A chief nursing officer (CNO) wants to respond to a threatened reduction in nursing positions in a hospital where financial conditions are poor. Which action by the CNO would be best?
a. Compare nurse–patient ratios nationwide, describing the impact of layoffs.
b. Hire a lobbyist to put political pressure on the hospital's administration.
c. Prepare a cost–benefit analysis of the effect of nursing care in that hospital.
d. Use a cost-minimization strategy to show how nursing costs can decrease.
C
A cost–benefit analysis is a powerful tool for justifying investments into nursing care.
A nationwide comparison of nurse–patient ratios might yield important information, but information that is national in scope is easily dismissed as "someone else's problem" and might not convince administrators of the value of nursing care in this hospital.
Hospital administrators are not elected to their positions, so political pressure probably would not garner the desired results.
Cost-minimization strategies are rarely useful in health care settings because of the variability in interventions and outcomes.
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