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PICOT Statement: Impact of Nursing Shortage (Coursework Sample)


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:  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.


PICOT Statement: Impact of Nursing Shortage
Grand Canyon University: Professional Capstone and Practicum.
PICOT Statement: Impact of Nursing Shortage
Shortage of nurses expressed as a nurse-patient ratio is one of the major issues facing many hospitals (Johnson et al., 2016). The workload of nurses has a significant impact on patient care and safety. Research shows that high nurse-patient ratio is associated with adverse outcomes such as increased patient mortality, a decline in the odds of survival of patients in intensive care and increased stress and burnout among nurses (Lee et al. 2017). Nurse-patient ratio is crucial in delivering quality care and patient safety. There is adequate research which links low nurse-patient ratio to the provision of better care and improved patient care.
Background information
Medical caregivers are a fundamental aspect of health coverage and make up the biggest sector of health occupation. As per the World Health Statistics Report (WHO, 2013), there are roughly 29 million medical attendants and obstetricians on the planet, with 3.9 million of those people in the United States. Evaluations of more than one million extra medical caregivers will be required by 2020 (WHO, 2013). As indicated by The American Nurses Association (ANA) (2018), there will be more enlisted attendant occupations accessible through 2022 than some other occupations in the United States. The US Bureau of Labor Statistics (2018) estimates that 1.1 million extra medical attendants are expected to prevent further deficiency. Occupation openings for medical attendants are anticipated to increase at a quicker rate of 15 percent as compared to all other professions from 2016 up to 2026. The nursing occupation keeps on experiencing deficiencies because of the absence of potential instructors, high turnover, and biased conveyance of the workforce (Haddad and Toney-Butler, 2019). The factors linked to nursing deficiency are several. Among the most notable factors are maturing populace, Maturing workforce, Nurse burnout, profession and family, development, areas, and violence in the social insurance setting.
The populace, in general, is maturing with the time of increased birth rates age entering the period of the extended requirement for health coverage skill. At present, the United States has the most astounding number of Americans beyond 65 years old in history (Grant, 2016). In 2029, the remainder of the person born after world-war two will achieve retirement age, bringing about 73 percent expansion in Americans' 65 years old and above, 41 million in 2011 contrasted with 71 million in 2019.
PICOT section
The purpose of this PICOT statement is to determine the benefits of reducing the nurse-to-patient ratio and seeks to answer the following: What is the impact of the nursing shortage on patient care and safety?
Evidence-Based Solution
Maintaining appropriate nurse-patient ratios aims to promote better patient care and safety. The Affordable Care Act and federal regulation mandates hospital management to emphasize on ensuring adequate staffing and the American Nurses Association supports staffing plans that put important factors into consideration (Kuwata, 2016). The American Nurses Association (ANA) is in support of a legislative model that empowers nurses to create staffing plans particular to specific units. Such a method gives hospitals the chance to establish flexible staffing levels that allow for changes such as the layout of the unit, the number of admissions, the intensity of patient’s needs, discharges and transfers, availability of resources such as technology and ancillary staff and the level of experience of the nursing staff (ANA, 2019). Establishing such plans ...

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