider potential challenges and strategies for overcoming them.
Recommendations: Offer specific recommendations for how nursing organizations can utilize the discussed decision-making models to address the nursing shortage and turnover effectively. Consider a multidisciplinary approach, involving nurses at all levels, as well as other stakeholders (e.g., physicians, administrators).

5. Conclusion (0.5-1 page):

Summarize the key points of your paper, reiterating the significance of the nursing shortage and turnover and the importance of effective decision-making.
Restate your thesis in a new way, emphasizing the value of the chosen decision-making approaches.
Offer a final thought or call to action, emphasizing the need for continued efforts to address this critical issue in nursing.

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