Impact of Nurse Shortage on Quality of Healthcare Discussion

Impact of Nurse Shortage on Quality of Healthcare Discussion ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Impact of Nurse Shortage on Quality of Healthcare Discussion Part 1. After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects. Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion Part 2. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction? literature_evaluation_table.docx picot_statement_nrs_490.docx capstone_topic_selection.docx Literature Evaluation Table Student Name: Jessica Mock Change Topic (2-3 sentences): The impact of nurse shortage on quality of healthcare in primary care setting. Nurse shortage has a detrimental impact on the quality of care provided in the primary care settings. Criteria Article 1 Article 2 Article 3 © 2015. Grand Canyon University. All Rights Reserved. Article 4 Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. https://scholar.go ogle.com/scholar ?hl=en&as_sdt= 0%2C5&q=Brag ad%C3%B3ttir %2C+H.%2C+K alisch%2C+B.+J .%2C+%26+Try ggvad%C3%B3t tir%2C+G.+B.+ %282017%29.+ Correlates+and+ predictors+of+m issed+nursing+c are+in+hospitals. +Journal+of+cli nical+nursing%2 C+26%281112%29%2C+152 4-1534.&btnG= Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. https://scholar. google.com/sch olar?hl=en&as _sdt=0%2C5& q=Dellefield% 2C+M.+E.%2C +Castle%2C+N .+G.%2C+Mc Gilton%2C+K. +S.%2C+%26+ Spilsbury%2C +K.+%282015 %29.+The+rela tionship+betwe en+registered+ nurses+and+nu rsing+home+qu ality%3A+An+ integrative+rev iew+%2820082014%29.+Nur sing+economic %24%2C+33% 282%29%2C+ 95108.&btnG= DePasquale, C., & Stange, K. https://www.nb er.org/papers/w 22344 © 2017. Grand Canyon University. All Rights Reserved. Makam, A. N., Nguyen, O. K., & Halm, E. A. https://jamanet work.com/jour nals/jamaintern almedicine/arti cleabstract/26821 56 Article Title and Year Published Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing. 2017 The relationship between registered nurses and nursing home quality: An integrative review (20082014). Nursing economic$. 2015 Labour supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. 2016 Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities— Reply. JAMA internal medicine. 2018 Research QuestionsGrand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The article focused on the contribution of the unit, hospital and staff features towards missed nursing care responsibilities in Iceland hospital set up. The article explored on the relationship between the Registered Nurses and the Nursing Home Quality. The study aimed to identify labor supply of the occupational regulation upon licensing nursing services. The aim of the study was to examine challenges based on research for long-term acute health units and proficiency of nursing skills. Design (Type of Quantitative, or Type of Qualitative) The study assumed a quantitative cross-sectional survey. The study presumes a qualitative approach. The study used quantitative and qualitative design. The study used quantitative and qualitative technique. © 2017. Grand Canyon University. All Rights Reserved. Setting/Sample The samples included Registered Nurses and practical nurses that is 864, within 27 surgical, ICU and medical units in the Iceland hospital. The samples included the role of Registered Nurses and Nursing Home in the context of Medicare beneficiaries. Methods: MISSCARE The study Intervention/Instruments Survey-Iceland employed an and Nursing integrative Teamwork review Survey-Iceland methodology. Analysis The study utilized correlational and regression statistics during data analysis. The study comprised descriptive analysis of the Registered Nurses and Nurse Home. The study employed data of over1.8 million nurses and other health employees to examine evidence of labor mobility upon increasing Nursing Licensure Compact. The study portrayed Long-term Acute Care patients account for more than 130,000 yearly admission which costs about $5.3 billion Medicare expenses. Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion The study used comparison technique pertaining nursing roles upon licensing their services. The study used data estimations for examining and predict the impact of longterm acute care (LTACs) and nursing skills. The study entailed analytical analysis that compared the labor market on nursing units upon Nurse Licensure Compact. The study comprised analytical analysis of the data from the previous years and different health units. © 2017. Grand Canyon University. All Rights Reserved. Key Findings The multiple regression testing under unit role and staffing adequacy depicted 16% of the missed nursing duties. The regression testing of model 2 on nursing teamwork indicated 14% variance on the missed nursing responsibilities. The higher number of the Registered Nurses staff, the better nursing quality due to different nursing skills. There was no evidence of nursing mobility after introducing the Nurse Licensure Compact initiative. The study projected a decline in the use of LTACs, due to Sustainable Growth Rate Act established in 2013. Recommendations The Iceland hospital should develop strategies to decrease the missing nursing care and solve staffing and teamwork issues. There is need for increasing Registered Nurses despite cost implications to check on the quality of the patient care. There is need to educate nurses the significance of licensing their services to allow adequate and professional staff. The need for regular research affecting the LTCAs and the immediate nursing skills in the health units. © 2017. Grand Canyon University.Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion All Rights Reserved. Explanation of How the Article Supports EBP/Capstone Project Criteria Author, Journal (PeerReviewed), and Permalink or Working Link to Access Article The article supports the Capstone project by emphasizing on the importance of increasing nursing staff and teamwork oriented patient care. The article seeks to support the role of Registered Nurses in provision of quality nursing care. The article emphasizes on the nursing services mobility for efficiency within healthcare units. The study support the Capstone project via focusing on the challenges affecting healthcare units and nursing proficiency. Article 5 Article 6 Article 7 Article 8 Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. https://www.scie ncedirect.com/sc ience/article/abs/ pii/S0029655414 001572 Snavely, T. M https://go.galeg roup.com/ps/an onymous?id=G ALE%7CA452 050018&sid=g oogleScholar& v=2.1&it=r&li nkaccess=abs& issn=07461739 &p=AONE&s w=w Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., https://link.spri Couig, M. P., nger.com/articl … & Larson, E. e/10.1007/s116 https://sigmapu 06-016-3830-z bs.onlinelibrary .wiley.com/doi/ abs/10.1111/jn u.12198 © 2017. Grand Canyon University. All Rights Reserved. Article Title and Year Published Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook. 2015 A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics. 2016 Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. Journal of general internal medicine. 2017 Nurses as leaders in disaster preparedness and response— A call to action. Journal of Nursing Scholarship. 2016 Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study The study explored the nursing tasks for a Registered Nurse. The study purposed to identify reasons for shortage of nurses in the United States. The study investigated nursing skills, staff adequacy and manual restraint employed in US hospital set ups. Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion The study sought to identify nursing leadership skills in the disaster occasions. Design (Type of Quantitative, or Type of Qualitative) The study was qualitative in nature. The study utilized qualitative design. The study assumed quantitative and qualitative design. The study ha qualitative design. Setting/Sample The study sample focused on the Registered Nurses duties in 16 different health units. The study focused on the health units in United States to examine stressors causing shortage of nursing personnel. The study focused on the 17 quarters pertaining longitudinal data survey of the units staff. The study examined 14 national subjects or concerns to identify the level of preparedness within nursing personnel. © 2017. Grand Canyon University. All Rights Reserved. Methods: The study Intervention/Instruments employed interview process to obtain roles played by the RNs in each health unit. Analysis The study used descriptive analysis to reveal different tasks by RNs. The study projected contemporary factors in the population to lead nursing skills problems. The research primarily concentrated on the staffing level and nursing skill mix. The study employed workshop programmes courtesy of the Veterans Emergency Management Evaluation Center to exposit the issue. The study employed both descriptive and analytical analysis in examining the probable nursing shortcoming in the US healthcare units. The study used regression analysis to model the quarterly odds of the units’ restraints in response to staff and nursing skills. The study utilized descriptive and analytical analysis to explain the national concerns and the nature of nurses’ preparedness. © 2017. Grand Canyon University. All Rights Reserved. Key Findings The RNs in general performed nine functions including telephone triage, management, supervision, leadership, staff assessment, health coaching, duty delegation, medication reconciliation and documentation. Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion The aging population, aging baby boomers, inadequate nursing graduate and rise of chronic infections and Affordable Care Act led to increased nursing shortage in the US context. The nursing skill mix had an inverse correlation with the physical restraint use especially for fall prevention. There was insignificant correlation between the nursing skill mix and the physical restraint use. The workshop programme aided in development of future disaster management by nursing personnel in the healthcare settings. Recommendations The need to add RNs roles based on the patient attention compared to management and leadership objectives. There is need to motivate students to pursue nursing courses to increase the nursing personnel in the United States. There is need to link nursing skills with their relevant tasks in the healthcare units. The need to equip nursing personnel with relevant and contemporary disaster issues in the healthcare facilities. © 2017. Grand Canyon University. All Rights Reserved. Explanation of How the Article Supports EBP/Capstone The study helps on determining the nursing skills by Registered Nurses in healthcare units. The article back up the Capstone project by emphasizing the need for adequate nursing workforce. The study gives overview of the nursing tasks recommended by their qualifications. © 2017. Grand Canyon University. All Rights Reserved. The article supports the Capstone project by emphasizing on the specific tasks deployed by the nursing workforce especially during emergency situations. References Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing, 26(11-12), 1524-1534. Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing economic$, 33(2), 95-108. DePasquale, C., & Stange, K., (2016). Labour supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. Makam, A. N., Nguyen, O. K., & Halm, E. A. (2018). Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities—Reply. JAMA internal medicine, 178(6), 866-867. Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136. Snavely, T. M., (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101. © 2017. Grand Canyon University. All Rights Reserved. Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. (2017). Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. Journal of general internal medicine, 32(1), 35-41. Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., … & Larson, E. (2016). Nurses as leaders in disaster preparedness and response—A call to action. Journal of Nursing Scholarship, 48(2), 187-200. © 2017. Grand Canyon University. All Rights Reserved. Running head: PICOT STATEMENT 1 PICOT Statement Jessica Mock Grand Canyon University- NRS 490 June 9, 2019 PICOT STATEMENT 2 Identification of Clinical Problem Every health care system involves a primary objective, which is to promote the quality of life of patients. Every patient expects the best quality of life whenever they go to the hospitals, which satisfies them with the services offered. However, various issues confront health care currently, which include long waiting times and delayed diagnosis, ADHD, or any other dysfunction found in children. The principal aim of the investigation is to carry out an evaluation and analysis of the child and adult growth Actions plans for Autism Spectrum Disorder to deal with the issue of long waiting times and delayed diagnosis, ADHD or any other dysfunction. Evidence-Based Solution Rutherford et al. (2016) explain as to why professionals offer delayed assessment of diagnosis of autism spectrum disorders (ASD). The investigation translates the evidence into the practical application via actions plans for services of ASD. Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion The authors presented an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. Zheng et al. (2016) point out that various problems need to be covered like early identification, atypical and typical development, increased government investment, professional development, and enhanced execution of available regulations. According to Richards and Vostanis (2004), it is crucial for services of transitional mental health for individuals with 16 years to 19-years in health district, as comprehended by specialists from social, mental health, non-statutory services, and education. Besides, Chakroborty et al. (2014) support the idea that early intervention in certain learning disability (SpLD) leads to the enhanced outcome and controls comorbidity. This way, the authors give a comparison of pathways for taking care of children with mental retardation and SpLD before reaching a tertiary care center (Temper et al., 2017). PICOT STATEMENT 3 Nursing Intervention, Patient Care, Health Care Agency, & Nursing Practice For early intervention in specific learning disability (SpLD), Rutherford et al. (2016) claim that it is crucial to utilize Goldberg’s pathways and MINI-KID for comorbidity to care instrument. It is necessary to enhance physical exercise for youth with intellectual disabilities, as it is one of the intervention’s description. Frey et al. (2017) executed an intervention for initiating, increasing, or maintaining physical activity as well as reporting the efficacy of the intervention. However, nurses will describe to the patients how to perform various exercises for individuals with intellectual disabilities. Through the above responses, nurses possess the potential of influencing positive patient outcomes that could enhance the quality of life of patients while enhancing the quality of care offered to patients. Besides, nurses should carry out an evaluation and analysis of adult and child growth Actions plans for Autism Spectrum Defect to deal with the issue of long waiting times, and delayed diagnosis, ADHD or any other dysfunction.Grand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion The objective of nurses is to assist patients to stay a healthy life through maintaining or strengthening their health activities. Through the above interventions, nurses will be in a position to execute evidence-based practices in their clinical setting to enhance patients’ health. PICOT Statement Can children with mental disabilities have better health outcomes in adulthood if they are managed upon early detection vs. later detection? Does early intervention truly impact health or does mental disability have the same result despite the starting point of interventional therapies? (P) Population: Children with mental disabilities like delayed speech or functions, autism, ADHD, or any other type of dysfunction in children. Some children might be diagnosed early and get treatment, and others may not be diagnosed until late childhood or into school age stages. PICOT STATEMENT 4 Intervention: Depends on diagnosis, level of health disparity, and stage. Enhance physical exercise for youths with intellectual disabilities; transitional services of mental health for individuals with 16-years to 19-years in health district; an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. (C) Comparison: Children who receive early diagnosis and intervention vs. children that go longer with no diagnosis or delayed diagnosis and delayed responses. (O) Outcome: Improvement in physical exercise among youths with intellectual disabilities and medication adherence as well as prevention of long waiting times, and delayed diagnosis. (T) Time: The outcome of the study will be assessed weekly for eight weeks. References Chakraborty, S., Sagar Kommu, J. V., Srinath, S., Seshadri, S. P., & Girimaji, S. C. (2014). A Comparative Study of Pathways to Care for Children with Specific Learning Disability and Mental Retardation. Indian Journal of Psychological Medicine, 36(1), 27. Retrieved from PICOT STATEMENT 5 https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=94741876&site=eds-live&scope=site Frey, G. C., Temple, V. A., & Stanish, H. I. (2017). Interventions to promote physical activity for youth with intellectual disabilities. Salud Pública de México, 59(4), 437. Retrieved fromGrand Canyon NRS490 Impact of Nurse Shortage on Quality of Healthcare Discussion https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408973&site=eds-live&scope=site Richards, M., & Vostanis, P. (2004). Interprofessional perspectives on transitional mental health services for young people aged 16 – 19 years. Journal of Interprofessional Care, 18(2), 115–128. https://doi-org.lopes.idm.oclc.org/10.1080/13561820410001686882 Rutherford, M., McKenzie, K., Forsyth, K., McCartney, D., O, H. A., McClure, I., & Irvine, L. (2016). Why are they waiting? Exploring professional perspectives and developing solutions to delayed diagnosis of autism spectrum disorder in adults and children. Research in Autism Spectrum Disorders, 31, 53–65. https://doiorg.lopes.idm.oclc.org/10.1016/j.rasd.2016.06.004 Temple, V. A., Frey, G. C., & Stanish, H. I. (2017). Interventions to promote physical activity for adults with intellectual disabilities. Salud Pública de México, 59(4), 446. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408974&site=eds-live&scope=site Zheng, Y., Maude, S. P., Brotherson, M. J., & Merritts, A. (2016). Early Childhood Intervention in China from the Families’ Perspective. International Journal of Disability, PICOT STATEMENT Development & Education, 63(4), 431–449. https://doiorg.lopes.idm.oclc.org/10.1080/1034912X.2015.1124988 6 Running head: HEALTH AND MEDICAL The impact of nurse shortage on the quality of care in the primary healthcare facilities Jessica Mock Grand Canyon University- NRS 490 Ju … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10