Patient Involvement in the Plan of Care/Adherence


Patient Involvement in the Plan of Care/Adherence

In the US, there has been extensive interest on the effect of nurse shortage in discovering early signs of complication in patients. There has also been concern on how nurse shortage affects patients care and safety. In the article by Buerhaus et al, (2007) the author justifies how the issue of insufficient nurses affects the safety of patients and how it hinders early detection of complication in patients using results from three surveys. The authors wrap up by stating that the issue of nurse shortage might not be solved in the near future. However, through teamwork and interdisciplinary education, healthcare providers and the executives can enhance safe environment to ensure the provision of quality healthcare of patients to alleviate the harmful effects (Buerhaus et. al., 2007).

The conclusion has been supported by statistical evidence. The discussion on findings (in exhibit 4) indicates that 91% of registered nurses, 84% of physicians, 83% chief nursing officers and 79% chief executive officers believe nurses will leave for other jobs in the future.

The total sample size involved 2461 respondents. Four hundred of the respondents were physicians, 1697 were registered nurses (RN), 222 were Chief Nursing Officers (CNO) and 142 were chief executive officers (CEO).

Samples were detected through random sampling method.

The authors generalized the statistics in relation to the national survey of CEO’s, CNO’s RN’s and physicians. Harris Initiative administered the surveys.

The tern “patient safety/care” should have been clarified. This would be necessary in order to explain the outcome of divided opinion between the hospital executives, physicians and RN’s with regards to the issue at hand (Buerhaus et. al., 2007).

According to Buerhaus et al, (2007) the survey was 95% accurate with a statics precision of minus or plus 3% point in the RN survey, 9% points for CEO and CNO, and 6% points for physician survey. Eight hundred and forty physicians were emailed; twenty returned plain questionnaires and eighty four cases were proved eligible. Thus, it not clear what happened to the other three hundred and thirty six surveys.

The conclusion is well supported by statistics as the writers state that the precision was 95% accurate. The writers used surveys to support the claim that nurse shortage impacted patients care.


Buerhaus, P., et. al., (2007). Impact of nurse shortage in hospital patient care: The comparative perspectives. Health Affairs. 26(3). 853-862.

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