Nursing Integration Case Study

Integration is a developmental process combining recommendations based on evidence and expert opinion. The process must be implemented with safe practice and with transformational nurse leaders. Training nurses to look for and appraise evidence is an important part of nursing education. The addition of specialized nurse educators and experts to provide seminars that are readily accessible could be utilized. Promotion of professional practice associations could greatly improve implementation of evidence based practice in every area.
As nurses are educated, bedside nurses can be involved in targeting issues and creating solutions in forming groups on each unit led by visionary trained nurse leaders. These groups can address issues such as
What can be proposed is having a floating policy to have a dedicated charge nurse out of staffing to make the charge nurse more available as a resource. Lartey (2014) supports manager visibility, control of organizational cost, leadership opportunities, transformational leadership styles, shorter shifts or part time opportunities, and redesign of work processes to minimize negative impact on nurses. Lartey (2014) points out that staff retention is a quality indicator as well as an indicator in the reduction of hospital expense. The cost of the extra nurses to raise the number of nurses to patient ratios is offset by the reduction in turnover. The cost of training a new nurse every time a nurse leaves is more expensive than adding the staff to provide more nurses for the same amount of patients. This is a means of controlling system costs. Work processes can be still redesigned to minimize negative impact on nurses. What can be executed is a new design with all nurse/healthcare support workers with regards to a change in shift patterns/working hours. This is a practice process that saves time by communication among all team members at once with the patient at the