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Flowchart

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Grace Keenan English

Flowchart content

  1. Professional Nursing Issue: Nursing workforce shortages contributing to unsafe staffing and restricted acces to care in Michigan

  2. Pros of legislation

  3. Cons of legislation

  4. Pending Legislation: House Bill 4246 (2025-2026) Nurse Licensure Compact (NCL)

  5. Stakeholders

  6. Registered Nurses

  7. Patients/Families

  8. Hospitals/Healhcare employers

  9. Increased risk of error and missed care

  10. Limited access to services (rural/telehealth)

  11. Scope/Impacts

  12. Financial strain on health systems

  13. insuffieient staffing is raising the stress of practicing nurses, impacting job satisfaction, and increasing turnover (American Association of Colleges of Nursing, 2024)

    In March 2022, reserach found 52% of nurses were considering leaving their current positions related to insufficient staffing (American Association of Colleges of Nursing, 2024)

  14. Expands nursing workforce supply and flexibility

  15. Improved access to health care in rural areas

  16. Supports telehealth

  17. Reduced licensure barriers/costs

  18. Regulatory adjustments, different state practice standards

  19. Variability in standards

  20. Does not solve entire staffing shortage

  21. NLC supports telehealth becauses nurses can provide virtual care to out-of-state paitents without licensure complications (American Nurses Association - Michigan, 2025).

    NLC Allows Michigan to be more competitive for recruiting by eliminating single-state licensing barriers (American Nurses Association - Michigan, 2025).

  22. burnout, moral distress, turnover

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Flowchart on Untitled, created by Grace Keenan on 28/01/2026.
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Grace Keenan
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