Assignment – Capstone Project Change Proposal

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Assignment – Capstone Project Change Proposal

Assignment – Capstone Project Change Proposal

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Assignment – Capstone Project Change Proposal

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  paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be      overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

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:
1. Background
2. Problem statement
3. Purpose of the change proposal
4. PICOT
5. Literature search strategy employed
6. Evaluation of the literature
7. Applicable change or nursing theory utilized
8. Proposed implementation plan with outcome measures
9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
10. 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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

CONTENT:

Project Change Proposal
Student’s Name
Institution Affiliation
Introduction
A major problem for nursing establishments and staffers is the shortage of staff. Nurses are in very short supply, as older nurses retire and there aren’t enough to fill their ranks from below. This shortage has a knock-on effect for any service which utilizes nurses and their skills – hospitals and clinics cannot offer the same level of services and care which they would otherwise be able to offer to those who need it, meaning that people who need medical help will have to do with sub-standard level of it. The nurses themselves will necessarily face difficulties due to the shortage of staff, ranging from workloads which are too much for them to emotional and physical burnouts as they try to cope with this lack. Therefore, the paper proposes a practical solution in reference to the literatures covered on the same problem.
Background
The subject of appropriate nurse staffing is critical to patient care and safety. When hospitals are staffed with the optimal number of nurses, the cases of patient falls, heart attack, respiratory infections, and medication errors tend to reduce. In addition, the patient’s risk of dying within 60 days of hospital admission is likely to be low when nurses’ workload is low and vise-versa. A study carried by the American Nurses Association (ANA) revealed that 64% of nurses working in the adult medical emergency reported to work for extra hours due to insufficient staffing while 51% had to perform duties they are not trained or experienced (Carlson, 2017). In other studies conducted by ANA, lack of optimal nurse staffing in the hospital had the negative impact on unit admissions, discharge and transfers. Understaffing has a strong correlation with nurses’ demoralization, fatigue, a high level of staff turnover and absenteeism. The problem of nursing shortages in America is caused by several external factors such as unfavorable immigration policies, increased competition between public and private facilities, cyclical shortages of registered nurses (RNs), low nursing school capacities and the recession effect of the economy (Sharon Ann Myers, 2008). However, the situation is solvable since a sensitive sector such as healthcare should not be lulled into complacency.
Problem Statement
Nursing practices around the globe face a common problem of nurse staffing. Nursing is a pivotal section in the medical branch as nurses take significant care of patients in the hospital. Nurse staffing is quite a significant act as it reduces burnouts in nurses from the extensive range of nursing activities. Hospitals that have poor staffing regularly offer poor services and do not attend to their patients in the required manner. The reason behind the argument is that most of the nursing activities are quite demanding, which can easily cause one to have burnouts (Aiken, RN, Dougl, & Sloane, 2012). The paper gives a picot statement on the nursing problems that health centers with poor staffing face by prosing administrative intervention of improving the patient to nurse ratio. The solution to this problem will be guided by the PICOT structure before.
The Purpose of the Change Proposal
The aim is to improve the nurse-patient staff ratios to reduce instances of patients falls, heart attacks, medication errors and nurse burnouts as not only an approach to promote better care, but also a project to meet the statutory requirement as recommended Law. Federal regulation 42CFR 482.23(B) provides that all hospitals should have the sufficient number of competent and licensed nurses and other related personnel to a number that is reasonable proportionate to numbers of patients (Aiken, Clarke, Dougl, & Sloane, 2012). Th…

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