Addressing Nursing Staff Shortage in US Healthcare System

Dear Writer,
This is the second Homework Capstone Project Topic Selection and Approval
The problem in the facility where I have practicum is staffing issue (shortage of staff)
This is a Long Term Acute Care (LTAC) patient could stay 4 weeks to 4 months. The patient in this facility are old people from 40 years old and above, with chronic conditions (CHF, decubitus ulcer that needs wound Vac management and dressing change, ventilator patients, PEG tube feeding, patient who has recent surgery that needs antibiotic therapy and patient who has infection.
To cover the staffing shortage, they employed LPNs and RNs
To solve the shortage of staff LTAC adopted- (1) skill-mix that means registered nurses and licensed practical nurses will provide the nursing care for the patient
(2) adopted a five-level pyramid to staff for peak times (winter) as well as low census/acuity times (summer)
The DON (director of Nursing) said that a hiring plan cost savings, more continuity and job satisfaction, fewer patient and physician complaints as well as establishing a more effective way to adequately staff despite large variations in census.
Max Points: 50
Details:
In collaboration with your approved course mentor, you will identify a specific evidence-based practice proposal topic for the capstone project. Consider the clinical environment in which you are currently working or have recently worked. The capstone project topic can be a clinical practice problem, an organizational issue, a quality improvement suggestion, a leadership initiative, or an educational need appropriate to your area of interest as well as your practice immersion (practicum) setting. Examples of the integration of community health, leadership, and an EBP can be found on the "Educational and Community-Based Programs" page of the Healthy People 2020 website.
Write a 500-750 word description of your proposed capstone project topic. Make sure to include the following:
1. The problem, issue, suggestion, initiative, or educational need that will be the focus of the project
2. The setting or context in which the problem, issue, suggestion, initiative, or educational need can be observed.
3. A description providing a high level of detail regarding the problem, issue, suggestion, initiative, or educational need.
4. Impact of the problem, issue, suggestion, initiative, or educational need on the work environment, the quality of care provided by staff, and patient outcomes.
5. Significance of the problem, issue, suggestion, initiative, or educational need and its implications to nursing.
6. A proposed solution to the identified project topic
You are required to retrieve and assess a minimum of 8 peer-reviewed articles. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. The articles should be current within the last 5 years and closely relate to the PICOT statement
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Details:
The problem in the facility where I have practicum is staffing issue (shortage of staff)
This is a Long Term Acute Care (LTAC) patient could stay 4 weeks to 4 months. The patient in this facility are old people from 40 years old and above, with chronic conditions (CHF, decubitus ulcer that needs wound Vac management and dressing change, ventilator patients, PEG tube feeding, patient who has recent surgery that needs antibiotic therapy and patient who has infection.
To cover the staffing shortage, they employed LPNs and RNs
To solve the shortage of staff LTAC adopted- (1) skill-mix that means registered nurses and licensed practical nurses will provide the nursing care for the patient
(2) adopted a five-level pyramid to staff for peak times (winter) as well as low census/acuity times (summer)
The DON (director of Nursing) said that a hiring plan cost savings, more continuity and job satisfaction, fewer patient and physician complaints as well as establishing a more effective way to adequately staff despite large variations in census
My PICOT should be about nursing shortage and what solution they are adopting
Assignment 3 PICOT statement for your capstone project.
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. 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. 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:
1. Evidence-Based Solution
2. Nursing Intervention
3. Patient Care
4. Health Care Agency
5. 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.
You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.
RUBRIC
1. Identification of Clinical Problem/Issue 30%
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.
2. Clinical Problem/Issue, Including Description, Evidence-Based Solution, Nursing Intervention, Patient Care, Health Care Agency, and Nursing Practice 30%
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.
3. PICOT Statement Focused on Resolution, Improvement, Application, and Intervention 10%
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.
4. PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time 10%
Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.
5. Presentation 5%
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
6. Argument Logic and Construction 5%
Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
7. Mechanics of Writing (includes spelling, punctuation, grammar, language use (5%)
Writer is clearly in command of standard, written, academic English.
8. Paper Format (use of appropriate style for the major and assignment (5%)
All format elements are correct.
9. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style 5%
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
Assignment 4 Literature Evaluation Table
Details:
In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student's ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.
For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the "Literature Evaluation Table" resource to complete this assignment.---- IF THE PROFESSOR APPROVE ALL THE RESEARCH ARTICLE WE CAN USE HERE, IF NOT WE HAVE TO CHANGE THE ONE THAT SHE DID NOT APPROVE. I will put the order once I have enough instruction from the professor. Thank you.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
There is attachment table here.
RUBRIC Assignment 4
1. Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article 5%
Author, journal (peer-reviewed), and permalink or working link to access article section is comprehensive and thoroughly developed with supporting details.
2. Article Title and Year Published 5%
Article title and year published section is comprehensive and thoroughly developed with supporting details.
3. Research Questions (Qualitative) or Hypothesis (Quantitative), and Purposes or Aim of Study 10%
Research questions (qualitative) or hypothesis (quantitative), and purposes or aim of study section is comprehensive and thoroughly developed with supporting details.
4. Design (Type of Quantitative, or Type of Qualitative) 5%
Design (type of quantitative, or type of qualitative) section is comprehensive and thoroughly developed with supporting details
5. Setting or Sample 5%
Setting or sample section is comprehensive and thoroughly developed with supporting details.
6. Methods: Intervention or Instruments 5%
Methods: Intervention or instruments section is comprehensive and thoroughly developed with supporting details.
7. Analysis 10%
Analysis section is comprehensive and thoroughly developed with supporting details.
8. Key Findings 10%
Key findings section is comprehensive and thoroughly developed with supporting details.
9. Recommendations 105
Recommendations section is comprehensive and thoroughly developed with supporting details.
10. Explanation of How the Article Supports EBP or Capstone 10%
Explanation of how the article supports EBP or capstone section is comprehensive and thoroughly developed with supporting details.
11. Presentation 10%
The work is well presented and includes all required elements. The overall appearance is neat and professional.
12. Mechanics of Writing (includes spelling, punctuation, grammar, and language use) 10%
The writer is clearly in command of standard, written, academic English.
13. Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) 5%
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error