In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.
Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:
Purpose of the change proposal
Literature search strategy employed
Evaluation of the literature
Applicable change or nursing theory utilized
Proposed implementation plan with outcome measures
Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
Appendix section, if tables, graphs, surveys, educational materials, etc. are created
Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.
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.
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Inadequate nurse staffing is one of the key challenges that healthcare faces. This study involves a PICOT statement for a progressive project in this course. The essay helps in distinguishing a clinical issue and how it can bring about a positive patient outcome. Moreover, this essay will examine the PICOT explanation in connection to based solution, nursing intervention, patient care, healthcare agency, and nursing practice.
Problem description Comment by Tammy Gray: Headings are bolded Capitalize all words except prepositions
Insufficient Nurse staffing is a circumstance implying lack of number of attendants (from RN’s to CNA’s) to deal with patient needs in the social insurance setting or when the medical caretaker to understanding proportions is unbalanced. This issue has been a general issue in most medicinal services offices or healthcare facilities, in the USA, which has added to negative wellbeing results to patients. A great deal of research studies has pinpointed the antagonistic impacts related with insufficient nurse staffing, particularly as respects to persistent quality consideration. According to Aiken, Clarke & Sloane (2012), each extra patient a medical caretaker deals with has a possibility of death inside thirty days of affirmation. Insufficient nurse staffing has been related with expanded patient death rate.
Nursing Practice Problem of Interest Comment by Tammy Gray: Repeated error..see above comment
The impact of insufficient nurse staffing on patient consideration. As a nurse working in a juvenile Hall healthcare facility (Juvenile Jail), I have watched numerous on occasion nursing staff were short-staffed in my office and patient consideration are being destroyed. The issue of insufficient nurse staffing has caused a great deal of antagonistic impact and intricacies in my office and this incited me to investigate on it in order to recognize how the circumstance can be overseen or controlled. The result of this examination study will distinguish methods for handling the issue of inadequate nurse staffing with the goal that fitting consideration can be given to youth imprisoned in the Juvenile Hall Facility Comment by Tammy Gray: Keep paper consistently double spaced Effects Of Inadequate Nurse Staffing On Patient
Does having satisfactory committed nurse staffing in Juvenile Hall Facilities compared with insufficient devoted nurse staffing advance quality patient care or consideration during youth detainment in the Juvenile Hall Facility? Picot Elements:
P-Population: Patients in Juvenile Hall Facility
I-Intervention: Having sufficient committed nurse staffing in Juvenile Hall Facility Comment by Tammy Gray: Your intervention is something you do….how will you be accomplishing this? What is your intervention?
C-Comparison: Compared to having insufficient devoted nurse staffing.
O-Outcome: Promote quality patient consideration.
T-Time: During youth detention in the Juvenile Hall Facility.
Evidenced- Based Solution
The evidenced- based solution to the problem of inadequate nurse staffing in my facility is for Juvenile Hall facility supervisors (particularly HR division) to guarantee that attendants are routinely enlisted so as to supplant resigned staff and supplement satisfactory number of Nurses expected to render quality consideration to detainee. Because of the long anticipating time for work in Juvenile Hall Facility, Nurses who may be keen on Juvenile hall facility nursing are frequently disheartened to apply, accordingly compounding the circumstance of short staffing in Juvenile hall facility (Huber, 2013). Along these lines there is requirement for contracting chiefs to abbreviate the term of their procuring procedure in order to pull in more Nurses into juvenile hall facility nursing, hence decreasing the issue of short staffing and its related unfriendly impacts. Comment by Tammy Gray: Not capitalized
Nursing Intervention Comment by Tammy Gray: This should explain what you plan to do as your project…how do you plan to “Adequately staff”? The project purpose is to implement an evidenced based practice to improve an issue.
The issue of inadequate nurse staffing unfavorably influence patients in various ways. Ranging from patient untimely death, high risk of hospital- acquired infections, deterioration in general health condition of the patient (Huber, 2013). In the circumstance of short staffing, Nurses are intended to organize their task, delegate suitably, fill in as an extraordinary cooperative person, oversee time admirably and include the patient/relatives as much as possible in the care of the patient
Patient consideration is a definitive objective of nursing, which ought to be given to all patients at all expense. Whitehead & Myers (2016) opined that satisfactory patient care isn’t subjected to nurse staffing only, rather on the nurses’ competency and level of education. They further said that patient care ought to be the essential focal point of the nurses whether they have enough staff or not.
There are distinctive human services offices existing in USA guaranteeing that healthcare services are brought to the entryway ventures of customers. They additionally work to ensure that human services administrations are taken to the under-served networks. Human services offices help to provide healthcare professionals to different healthcare facilities along these lines fighting the issue of short staffing among nurses. Effects Of Inadequate Nurse Staffing On Patient
Nursing practice depends on expert, protected and evidenced-based standard equipped towards advancing patient wellbeing and fulfillment. The act of nursing is a right given to the individuals or patients who need nursing care to shield them from risky and amateurish practices (Huber, 2013). Indeed, even in the circumstance of short staffing, nurses are intended to render sufficient expert and competent care to their patients. Comment by Tammy Gray: APA papers require conclusions
Aiken, L.H., Clarke S.P., & Sloane, D.M. (2012). Hospital nurse staffing and patient mortality, nurse burnout, and job dissatisfaction. Retrieved from http://www.ncbi.nlm.nih.gov/books/NBK2657/
Huber, D. (2013). Leadership and Nursing Care Management. Elsevier Health Sciences.
Ward, J. (2013). Strategies to cope with short staffing in Nursing. Nursetogether.com . Retrieved from http://www.nursetogether.com/strategies-cope-short-staffing-nursing. Comment by Tammy Gray: .com websites are not to be used
Whitehead, L., & Myers, H. (2016). The effect of hospital nurse staffing models on patient and staff-related outcomes. International Journal of Nursing Practice, 22(4), 330-332. doi:10.1111/ijn.12463
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