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4 pages/≈1100 words
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Health, Medicine, Nursing
Research Paper
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Rounding in Long Term Care as Related to Nursing Ratios (Research Paper Sample)


Prepare this assignment as a 1,500word paper using the instructor feedback from the Topic 1, 2, and 3 assignments and the guidelines below.
PICOT Statement
Revise the PICOT statement you wrote in the Topic 1 assignment.
The final PICOT statement will provide a framework for your capstone project (the project students must complete during their final course in the RN-BSN program of study).
Research Critiques
In the Topic 2 and Topic 3 assignments you completed a qualitative and quantitative research critique. Use the feedback you received from your instructor on these assignments to finalize the critical analysis of the study by making appropriate revisions.
The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT statement.
Refer to "Research Critique Guidelines." Questions under each heading should be addressed as a narrative in the structure of a formal paper.
Proposed Evidence-Based Practice Change
Discuss the link between the PICOT statement, the research articles, and the nursing practice problem you identified. Include relevant details and supporting explanation and use that information to propose evidence-based practice changes.
Prepare this assignment according to the APA 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.


Rounding in Long Term Care as Related to Nursing Ratios
Grand Canyon University- NRS433V
Rounding in Long Term Care as Related to Nursing Ratios
Patient safety is a major concern not only to the patients but also to the healthcare providers within a healthcare organization. The quality of patient care particularly in long term care is of paramount importance for the aged population in these care facilities. Nursing homes also known as Long Term Care Facilities are a place that many old and aging adult have to call home. The LTC facility has accepted the responsibility of providing a safe environment and the management of any medical and nursing care that may be necessary. "The Nursing Home Reform Act of 1987 established federal requirements that are applied when surveying and certifying nursing homes for participation in Medicare and Medicaid"(Tilly, Black, & Ormond, 2003). However, more often the quality of care in these facilities is of low standards that does not satisfy the patient quality care needs. The purpose of this research is to identify how patient outcomes improve and unnecessary injuries and hospital admissions are also reduced with improved and better nurse to patient ratios in LTC settings. Seeking to answer these questions: Do patient outcomes improve with lower patient to nurse ratios? Does Nurse burn/call outs decrease with better staffing ratios? Are unnecessary hospitalizations and injuries reduced with proper staffing ratios?
The main challenge for achieving quality care is particularly because of the insufficient nurses to take care of the elderly. Frequently and very often within the LTC setting or in nursing homes qualified staff, adequate staff and staff retention are major problems. Even as recent as 2018, standard LTC staffing nurse to patient ratios can be one nurse to twenty five patients during the daytime hours and one nurse to fifty patients on a night shift. These massive and insurmountable assignments are created and given under the standard that patients are chronically ill which is rated as low on the acuity staffing model. What is constant in the LTC setting is the low patient satisfaction and marginal patient care that is familiar and highly associated with the care rendered in nursing homes. One of the major resultant problems is the falls among the elderly population in the LTC. A 2016 report by the World Health Organization indicated that 20% to 30% of the older adults experience injuries resulting from falls that they encounter in the LTC. These falls increase their rate of mortality and the costs of healthcare.
In Silvestre et. al. (2015) article titled Improving the Quality of Long-Term Care; there is a direct statement that staffing has a direct correlation on patient outcomes. "Resistance to culture change, issues with staffing, and inadequate staff development and education are among the central challenges facing LTC; the following discussion addresses these challenges by providing potential strategies to achieve improved quality of care in LTC"(Silvestre et. al., 2015). The culture of LTC is one that is very unfavorable to the outcomes of the aging. Nurses are forced to learn short-cuts and quick fixes to administer medications to twenty-five or more patients in a two hour span. The lack of hands and attention for patients with dementia whom frequently need

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