Nursing shortage affecting patient outcomes PICOT paper

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Nursing shortage affecting patient outcomes PICOT paper

Nursing shortage affecting patient outcomes PICOT paper

See instructions: must be APA style and peer reviewed academic articles of last 5 years. thank you Review the Topic Materials and the work completed in NRS-433V to formulate a PICOT statement for your capstone project. A PICOT starts with a designated patient population in a particular clinical area and identifies clinical problems or issues that arise from clinical care. Nursing shortage affecting patient outcomes PICOT paper The intervention should be an independent, specified nursing change intervention. The intervention cannot require a provider prescription. Include a comparison to a patient population not currently receiving the intervention, and specify the timeframe needed to implement the change process. Formulate a PICOT statement using the PICOT format provided in the assigned readings.

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The PICOT statement will provide a framework for your capstone project. In a paper of 500-750 words, clearly identify the clinical problem and how it can result in a positive patient outcome. Make sure to address the following on the PICOT statement: Evidence-Based Solution Nursing Intervention Patient Care Health Care Agency Nursing Practice 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. Rubric: as follows You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.Unsatisfactory 0.00% 2 Less than Satisfactory 75.00% 3 Satisfactory 79.00% 4 Good 89.00% 5 Excellent 100.00% 80.0 %Content 30.0 %Identification of Clinical Problem/Issue Clinical problem/issue is not identified, and resolution is not addressed. Clinical problem/issue is identified with little discussion of resolution or patient outcome. Clinical problem/issue is identified but not supported with clinical observations or evidence. Nursing shortage affecting patient outcomes PICOT paper The identified problem/issue can be resolved, or a patient outcome shows minimal improvement. Clinical problem/issue is identified based on clinical observation experience or evidence in literature. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can be improved using nursing interventions. Clinical problem/issue is identified based on key concepts that define evidence-based practice or clinical experience. Articles are cited to support the need for change in nursing practice. The identified problem/issue can be resolved, or a patient outcome can show a marked improvement through a nursing intervention. 30.0 %Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice Clinical problem/issue is not described with clarity and the corresponding elements are not included. Clinical problem/issue description includes a basic understanding of the problem/issue and setting, with few of the following elements explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice. Clinical problem/issue description includes a basic understanding of the problem/issue, the setting, and the patient population. The following elements are explained: evidence-based solution, nursing intervention, patient care, health care agency, and nursing practice. Minimal rationale is provided to support the resolution of the clinical problem/issue. Clinical problem/issue description includes a thorough understanding of the problem/issue, the setting, the patient population, and why it is a problem/issue. The following elements are explained in detail: evidence-based solution, nursing intervention, and patient care consistent with specific health care agency and nursing practice. Sound rationale is provided supporting the clinical problem/issue resolution. Nursing shortage affecting patient outcomes PICOT paper Clinical problem/issue description includes a developed and thorough explanation of the problem/issue, the setting, the patient population, and the rationale for why it is a problem/issue. The identified clinical problem/issue explains the following elements with detail and clarity: evidence-based solution, nursing intervention, and improved patient care consistent with specific health care agency resulting in nursing practice change. Sound rationale is provided in the discussion of the clinical problem/issue resolution. 10.0 %PICOT Statement Focused on Resolution, Improvement, Application, and Intervention PICOT statement does not focus on resolution of a problem/issue, improvement of patient care or application of a nursing intervention. PICOT statement discusses a clinical problem/issue without a focus on improvement or intervention. PICOT statement focuses on the resolution of a clinical problem/issue that improves patient care through the application of a nursing intervention. PICOT statement focuses on the resolution of a clinical problem/issue, with discussion of improving patient care through the application of an evidenced-based nursing intervention. PICOT statement clearly focuses on the resolution of a clinical problem/issue and aims at improving patient care through the application of an evidenced-based nursing intervention. 10.0 %PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time Population, Intervention, Comparison, Outcomes, and Time are not included. Population, Intervention, Comparison, Outcomes, and Time are present, but lack detail or are incomplete. Population, Intervention, Comparison, Outcomes, and Time are present. Population, Intervention, Comparison, Outcomes, and Time are clearly provided and well developed. Nursing shortage affecting patient outcomes PICOT paper Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details. 15.0 %Organization and Effectiveness 5.0 %Presentation Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear. Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. 5.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources. Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis. Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative. 5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Nursing shortage affecting patient outcomes PICOT paper Prose is largely free of mechanical errors, although a few may be present. A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English. 5.0 %Format 2.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctly. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present. Template is fully used; There are virtually no errors in formatting style. All format elements are correct. 5.0 %Format 3.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. 100 %Total Weightage Nursing shortage affecting patient outcomes PICOT paper

Nursing Shortage Affecting Patient Outcomes

Nursing workforce shortage is a source of concern in the United States (US) health industry. The concern arises from an increasing demand for nurses that is not matched by supply. The issues have been occasioned by an aging nurse workforce, more knowledgeable patient population whose expectations are rising, and an increasing cost of healthcare (Buerhaus et al., 2017). The issue is further complicated by poor nurse retention figures that indicate likely worsening the current issue and future demand. The reality is that nurse population in the US is significantly lower than the national population with unfavorable nurse-patient ratios (Kurnat-Thorma et al., 2017). As a result, low nurse populations in relation to patient population is a source of concern Nursing shortage affecting patient outcomes PICOT paper.

As stated earlier, the reality is that the US is facing a nursing shortage. As nursing education programs accept fewer students, nursing personnel approach the age of retirement, lack of nursing educators, and the Baby Boomers advance in age, the current nursing shortage is only anticipated to continue, if not worsen. This state of affairs has serious implication for medical facilities and nursing personnel within the workforce, but perhaps the more significant effect is felt by patient who require nursing care to facilitate their recuperation (Mincer, 2017; Russell, 2016). That is because nursing personnel are forced to work for longer hours and more shifts within a stressful environment, with the outcome that nurses report higher dissatisfaction levels, injury and fatigue incidences. The overworked nurses who operate in these stressful environments are more prone to causing medical errors and making mistakes. The unfortunate result is that patients’ care outcomes are negatively affected by preventable problems that include errors in managing medication, overcrowding in medical facilities, never events, and higher mortality rates (Walker, 2017). In this respect, nurses’ shortage results in unfavorable care outcomes for patients Nursing shortage affecting patient outcomes PICOT paper .

To address the issue of the nursing shortage that has resulted in unfavorable patient outcomes, three strategies are proposed. The three strategies are intended to improve retention efforts since they support practicing nurses. The first strategy is to build leadership capacity. This would encourage nurses to engaged in innovation, research activities, and support all decisions with evidence to improve their efficiency so that fewer nurses handle more patients without negatively affecting care outcomes. A clear example of this intervention is to initiate a perioperative program for surgical nurses to proactively intervene to mitigate risks for the top perioperative safety issues (Steelman & Graling 2013).  The second strategy is to improve retention by supporting nurses in the workplace (to include offering them counselling services) and encouraging them to make early career preparations through balancing workplace demand and competence. This would ensure that each nurse works where he or she is required since responsibilities are matched to education, experience and expectations. The third strategy is to improve productivity through innovation in the workplace. This would address the existing organizational and managerial shortcomings as well as barriers inherent in the health industry that halt innovation (Twigg, 2014). For instance, using population demographics to determine nurse staffing decisions and management decisions. Another example, is an innovative approach from management that provides for acceptable documentation practices as in AORN evidence based practices can reduce errors and reduce negative patient outcomes (Fencl, 2016) Nursing shortage affecting patient outcomes PICOT paper.

The PICOT question to address this issue has been presented as: ‘among patients receiving nursing care (P), can optimizing nurse-patient ratios (I) versus not addressing nurse’s shortage (C) improve patients’ outcomes (O) over a period of three months (T)? Presenting this question into the five PICOT elements takes the form of firstly (P), targeting patients of all ages receiving nursing care as the population of interest. Secondly (I), optimizing nurse-patient ratios so that more trained nurses care for the patients. Thirdly (C), comparison with nurse shortages. Fourthly (O), the desired outcome that sees improved patient outcomes. Finally (T), the desired outcome being observed for the next three months after the start of the intervention.

P (population) – Patients receiving nursing care

I (intervention) – Optimizing nurse-patient ratios

C (comparison) – Versus not addressing nurses shortage

O (outcome) – Improve patients’ outcomes

T (time) – Positive results expected to occur within three months of the program starting

In conclusion the nursing shortage does have a negative impact on patient outcomes.

The application of strategies will improve patient outcomes relative to the nursing shortage.

Additionally, the PICOT approach will be instrumental in the research of the nursing shortage

and its implications to patient outcomes Nursing shortage affecting patient outcomes PICOT paper.

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References

Buerhaus, P., Skinner, L., Aurhach, D. & Staiger, D. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46.

Fencl, Jennifer L. “Guideline Implementation: Patient Information Management.” AORN

Journal, vol. 104, no. 6, 2016, pp. 566–577., doi:10.1016/j.aorn.2016.09.020.

Kurnat-Thorma, E., Ganger, M., Peterson, K. & Channell, L. (2017). Reducing Annual Hospital and Registered Nurse Staff Turnover—A 10-Element Onboarding Program Intervention. SAGE Open Nursing, 3. Retrieved from http://journals.sagepub.com/doi/full/10.1177/2377960817697712#articleCitationDownloadContainer

Mincer, J. (2017). Short on staff: nursing crisis strains U.S. hospitals. Retrieved from https://www.reuters.com/article/us-usa-healthcare-nursing/short-on-staff-nursing-crisis-strains-u-s-hospitals-idUSKBN1CP0BD

Russell, J. (2016). Retirements, aging population cause nursing shortage. Retrieved from https://www.ibj.com/articles/57067-retirements-aging-population-cause-nursing-shortage

Steelman, Victoria M., and Paula R. Graling. Top 10 Patient Safety Issues: What More Can We Do?  AORN Journal, vol. 97, no. 6, 2013, pp. 679-701., doi:10.101.1016/j.aorn.2013.04.012

Twigg, D. (2014). Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92.

Walker, N. (2017). Embrace action: protect the future of nursing. AORN, 105(6), 535-537.

Nursing workforce shortage is a source of concern in the US health industry. The concern arises from an increasing demand for nurses that is not matched by supply. The issues has been occasioned by an aging nurse workforce, more knowledgeable patient population whose expectations are rising, and increasing cost of healthcare (Buerhaus et al., 2017). The issue is further complicated by poor nurse retention figures that indicate likely worsening of the current issue and future demand. The reality is that nurse population in the US is significantly lower than the national population with unfavorable nurse-patient ratios (Kurnat-Thorma et al., 2017). As a result, low nurse populations in relation to patient population is a source of concern Nursing shortage affecting patient outcomes PICOT paper.

As earlier indicated, the reality is that the US is facing a nursing shortage. As nursing education programs accept fewer students, nursing personnel approach the age of retirement, and the Baby Boomers advance in age, the current nursing shortage is only anticipated to continue, if not worsen. This state of affairs has serious implication for medical facilities and nursing personnel within the workforce, but perhaps the more significant effect is felt by patient who require nursing care to facilitate their recuperation (Mincer, 2017; Russell, 2016). That is because nursing personnel are forced to work for longer hours and more shifts within a stressful environment, with the outcome that nurses report higher dissatisfaction levels, injury and fatigue incidences. The overworked nurses who operate in these stressful environments are more prone to causing medical errors and making mistakes. The unfortunate result is that patients’ care outcomes are negatively affected by preventable problems that include errors in managing medication, overcrowding in medical facilities, and higher mortality rates (Walker, 2017). In this respect, nurses’ shortage results in unfavorable care outcomes for patients.

To address the issue of lower nursing shortage that has resulted in unfavorable patient outcomes, three strategies are proposed. The three strategies are intended to improve retention efforts since they support practicing nurses. The first strategy is to build leadership capacity. This would encourage nurses to engaged in innovation, research activities, and support all decisions with evidence to improve their efficiency so that fewer nurses handle more patients without negatively affecting care outcomes. The second strategy is to improve retention by supporting nurses in the workplace (to include offering them counselling services) and encouraging them to make early career preparations through balancing workplace demand and competence. This would ensure that each nurses works where he or she is required since responsibilities are matched to education, experience and expectations. The third strategy is to improve productivity through innovation in the workplace. This would address the existing organizational and managerial shortcomings as well as barriers inherent in the health industry that halt innovation (Twigg, 2014). For instance, using population demographics to determined nurse staffing decisions and arrangement.

The PICOT question to address this issue has been presented as: ‘among patients receiving nursing care (P), can optimizing nurse-patient ratios (I) versus not addressing nurses shortage (C) improve patients’ outcomes (O) over a period of three months (T)? Presenting this question into the five PICOT elements takes the form of firstly (P), targeting patients of all ages receiving nursing care as the population of interest. Secondly (I), optimizing nurse-patient ratios so that more nurses care for the patients. Thirdly (C), comparison with nurse shortages. Fourthly (O), the desired outcome that sees improved patient outcomes. Finally (T), the desired outcome being observed for the next three months after the start of the intervention.

P (population) – Patients receiving nursing care

I (intervention) – Optimizing nurse-patient ratios

C (comparison) – Versus not addressing nurses shortage

O (outcome) – Improve patients’ outcomes

T (time) – Positive results expected to occur within three months of the program starting Nursing shortage affecting patient outcomes PICOT paper

References

Buerhaus, P., Skinner, L., Aurhach, D. & Staiger, D. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46.

Kurnat-Thorma, E., Ganger, M., Peterson, K. & Channell, L. (2017). Reducing Annual Hospital and Registered Nurse Staff Turnover—A 10-Element Onboarding Program Intervention. SAGE Open Nursing, 3. Retrieved from http://journals.sagepub.com/doi/full/10.1177/2377960817697712#articleCitationDownloadContainer

Mincer, J. (2017). Short on staff: nursing crisis strains U.S. hospitals. Retrieved from https://www.reuters.com/article/us-usa-healthcare-nursing/short-on-staff-nursing-crisis-strains-u-s-hospitals-idUSKBN1CP0BD

Russell, J. (2016). Retirements, aging population cause nursing shortage. Retrieved from https://www.ibj.com/articles/57067-retirements-aging-population-cause-nursing-shortage

Twigg, D. (2014). Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92.

Walker, N. (2017). Embrace action: protect the future of nursing. AORN, 105(6), 535-537 Nursing shortage affecting patient outcomes PICOT paper .