Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change

Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change 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. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change 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: Background Problem statement Purpose of the change proposal PICOT 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. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. picot_capstone_from_research_final.docx picot_statement_final_wk_3.docx capstone_project_selection_and_approval_final.docx Running head: CAPSTONE PROJECT TOPIC SELECTION 1 Capstone Topic Selection and Approval Shara Pustka Grand Canyon University: NRS-490-0502 Professional Capstone April 4, 2020 CAPSTONE PROJECT TOPIC SELECTION 2 Topic Selection and Approval Patients’ outcomes rely heavily on the roles nurses play in offering them consistent care and management of their symptoms. While physicians and other healthcare practitioners also get involved in caring for patients, nurses spend the most time with patients. Nurses who have a high workload might face difficulties offering the best quality of care to their patients, which affects their ability to properly address their patients’ needs. Burnouts among nurses contribute to poor service provision and affect the relationship between nurses and their patient. This topic will address the PICOT question; Is patient safety and nurse burnout improved with the use of a nursing intensity score when doing assignments? Problem Research has shown that burnouts and low nurse-to-patient ratios affect nurses’ performance as they end up rushing through their roles and fail to offer comprehensive care to each of their patients. Burnouts among nurses are usually associated with emotional and cognitive exhaustion, failure to meet personal goals related to patient care, and the struggle of caring for many patients within a limited time (Cañadas-De la Fuente, et al., 2015). Setting The problem of nursing burnouts can be observed in healthcare facilities. Approximately 55% of the entire healthcare workforce are nurses. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Nurses also play the biggest part in healthcare and the management of patients especially after the initial assessment processes and development of a care plan. Aside from administering drugs and helping patients recover from their illnesses in healthcare facilities, nurses also work as patient advocates and provide patients with social and CAPSTONE PROJECT TOPIC SELECTION 3 emotion support (Li, Pittman, Han, & Lowe, 2017). The high number of patients in these facilities contributes to strains in the nurse-patient relationship and care provision. Detailed Problem description A high nurse to patient ratio has always been associated with increased risks of complications, high-stress levels, cognitive function deterioration, and reduced performance. The increasing diversification of the population in the country and an increased number of the aging population has increased the need for implementing better healthcare practices. Low nurse employment is associated with increased oversight of essential care practices or missed care, which often leads to adverse patient outcomes (Griffiths, et al., 2018). In a research that assessed the connection between nurse and patient ratios, for every increase of one nurse in the facility, there was a 14% less likelihood of inpatient mortality (Driscoll, et al., 2017). This suggested the importance of increasing the ratio of nurses to patients in healthcare facilities. Impact of the Problem In cases where nurses have excess workload, they might be incapable of completing all the necessary caregiving activities that they need to perform, which in turn suggest that the patients do not get all the care they need (Griffiths, et al., 2018). Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Aside from that, excess workload among nurses contributes to higher turnover rates, which also reduces the number of nurses in healthcare facilities and contributes to negative patients’ outcomes (Halter, et al., 2017). For every patient added to a nurse’ workload, the nurses’ burnout increases significantly and the quality of care offered reduces (Mudallal, Othman, & Al Hassan M., 2017). Significance of the Problem CAPSTONE PROJECT TOPIC SELECTION 4 Addressing the problem could improve nurses’ concentration on their work, reduce mental exhaustion, and decrease the rates of inpatient mortality. Low nurse to patient ratios contribute to nurses resignation before their retirement age, which reduces the number of nurses available in healthcare facilities. Studies have also shown that a 10% increase in the number of professionally trained nurses leads to an 11% reduced likelihood of mortality (Aiken, et al., 2018). Proposed Solution Some of the solutions that can eliminate the challenges of nurse-patient ratios in healthcare facilities include increasing the number of nurses in these facilities, increasing nursing motivation either financially or through career development opportunities, and ensuring that the nurse-patient ratio in different units does not overwhelm the nurses. Aside from that hiring nurse assistants to help nurses with simple roles can also be useful (Oliveira, Sousa, Gadelha, & Nascimento, 2019).Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Training more nurses can also be helpful. Nursing care is the foundation of caregiving practices. Increasing the number of nurses in healthcare facilities can promote positive patient outcomes. It can also reduce nurse burnouts and improve collaboration between nurses and other staff. Low nurse-patient ratio is responsible for most of the errors committed by nurses. CAPSTONE PROJECT TOPIC SELECTION References Aiken, L. H., Ceron, C., Simonetti, M., Lake, E. T., Galiano, A., Garbarini, A., . . . Smith, H. L. (2018). Hospital Nurse Staffing and Patient Outcomes. Revista Médica Clínica Las Condes, 29(3), 322-327. Retrieved from https://www.sciencedirect.com/science/article/pii/S0716864018300609. Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240-249. doi: 10.1016/j.ijnurstu.2014.07.001 Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., . . . Astin, F. (2017). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 17(1), 6-22. Retrieved from https://journals.sagepub.com/doi/pdf/10.1177/1474515117721561. Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., . . . Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487. Retrieved fromGrand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033178/. Halter, M., Boiko, O., Pelone, F., Beighton, C., Harris, R., Gale, J., . . . Drennan, V. (2017). The determinants and consequences of adult nursing staff turnover: a systematic review of systematic reviews. BMC Health Services Research, 17. 824. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732502/. 5 CAPSTONE PROJECT TOPIC SELECTION Li, S., Pittman, P., Han, X., & Lowe, T. J. (2017). Nurse? Related Clinical Nonlicensed Personnel in US Hospitals and Their Relationship with Nurse Staffing Levels. Health Services Research, 52(S1), 422-436. Mudallal, R. H., Othman, W., & Al Hassan M., N. F. (2017). Nurses’ Burnout: The Influence of Leader Empowering Behaviors, Work Conditions, and Demographic Traits. Inquiry, 54, 0046958017724944. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5798741/. Oliveira, S. M., Sousa, L. V., Gadelha, M. d., & Nascimento, V. B. (2019). Prevention Actions of Burnout Syndrome in Nurses: An Integrating Literature Review. Clinical Practice & Epidemiology in Mental Health, 15, 64-73. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6446475/. 6 Running head: PICOT STATEMENT 1 PICOT Statement Shara Pustka Grand Canyon University: NRS-490-0502 Professional Capstone April 12, 2020 PICOT STATEMENT 2 PICOT Statement Nursing staff ratio in health facilities determine the effectiveness of nurses in performing their roles. Low nurse to patient ratios in long-term acute care facilities that handle chronically ill patients can affect the quality of care offered to patients with multiple comorbidities. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change The PICOT question used in this capstone project will be: The PICOT statement identified for the capstone will be based on the nurse to patient ratio on patient safety and nurse burnout in acute care settings and the need to empower nurses by introducing a nursing care intensity score to assist in assignments. The intervention will be compared with block assignments while the expected outcome will be based on whether patient safety is improved and whether nurses experience decreased workload and burnouts over a period of 30 days. Is patient safety and nurse burnout improved with the use of a nursing intensity score when doing assignments compared to block assignments over a 30-day period? Evidence-Based Solution Research has shown that patient safety in healthcare facilities is linked to nursing practice. Organizational features like better nursing staffing have been linked to reduced risks of mortality, infections, and falls particularly in patients with chronic illnesses. Applying better nurse staffing to patient ratios promotes nursing engagement in patient care, which in turn improves the overall quality of care offered to patients (Carthon, et al., 2019). Nursing Intervention In patient care, nurses are usually at the front line in terms of patient care. The division of roles among nurses determines their effectiveness in performing their responsibilities. In the nursing care process, nurses perform most of the roles related to the interventions used in PICOT STATEMENT 3 managing the patient. For instance, in managing chronically ill patients in long-term facilities, nurses are usually involved ensuring that the patient is comfortable and that non-ambulatory patient are turned regularly, administering medication, monitoring patient’s progress, among other roles. The nursing intervention needed to be performed by a nurse when managing a chronically ill patient relies on the number of conditions affecting the patient and other factors such as whether the patient is using a ventilator or requires assistance with feeding (Amo-Setien, et al., 2019). Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Patient Care The quality of patient care in healthcare facilities relies on the effectiveness of the working schedules, the number of nurses allocated to patients per shift, and the nurse to patient ratios based on the complexity of the work in different units. Increasing the number of patients allocated to a nurse has been associated with negative effects such as omission of care and use of a task-oriented approach among nurses, which does not consider other needs of the patient (Griffiths, et al., 2018). Health Care Agency The Agency for Healthcare Research and Quality (AHRQ) strives to promote the quality of care offered to patients while protecting patients’ safety. According the AHRQ, nurses who report reduced levels of engagement in patient care due to staffing challenges and burnouts also report reduced patient safety. These concerns were exacerbated by higher patient to nurse ratios are observed (Carthon, et al., 2019). The AHRQ regulates healthcare practices and should be used to determine staffing ratios. Nursing Practice PICOT STATEMENT 4 Nurses are trained to perform different roles in healthcare facilities. The performance of nurses in healthcare facilities can be improved by increasing the number of nurses assigned to units with high number of patients to promote patient outcomes. This approach can also improve nursing practice, reduce risks of burnouts and high turnover rates, which are usually associated with high patient to nurse ratios (Carthon, et al., 2019).Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Healthcare facilities should strive to allocate adequate number of nurses in their units as a measure of promoting the quality of care. The scheduling techniques used to assign nurses to their roles should also be based on the state of the patients’ health and the type of care they need. This would reduce the use of a task-based approach in care provision and promote nurses engagement in their patients’ overall health. PICOT STATEMENT 5 References Amo-Setien, F. J., Abajas-Bustillo, R., Torres-Manrique, B., Martin-Melon, R., Sarabia-Cobo, C., Molina-Mula, J., & Ortego-Mate, C. (2019). Characteristics of nursing interventions that improve the quality of life of people with chronic diseases. A systematic review with meta-analysis. PLOS|ONE, 16(9). Retrieved from https://journals.plos.org/plosone/article?id=10.1371/journal.pone.0218903. Carthon, J. M., Davis, L., Dierkes, A., Hatfield, L., Hedgeland, T., Holland, S., . . . Aiken, L. H. (2019). Association of Nurse Engagement and Nurse Staffing on Patient Safety. Journal of Nursing Care Quality, 34(1), 40-46. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6263830/. Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., . . . Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033178/. Running head: CAPSTONE PROJECT TOPIC SELECTION 1 Capstone Topic Selection and Approval Shara Pustka Grand Canyon University: NRS-490-0502 Professional Capstone April 4, 2020 CAPSTONE PROJECT TOPIC SELECTION 2 Topic Selection and Approval Patients’ outcomes rely heavily on the roles nurses play in offering them consistent care and management of their symptoms. While physicians and other healthcare practitioners also get involved in caring for patients, nurses spend the most time with patients. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Nurses who have a high workload might face difficulties offering the best quality of care to their patients, which affects their ability to properly address their patients’ needs. Burnouts among nurses contribute to poor service provision and affect the relationship between nurses and their patient. This topic will address the PICOT question; Is patient safety and nurse burnout improved with the use of a nursing intensity score when doing assignments? Problem Research has shown that burnouts and low nurse-to-patient ratios affect nurses’ performance as they end up rushing through their roles and fail to offer comprehensive care to each of their patients. Burnouts among nurses are usually associated with emotional and cognitive exhaustion, failure to meet personal goals related to patient care, and the struggle of caring for many patients within a limited time (Cañadas-De la Fuente, et al., 2015). Setting The problem of nursing burnouts can be observed in healthcare facilities. Approximately 55% of the entire healthcare workforce are nurses. Nurses also play the biggest part in healthcare and the management of patients especially after the initial assessment processes and development of a care plan. Aside from administering drugs and helping patients recover from their illnesses in healthcare facilities, nurses also work as patient advocates and provide patients with social and CAPSTONE PROJECT TOPIC SELECTION 3 emotion support (Li, Pittman, Han, & Lowe, 2017). The high number of patients in these facilities contributes to strains in the nurse-patient relationship and care provision. Detailed Problem description A high nurse to patient ratio has always been associated with increased risks of complications, high-stress levels, cognitive function deterioration, and reduced performance. Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change The increasing diversification of the population in the country and an increased number of the aging population has increased the need for implementing better healthcare practices. Low nurse employment is associated with increased oversight of essential care practices or missed care, which often leads to adverse patient outcomes (Griffiths, et al., 2018). In a research that assessed the connection between nurse and patient ratios, for every increase of one nurse in the facility, there was a 14% less likelihood of inpatient mortality (Driscoll, et al., 2017). This suggested the importance of increasing the ratio of nurses to patients in healthcare facilities. Impact of the Problem In cases where nurses have excess workload, they might be incapable of completing all the necessary caregiving activities that they need to perform, which in turn suggest that the patients do not get all the care they need (Griffiths, et al., 2018). Aside from that, excess workload among nurses contributes to higher turnover rates, which also reduces the number of nurses in healthcare facilities and contributes to negative patients’ outcomes (Halter, et al., 2017). For every patient added to a nurse’ workload, the nurses’ burnout increases significantly and the quality of care offered reduces (Mudallal, Othman, & Al Hassan M., 2017). Significance of the Problem CAPSTONE PROJECT TOPIC SELECTION 4 Addressing the problem could improve nurses’ concentration on their work, reduce mental exhaustion, and decrease the rates of inpatient mortality. Low nurse to patient ratios contribute to nurses resignation before their retirement age, which reduces the number of nurses available in healthcare facilities. Studies have also shown that a 10% increase in the number of professionally trained nurses leads to an 11% reduced likelihood of mortality (Aiken, et al., 2018). Grand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change Proposed Solution Some of the solutions that can eliminate the challenges of nurse-patient ratios in healthcare facilities include increasing the number of nurses in these facilities, increasing nursing motivation either financially or through career development opportunities, and ensuring that the nurse-patient ratio in different units does not overwhelm the nurses. Aside from that hiring nurse assistants to help nurses with simple roles can also be useful (Oliveira, Sousa, Gadelha, & Nascimento, 2019). Training more nurses can also be helpful. Nursing care is the foundation of caregiving practices. Increasing the number of nurses in healthcare facilities can promote positive patient outcomes. It can also reduce nurse burnouts and improve collaboration between nurses and other staff. Low nurse-patient ratio is responsible for most of the errors committed by nurses. CAPSTONE PROJECT TOPIC SELECTION References Aiken, L. H., Ceron, C., Simonetti, M., Lake, E. T., Galiano, A., Garbarini, A., . . . Smith, H. L. (2018). Hospital Nurse Staffing and Patient Outcomes. Revista Médica Clínica Las Condes, 29(3), 322-327. Retrieved from https://www.sciencedirect.com/science/article/pii/S0716864018300609. Cañadas-De la Fuente, G. A., Vargas, C., San Luis, C., García, I., Cañadas, G. R., & De la Fuente, E. I. (2015). Risk factors and prevalence of burnout syndrome in the nursing profession. International Journal of Nursing Studies, 52(1), 240-249. doi: 10.1016/j.ijnurstu.2014.07.001 Driscoll, A., Grant, M. J., Carroll, D., Dalton, S., Deaton, C., Jones, I., . . . Astin, F. (2017). The effect of nurse-to-patient ratios on nurse-sensitive patient outcomes in acute specialist units: a systematic review and meta-analysis. European Journal of Cardiovascular Nursing, 17(1), 6-22. Retrieved fromGrand Canyon University NRS 490 Week 3 Nursing Care Capstone Project Change https://journals.sagepub.com/doi/pdf/10.1177/1474515117721561. Griffiths, P., Recio-Saucedo, A., Dall’Ora, C., Briggs, J., Maruotti, A., Meredith, P., . . . Ball, J. (2018). The association between nurse staffing and omissions in nursing care: A systematic review. Journal of Advanced Nursing, 74(7), 1474-1487. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6033178/. Halter, M., Boiko, O., Pelone, F., Beighton, C., Harris, R., Gale, J., . . . Drennan, V. (2017). The determinants and consequences of adult nursing staff turnover: a systematic review of systematic reviews. BMC Health Services Research, 17. 824. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5732502/. 5 CAPSTONE PROJECT TOPIC SELECTION Li, S., Pittman, P., Han, X., & Lowe, T. J. (2017). Nurse? Related Clinical Nonlicensed Personnel in US Hospitals and Their Relationship with Nurse Staffing Levels. Health Services Resea … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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