Assignment: Literature Comparison Shortage of Nursing Personnel
Assignment: Literature Comparison Shortage of Nursing Personnel
Assignment: Literature Comparison Shortage of Nursing Personnel ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Literature Comparison Shortage of Nursing Personnel While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project. GCU NRS490 Literature Comparison Shortage of Nursing Personnel A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 500-1,000 word review that includes the following sections: Title page Introduction section A comparison of research questions Assignment: Literature Comparison Shortage of Nursing Personnel A comparison of sample populations A comparison of the limitations of the study A conclusion section, incorporating recommendations for further research Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. GCU NRS490 Literature Comparison Shortage of Nursing Personnel capstone_topic_selection.docx picot_statement_nrs_490.docx Running head: HEALTH AND MEDICAL The impact of nurse shortage on the quality of care in the primary healthcare facilities Jessica Mock Grand Canyon University- NRS 490 June 2, 2019 1 HEALTH AND MEDICAL 2 Introduction There is need for adequate nursing personnel in every hospital to ensure sufficient health services to the patients. Nurses are part of the health specialists with necessary knowledge and competency to handle clients and patients at family level, clinics and even at the hospitals. Health centers with adequate nursing personnel provide effective healthcare attention to their patients effectively. The proposed topic will focus on the effect of the nurse shortage on the hospital patient care a situation in the context US primary healthcare facilities. Discussion In the recent past, there has been a shortage of nursing personnel in the US primary healthcare centers which has adversely affected the patients. Nurses provides variety of healthcare services to the hospital-based patients in their midst (Veenema et al., 2017). Firstly, it is the responsibility of the nursing units to ensure medication administration to the patients. For example, a nurse in charge of an admitted patient will ensure such a patient takes the medication as per the doctor prescriptions following the exact dose and timeline. GCU NRS490 Literature Comparison Shortage of Nursing Personnel The nursing personnel ensure patient can move freely within the restricted zone in the healthcare in case their admission allows such movements. Thirdly, it is the role of a nurse to ensure patient takes their meals on time within the hospital so that they are able to remain healthy. Similarly, in the nursing units, a Registered Nurse will be part of the leading team which helps in delegating duties regarding patient care in the hospital premises (Smolowitz et al., 2015). In other words, Registered Nurses guides in giving directives to the Licensed Practical Nurses to provide health attention to the patients in the hospital set up. For example, under the supervision of the Registered Nurses, Licensed Practical Nurses provide healthcare to the mentally challenged patients in the US health centers (DePasquale & Stange, 2016). HEALTH AND MEDICAL 3 On the other hand, the witnessed decline in the number of the nursing personnel in the US primary healthcare facilities threatens the lives of the patients (Snavely, 2016). One of the main impacts as a result of the shortage of the nurse is lack of workforce to administer patient medication appropriately. For example, a health canter with nearly fifty admitted patients and only one or two nurses will compromise their attention to some patient regarding medicine administration (Dellefield et al., 2015). On the same note, patients who require to movement either outside or within the hospital may find it hard due to shortage of nurses. Hospitalized patients will also encounter difficulties during meals time such as breakfast, lunch and dinner due to lack of sufficient directives from a professional nurse (Bragadóttir, Kalisch & Tryggvadóttir, 2017). Such a situation may end up worsening the patient health status due to lack of meals considering their nature of medication. Still, patients in the primary health facilities will not receive professional health attention due to lack of supervision and monitoring by the Registered Nurse personnel. GCU NRS490 Literature Comparison Shortage of Nursing Personnel There is a couple of significance linked to addressing the issue of the nursing shortage in the US primary health facilities. Firstly, adequate nursing personnel will ensure different patients under their care; take their mediation as per the doctor prescriptions. Secondly, patient including them restricted in a wheelchair will get a chance to move freely with the hospital via the help of a nurse or licensed practical nurse. It is worth addressing the problem to ensure only professional and competent Registered Nurses offer directives in the US health facilities to the patients within the premises (Staggs, et al, 2016). The health department ought to increase the number of the nurses including Registered Nurses and Licensed Practical Nurses to curb the limitation of the nursing personnel in the US healthcare facilities. In so doing, the hospital based patients will receive sufficient health attention which aligns with their hospital charges. HEALTH AND MEDICAL 4 References Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing, 26(11-12), 1524-1534. Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing economic$, 33(2), 95-108. DePasquale, C., & Stange, K. (2016). Labor supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136. Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101. Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. (2017). Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Journal of general internal medicine, 32(1), 35-41. Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., & Larson, E. (2016). Nurses as leaders in disaster preparedness and responseA call to action. Journal of Nursing Scholarship, 48(2), 187-200. Running head: PICOT STATEMENT 1 PICOT Statement Jessica Mock Grand Canyon University- NRS 490 June 9, 2019 PICOT STATEMENT 2 Identification of Clinical Problem Every health care system involves a primary objective, which is to promote the quality of life of patients. Every patient expects the best quality of life whenever they go to the hospitals, which satisfies them with the services offered. However, various issues confront health care currently, which include long waiting times and delayed diagnosis, ADHD, or any other dysfunction found in children. The principal aim of the investigation is to carry out an evaluation and analysis of the child and adult growth Actions plans for Autism Spectrum Disorder to deal with the issue of long waiting times and delayed diagnosis, ADHD or any other dysfunction. Evidence-Based Solution Rutherford et al. (2016) explain as to why professionals offer delayed assessment of diagnosis of autism spectrum disorders (ASD). The investigation translates the evidence into the practical application via actions plans for services of ASD. The authors presented an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. Zheng et al. (2016) point out that various problems need to be covered like early identification, atypical and typical development, increased government investment, professional development, and enhanced execution of available regulations. According to Richards and Vostanis (2004), it is crucial for services of transitional mental health for individuals with 16 years to 19-years in health district, as comprehended by specialists from social, mental health, non-statutory services, and education. Besides, Chakroborty et al. (2014) support the idea that early intervention in certain learning disability (SpLD) leads to the enhanced outcome and controls comorbidity.GCU NRS490 Literature Comparison Shortage of Nursing Personnel This way, the authors give a comparison of pathways for taking care of children with mental retardation and SpLD before reaching a tertiary care center (Temper et al., 2017). PICOT STATEMENT 3 Nursing Intervention, Patient Care, Health Care Agency, & Nursing Practice For early intervention in specific learning disability (SpLD), Rutherford et al. (2016) claim that it is crucial to utilize Goldbergs pathways and MINI-KID for comorbidity to care instrument. It is necessary to enhance physical exercise for youth with intellectual disabilities, as it is one of the interventions description. Frey et al. (2017) executed an intervention for initiating, increasing, or maintaining physical activity as well as reporting the efficacy of the intervention. However, nurses will describe to the patients how to perform various exercises for individuals with intellectual disabilities. Through the above responses, nurses possess the potential of influencing positive patient outcomes that could enhance the quality of life of patients while enhancing the quality of care offered to patients. Besides, nurses should carry out an evaluation and analysis of adult and child growth Actions plans for Autism Spectrum Defect to deal with the issue of long waiting times, and delayed diagnosis, ADHD or any other dysfunction. The objective of nurses is to assist patients to stay a healthy life through maintaining or strengthening their health activities. Through the above interventions, nurses will be in a position to execute evidence-based practices in their clinical setting to enhance patients health. PICOT Statement Can children with mental disabilities have better health outcomes in adulthood if they are managed upon early detection vs. later detection? Does early intervention truly impact health or does mental disability have the same result despite the starting point of interventional therapies? (P) Population: Children with mental disabilities like delayed speech or functions, autism, ADHD, or any other type of dysfunction in children. Some children might be diagnosed early and get treatment, and others may not be diagnosed until late childhood or into school age stages. PICOT STATEMENT 4 Intervention: Depends on diagnosis, level of health disparity, and stage. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Enhance physical exercise for youths with intellectual disabilities; transitional services of mental health for individuals with 16-years to 19-years in health district; an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. (C) Comparison: Children who receive early diagnosis and intervention vs. children that go longer with no diagnosis or delayed diagnosis and delayed responses. (O) Outcome: Improvement in physical exercise among youths with intellectual disabilities and medication adherence as well as prevention of long waiting times, and delayed diagnosis. (T) Time: The outcome of the study will be assessed weekly for eight weeks. References Chakraborty, S., Sagar Kommu, J. V., Srinath, S., Seshadri, S. P., & Girimaji, S. C. (2014). A Comparative Study of Pathways to Care for Children with Specific Learning Disability and Mental Retardation. Indian Journal of Psychological Medicine, 36(1), 27. Retrieved from PICOT STATEMENT 5 https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=94741876&site=eds-live&scope=site Frey, G. C., Temple, V. A., & Stanish, H. I. (2017). Interventions to promote physical activity for youth with intellectual disabilities. Salud Pública de México, 59(4), 437. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408973&site=eds-live&scope=site Richards, M., & Vostanis, P. (2004). Interprofessional perspectives on transitional mental health services for young people aged 16 19 years. Journal of Interprofessional Care, 18(2), 115128. https://doi-org.lopes.idm.oclc.org/10.1080/13561820410001686882 Rutherford, M., McKenzie, K., Forsyth, K., McCartney, D., O, H. A., McClure, I., & Irvine, L. (2016). Why are they waiting? Exploring professional perspectives and developing solutions to delayed diagnosis of autism spectrum disorder in adults and children. Research in Autism Spectrum Disorders, 31, 5365. https://doiorg.lopes.idm.oclc.org/10.1016/j.rasd.2016.06.004 Temple, V. A., Frey, G. C., & Stanish, H. I. (2017). Interventions to promote physical activity for adults with intellectual disabilities. Salud Pública de México, 59(4), 446. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408974&site=eds-live&scope=site Zheng, Y., Maude, S. P., Brotherson, M. J., & Merritts, A. (2016). Early Childhood Intervention in China from the Families Perspective. International Journal of Disability, PICOT STATEMENT Development & Education, 63(4), 431449. https://doiorg.lopes.idm.oclc.org/10.1080/1034912X.2015.1124988 Assignment: Literature Comparison Shortage of Nursing Personnel Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
Assignment: Literature Comparison Shortage of Nursing Personnel
Assignment: Literature Comparison Shortage of Nursing Personnel ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Literature Comparison Shortage of Nursing Personnel While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project. GCU NRS490 Literature Comparison Shortage of Nursing Personnel A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 500-1,000 word review that includes the following sections: Title page Introduction section A comparison of research questions Assignment: Literature Comparison Shortage of Nursing Personnel A comparison of sample populations A comparison of the limitations of the study A conclusion section, incorporating recommendations for further research Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. GCU NRS490 Literature Comparison Shortage of Nursing Personnel capstone_topic_selection.docx picot_statement_nrs_490.docx Running head: HEALTH AND MEDICAL The impact of nurse shortage on the quality of care in the primary healthcare facilities Jessica Mock Grand Canyon University- NRS 490 June 2, 2019 1 HEALTH AND MEDICAL 2 Introduction There is need for adequate nursing personnel in every hospital to ensure sufficient health services to the patients. Nurses are part of the health specialists with necessary knowledge and competency to handle clients and patients at family level, clinics and even at the hospitals. Health centers with adequate nursing personnel provide effective healthcare attention to their patients effectively. The proposed topic will focus on the effect of the nurse shortage on the hospital patient care a situation in the context US primary healthcare facilities. Discussion In the recent past, there has been a shortage of nursing personnel in the US primary healthcare centers which has adversely affected the patients. Nurses provides variety of healthcare services to the hospital-based patients in their midst (Veenema et al., 2017). Firstly, it is the responsibility of the nursing units to ensure medication administration to the patients. For example, a nurse in charge of an admitted patient will ensure such a patient takes the medication as per the doctor prescriptions following the exact dose and timeline. GCU NRS490 Literature Comparison Shortage of Nursing Personnel The nursing personnel ensure patient can move freely within the restricted zone in the healthcare in case their admission allows such movements. Thirdly, it is the role of a nurse to ensure patient takes their meals on time within the hospital so that they are able to remain healthy. Similarly, in the nursing units, a Registered Nurse will be part of the leading team which helps in delegating duties regarding patient care in the hospital premises (Smolowitz et al., 2015). In other words, Registered Nurses guides in giving directives to the Licensed Practical Nurses to provide health attention to the patients in the hospital set up. For example, under the supervision of the Registered Nurses, Licensed Practical Nurses provide healthcare to the mentally challenged patients in the US health centers (DePasquale & Stange, 2016). HEALTH AND MEDICAL 3 On the other hand, the witnessed decline in the number of the nursing personnel in the US primary healthcare facilities threatens the lives of the patients (Snavely, 2016). One of the main impacts as a result of the shortage of the nurse is lack of workforce to administer patient medication appropriately. For example, a health canter with nearly fifty admitted patients and only one or two nurses will compromise their attention to some patient regarding medicine administration (Dellefield et al., 2015). On the same note, patients who require to movement either outside or within the hospital may find it hard due to shortage of nurses. Hospitalized patients will also encounter difficulties during meals time such as breakfast, lunch and dinner due to lack of sufficient directives from a professional nurse (Bragadóttir, Kalisch & Tryggvadóttir, 2017). Such a situation may end up worsening the patient health status due to lack of meals considering their nature of medication. Still, patients in the primary health facilities will not receive professional health attention due to lack of supervision and monitoring by the Registered Nurse personnel. GCU NRS490 Literature Comparison Shortage of Nursing Personnel There is a couple of significance linked to addressing the issue of the nursing shortage in the US primary health facilities. Firstly, adequate nursing personnel will ensure different patients under their care; take their mediation as per the doctor prescriptions. Secondly, patient including them restricted in a wheelchair will get a chance to move freely with the hospital via the help of a nurse or licensed practical nurse. It is worth addressing the problem to ensure only professional and competent Registered Nurses offer directives in the US health facilities to the patients within the premises (Staggs, et al, 2016). The health department ought to increase the number of the nurses including Registered Nurses and Licensed Practical Nurses to curb the limitation of the nursing personnel in the US healthcare facilities. In so doing, the hospital based patients will receive sufficient health attention which aligns with their hospital charges. HEALTH AND MEDICAL 4 References Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing, 26(11-12), 1524-1534. Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing economic$, 33(2), 95-108. DePasquale, C., & Stange, K. (2016). Labor supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136. Snavely, T. M. (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101. Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. (2017). Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Journal of general internal medicine, 32(1), 35-41. Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., & Larson, E. (2016). Nurses as leaders in disaster preparedness and responseA call to action. Journal of Nursing Scholarship, 48(2), 187-200. Running head: PICOT STATEMENT 1 PICOT Statement Jessica Mock Grand Canyon University- NRS 490 June 9, 2019 PICOT STATEMENT 2 Identification of Clinical Problem Every health care system involves a primary objective, which is to promote the quality of life of patients. Every patient expects the best quality of life whenever they go to the hospitals, which satisfies them with the services offered. However, various issues confront health care currently, which include long waiting times and delayed diagnosis, ADHD, or any other dysfunction found in children. The principal aim of the investigation is to carry out an evaluation and analysis of the child and adult growth Actions plans for Autism Spectrum Disorder to deal with the issue of long waiting times and delayed diagnosis, ADHD or any other dysfunction. Evidence-Based Solution Rutherford et al. (2016) explain as to why professionals offer delayed assessment of diagnosis of autism spectrum disorders (ASD). The investigation translates the evidence into the practical application via actions plans for services of ASD. The authors presented an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. Zheng et al. (2016) point out that various problems need to be covered like early identification, atypical and typical development, increased government investment, professional development, and enhanced execution of available regulations. According to Richards and Vostanis (2004), it is crucial for services of transitional mental health for individuals with 16 years to 19-years in health district, as comprehended by specialists from social, mental health, non-statutory services, and education. Besides, Chakroborty et al. (2014) support the idea that early intervention in certain learning disability (SpLD) leads to the enhanced outcome and controls comorbidity.GCU NRS490 Literature Comparison Shortage of Nursing Personnel This way, the authors give a comparison of pathways for taking care of children with mental retardation and SpLD before reaching a tertiary care center (Temper et al., 2017). PICOT STATEMENT 3 Nursing Intervention, Patient Care, Health Care Agency, & Nursing Practice For early intervention in specific learning disability (SpLD), Rutherford et al. (2016) claim that it is crucial to utilize Goldbergs pathways and MINI-KID for comorbidity to care instrument. It is necessary to enhance physical exercise for youth with intellectual disabilities, as it is one of the interventions description. Frey et al. (2017) executed an intervention for initiating, increasing, or maintaining physical activity as well as reporting the efficacy of the intervention. However, nurses will describe to the patients how to perform various exercises for individuals with intellectual disabilities. Through the above responses, nurses possess the potential of influencing positive patient outcomes that could enhance the quality of life of patients while enhancing the quality of care offered to patients. Besides, nurses should carry out an evaluation and analysis of adult and child growth Actions plans for Autism Spectrum Defect to deal with the issue of long waiting times, and delayed diagnosis, ADHD or any other dysfunction. The objective of nurses is to assist patients to stay a healthy life through maintaining or strengthening their health activities. Through the above interventions, nurses will be in a position to execute evidence-based practices in their clinical setting to enhance patients health. PICOT Statement Can children with mental disabilities have better health outcomes in adulthood if they are managed upon early detection vs. later detection? Does early intervention truly impact health or does mental disability have the same result despite the starting point of interventional therapies? (P) Population: Children with mental disabilities like delayed speech or functions, autism, ADHD, or any other type of dysfunction in children. Some children might be diagnosed early and get treatment, and others may not be diagnosed until late childhood or into school age stages. PICOT STATEMENT 4 Intervention: Depends on diagnosis, level of health disparity, and stage. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Enhance physical exercise for youths with intellectual disabilities; transitional services of mental health for individuals with 16-years to 19-years in health district; an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. (C) Comparison: Children who receive early diagnosis and intervention vs. children that go longer with no diagnosis or delayed diagnosis and delayed responses. (O) Outcome: Improvement in physical exercise among youths with intellectual disabilities and medication adherence as well as prevention of long waiting times, and delayed diagnosis. (T) Time: The outcome of the study will be assessed weekly for eight weeks. References Chakraborty, S., Sagar Kommu, J. V., Srinath, S., Seshadri, S. P., & Girimaji, S. C. (2014). A Comparative Study of Pathways to Care for Children with Specific Learning Disability and Mental Retardation. Indian Journal of Psychological Medicine, 36(1), 27. Retrieved from PICOT STATEMENT 5 https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=94741876&site=eds-live&scope=site Frey, G. C., Temple, V. A., & Stanish, H. I. (2017). Interventions to promote physical activity for youth with intellectual disabilities. Salud Pública de México, 59(4), 437. GCU NRS490 Literature Comparison Shortage of Nursing Personnel Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408973&site=eds-live&scope=site Richards, M., & Vostanis, P. (2004). Interprofessional perspectives on transitional mental health services for young people aged 16 19 years. Journal of Interprofessional Care, 18(2), 115128. https://doi-org.lopes.idm.oclc.org/10.1080/13561820410001686882 Rutherford, M., McKenzie, K., Forsyth, K., McCartney, D., O, H. A., McClure, I., & Irvine, L. (2016). Why are they waiting? Exploring professional perspectives and developing solutions to delayed diagnosis of autism spectrum disorder in adults and children. Research in Autism Spectrum Disorders, 31, 5365. https://doiorg.lopes.idm.oclc.org/10.1016/j.rasd.2016.06.004 Temple, V. A., Frey, G. C., & Stanish, H. I. (2017). Interventions to promote physical activity for adults with intellectual disabilities. Salud Pública de México, 59(4), 446. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408974&site=eds-live&scope=site Zheng, Y., Maude, S. P., Brotherson, M. J., & Merritts, A. (2016). Early Childhood Intervention in China from the Families Perspective. International Journal of Disability, PICOT STATEMENT Development & Education, 63(4), 431449. https://doiorg.lopes.idm.oclc.org/10.1080/1034912X.2015.1124988 Assignment: Literature Comparison Shortage of Nursing Personnel Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10
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