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NURS FPX 8030 Assessment 4 Methods and Measurement

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    NURS FPX 8030 Assessment 4 Methods and Measurement

    Student Name

    Capella University

    NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner

    Prof. Name


    Methods and Measurement

    Staffing ratios exert a pivotal influence on both patient satisfaction and safety outcomes, contributing to heightened incidents like falls, catheter-associated infections, and hospital-acquired pressure injuries (Granel et al., 2020). Inadequate staffing ratios may compel nursing staff to omit essential patient care tasks due to time constraints. Addressing this issue necessitates a focus on enhancing the recruitment and retention of nursing staff, with improved nurse retention being crucial for maintaining staffing ratios at 1:6, thereby allowing adequate time for nurses to fulfill all patient care responsibilities.

    Instruments for Evaluating Recruitment and Retention Effectiveness

    Two instruments, namely Root Cause Analysis (RCA) and Six Sigma, can be employed to assess the effectiveness of recruitment and retention strategies in improving staffing ratios. The RCA framework involves iterative questioning of “why” to analyze staffing issues and proposed practice changes. This qualitative tool can provide data linking staffing ratios below 1:6 with patient safety incidents, supporting the argument that inadequate staffing hampers nurses’ productivity. RCA, through continuous questioning, identifies root causes to guide interventions aimed at improving recruitment and retention efforts.

    Six Sigma Approach to Staffing Issues

    While staffing issues significantly impact patient safety outcomes, they often go unmeasured. The Six Sigma methodology, a five-step process encompassing define, measure, analyze, improve, and control, provides a systematic approach. Defining process improvement goals, measuring current staffing ratios, analyzing causes and effects, implementing improvement plans, and ensuring ongoing control are key steps. This approach concentrates on system and process improvement rather than attributing problems to individuals.

    Relevance of Root Cause Analysis and Six Sigma in Healthcare

    Originally used in manufacturing, Root Cause Analysis involves creative problem-solving and strengthening analytical abilities. Similarly, Six Sigma, developed in the 1980s, focuses on system-level improvements. Both instruments have successfully been applied in healthcare settings, addressing issues such as fall prevention, medication errors, and the impact of staffing ratios below 1:6.


    Staffing ratios significantly contribute to adverse patient outcomes, underscoring the importance of addressing the root causes of understaffing. Root Cause Analysis and Six Sigma serve as effective instruments for identifying and addressing staffing-related problems. This project’s focus on nursing staff recruitment and retention aims to achieve staffing ratios of 1:6, maximizing patient safety in a hospital setting. These instruments are applicable for measuring the impact of the proposed intervention.


    Barnhart, T. (2011). Get to the root of the problem: root cause analysis (RCA) explained. Retrieved from:–root-cause-analysis-(rca)-explained—printer-friendly.pdf?sfvrsn=5

    Granel, N., Manresa-Dominguez, J. M., Watson, C. E., Gomez-Ibanez, R., & BernabeauTamayo, M. (2020). Nurses’ perceptions of patient safety culture: a mixed-methods study. BMC Health Services Research, 20, 1-9.

    Kam, A. W., Collins, S., Park, T. (2021). Using lean six sigma techniques to improve efficiency in outpatient ophthalmology clinics. BMC Health Serv Res, 21, 38.

    Tamata, A. T., Mohammadnezhad, M., Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the republic of vanuatu hospitals: a qualitative study. PLOS ONE, 16(5).

    NURS FPX 8030 Assessment 4 Methods and Measurement