NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

Walden University NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY– Step-By-Step Guide

This guide will demonstrate how to complete the Walden University NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

Whether one passes or fails an academic assignment such as the Walden University NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

The introduction for the Walden University NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

After the introduction, move into the main part of the NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

Two of the Most Important Needs/Challenges/Issues in the Community/Organization

One of the critical challenges in my organization/community is preventing falls among hospital patients. Heng et al. (2020) stated that approximately 25% of hospital falls are detrimental, leading to fractures, soft tissue injuries, and fear of falling among patients. In my organization, hospitalized older adults are at a higher risk of falling due to ill health, co-morbidities, anesthetics, pain, medication, polypharmacy, and muscle weakness. Undoubtedly, no falls are harmless, which can result in less confidence, impedes functional recovery, and extended hospitalization. Nonetheless, falls are not legitimate accidents, and there is emerging evidence that a coordinated multidisciplinary team clinical approach strategy can lessen their incidence.

Another challenge of my organization/community is a nursing shortage. It is well known that for providing adequate care to patients and the community, having a good nursing staff benefits patient care. Notably, some of the cited reasons for the nursing shortage are the hundreds of thousands of practicing RNs on the verge of retirement and needing replacement, the aging population that requires more nursing care, insufficient faculty, and clinical sites to produce new nurses, and the long-term impact of the COVID-19 pandemic. Marc et al. (2018) described that there is no single explanation for the nursing staff shortage. Still, without a doubt, this issue is becoming a cause of concern on a larger scale and future world health policy.

Why are These Needs and Challenges Important?

Falls are the primary reason for emergency department (ED) visits among older adults. In the United States, falls involving an older adult is being treated in the ED every 15 seconds, and an older adult die after a fall every 29 minutes (Morello et al., 2019). In particular, fall-related presentations in the ED can lead to succeeding falls, readmission, and considerable functional decline. Indeed, due to the inflated cost of the associated injuries and treatment and the amount to implement the interventions, fall prevention will be essential to health care services, organizations, and policymakers.
 Similarly, the high attrition rate of nurses and burnout rate of nurses is an ongoing crisis many organizations face. The cost of a high turnover rate of nurses is an extensive burden to the organization’s financial health and patient care quality. Prioritizing the well-being and improving the working conditions of the nurses is paramount in achieving patient satisfaction, patient safety, and quality of care.

Two Practice Changes Recommendations to Address These Challenges

Firstly, recognizing various underlying risk factors combined with evident interventions reduced the incidence of inpatient falls. Morello et al. (2019) discussed that a multifactorial fall risk assessment must be performed, which includes an evaluation of fall risk factors in the environment, mobility or gait, vision, and balance. A review must be conducted in numerous settings and, occasionally, by more than one health professional. Morello et al. (2019) suggested that an interdisciplinary team of occupational therapists, physiotherapists, registered nurses, and medical professionals must guide fall interventions. The DNP-the prepared nurse is in an excellent position to provide effective leadership, corporate surveillance, and implementation of evidenced-based interventions to improve patient safety.
Secondly, patient education effectively addresses this gap, encouraging patient engagement in fall prevention programs. Accordingly, deliberate evidence-based decision-making can help in selecting individualized fall prevention interventions. Patient education aims to develop patients’ cognizance of their fall risk and equip them with strategies to prevent falls in the hospital (Heng et al., 2020). The different methods of falls preventions education consist of providing handouts, videotapes, posters, fall risk communication alerts, and assistive devices (e.g., sensors, wristbands, and bed alarms). The DNP-prepared nurse is pivotal in creating patient education tailored to individual risk factors, which incorporates health behavior theories and active learning methods to engage the patient better.

Alternatively, nurse leaders must develop strategies to foster nurse resilience to mitigate high nursing turnover rates. Wei et al. (2019) reviewed that resilience is a skill that nurses can acquire and develop to help them thrive in difficult situations in the workplace. The top three leadership strategies for building resilience are conducting formal education programs, providing social support, and meaningful recognition. Kester and Wei (2018) explored that nurse’s leader must execute formal and consistent resilience training for nurses that recognize stressors and personal triggers and help them perform self-care activities that can champion a culture of wellness. Without a doubt, a DNP-prepared nurse is irreplaceable in searching for and implementing approaches to improve nurse retention, engagement, and performance, ultimately leading to improved patient satisfaction and health outcomes.

References

Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1), 140. https://doi.org/10.1186/s12877-020-01515-wLinks to an external site.

Kester, K., & Wei, H. (2018). Building nurse resilience. Nursing Management, 49(6), 42–45. https://doi.org/10.1097/01.NUMA.0000533768.28005.36Links to an external site.

Marc, M., Bartosiewicz, A., Burzyńska, J., Chmie, C., & Januszewicz, P. (2019). A nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9–16. https://doi.org/10.1111/inr.12473Links to an external site.

Morello, R. T., Soh, S. E., Bahn, K., Egan, A., Ayton, D., Hill, K., Flicker, L., Etherton-Beer, C. D., Arendts, G., Waldron, N., Redfern, J., Haines, T., Lowthian, J., Nyman, S. R., Cameron, P., Fairhall, N., & Barker, A. L. (2019). Multifactorial falls prevention programmes for older adults presenting to the emergency department with a fall: Systematic review and meta-analysis. Injury Prevention: Journal of the International Society for Child and Adolescent Injury Prevention, 26(6), 557–564. https://doi.org/10.1136/injuryprev-2019-043214Links to an external site.

Wei, H., Roberts, P., Strickler, J., & Corbett, R. W. (2019). Nurse leaders’ strategies to foster nurse resilience. Journal of Nursing Management, 27(4), 681–68. https://doi.org/10.1111/jonm.12736Links to an external site.

Sample Answer 2 for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

  The Challenges / Issues in My Community or Organization

Challenges and issues can be seen everywhere in the world. However, the main important factor is finding ways to overcome those obstacles or challenges. In this blog I want to discuss two critical issues that need attention in my community and organization: Hospital-acquired infections in medical-surgical unit and Diabetes Mellitus in Adult and elderly patients. Infection is defined as the incursion and multiplication of several germs in the body, such as bacteria, viruses, Yeast, and fungi. Nosocomial infections or hospital-acquired infections generally develop in patients within 48 hours of hospital admission. It’s a life-threatening and challenging clinical issue in the medical-surgical unit, and we can see these infections in most healthcare settings nowadays. As I mentioned, nosocomial infections are not diagnosed at the time of admission; however, find out within 48 hours, and sometimes it may take longer. There are seven important HAIs: Catheter-Associated urinary tract infections, Central line-associated bloodstream infections, surgical site infections, ventilator-associated pneumonia, Hospital-acquired pneumonia, and Clostridium -difficile infections.

I have been working as a medical-surgical nurse for the last few years; I understood the main factors causing increased rates of nosocomial cases in the unit are: The length of hospitalization and specific invasive procedures such as Center-line insertion, urinary catheters, and some medical devices/types of equipment. Failure to follow infection control practices often increases the risk of hospital-acquired infections. As a DNP-prepared Nurse, the critical reason why I choose HAIs as a clinical issue is that it’s a very deadly disease, and once they occur, these infections deeply enter the bloodstream and affect the vital organs. Most of the patients are not aware of these infections and its complications. On the other hand, it’s tough to treat and stays in the body for long. So, it is essential to prevent HAI, and we can improve the health and population, thereby saving our community and organization infection free. A lot of patients in the medical-surgical unit suffer from multiple hospital-acquired infections. There may be several chances to spread the infection by staff because unhygienic practices by hospital staff are one of the main causes. For example, they are treating patients and enter room to room with not following the handwashing technique. Preventing nosocomial infection includes Practicing strict hand hygiene. Complete disinfection of skin and equipment. Wearing PPEs. Cleaning and removing urinary catheters according to the protocol regularly and maintaining safe environments. There are a lot of strategies to prevent nosocomial infections, including public health surveillance, antibiotics stewardship, screening, and categorizing patients into cohorts. A DNP-prepared Nurse plays a vital role in the prevention of infections in clinical setting and prepares the nurses to deliver quality based care. including practicing advanced levels in clinical settings. In Addition, specialized DNP Nurses can provide advanced treatments and diagnose health conditions. A DNP-prepared Nurse delivers evidence-based care to all patients in clinical settings by involving in different clinical positions such as Nurse managers, advocates, supervisors, and Directors of nursing.

Practice Changes / Interventions to Solve the Issue

As DNP-prepared Nurses, we can make tremendous changes in the clinical settings and work as a team for the patient safety. Regarding this clinical issue, I recommend measures that can add to my practice to prevent hospital-acquired infections in my community/organization is first, By Providing awareness and education to all staff regarding infection control practices such as Hand hygiene and the Use of antimicrobials, Use of personal protective equipment, Respiratory hygiene, the importance of catheter cares and removing urinary catheters according to the protocol regularly and practicing strict aseptic technique. Secondly, conduct care conferences with intra-disciplinary teams to develop new strategies to prevent the issues and reduce the risk. Implement strict patient rounds to identify and correct the problems. Create mandatory infection control competencies. Thereby we can improve and increase nurse’s knowledge level and thereby prevent Hospital-acquired infections and save lives.

Diabetes Mellitus in Adult and Elderly Patients

As we age, so many changes will happen in our body’s immune system. in Addition, age is the leading risk factor for DM, Because of this, aged/elderly populations are more vulnerable to getting infections. One of the main issues I have noticed frequently in my community and organization is DM and its complications, especially in elderly patients. Diabetes mellitus is a condition in which uncontrolled blood glucose levels in the blood. The leading causes of Diabetes Mellitus in Adult elderly patients are being overweight, inactive, having a family history, having an Unhealthy lifestyle, and Lacking awareness. On the other hand, failure to follow up with Doctors’ appointments and, as I mentioned earlier, a Lack of understanding about the complications of Diabetic Mellitus, Control and prevention. As a registered nurse in my community, I have seen a lot of elderly patients suffering from advanced-stage DM with severe complications and not even aware of how it is worse. As I mentioned, age is the leading cause of type 2 DM because of increased insulin resistance. As a DNP-prepared Nurse, the critical reason I choose DM and its complication in Adult and elderly patients as a clinical issue are, Because DM affects more severely older populations. More complications include cognitive impairments, system failures, falls, and injury. It also causes serious health problems such as stroke, renal disease, retinal problems, nerve damage, and impaired circulation, gradually leading to limb amputations. I have an experience with one of my patients. I remember both his legs were amputated, and have type 2 DM, and he is wondering and asking me why it is so worse and what makes his leg lost. I explained the prevention and complication of DM to that patient, and he understood the complication of DM. So, we have a lot of patients suffering from DM without knowing the exact cause and prevention. We could prevent Most of the DM complications by following the right diet plan, educating about the early symptoms, following regular checkups, and providing awareness about early signs and its complications. When patients find out that their Blood sugar and A1C are at normal levels, they do not often continue to follow up, and some of them are proactive.

 Practice Changes / Interventions

As a DNP-prepared nurse, I would suggest and like to implement an awareness program and education to the patients and the families who taking care of elderly patients regarding Diabetes Mellitus, including the complications of DM in adults and elderly patients. Conduct surveys and assessments in the community to determine the number of people who have the early symptoms of Diabetes so that we can encourage them and make appointments for further checkups; thereby, we can prevent the complications of DM. Conduct classes/presentations to staff regarding preventing and controlling DM in older people, including maintaining a healthy lifestyle. Third, I would recommend encouraging patients to follow a strict exercise regimen, as it will help improve glucose levels in patients with Diabetes and schedule appointments and maintain up-to-date follow-ups regularly. These measures and practices help each one in the community to prevent Diabetes and its complications. The American Diabetes Association (ADA) 2012 published a consensus report on managing Diabetes in older adults. This report stratifies glycemic goals based on patient characteristics and health status (NATIONAL LIBRARY OF MEDICINE 2018). Diabetes management in older adults requires careful assessment of clinical, functional, and psychosocial factors. Before developing glycemic goals and a treatment strategy, each patient’s overall Health, coexisting medical conditions, personal preferences, coping capacity, and factors affecting the quality of life should be considered.

In this blog, I discussed the two major issues in my community and organizations, including the interventions/practice changes. Recommending and implementing the practice changes are the crucial role of a DNP-prepared Nurse. The practice changes on this blog align with the American Association of Colleges of Nursing DNP Essentials, the AACN DNP Essential VII–Clinical Prevention and population health for Improving the Nation’s Health. This AACN essential mainly focuses on preventing illness/disease conditions among the population, thereby improving the well-being and Health of each individual. The essential goal is to improve the population’s health status. This AACN Essential explains the advanced knowledge regarding clinical conditions, illness, disasters, infectious diseases, and all clinical issues. It guides graduate students in developing appropriate interventions and treatments, including preventive strategies. Thereby, they can deliver evidence-based care to all individuals. It prepares the students to synthesize concepts, including psychosocial dimensions and cultural diversity related to clinical prevention and population health, in developing, implementing, and evaluating interventions to address health promotion. The DNP degree allows professional nurses to identify the gaps and guide them to evaluate.

References

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice.https://www.aacnnursing.org/Portals/42/Publications/pdfDownload DNPEssentials.pdf

Andrew, N., Tolson, D., & Ferguson, D. (2008). Building on Wenger: Communities of practice in nursing.Links to an external site.Links to an external site.Nurse Education Today, 28(2), 246–252. https://doi.org/10.1016/j.nedt.2007.05.002

Cook, D. A., Pencille, L. J., Dupras, D. M., Linderbaum, J. A., Pankratz, V. S., & Wilkinson, J. M. (2018). Practice variation and practice guidelines: Attitudes of generalist and specialist physicians, nurse practitioners, and physician assistants.Links to an external site.Links to an external site. PLOS ONE, 13(1), e0191943

Sample Answer 3 for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

For this week’s blog, I will discuss two of the most important healthcare challenges in my community, discuss two interventions that will help address these challenges, and describe how these interventions align with the role of a DNP-prepared nurse. At this time, communities face many challenges, making it problematic for individuals in the community to get proper health care. As a DNP-prepared nurse, you are expected to emerge as a leader in your community to solve problems by implementing your learned knowledge to meet these challenges.

Challenges in my community

The first challenge in health care in my community I will discuss is the lack of nursing staff needed to provide adequate patient care. The shortage of nursing staff Is a challenge that many communities face. Some factors contributing to the nursing shortage include a need for more educators, burnout, high turnover, and unequal work distribution. These factors affect the community by leading to errors in patient care, and patient safety issues which can produce high morbidity and mortality rates in the community. Patient expectation for effective health care decreases in the community, causing individuals to refuse to go and get care because they are afraid and do not trust that they will receive quality health care.

The second challenge in healthcare in my community I will discuss is the lack of healthcare resources in my community. A lack of community resources for healthcare can cause poor healthcare outcomes for those in need. Transportation issues in my community impact patient care. Transportation issues can cause patients to be unable to make appointments due to having no transportation and problems with public transportation. Another unavailable resource in my community is a lack of specialty clinics. My community’s lack of specialty clinics causes patients to travel far for specialty treatments. Patients in my community must travel more than two hours from where they live to get specialty care. Extended travel time makes it hard for individuals with severe health issues, transportation problems, and the elderly to go and receive the proper treatment they need. Many patients get deterred by the lack of resources in their communities and will not go and get care due to feelings of frustration, sadness, and anger.

Aligning the DNP essentials with Interventions to healthcare challenges in my community

The first intervention I will discuss to address healthcare challenges in my community using the DNP essential is Organizational and systems leadership for quality improvement. As a DNP-prepared nurse, I will address the nursing shortage in my community by hiring more nurse educators to teach nursing students. Adding more nursing educators will help increase the number of nurses graduating from the local colleges, increasing the number of nurses in the community. As a DNP-prepared nurse, I will help create policies for nurses that balance the workload for each nurse to prevent nurse burnout, balance productivity, and increase the quality of care. I will emphasize my leadership skills in the community to promote the ongoing improvement of healthcare outcomes to ensure patient safety and decrease morbidity and mortality rates in the community. Strengthening collaboration with other healthcare professionals in the work environment and the community to provide a competent healthcare practice restoring confidence within the community that they will receive effective, safe, and quality healthcare.

The second intervention I will discuss to address the healthcare challenges in my community using the DNP essentials is essential five healthcare policy for advocacy in healthcare. As a DNP-prepared nurse, I will address the lack of resources in my community by advocating for policies in the community that will increase transportation services by adding more routes and pick-up times for those in need. Participate in health policy that involves the delivery of care issues, making it possible for those who need specialized health care treatment to obtain them by bringing those specialized clinics closer to the community. Also, as a DNP-prepared nurse, I will engage in practices that address health disparities and provide cultural awareness and understanding. I will use sound ethical judgment to create strategies to help eliminate healthcare concerns in my community. Participate in policies that make it easier for the elderly and those with disabilities in the community to have easier access to care and address economic challenges for those who cannot afford medications or medical supplies.

Sample Answer 4 for NURS 8002 BLOG: THE DNP-PREPARED NURSE AND THEIR COMMUNITY

One organizational issue is that there have been staff shortages in all medical-surgical units lately. Staff shortage has gotten so bad that on New Year’s Day, only two nurses were present in each medical-surgical unit. The charge nurse and a fellow nurse cared for nine patients each. Our agency nurses are not renewing their contracts, and our registry nurses are not signing up to come to work. Nurses at a particular hospital center began quitting their jobs because leaders at the organization neglected to hire adequate nursing staff to care for their patient population (Smith, 2011). An older agency nurse at work who has worked in many different hospitals said that the workload at our facility is heavy compared to other places that she has worked and that staff would stay if the workload gets reduced or the number of patients that staff cares for gets reduced. According to our staffing plan on the unit, each nurse is to be assigned four patients, and the charge nurse is to be assigned two patients. The Department of Health Services (DHS) mandated (in 2005) that one nurse be assigned five patients in a medical-surgical ward (Gordon et al., 2008). The safety of patients is at risk when nurses get assigned too many patients because nurses will probably miss a significant issue with their patients when they cannot provide individualized care to their patients and rush the care they provide. Nurses’ licenses are also at risk if they make a significant mistake that could be fatal. McGillis-Hall, Doran, and Pink (2004) concluded that nurses make fewer medical errors when staffed safely (as cited in Duffield et al., 2011).

Another organizational issue is the burnout of nurses. Burnout differs significantly from stress because its signs and symptoms include being physically and emotionally exhausted and not being motivated to do anything. (Fedele, 2017). Nurses are getting burned out by the increased workload in the medical-surgical departments, and sometimes, they do not take a break to ensure they finish their work on time. Lauder (2001) wrote that sometimes caregivers are so busy caring for others that they neglect themselves. Many new nurses have pondered about ditching their jobs because of dissatisfaction with their profession, burnout from their daily assignments, and frequent work requests from hospital leaders (Flinkman et al., 2008).

DNP-prepared nurses have the training to understand issues that need to be solved and how the problems can be solved. “The existence of real or perceived problems is the impetus for the policy-formulation phase of policy-making” (Burkhardt & Nathaniel, 2014, p.395). Utilizing the AACN DNP Essentials of Interprofessional Collaboration for Improving Patient and Population Health Outcomes (Essential Six) is a great way to find a solution to combat staff shortage and burnout of nurses. Essential Six underscores the importance of collaboration across healthcare fields to improve outcomes (AACN, 2006). Since medical-surgical nurses are leaving due to high workloads, then as a DNP-prepared nurse, collaborating with other members of staff in leadership in our organization is needed to look into how many nurses left before the changes of increased workload of nurses got implemented compared to how many nurses left after the increased workload of nurses got implemented to know if that is genuinely the cause why our organization cannot retain medical-surgical nurses which are also leading to staff burnout by them caring for more patients. Based on our findings, the first practice change is to reduce the workload of medical-surgical nurses that got implemented, probably making them quit or get burned out. The second practice change will be to collaborate with managers and charge nurses of medical-surgical units to mandate that all nurses take their break and not miss it, especially since they are unpaid for the break. All medical-surgical managers will educate all staff that they must take their break, and charge nurses will ensure that all staff comply and take their breaks.

References:

American Association of Colleges of Nursing. (2006). The essentials of doctoral education for advanced nursing practice. https://www.aacnnursing.org/Portals/42/Publications/DNPEssentials.pdf

Burkhardt, M. A., & Nathaniel, A. K. (2014). Ethics & issues in contemporary nursing (4th ed.) Stamford, CT: Cengage Learning.

Duffield, C., Diers, D., O’Brien-Pallas, L., Aisbett, C., Roche, M., King, M., & Aisbett, K. (2011). Nursing staffing, nursing workload, the work environment and patient outcomes. Applied Nursing Research: ANR, 24(4), 244-255. doi:10.1016/j.apnr.2009.12.004

Fedele, R. (2017). The rise of burnout: An emerging challenge facing nurses and midwives. Australian Nursing and Midwifery Journal, 25(5), 18-23.

Flinkman, M., Laine, M., Leino-Kilpi, H., Hasselhorn, H. -., & Salanterä, S. (2008). Explaining young registered finnish nurses’ intention to leave the profession: A questionnaire survey. International Journal of Nursing Studies, 45(5), 727-739. doi:10.1016/j.ijnurstu.2006.12.006

Gordon, S., Bretherton, T., Buchanan, J., & Ebrary, I. (2008). Safety in numbers: Nurse-to-patient ratios and the future of health care (1st ed.). Ithaca: ILR Press/Cornell University      Press. doi:10.7591/j.ctt7z8mb

Lauder, W. (2001). The utility of self-care theory as a theoretical basis for self-neglect. Journal of Advanced Nursing, 34(4), 545-551. doi:10.1046/j.1365-2648.2001.01784.x.

Smith, D. (2011). DC nurses strike for patient safety, fair contract. National Nurse, 107(2), 4. Retrieved from https://ezp.waldenulibrary.org/login?url=https://search.ebscohost.com/login.aspx?direct=true&db=rzh&AN=104884371&site=eds-live&scope=site