This is the step where you integrate the evidence with your clinical expertise and the unique needs
and values of your patient/situation.
From the literature search, you've found that
the articles you've read do not state specific guidelines or staff
ratio suggestions, but do discuss that cuts in RNs have lead to decreases in
patient outcomes. Initially, you considered cutting some of your RN staff
because of cost purposes. After assessing your current situation, you remember that your
most recent personnel cuts have been to the RN staff.
After considering the literature and your current situation, you believe that any
further RN cuts may provide too much of a risk to quality of
care and not enough of a benefit to
the budget. You decide on having cutbacks in the number of
UAPs and to reorganize the staff in order to have a more
effective combination of RNs to UAPs.