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NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change

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    NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change

    Student Name

    Capella University

    NURS-FPX 6218 Leading the Future of Health Care

    Prof. Name


    Change Proposal Summary Report

    The focus of this change proposal summary report is to explore the shortage of healthcare professionals in the local healthcare system in Minnesota. The executive summary report clearly explains the issue, elaborates on the desired outcomes and factors hindering the achievement of those outcomes, a compelling comparison with non-U.S based healthcare systems is described, and the report identifies the financial and health implications of these proposed changes. Through this assessment, we aim to communicate a practical strategy for minimizing the shortage of staff and improving the quality of care and health outcomes for patients.

    Executive Summary

    Proposed Change

    The local healthcare system in Minnesota is recently facing a significant shortage of healthcare professionals, especially nurses, and doctors, which is becoming a considerable challenge for healthcare organizations to deliver quality healthcare services to the patient population. These shortages lead to a high-patient-to-provider ratio, resulting in longer waiting times for consultations, delayed treatment, increased workload, and compromised care. Another important aspect that should be considered here is the aging workforce.

    A substantial component of the current healthcare workforce is nearing retirement age, leading to a potential migration of experienced professionals. Thus, the shortage of healthcare professionals is a leading problem in the healthcare system and change strategies must be initiated to address the challenge (Tamata & Mohammadnezhad, 2022). The expectations for improvements include increasing recruitment efforts, whereby the healthcare system should focus on efforts to recruit healthcare professionals, both from within the region and outside. These efforts should include competitive salaries, added benefits, and work-life balance programs which will enable the organization to attract expert individuals (Abelsen et al., 2020).

    Another strategy for improving outcomes is establishing dual education opportunities for students interested in the healthcare sector. This can be done by collaborating with medical and nursing schools to deliver both academic and practical knowledge and establish study loan programs, and hands-on training initiatives to prepare students for pursuing jobs in healthcare careers. Integration of telemedicine technologies bridges the gap of staff shortages in rural and underserved areas, making healthcare accessible and resulting in positive outcomes for the population living in these areas (Hoffman, 2020). 

    Desired Outcomes

    The proposal to minimize the shortage of staffing using recruitment efforts, expanding educational opportunities, and integrating telehealth will result in several desired outcomes that we plan to achieve through this change proposal. 

    Enhanced Healthcare Accessibility

    Increasing the workforce is essential to attain the desirable outcome of providing equitable access to healthcare for every individual, which means decreasing waiting times, increasing access to adequate nursing care, and addressing inaccessibility factors in remote and underserved areas. 

    Improved Health Outcomes 

    Another anticipated outcome is to improve overall health outcomes of the concerned population, which includes reduction of mortality rates, minimizing the risk of morbidities, enhancing preventive care, and promoting measures to enhance health and well-being (Cometto et al., 2020). 

    Cost Effectiveness

    The delivery of cost-effective healthcare while maintaining the quality of care is a desirable outcome for every healthcare organization. Increasing the healthcare workforce through aforementioned change strategies is purposed for the optimization of resources and reducing unnecessary costs which may lead to long-term cost savings in the healthcare sectors. 

    Adequate Workforce 

    The major purpose of this change proposal is to ensure an adequate and well-trained healthcare workforce is available within the region to meet the population’s needs, leading to better patient care and reducing the strain on existing healthcare providers.

    Although these are imperative changes required within the healthcare sectors, organizations must have a balanced approach to funding the implementation of the change proposal. An organization’s financial reserves should be used along with the arrangement of external funding from governmental programs like taxation, subsidies, and insurance programs. Moreover, some funds should be gathered from private insurance companies, as it can assist in reducing the burden on the public healthcare system and offer faster access to healthcare. Despite striving efforts, the implementation and achievement of these outcomes can be impeded by various factors such as financial constraints, a fragmented healthcare system whereby, lack of care coordination and reduced interprofessional collaboration can lead to poor results, resistance to change, and lack of commitment from administrative leaders (Labrague et al., 2022; Warrick, 2023).

    The optimal healthcare solutions to achieve these desirable outcomes are the implementation of an integrated healthcare model which will improve care coordination, integration of health information technology, establishing partnerships between public and private organizations, promoting interdisciplinary collaboration, and making regulatory reforms. These solutions will help organizations address the major concern of staffing shortage and achieve desired outcomes as mentioned earlier. 

    Health Care System Comparative Analysis

    To find a more operational and successful approach to reduce staffing shortages in Minnesota’s local healthcare systems, we have performed an analysis with two non-U.S; Germany’s Dual Education System and Australia’s Rural Health Workforce Strategy (Appendix, Table 1). Germany has a prosperous dual education system for nurses and other allied healthcare professionals. This education program combines practical training and academic education to ensure a constant supply of well-trained healthcare workers. They also provide scholarships, and loans to the students so that they are attracted towards the profession, preparing students for jobs after their graduation. Fundings are arranged by the collaboration of the government and healthcare institutions (Seizinger & Brunner, 2023).

    On the other hand, Australia’s rural health strategy is focused on the recruitment and retention of staff agreeing to work in the rural areas of the country by offering them financial enticements, scholarships, and grants. Additionally, it provides support for continuing education and training opportunities (Australian Government Department of Health and Aged Care, 2021). This in return increases healthcare access for underserved populations and cost-effective care using existing community resources. Our healthcare system could develop a similar dual education system as proposed in this change proposal to address healthcare professional shortages. We can also establish policies for offering financial incentives to attract more individuals into the healthcare workforce. We could also work on recruitment efforts specifically for rural areas to improve healthcare accessibility in geographically distant and underserved populations. 

    The Rationale for the Proposed Change

    The proposed change of expanding recruitment efforts will assist in increasing the workforce, directly reducing staff shortages in concerned areas. Secondly, the establishment of dual education programs like Germany’s model, will ensure that students after their graduation are fully equipped with the knowledge to work in the clinical areas. This will eventually decrease the need for further recruitment, minimizing associated costs, and improving healthcare access to areas where staff shortages are observed, thereby improving patient outcomes, and developing an adequate workforce for the future. Lastly, the integration of telemedicine will enhance healthcare accessibility by enabling remote consultations, especially in underserved areas, reducing the need for physical presence, which ultimately helps in providing cost-effective care. 

    Financial and Health Implications

    The implementation of recruitment efforts, dual education programs, and telemedicine may initially necessitate financial investment but can lead to long-term cost savings by reducing staff shortages and enhancing workforce effectiveness. Furthermore, telemedicine can lower healthcare costs by reducing unnecessary visits, resource allocation, and utilization of existing community resources, which reduces costs for healthcare systems as well (Patel et al., 2023; Snoswell et al., 2020). Besides this, the proposed changes impact healthcare accessibility, and quality of care, and improve patient outcomes.

    Adequate and well-training staffing will ensure timely and high-quality services and telemedicine will improve healthcare access, especially in remote areas bringing significant improvements in patient outcomes. Failure to apply these proposed changes may intensify staff shortages in our region, leading to further lengthening the waiting times, compromising the quality of, and decreasing patient satisfaction. This may also impact healthcare accessibility and cost-effectiveness which are two significant aspects that healthcare organizations must adhere to. Thus, it is significant to plan and implement these strategies within our system. 


    Table 1: Health Care System Comparative Analysis
    OutcomesGermany’s Dual Education SystemAustralia’s Rural Health Workforce StrategyMinnesota Health Care System
    Enhanced Healthcare Accessibility This educational system ensures a continuous supply of healthcare professionals through education as well as practical training, which results in a large number of skilled professionals entering the healthcare organization, indirectly enhancing accessibility to healthcare services (Seizinger & Brunner, 2023). Since the focus of the strategy is to allocate the workforce in rural areas, this increases the accessibility for the population living in geographically distant locations, reducing the need for long-distance travel to access medical care (Australian Government Department of Health and Aged Care, 2021). In comparison to the non-U.S healthcare systems, Minnesota still has inadequate staffing despite various initiatives (telemedicine, community worker programs, and education and development), which leads to decreased healthcare accessibility (Minnesota Department of Human Services, 2023). Thus, this is desirable through this change proposal to increase healthcare accessibility 
    Cost EffectivenessThe dual education system minimizes the financial costs associated with clinical training for the institutions while ensuring that students receive hands-on experience in real healthcare settings. Moreover, by providing financial incentives and support to students during their course, it attracts individuals to healthcare professions, thus reducing extra recruitment costs. Provision of healthcare services locally in the rural/underserved area can lead to cost savings by better utilization of community resources, decreasing travel costs, and reducing costs for healthcare organizations, making the delivery of care more cost-effective.The healthcare system in Minnesota addresses the shortage of staffing through innovative workforce development programs and efficient utilization of healthcare professionals. This optimized resource allocation improves cost-effectiveness while maintaining quality care. However, the identified health concern is still pending and needs extensive programs like non-U.S. healthcare systems to ensure a complete reduction of staff shortages and sustainable cost-effectiveness. 
    Improved Health OutcomesHealth professionals play crucial roles in the initiation of preventive care, early identification of health issues, and patient education. This system ensures that adequately trained professionals deliver  improved quality of care leading to better health outcomes for the patients.Timely access to healthcare services can facilitate early identification and management of health conditions, reducing the progression of illnesses, minimizing the risks of morbidity and mortality, and improving overall health outcomes. It also provides continuity of care which enhances patient trust and engagement, leading to better compliance with treatment regimens. The investment of Minnesota in programs like nursing education, workforce development, and loan forgiveness allows the system to address staffing shortages which eventually improves healthcare outcomes. Further improvement through strategies presented in the change proposal will expand better health outcomes for patients. 
    Adequate WorkforceThe main purpose of this dual education system is to address the shortage of healthcare professionals by creating a pipeline of skilled workers entering the healthcare sector. The training allows students to gain valuable hands-on experience in clinical practices making them more ready for the job after completion of the course. This increases the overall capacity of the healthcare workforce in the system, meeting the demands of the population and reducing staff shortages (Seizinger & Brunner, 2023).The strategy’s focus on recruiting and retaining healthcare professionals in rural areas ensures an adequate healthcare workforce in regions struggling with staff shortages. This program offers financial incentives, career-expanding opportunities, and a supportive environment to the staff which encourages them to commit to serving in these areas (Cosgrave, 2021). Since the comparative analysis is clear that Minnesota has inadequate staffing, it is a completely desirable outcome to achieve the adequate ratio of the healthcare workforce to improve other ailments of healthcare services like patient outcomes, cost-effectiveness, and healthcare accessibility. 


    Abelsen, B., Strasser, R., Heaney, D., Berggren, P., Sigurðsson, S., Brandstorp, H., Wakegijig, J., Forsling, N., Moody-Corbett, P., Akearok, G. H., Mason, A., Savage, C., & Nicoll, P. (2020). Plan, recruit, retain: A framework for local healthcare organizations to achieve a stable remote rural workforce. Human Resources for Health18(1), 63. 

    Australian Government Department of Health and Aged Care. (2021, December 14). Stronger Rural Health Strategy. Australian Government Department of Health and Aged Care. 

    Cometto, G., Buchan, J., & Dussault, G. (2020). Developing the health workforce for universal health coverage. Bulletin of the World Health Organization98(2), 109–116. 

    NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change

    Hoffman, D. A. (2020). Increasing access to care: Telehealth during COVID-19. Journal of Law and the Biosciences7(1), lsaa043. 

    Labrague, L. J., Al Sabei, S., Al Rawajfah, O., AbuAlRub, R., & Burney, I. (2022). Interprofessional collaboration as a mediator in the relationship between nurse work environment, patient safety outcomes and job satisfaction among nurses. Journal of Nursing Management30(1), 268–278. 

    Patel, K. B., Turner, K., Alishahi Tabriz, A., Gonzalez, B. D., Oswald, L. B., Nguyen, O. T., Hong, Y.-R., Jim, H. S. L., Nichols, A. C., Wang, X., Robinson, E., Naso, C., & Spiess, P. E. (2023). Estimated indirect cost savings of using telehealth among nonelderly patients with cancer. JAMA Network Open6(1), e2250211. 

    Seizinger, M., & Brunner, J. O. (2023). Optimized planning of nursing curricula in dual vocational schools focusing on the German health care system. European Journal of Operational Research304(3), 1223–1241. 

    NURS FPX 6218 Assessment 1 Proposing Evidence-Based Change

    Snoswell, C. L., Taylor, M. L., Comans, T. A., Smith, A. C., Gray, L. C., & Caffery, L. J. (2020). Determining if telehealth can reduce health system costs: Scoping review. Journal of Medical Internet Research22(10), e17298. 

    Tamata, A. T., & Mohammadnezhad, M. (2022). A systematic review study on the factors affecting shortage of nursing workforce in the hospitals. Nursing Open10(3), 1247–1257. 

    Warrick, D. D. (2023). Revisiting resistance to change and how to manage it: What has been learned and what organizations need to do. Business Horizons66(4), 433–441.