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Strategies to Overcome the Nursing Shortage Edward A Walden University ScholarWorks Walden Dissertations and Doctoral Studies Walden Dissertations and Doctoral Studies Collection 2017 Strategies to Overcome the Nursing Shortage Edward A. Mehdaova Walden University Follow this and additional works at: https://scholarworks.waldenu.edu/dissertations Part of the Health and Medical Administration Commons This Dissertation is brought to you for free and open access by the Walden Dissertations and Doctoral Studies Collection at ScholarWorks. It has been accepted for inclusion in Walden Dissertations and Doctoral Studies by an authorized administrator of ScholarWorks. For more information, please contact [email protected]. Walden University College of Management and Technology This is to certify that the doctoral study by Edward Mehdaova has been found to be complete and satisfactory in all respects, and that any and all revisions required by the review committee have been made. Review Committee Dr. Mohamad Hammoud, Committee Chairperson, Doctor of Business Administration Faculty Dr. Michael Campo, Committee Member, Doctor of Business Administration Faculty Dr. Roger Mayer, University Reviewer, Doctor of Business Administration Faculty Chief Academic Officer Eric Riedel, Ph.D. Walden University 2017 Abstract Strategies to Overcome the Nursing Shortage by Edward Mehdaova MBA, Indiana Wesleyan University, 2012 BSBA, Indiana Wesleyan University, 2009 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University December 2017 Abstract Nursing shortage is a growing problem in the healthcare industry as hospital leaders are experiencing difficulties recruiting and retaining nurses. Guided by the PESTEL framework theory, the purpose of this case study was to explore strategies healthcare leaders use to overcome a nursing shortage. Participants were 5 healthcare leaders who have the knowledge and experience in recruitment and retention of registered nurses in a healthcare facility in Seattle, Washington. Data were collected through audio-recorded semistructured interviews and document review of the Hospital Employee Education and Training Program. Data analysis consisted of documenting the data, organizing and categorizing the data, connecting of the data, corroborating and legitimizing the findings, and reporting the findings. After data were transcribed, participants reviewed the transcripts for accuracy. Analysis of the data revealed 5 themes: development of communication programs, increased employee engagement, investments in nursing education, positive work environment, and improving the healthcare system through new policies and regulations. The implications for positive social change include the potential to alleviate pain, reduce deaths rates, and create a healthier community by overcoming nursing shortage. Strategies to Overcome the Nursing Shortage by Edward Mehdaova MBA, Indiana Wesleyan University, 2012 BSBA, Indiana Wesleyan University, 2009 Doctoral Study Submitted in Partial Fulfillment of the Requirements for the Degree of Doctor of Business Administration Walden University December 2017 Dedication First, I want to thank God for the many blessings I am surrounded with. I dedicate this study to my daughter Sadia Maria Mehdaova who brought joy to my life during this journey. You have inspired me in many ways that you will never apprehend. I also dedicate this study to my parents who passed while working on this degree. I believe that I fulfilled their wishes. To my lovely wife who stood beside me and encouraged me along the way. Finally, to my brothers and sister who inspired me to pursue my dream. Thank you all. Acknowledgments I acknowledge my committee chair, Dr. Mohamad Saleh Hammond, you have been amazing and without you, this study would never exist. Your support, guidance, and dedication has gone above and beyond over the course of this journey. Thank you for everything. I also acknowledge my SCM, Dr. Michael Campo who supported me through this adventure, and URR, Dr. Roger Mayer. Thank you for your time, feedback, and expertise; I appreciate all your support as well. Thank you Dr. Karolyn Barilovits for leading this program. Finally, I thank my classmates for the encouragement and motivation exchanged during all 9000 classes. I wish all the best to all of you future doctors. Table of Contents Section 1: Foundation of the Study ......................................................................................1 Background of the Problem ...........................................................................................2 Problem Statement .........................................................................................................3 Purpose Statement ..........................................................................................................3 Nature of the Study ........................................................................................................4 Research Question .........................................................................................................5 Interview Questions .......................................................................................................5 Conceptual Framework ..................................................................................................6 Operational Definitions ..................................................................................................7 Assumptions, Limitations, and Delimitations ................................................................8 Assumptions ............................................................................................................ 8 Limitations .............................................................................................................. 8 Delimitations ........................................................................................................... 9 Significance of the Study ...............................................................................................9 Contribution to Business Practice ........................................................................... 9 Implications for Social Change ............................................................................. 10 A Review of the Professional and Academic Literature ..............................................10 Relevant Theories ................................................................................................. 11 Background of Nursing Shortage .......................................................................... 14 Shortage of Registered Nurses .............................................................................. 16 Supply and Demand of Registered Nurses ........................................................... 19 i The Cost of Nursing Shortage on Healthcare Institutions .................................... 22 The Impact of Safe Staffing on Patient Safety and Quality of Care ..................... 25 Nursing Faculty ..................................................................................................... 29 The Financial Impact of Nursing Shortage ........................................................... 32 Proposed Strategies to Resolve Nursing Shortage ................................................ 36 Summary of Literature Review ............................................................................. 41 Transition .....................................................................................................................43 Section 2: The Project ........................................................................................................45 Purpose Statement ........................................................................................................45 Role of the Researcher .................................................................................................46 Participants ...................................................................................................................48 Research Method and Design ......................................................................................50 Research Method .................................................................................................. 50 Research Design.................................................................................................... 51 Population and Sampling .............................................................................................53 Ethical Research...........................................................................................................56 Data Collection Instruments ........................................................................................57 Data Collection Technique ..........................................................................................60 Data Organization Technique ......................................................................................61 Data Analysis ...............................................................................................................62 Reliability and Validity ................................................................................................64 Reliability .............................................................................................................. 64 ii Validity ................................................................................................................
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