NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue


NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue


Capella university

NHS-FPX 6008 Economics and Decision Making in Health Care

Prof. Name


Health Care Economic Issue and Its Impact

In the intricate settings of healthcare economics, the critical issue of inadequate nursing staff commands attention as a significant and pervasive challenge. A marked shortfall of qualified nurses in healthcare facilities characterizes this problem. This situation has led to profound consequences in patient care and healthcare delivery. At the core of this economic issue is the strain placed on existing nursing staff due to this shortage, leading to overburdened work conditions and significant stress (Otto et al., 2019). The repercussions are multifaceted, impacting the healthcare workers and the quality of patient care. Healthcare facilities struggling with insufficient nursing staff often face a decrease in patient care quality, evidenced by longer wait times and elevated patient-to-nurse ratios. These conditions have been linked to adverse patient outcomes; for example, McHugh et al. (2021), found that hospitals with lower nurse staffing levels had a 7% increase in the likelihood of patient mortality.

The repercussions of nursing staff inadequacy are especially acute in specific communities and populations. Rural or underserved areas, which already grapple with limited access to health care, bear the brunt of this challenge. As Alluhidan et al. (2020) note, these areas are disproportionately affected by the shortage of nursing staff, further complicating the existing challenges in accessing health care. This issue is not limited to geographic disparities; it also significantly impacts vulnerable groups, such as the elderly and those with chronic conditions. These populations, requiring more consistent and specialized care, often need to be met due to the nursing shortages. The consequence is a tangible deterioration in health outcomes, exacerbating the existing disparities in health care. The study underscores this point, highlighting the widening gap in health outcomes as a direct result of nursing staff shortages (McHugh et al.,2021).

Rationale for Choosing the Health Care Economic Issue

The selection of inadequate nursing staff as a healthcare economic issue for this assessment is deeply rooted in personal experience and professional values. This choice may be informed by firsthand observations or experiences within the healthcare sector, where the consequences of understaffed facilities become starkly evident. Such experiences often involve witnessing the direct impact of insufficient staffing on patient care quality and staff well-being (Geng et al., 2019). These observations underscore nurses’ critical role in patient outcomes and the overall efficiency of health care delivery.  Moreover, the decision to focus on this issue is also shaped by a commitment to the principles of quality patient care and the well-being of healthcare professionals.

The core values in health care emphasize providing compassionate, efficient, and effective patient care, which is fundamentally compromised in the face of nursing shortages (Hookmani et al., 2021). The detrimental effects of inadequate staffing on nurse morale and job satisfaction, leading to issues like burnout and high turnover rates, further motivate this choice. This aligns with the ethical and professional responsibility to advocate for conditions that ensure the welfare of healthcare staff and the optimal care of patients (Haahr et al., 2019). Thus, selecting inadequate nursing staff as a focus topic in this assessment reflects personal experiences within the healthcare environment and a dedication to upholding the standards of excellence in patient care and nurse welfare.

Effect on Work, Organization, Colleagues, and Community

The healthcare economic issue of inadequate nursing staff profoundly impacts various facets of the healthcare environment, including the work of healthcare professionals, organizational operations, and community health outcomes. In environments with insufficient nursing staff, existing staff members face increased workloads, leading to heightened stress levels, burnout, and job dissatisfaction (Geng et al., 2019). This not only affects the well-being of the nurses but also compromises the quality of patient care. Organizations grappling with these staffing issues often experience budgetary pressures, as the cost of recruiting and training new staff or paying overtime to existing staff accumulates, impacting the overall efficiency and financial stability of healthcare delivery (Haahr et al., 2019).

The issue of inadequate nursing staff disproportionately impacts communities of lower socioeconomic status and diverse groups. These populations often need more access to well-staffed and resourced healthcare facilities (Hookmani et al., 2021). This lack of access exacerbates existing health disparities, as these groups are less likely to receive timely and quality healthcare services. In addition, diverse groups, including minority and marginalized communities, face additional barriers to accessing quality care due to staffing shortages. These barriers can range from linguistic and cultural differences needing to be adequately addressed due to staff constraints to geographical limitations where well-staffed facilities are scarce (McHugh et al., 2021). Consequently, the issue of inadequate nursing staff not only affects the immediate healthcare environment but has broader social implications, deepening existing inequities in healthcare access and outcomes.

Identification of the Contributing Gap

A critical gap underpinning the inadequate nursing staff is the significant disparity between the supply of qualified nurses and the burgeoning demand for nursing services in healthcare facilities. This gap is multifaceted and influenced by several key factors. Firstly, the aging nurse workforce poses a challenge, as a significant proportion of the current nursing population is approaching retirement age, reducing the available workforce (Geng et al., 2019). Additionally, the increasing numbers of patients, partly due to an aging population and the rise of chronic diseases, exacerbate the demand for nursing services. This heightened demand collides with inadequate resources dedicated to training, recruiting, and retaining nurses, resulting in a persistent shortage (Lowman & Harms, 2022).

NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

Empirical evidence underscores the existence and implications of this gap. For instance, research by Schlak et al. (2022), highlights the projected shortfall of registered nurses in the coming years, emphasizing the gap between supply and demand. Furthermore, studies have consistently shown a direct correlation between nursing staff levels and patient outcomes. A study by McHugh et al. (2021), demonstrated that higher nurse-to-patient ratios are associated with reduced patient mortality and improved overall patient outcomes, thereby confirming the critical nature of this staffing gap in affecting healthcare quality and efficiency.


The healthcare economic issue of inadequate nursing staff is a complex and critical challenge with significant impacts on healthcare systems, professional work environments, and patient outcomes, particularly affecting vulnerable populations in underserved and diverse communities. Driven by a disparity between the supply and demand for qualified nurses, exacerbated by an aging workforce and insufficient training and retention resources, this issue necessitates a multifaceted approach to resolution. Addressing it requires enhancing resources for nursing education and retention, implementing strategic workforce planning, and recognizing the diverse needs of various communities. Tackling these challenges is essential for improving the quality of patient care, ensuring healthcare professionals’ well-being, and maintaining healthcare systems’ efficiency and sustainability.


Alluhidan, M., Tashkandi, N., Alblowi, F., Omer, T., Alghaith, T., Alghodaier, H., Alazemi, N., Tulenko, K., Herbst, C. H., Hamza, M. M., & Alghamdi, M. G. (2020). Challenges and policy opportunities in nursing in Saudi Arabia. Human Resources for Health18(1). https://doi.org/10.1186/s12960-020-00535-2 

Geng, F., Stevenson, D. G., & Grabowski, D. C. (2019). Daily nursing home staffing levels highly variable, often below CMS expectations. Health Affairs38(7), 1095–1100. https://doi.org/10.1377/hlthaff.2018.05322 

Haahr, A., Norlyk, A., Martinsen, B., & Dreyer, P. (2019). Nurses experiences of ethical dilemmas: A review. Nursing Ethics27(1), 258–272. https://doi.org/10.1177/0969733019832941 

Hookmani, A. A., Lalani, N., Sultan, N., Zubairi, A., Hussain, A., Hasan, B. S., & Rasheed, M. A. (2021). Development of an on-job mentorship programme to improve nursing experience for enhanced patient experience of compassionate care. BMC Nursing20(1). https://doi.org/10.1186/s12912-021-00682-4 

Lowman, G. H., & Harms, P. D. (2022). Addressing the nurse workforce crisis: A call for greater integration of the organizational behavior, human resource management and nursing literatures. Journal of Managerial Psychology37(3), 294–303. https://doi.org/10.1108/jmp-04-2022-713 

NHS FPX 6008 Assessment 1 Identifying a Local Health Care Economic Issue

McHugh, M., Aiken, L., Sloane, D., Windsor, C., Douglas, C., & Yates, P. (2021). Effects of nurse-to-patient ratio legislation on nurse staffing and patient mortality, readmissions, and length of stay: A prospective study in a panel of hospitals. The Lancet397(10288), 1905–1913. https://doi.org/10.1016/S0140-6736(21)00768-6 

Otto, A.-K., Bischoff, L. L., & Wollesen, B. (2019). Work-related burdens and requirements for health promotion programs for nursing staff in different care settings: A cross-sectional study. International Journal of Environmental Research and Public Health16(19), 3586. https://doi.org/10.3390/ijerph16193586 

Schlak, A. E., Rosa, W. E., Rushton, C. H., Poghosyan, L., Root, M. C., & McHugh, M. D. (2022). An expanded institutional- and national-level blueprint to address nurse burnout and moral suffering amid the evolving pandemic. Nursing Management53(1), 16–27. https://doi.org/10.1097/01.numa.0000805032.15402.b3 

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