Assignment 3 PICOT Statement For Capstone Project (Essay Sample)

Assignment 3 PICOT Statement For Capstone Project (Essay Sample)

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
6. 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.
7. 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.
8. 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.
9. PICOT Statement Including Population, Intervention, Comparison, Outcomes, and Time 10%
   Population, Intervention, Comparison, Outcomes, and Time are comprehensive and thoroughly developed with supporting details.
10. Presentation 5%
    Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
11. Argument Logic and Construction 5%
    Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
12. Mechanics of Writing (includes spelling, punctuation, grammar, language use (5%)
    Writer is clearly in command of standard, written, academic English.
13. Paper Format (use of appropriate style for the major and assignment (5%)
    All format elements are correct.
14. 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.
    Please send me a draft before you finalize it, so to avoid revision. Also use the reference from the 8 sources that you have had that you tabulated and have done. So thus, we do not need to look for another sources
    source..
    Content:

Student Name:
Professor:
Course Title:
Date:
PICOT Statement
The paper addresses the problem of nursing staff shortage in US healthcare system. The most affected with nursing shortage are Long Term Acute Care (LTAC) patients who are aged 40 years and above and stays for about 4 weeks and four months within the health facilities. The reason for the admission of these patients is mainly due to 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).
Patient/ Population Problem
Nurse Shortage is a significant problem in US healthcare system. The real challenge is to ensure that staffing levels are as per policy, legal and management standards to maintain quality care to the patients (Ferrer et al., 2014). The rise in service demands causes a persistent nursing shortage, a low number of new registered nurses entering practice and retirement of experienced nurses (Coventry, Maslin‐Prothero& Smith, 2015). Another issue that has led to a shortage of nursing staff is the high turnover rate of nurses (Buchan, Duffield & Jordan, 2015). Research shows that one out three nurses leave within two years of beginning to work in a facility. In cases of highly stressful chronic disease nursing experiences, 1 out of 5 new nurses leaves the profession entirely within a year of obtaining practice license (Blitchok, 2018). Indeed, during the situations of nurse shortages, many health facilities find very few nurses who are available for hire and even more difficulty retaining the new hires. In order to cover the nursing shortages, the RNs are employed but they too leave their jobs as a result of turnouts, unsafe working conditions as well as increased workloads(Carnevale, Smith & Gulish, 2015). According to Dunham-Taylor (2014), the issues that are contributing to the turnover of the employed RNs as issues associated with fewer staff members, low salary as well as increased workloads. This issues have been singled out as most problematic with the recruitment and retention of nurses. The high hospital costs, the burdens of retaining nurses and patient related issues that include their safety are indeed apparent. Moreover, Cho et al (2016) indicate that nursing shortage forces existing nurses to work under stressful conditions, which in turn results in job dissatisfaction, injury, and fatigue.Again the authors argue that nurses who are working under these environments are often prone to making mistakes as well as medical mistakes.Consequently, the outcome is that the patient quality can suffer leading to complicati
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Assignment 3 PICOT Statement For Capstone Project (Essay Sample)