Grand Canyon University NRS490 The Change Proposal Project

Grand Canyon University NRS490 The Change Proposal Project ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Grand Canyon University NRS490 The Change Proposal Project 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. Grand Canyon University NRS490 The Change Proposal Project 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. Grand Canyon University NRS490 The Change Proposal Project You are required to submit this assignment to LopesWrite. Please refer to the directions in the Student Success Center. picot_statement_nrs_490.docx capstone_topic_selection.docx literature_comparison.docx Running head: PICOT STATEMENT 1 PICOT Statement Jessica Mock Grand Canyon University- NRS 490 June 9, 2019 PICOT STATEMENT 2 Identification of Clinical Problem Every health care system involves a primary objective, which is to promote the quality of life of patients. Every patient expects the best quality of life whenever they go to the hospitals, which satisfies them with the services offered. However, various issues confront health care currently, which include long waiting times and delayed diagnosis, ADHD, or any other dysfunction found in children. The principal aim of the investigation is to carry out an evaluation and analysis of the child and adult growth Actions plans for Autism Spectrum Disorder to deal with the issue of long waiting times and delayed diagnosis, ADHD or any other dysfunction. Evidence-Based Solution Rutherford et al. (2016) explain as to why professionals offer delayed assessment of diagnosis of autism spectrum disorders (ASD). The investigation translates the evidence into the practical application via actions plans for services of ASD. The authors presented an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. Zheng et al. (2016) point out that various problems need to be covered like early identification, atypical and typical development, increased government investment, professional development, and enhanced execution of available regulations. According to Richards and Vostanis (2004), it is crucial for services of transitional mental health for individuals with 16 years to 19-years in health district, as comprehended by specialists from social, mental health, non-statutory services, and education.Grand Canyon University NRS490 The Change Proposal Project Besides, Chakroborty et al. (2014) support the idea that early intervention in certain learning disability (SpLD) leads to the enhanced outcome and controls comorbidity. This way, the authors give a comparison of pathways for taking care of children with mental retardation and SpLD before reaching a tertiary care center (Temper et al., 2017). PICOT STATEMENT 3 Nursing Intervention, Patient Care, Health Care Agency, & Nursing Practice For early intervention in specific learning disability (SpLD), Rutherford et al. (2016) claim that it is crucial to utilize Goldberg’s pathways and MINI-KID for comorbidity to care instrument. It is necessary to enhance physical exercise for youth with intellectual disabilities, as it is one of the intervention’s description. Frey et al. (2017) executed an intervention for initiating, increasing, or maintaining physical activity as well as reporting the efficacy of the intervention. However, nurses will describe to the patients how to perform various exercises for individuals with intellectual disabilities. Through the above responses, nurses possess the potential of influencing positive patient outcomes that could enhance the quality of life of patients while enhancing the quality of care offered to patients. Besides, nurses should carry out an evaluation and analysis of adult and child growth Actions plans for Autism Spectrum Defect to deal with the issue of long waiting times, and delayed diagnosis, ADHD or any other dysfunction. The objective of nurses is to assist patients to stay a healthy life through maintaining or strengthening their health activities. Through the above interventions, nurses will be in a position to execute evidence-based practices in their clinical setting to enhance patients’ health. PICOT Statement Can children with mental disabilities have better health outcomes in adulthood if they are managed upon early detection vs. later detection? Does early intervention truly impact health or does mental disability have the same result despite the starting point of interventional therapies? (P) Population: Children with mental disabilities like delayed speech or functions, autism, ADHD, or any other type of dysfunction in children. Some children might be diagnosed early and get treatment, and others may not be diagnosed until late childhood or into school age stages. PICOT STATEMENT 4 Intervention: Grand Canyon University NRS490 The Change Proposal Project Depends on diagnosis, level of health disparity, and stage. Enhance physical exercise for youths with intellectual disabilities; transitional services of mental health for individuals with 16-years to 19-years in health district; an action plan for child and adult diagnostic group to enhance the quality and efficacy of the process of diagnostic evaluation. (C) Comparison: Children who receive early diagnosis and intervention vs. children that go longer with no diagnosis or delayed diagnosis and delayed responses. (O) Outcome: Improvement in physical exercise among youths with intellectual disabilities and medication adherence as well as prevention of long waiting times, and delayed diagnosis. (T) Time: The outcome of the study will be assessed weekly for eight weeks. References Chakraborty, S., Sagar Kommu, J. V., Srinath, S., Seshadri, S. P., & Girimaji, S. C. (2014). A Comparative Study of Pathways to Care for Children with Specific Learning Disability and Mental Retardation. Indian Journal of Psychological Medicine, 36(1), 27. Retrieved from PICOT STATEMENT 5 https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=94741876&site=eds-live&scope=site Frey, G. C., Temple, V. A., & Stanish, H. I. (2017). Interventions to promote physical activity for youth with intellectual disabilities. Salud Pública de México, 59(4), 437. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408973&site=eds-live&scope=site Richards, M., & Vostanis, P. (2004). Grand Canyon University NRS490 The Change Proposal Project Interprofessional perspectives on transitional mental health services for young people aged 16 – 19 years. Journal of Interprofessional Care, 18(2), 115–128. https://doi-org.lopes.idm.oclc.org/10.1080/13561820410001686882 Rutherford, M., McKenzie, K., Forsyth, K., McCartney, D., O, H. A., McClure, I., & Irvine, L. (2016). Why are they waiting? Exploring professional perspectives and developing solutions to delayed diagnosis of autism spectrum disorder in adults and children. Research in Autism Spectrum Disorders, 31, 53–65. https://doiorg.lopes.idm.oclc.org/10.1016/j.rasd.2016.06.004 Temple, V. A., Frey, G. C., & Stanish, H. I. (2017). Interventions to promote physical activity for adults with intellectual disabilities. Salud Pública de México, 59(4), 446. Retrieved from https://lopes.idm.oclc.org/login?url=http://search.ebscohost.com/login.aspx?direct=true& db=edb&AN=124408974&site=eds-live&scope=site Zheng, Y., Maude, S. P., Brotherson, M. J., & Merritts, A. (2016). Early Childhood Intervention in China from the Families’ Perspective. International Journal of Disability, PICOT STATEMENT Development & Education, 63(4), 431–449. https://doiorg.lopes.idm.oclc.org/10.1080/1034912X.2015.1124988 6 Running head: HEALTH AND MEDICAL The impact of nurse shortage on the quality of care in the primary healthcare facilities Jessica Mock Grand Canyon University- NRS 490 June 2, 2019 1 HEALTH AND MEDICAL 2 Introduction There is need for adequate nursing personnel in every hospital to ensure sufficient health services to the patients. Nurses are part of the health specialists with necessary knowledge and competency to handle clients and patients at family level, clinics and even at the hospitals. Health centers with adequate nursing personnel provide effective healthcare attention to their patients effectively. The proposed topic will focus on the effect of the nurse shortage on the hospital patient care a situation in the context US primary healthcare facilities. Discussion In the recent past, there has been a shortage of nursing personnel in the US primary healthcare centers which has adversely affected the patients. Nurses provides variety of healthcare services to the hospital-based patients in their midst (Veenema et al., 2017). Firstly, it is the responsibility of the nursing units to ensure medication administration to the patients. For example, a nurse in charge of an admitted patient will ensure such a patient takes the medication as per the doctor prescriptions following the exact dose and timeline. The nursing personnel ensure patient can move freely within the restricted zone in the healthcare in case their admission allows such movements. Grand Canyon University NRS490 The Change Proposal Project Thirdly, it is the role of a nurse to ensure patient takes their meals on time within the hospital so that they are able to remain healthy. Similarly, in the nursing units, a Registered Nurse will be part of the leading team which helps in delegating duties regarding patient care in the hospital premises (Smolowitz et al., 2015). In other words, Registered Nurses guides in giving directives to the Licensed Practical Nurses to provide health attention to the patients in the hospital set up. For example, under the supervision of the Registered Nurses, Licensed Practical Nurses provide healthcare to the mentally challenged patients in the US health centers (DePasquale & Stange, 2016). HEALTH AND MEDICAL 3 On the other hand, the witnessed decline in the number of the nursing personnel in the US primary healthcare facilities threatens the lives of the patients (Snavely, 2016). One of the main impacts as a result of the shortage of the nurse is lack of workforce to administer patient medication appropriately. For example, a health canter with nearly fifty admitted patients and only one or two nurses will compromise their attention to some patient regarding medicine administration (Dellefield et al., 2015). On the same note, patients who require to movement either outside or within the hospital may find it hard due to shortage of nurses. Hospitalized patients will also encounter difficulties during meals time such as breakfast, lunch and dinner due to lack of sufficient directives from a professional nurse (Bragadóttir, Kalisch & Tryggvadóttir, 2017). Such a situation may end up worsening the patient health status due to lack of meals considering their nature of medication. Still, patients in the primary health facilities will not receive professional health attention due to lack of supervision and monitoring by the Registered Nurse personnel. There is a couple of significance linked to addressing the issue of the nursing shortage in the US primary health facilities. Firstly, adequate nursing personnel will ensure different patients under their care; take their mediation as per the doctor prescriptions. Secondly, patient including them restricted in a wheelchair will get a chance to move freely with the hospital via the help of a nurse or licensed practical nurse. It is worth addressing the problem to ensure only professional and competent Registered Nurses offer directives in the US health facilities to the patients within the premises (Staggs, et al, 2016). Grand Canyon University NRS490 The Change Proposal Project The health department ought to increase the number of the nurses including Registered Nurses and Licensed Practical Nurses to curb the limitation of the nursing personnel in the US healthcare facilities. In so doing, the hospital based patients will receive sufficient health attention which aligns with their hospital charges. HEALTH AND MEDICAL 4 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). Labor supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. 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. Running head: LITERATURE COMPARISON Literature Comparison Jessica Mock Grand Canyon University- NRS 490 June 30, 2019 1 LITERATURE COMPARISON 2 Introduction There is a need for adequate nursing personnel in every hospital to ensure sufficient health services to the patients. Nurses are part of the health specialists with necessary knowledge and competency to handle clients and patients at the family level, clinics and even at the hospitals. Health centres with adequate nursing personnel provide effective healthcare attention to their patients effectively. In the recent past, there has been a shortage of nursing personnel in the US primary healthcare centres which have adversely affected the patients. According to Veenema et al. (2017), nurses provide a variety of healthcare services to hospital-based patients in their midst.Grand Canyon University NRS490 The Change Proposal Project There are various peer-reviewed studies that explore nursing shortages and possible solutions. However, this essay will discuss a comparison of the content stated in 8studies regarding shortages of nursing personnel in hospitals as well as offering recommendations for future research. A comparison of research questions Throughout the investigations, it can be seen that the research questions have notable differences and similarities. Bragadóttir et al. (2017) focus on the contribution of the unit, hospital, and staff features towards missed nursing care responsibilities in Iceland hospital set up. Both Smolowitz et al. (2015) and Dellefield et al. (2015) explores the relationship between registered nurses and nursing home quality. DePasquale & Stange (2016) aims at identifying the labour supply of the occupational regulation upon licensing nursing services. The studies conducted by Staggs et al. (2017) and Veenema et al. (2016) sought to identify the leadership in nursing skills in the disaster events as well as staff adequacy in a hospital set up. On the other LITERATURE COMPARISON 3 hand, Makam et al. (2018) focused on examining the issues based on research for long-term acute health units and proficiency of nursing skills. The studies conducted by Makam et al. (2018), Staggs et al. (2017), and Veenema et al. (2016) concentrated on the nursing skills, which is essential for the hospital set-up. Lastly, Snavely (2016) focuses on identifying reasons for inadequate of nurses. A Comparison of Sample Population Bragadóttir et al. (2017) used a sample population of 864 practical nurses and registered nurses within 27 surgical units, medical, and ICU units. The samples included in the investigation carried out by Dellefield et al. (2015) are the roles of registered nurses and nursing home in the Medicare beneficiaries’ context. DePasquale & Stange (2016) used a population of over1.8 million nurses and other health employees to examine evidence of labour mobility upon increasing Nursing Licensure Compact. Makam et al. (2018) used a population of Long-term Acute Care patients of about 130,000 yearly admissions. Smolowitz et al. (2015) focused on the sample of registered nurses duties in 16 distinct health units. Staggs et al. (2017) focused on the 17 quarters about longitudinal data survey of the unit’s staff. Lastly, Veenema et al. (2016) examined 14 national subjects or concerns to identify the level of preparedness within nursing personnel. A comparison of the limitations of the study In these eight articles, in the limitations of the study, there is notable similarities and differences. Grand Canyon University NRS490 The Change Proposal Project The limitation of the research carried out by Bragadóttir et al. (2017) involves complications in studying and analyzing larger communities with different healthcare services. Dellefield et al. (2015) faced challenges in demonstrating how high levels of RN presence on every shift has capabilities of enhancing the cost-effectiveness, quality, and efficiency in nursing LITERATURE COMPARISON 4 homes. The limitation in the investigation carried out by DePasquale et al. (2016) is that their measures were not adequate in capturing the different arrangements of work enhanced by the NLC. The limitations of Smolowitz et al. (2015) and Veenema et al. (2016) are similar to Bragadóttir et al. (2017), which involves difficulties in studying and analyzing larger communities. The first limitation faced during the study conducted by Staggs et al. (2017) consists of a lack of information on crucial co-variants such as fall sick and patient acuity, where the researchers could not control. Conclusion and Recommendations for Future Research In reviewing the studies, there are notable similarities and differences from the research mode of structure used. Although all the studies have important information concerning shortages in nursing personnel, the research questions differ much regarding the hypothesis of all the investigations. According to the sample sizes, the diversity in the populations used depends on the method of research as well as the availability of the participants. According to the generalizability of outcomes from various investigations, the future study should focus on integrating larger populations. According to multiple studies, there is a need to add RNs roles based on patient attention compared to management and leadership objectives. Besides, it is crucial to motivate students to pursue nursing courses to increase the nursing personnel as well as linking nursing skills with their relevant tasks in the healthcare units. In healthcare facilities, there is a need for equipping nursing personnel with crucial and modern disaster problems. Also, nurses should be educated on the significance of licensing their services for enhancing enough and professional staffs. LITERATURE COMPARISON 5 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). Labor supply effects of occupational regulation: Evidence from the nurse licensure compact (No. w22344). National Bureau of Economic Research. 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. Grand Canyon University NRS490 The Change Proposal Project 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. LITERATURE COMPARISON 6 … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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