Prepare this assignment as a 1,500-1,750 word paper using the instructor feedback from the previous course assignments and the guidelines below. PICOT Question: Revise the PICOT question you wrote in the Topic 1 assignment using the feedback you received from your instructor. The final PICOT question 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 on two articles for each type of study (4 articles total). Use the feedback you received from your instructor on these assignments to finalize the critical analysis of each study by making appropriate revisions. The completed analysis should connect to your identified practice problem of interest that is the basis for your PICOT question. Refer to “Research Critiques and PICOT Guidelines – Final Draft.” 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 question, 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. General Requirements 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.
Inadequate Nursing Staff and its Impact in Acute and Long Term Care Facilities: Quantitative Research Articles
Inadequate Nursing Staff and its Impact in Acute and Long-Term Care Facilities: Quantitative Research Articles
Inadequate staffing is an increasing problem in the workplace for nurses and patients due to the problems that arise from such poor working conditions. The following studies expose the problems that arise related to inadequate staffing, such as medication errors. Medication errors must be reported regardless of how minor they may be, but administering medication incorrectly by violating the just one of the five rights of medication administration can also be extremely detrimental and life-threatening. An additional issue related to understaffing in nursing facilities is the stress and “emotional wellbeing… of the workforce when there is inadequate personnel” (Guilliland, et al. 2017). When these units are not adequately staffed, the nurses may have a hard time with their own workload and may still be forced to play the role of management and assistance (Zopi et al., 2017)
Background of Study
Inadequate staffing is one of the factors of poor working conditions that can lead to medication errors. “The occurrence of errors is not related to only the individual attitude of the worker… staff sizing influences not only work performance, but also the final results achieved. Thus health-related working conditions are determinant for the safety of the patient and the worker and for possible occurrence of errors” (Silva-Santos et al., 2018)
Significance to Nursing
This is a significant problem in the nursing practice because of the outcomes that can arise–
How the Articles Support the Nursing Practice Issue Chosen
Method of Study
Results of Study
Outcomes and Comparison
Silva-Santos, H., Araújo-dos-Santos, T., Santos Alves, A., Navegantes da Silva, M., Oliveira Gonçalves Costa, H., & Meira de Melo, C. M. (2018). Error-producing conditions in nursing staff work. Revista Brasileira de Enfermagem, 71(4), 1858–1864. https://doi-org.lopes.idm.oclc.org/10.1590/0034-7167-2017-0192
Carraro Zopi, F., Borghi Fernandes, P., & Casquel Monti Juliani, C. M. (2017). Implications of Nurses’ Activity in the Dimensioning of Nursing Staff in the Primary Health Care. Journal of Nursing UFPE / Revista de Enfermagem UFPE, 11(7), 2711–2717. https://doi-org.lopes.idm.oclc.org/10.5205/reuol.10939-97553-1-RV.1107201709
Dixon, L., Guilliland, K., Pallant, J., Sidebotham, M., Fenwick, J., McAra-Couper, J., & Gilkison, A. (2017). The emotional wellbeing of New Zealand midwives: Comparing responses for midwives in caseloading and shift work settings. New Zealand College of Midwives Journal, 53, 5–14. https://doi-org.lopes.idm.oclc.org/10.12784/nzcomjnl53.2017.1.5-14
(Guilliland, et al. 2017)
Almeida Valera, I. M., Wisniewski, D., Aparecida Xavier dos Reis, G., Inoue, K. C., Schunk Silva, E., & Matsuda, L. M. (2016). Labor conditions and relations in critical care units: a survey. Online Brazilian Journal of Nursing, 15(2), 196–204.
B., R., L., J., & H., H. (2014). Factors Influencing Nurses’ Medication Errors: Study of Nurses’ Views in Urmia University Hospitals in 2012-2013. Journal of Urmia Nursing & Midwifery Faculty, 12(8), 784–791.
Research Critiques and PICOT Question Guidelines – Final Draft
Quantitative and Quantitative Studies
- Summary of studies. Include problem, significance to nursing, purpose, objective, and research question.
How do these two articles support the nurse practice issue you chose?
- Discuss how these articles will be used to answer your PICOT question.
- Describe how the interventions and comparison groups in the articles compare to those identified in your PICOT question.
Method of Study:
- State the methods of the articles you are comparing and describe how they are different.
- Consider the methods you identified in your chosen articles and state one benefit and one limitation of each method.
Results of Study
- Summarize the key findings of each of the studies into a comprehensive summary.
- What are the implications of the four studies you chose in nursing practice?
- Discuss two ethical consideration in conducting research.
- Describe how the researchers in the four articles you choose took these ethical considerations into account while performing their research.
- What are the anticipated outcomes for your PICOT question?
- How do the outcomes of the four articles you chose compare to your anticipated outcomes?
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