0% found this document useful (0 votes)
53 views9 pages

10

Download as docx, pdf, or txt
Download as docx, pdf, or txt
Download as docx, pdf, or txt
You are on page 1/ 9

1

Gap Analysis Project

LaShelle Melton

School of Health Professions and Wellness, Jacksonville State University

DNP 716: Interprofessional Healthcare and Informatics

Dr Dunn

June 11, 2021


2

Describe the Gap issue and why it is a concern from a patient or clinician or organizational

perspective

The writer of this paper is a provider in several correctional facilities. Before becoming a

provider, she was a nurse in correctional facilities in eleven different states for over fifteen years.

The issue noted as a gap in service is the healthcare team in an environment with recurring

traumatic events and experiencing verbal, emotional, and sometimes even physical abuse from

the population serviced. Correctional health nurses are not exempt from vicarious traumatization.

Still, this concept has yet to be explored—correctional health nurses practice in environments

that come with significant risk for traumatic exposure from inmates and coworkers. The

Professional Quality of Life Scale was used as a proxy to measure vicarious trauma (Munger et

al., 2015).

A review entitled, “Associations of Burnout, Secondary Traumatic Stress and Individual

Differences among Correctional Psychologists.” The study aimed to examine associations

between secondary traumatic stress (ST), job burnout (BO) and several psychological variables

such as world assumptions and locus of control in correctional psychologists. Information was

provided by 87 currently practicing correctional mental health providers (psychologists) in the

correctional setting. Participants reported working a mean of 6.23±3.5 years (ranging from 3

months to 15 years) in a correctional setting. Subjects were assessed with Maslach Burnout

Inventory-Human Services Survey (MBI-HSS), Secondary Traumatic Stress Scale (STSS),

World Assumption Scale (WAS) and Locus of Control (LC) Scale. This study reveals that

burnout and secondary traumatic stress in correctional psychologists are significantly positively

related and thus may be exacerbated by each other. BO is significantly negatively associated

with WAS benevolence scale, and the WAS self-worth scale and STS is significantly negatively
3

associated with WAS benevolence scale, and the WAS meaningfulness scale. However, LC and

its components are negatively associated with BO but not with STS. The main future direction of

our research is to construct a nonlinear model of burnout with STS, WA and LC components as

predictors, identify its parameters and make its validation (Malkina-Pykh, 2017).

International estimates suggest that up to one in three public safety personnel experience

one or more mental disorders, including post-traumatic stress disorder (PTSD). Canadian data

have been sparse until recently, and correctional officers and forensic psychiatric staff have

rarely been included. Working in corrections is associated with adverse health outcomes and

increased work-related stress, with several variables affecting reported stress levels. Healthcare

staff also report higher rates of PTSD, especially those who are exposed to aggression in their

workplace. In this study, we compare the current symptoms of diverse staff working in

correctional occupations. Correctional officers and wellness services team were compared for the

prevalence of mental disorders and suicidal ideation. Correctional officers self-reported

statistically significantly more exposure to potentially psychologically traumatic events than

wellness services employees. Correctional officers also self-reported higher rates of symptoms of

mental disorders, including PTSD, social anxiety, panic disorder, and depression. There were no

statistically significant differences in reports of suicidal thoughts, plans, or attempts. Correctional

and forensic staff contribute to society by working with justice-involved individuals in

correctional institutions. Trauma-related disorders and other mental health problems threaten the

well-being of correctional and forensic staff. Mental health likely impacts the ability of

correctional and forensic staff to develop a therapeutic or working alliance with persons in

custody. Staff well-being must be recognized and addressed to ensure that prisoners and staff

receive optimal treatment in prison. Our results add to the limited knowledge about the well-
4

being of staff, particularly wellness staff in prisons, who provide daily treatment and care for

prisoners with severe mental disorders. This work is a step toward identifying avenues for

promoting staff well-being (Fusco et al. 2020).

The literature shows a need for programs to increase staff well-being which will

ultimately impact patient outcomes. To assess the impacts of burnout and job satisfaction on the

rationing of care in the professional group of nurses. The shortage of nursing staff is currently

one of the most significant health care problems. It is not clear how burnout and job satisfaction

affects the rationing of nursing care. Occupational burnout can decrease job satisfaction in

nursing staff and result in adverse outcomes of rationing care. Nursing managers should pay

more attention to individual differences in nursing-care workers linked with nursing burnout, job

satisfaction, and care rationing. Interventions aimed at counteracting burnout are the key to

improving job satisfaction in nurses (Uchmanowicz et al. 2020).

Functional or performance-related informatics tool or technology that you will be using to

address the Gap

The writer of this paper will use staff scheduling to help decrease burnout that impacts

patient outcomes. She will also utilize tracking information to monitor the nurses that participate

in the support session. She will also use a patient satisfaction survey to monitor whether the

support for nurses is positively impacting patient satisfaction in the correctional setting. There

are many factors which affect nurse satisfaction level. This study identified the impact of nurse

scheduling management on job satisfaction in Army hospital. This study used a cross-sectional

approach with a total sample of 102 nurses. The sample was selected through a stratified random

sampling method with inclusion criteria of inpatient nurse with minimum pre-clinic level and at

least 1-year experience. Pearson correlation, t-independent, one-way analysis of variance


5

(ANOVA), and double linear regression were employed to analyze data. The results indicated a

significant correlation between the implementation of nurse scheduling management with all

management functions on nurse job satisfaction level. Organizing and controlling nurse schedule

were the dominant factors affecting nurse job satisfaction level. It was concluded that the

management of nurse scheduling statistically correlated with nurse job satisfaction level. Nurse

Managers should have the capability to improve nurse satisfaction by optimizing the

management of nurse scheduling, especially on organizing and controlling aspect (Rizany et al.

2019).

To systematically review and evaluate the literature on the impact of self-scheduling on

the patient, nurse and organization-related outcomes. Studies were retained and classified into

explanatory and descriptive studies. The articles reported on a range of outcomes: patient- and

nurse-reported quality of care, job satisfaction, satisfaction with scheduling, work/life balance,

planning involvement, interaction with colleagues, health and well-being, psychosocial factors,

professional development, nurse manager's scheduling time, general working conditions,

turnover, temporary employment agency use and absenteeism, recruitment and retention

(Wynendaele et al. 2021).

Several studies confirmed the positive impact of self-scheduling on the nurse and the

organization. However, other studies found negative outcomes or no change. These outcomes

should be interpreted in the light of contextual factors and the implementation process, which

was often not without difficulties. Future research should use a multimethod longitudinal design,

bear in mind the possibilities of quantitative analysis and employ a theoretical framework. This

review informs about the inconsistent evidence on the association between self-scheduling and

patient, nurse and organization-related outcomes and includes enablers and barriers to a
6

successful implementation. These outcomes are influenced by the implementation process and

the sustainability of the self-scheduling system, which is still significant challenges for

healthcare management (Wynendaele et al., 2021).

Professional nurses are regarded as the backbone of the health care system, and quality

patient care is linked to patient safety. The purpose of this study was to describe and explore the

perceptions of professional nurses on the impact of the shortage of resources for quality patient

care. The resources include health professionals, equipment and drugs. The qualitative

descriptive exploratory design was used, which provided the researcher with in-depth

information regarding the phenomena under study. An unstructured face-to-face interview was

conducted using field notes and audiotape. Data were analyzed following Creswell (2014) Tesch

method. Five themes and eighteen subthemes emerged from the data. The findings revealed that

the shortage of health professionals and inadequate resources harms the provision of quality

patient care (Mokoena, 2017). The desired state is that the jails implement a standard assessment

test for all healthcare care staff pre-employment and upon the completion of the 90 day

probationary period staff have access to support session offer at three different intervals.

Monthly in staff meetings traumatic events, concerns and impact for that monthly will be

discussed and tracked. Quarterly support sessions at the state level with administrators and one

staff liaison to discuss and network with other facilities about concerns from monthly found in

monthly staff meetings. Annually there will be educational sessions led by Licensed Social

Workers LSW and Psyche Mental Health Nurse Practitioners PMHNP to teach ways to identify

alterations in mental status, ways to deal with traumatic experience, grief support for loss in the

work family, etc.


7

Gap Analysis
Project topic Impact of The current Desired state of Actions needed The technology Implications to
Topic on state of practice practice to address gap required to patient
Patient address gap outcomes,
Outcome organization,
community, etc.

Provide Shortage of Tennessee Tennessee Implement Tracking The shortage of


support groups health Support Groups information to health
to proactively professionals monitor the professionals and
impact the and Implement a nurses that inadequate
mental health inadequate support group participate in the resources has a
statuses of resources has for staff in the support session. negative impact
nurses exposed a negative Shelby county on the provision
to traumatic impact on the jail facility to Staff scheduling of quality patient
events in the provision of address the process to help care
correctional quality nurses' feeling of decrease burnout
setting. And patient care. wellness and Trauma-related
decrease nurse support in this disorders & other
turnover from environment and mental health
burnout to develop a problems
positively support group or threaten the well-
impact patient educational being of
care. sessions on correctional and
wellness for forensic staff.
nurses in the Mental health
correctional impacts the
setting ability to develop
a therapeutic or
working alliance.
8

References
Munger, T., Savage, T., & Panosky, D. M. (2015). When caring for perpetrators becomes a

sentence: Recognizing vicarious trauma. Journal of Correctional Health Care, 21(4),

365-374.

Malkina-Pykh, I. (2017). Associations of burnout, secondary traumatic stress and individual

differences among correctional psychologists. Journal of Forensic Science and

Research, 1, 18-34.

Fusco, N., Ricciardelli, R., Barnim, N., Hilton, Z., Carleton, R. N., & Groll, D. L. (2020).

When Our Work Hits Home: Trauma and Mental Disorders in Correctional and

Forensic Service Staff. Frontiers in Psychiatry, 11, 1040.

Uchmanowicz, I., Karniej, P., Lisiak, M., Chudiak, A., Lomper, K., Wiśnicka, A., ... &

Rosińczuk, J. (2020). The relationship between burnout, job satisfaction and the

rationing of nursing care—A cross‐sectional study. Journal of Nursing Management,

28(8), 2185-2195.

Rizany, I., Hariyati, R. T. S., Afifah, E., & Rusdiyansyah. (2019). The impact of nurse

scheduling management on nurses' job satisfaction in Army Hospital: cross-sectional

research. Sage Open, 9(2), 2158244019856189.

Wynendaele, H., Gemmel, P., Pattyn, E., Myny, D., & Trybou, J. (2021). Systematic review:

What is the impact of self‐scheduling on the patient, nurse and organization?. Journal

of Advanced Nursing, 77(1), 47-82.


9

Mokoena, M. J. (2017). Perceptions of professional nurses on the impact of the shortage of

resources for quality patient care in a public hospital: Limpopo Province (Doctoral

dissertation).

You might also like