GCU NRS490 Nurse Shortage Assignment

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Part 1. After discussion with your mentor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based practice project. Explain how your proposal will directly and indirectly impact each of the aspects.

Part 2. Now that you have completed a series of assignments that have led you into the active project planning and development stage for your project, briefly describe your proposed solution to address the problem, issue, suggestion, initiative, or educational need and how it has changed since you first envisioned it. What led to your current perspective and direction?

Literature Evaluation Table Sample

Student Name: Jessica Mock

Change Topic (2-3 sentences): The impact of nurse shortage on quality of healthcare in primary care setting. Nurse shortage has a detrimental impact on the quality of care provided in the primary care settings.

Criteria	Article 1	Article 2	Article 3	Article 4
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B.	Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K.	DePasquale, C., & Stange, K.	Makam, A. N., Nguyen, O. K., & Halm, E. A.
Article Title and Year Published	Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing. 2017	The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing economic$. 2015	Labour supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. 2016	Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities— Reply. JAMA internal medicine. 2018
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study	The article focused on the contribution of the unit, hospital and staff features towards missed nursing care responsibilities in Iceland hospital set up.	The article explored on the relationship between the Registered Nurses and the Nursing Home Quality.	The study aimed to identify labor supply of the occupational regulation upon licensing nursing services.	The aim of the study was to examine challenges based on research for long-term acute health units and proficiency of nursing skills.
Design (Type of Quantitative, or Type of Qualitative)	The study assumed a quantitative cross-sectional survey.	The study presumes a qualitative approach.	The study used quantitative and qualitative design.	The study used quantitative and qualitative technique.
Setting/Sample	The samples included Registered Nurses and practical nurses that is 864, within 27 surgical, ICU and medical units in the Iceland hospital.	The samples included the role of Registered Nurses and Nursing Home in the context of Medicare beneficiaries.	The study employed data of over1.8 million nurses and other health employees to examine evidence of labor mobility upon increasing Nursing Licensure Compact.	The study portrayed Long-term Acute Care patients account for more than 130,000 yearly admission which costs about $5.3 billion Medicare expenses.
Methods: Intervention/Instruments	MISSCARE Survey-Iceland and Nursing Teamwork Survey-Iceland	The study employed an integrative review methodology.	The study used comparison technique pertaining nursing roles upon licensing their services.	The study used data estimations for examining and predict the impact of long-term acute care (LTACs) and nursing skills.
Analysis	The study utilized correlational and regression statistics during data analysis.	The study comprised descriptive analysis of the Registered Nurses and Nurse Home.	The study entailed analytical analysis that compared the labor market on nursing units upon Nurse Licensure Compact.	The study comprised analytical analysis of the data from the previous years and different health units.
Key Findings	The multiple regression testing under unit role and staffing adequacy depicted 16% of the missed nursing duties. The regression testing of model 2 on nursing teamwork indicated 14% variance on the missed nursing responsibilities.	The higher number of the Registered Nurses staff, the better nursing quality due to different nursing skills.	There was no evidence of nursing mobility after introducing the Nurse Licensure Compact initiative.	The study projected a decline in the use of LTACs, due to Sustainable Growth Rate Act established in 2013.
Recommendations	The Iceland hospital should develop strategies to decrease the missing nursing care and solve staffing and teamwork issues.	There is need for increasing Registered Nurses despite cost implications to check on the quality of the patient care.	There is need to educate nurses the significance of licensing their services to allow adequate and professional staff.	The need for regular research affecting the LTCAs and the immediate nursing skills in the health units.
Explanation of How the Article Supports EBP/Capstone Project	The article supports the Capstone project by emphasizing on the importance of increasing nursing staff and teamwork oriented patient care.	The article seeks to support the role of Registered Nurses in provision of quality nursing care.	The article emphasizes on the nursing services mobility for efficiency within healthcare units.	The study support the Capstone project via focusing on the challenges affecting healthcare units and nursing proficiency.

Criteria	Article 5	Article 6	Article 7	Article 8
Author, Journal (Peer-Reviewed), and Permalink or Working Link to Access Article	Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L.	Snavely, T. M	Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I.	Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., … & Larson, E.
Article Title and Year Published	Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook. 2015	A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics. 2016	Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. Journal of general internal medicine. 2017	Nurses as leaders in disaster preparedness and response—A call to action. Journal of Nursing Scholarship. 2016
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study	The study explored the nursing tasks for a Registered Nurse.	The study purposed to identify reasons for shortage of nurses in the United States.	The study investigated nursing skills, staff adequacy and manual restraint employed in US hospital set ups.	The study sought to identify nursing leadership skills in the disaster occasions.
Design (Type of Quantitative, or Type of Qualitative)	The study was qualitative in nature.	The study utilized qualitative design.	The study assumed quantitative and qualitative design.	The study ha qualitative design.
Setting/Sample	The study sample focused on the Registered Nurses duties in 16 different health units. GCU NRS490 Nurse Shortage Assignment	The study focused on the health units in United States to examine stressors causing shortage of nursing personnel.	The study focused on the 17 quarters pertaining longitudinal data survey of the units staff.	The study examined 14 national subjects or concerns to identify the level of preparedness within nursing personnel.
Methods: Intervention/Instruments	The study employed interview process to obtain roles played by the RNs in each health unit.	The study projected contemporary factors in the population to lead nursing skills problems.	The research primarily concentrated on the staffing level and nursing skill mix.	The study employed workshop programmes courtesy of the Veterans Emergency Management Evaluation Center to exposit the issue.
Analysis	The study used descriptive analysis to reveal different tasks by RNs.	The study employed both descriptive and analytical analysis in examining the probable nursing shortcoming in the US healthcare units.	The study used regression analysis to model the quarterly odds of the units’ restraints in response to staff and nursing skills.	The study utilized descriptive and analytical analysis to explain the national concerns and the nature of nurses’ preparedness.
Key Findings	The RNs in general performed nine functions including telephone triage, management, supervision, leadership, staff assessment, health coaching, duty delegation, medication reconciliation and documentation.	The aging population, aging baby boomers, inadequate nursing graduate and rise of chronic infections and Affordable Care Act led to increased nursing shortage in the US context.	The nursing skill mix had an inverse correlation with the physical restraint use especially for fall prevention. There was insignificant correlation between the nursing skill mix and the physical restraint use.	The workshop programme aided in development of future disaster management by nursing personnel in the healthcare settings.
Recommendations	The need to add RNs roles based on the patient attention compared to management and leadership objectives.	There is need to motivate students to pursue nursing courses to increase the nursing personnel in the United States.	There is need to link nursing skills with their relevant tasks in the healthcare units.	The need to equip nursing personnel with relevant and contemporary disaster issues in the healthcare facilities.
Explanation of How the Article Supports EBP/Capstone	The study helps on determining the nursing skills by Registered Nurses in healthcare units.	The article back up the Capstone project by emphasizing the need for adequate nursing workforce.	The study gives overview of the nursing tasks recommended by their qualifications.	The article supports the Capstone project by emphasizing on the specific tasks deployed by the nursing workforce especially during emergency situations.

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References

Bragadóttir, H., Kalisch, B. J., & Tryggvadóttir, G. B. (2017). Correlates and predictors of missed nursing care in hospitals. Journal of clinical nursing, 26(11-12), 1524-1534.

Dellefield, M. E., Castle, N. G., McGilton, K. S., & Spilsbury, K. (2015). The relationship between registered nurses and nursing home quality: An integrative review (2008-2014). Nursing economic$, 33(2), 95-108.

DePasquale, C., & Stange, K., (2016). Labour supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research.

Makam, A. N., Nguyen, O. K., & Halm, E. A. (2018). Shortcomings of Research Regarding Long-term Acute Care Hospitals and Skilled Nursing Facilities—Reply. JAMA internal medicine, 178(6), 866-867.

Smolowitz, J., Speakman, E., Wojnar, D., Whelan, E. M., Ulrich, S., Hayes, C., & Wood, L. (2015). Role of the registered nurse in primary health care: Meeting health care needs in the 21st century. Nursing Outlook, 63(2), 130-136.

Snavely, T. M., (2016). A brief economic analysis of the looming nursing shortage in the United States. Nursing Economics, 34(2), 98-101.

Staggs, V. S., Olds, D. M., Cramer, E., & Shorr, R. I. (2017). Nursing skill mix, nurse staffing level, and physical restraint use in US hospitals: a longitudinal study. Journal of general internal medicine, 32(1), 35-41.

Veenema, T. G., Griffin, A., Gable, A. R., MacIntyre, L., Simons, R. N., Couig, M. P., … & Larson, E. (2016). Nurses as leaders in disaster preparedness and response—A call to action. Journal of Nursing Scholarship, 48(2), 187-200. GCU NRS490 Nurse Shortage Assignment