Capstone week 6-Literature Review.docx - 1 Running head...

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1 Running head: LITERATURE REVIEW Literature Review STUDENT NAME HERE Grand Canyon University
2 LITERATURE REVIEW Introduction The issue of adequate staffing is one that has plagued the profession from its inception; it is a topic that concerns us all and is often visited by legislators. Health care facilities recognize the importance of adequate staffing and its impact on quality of care and outcomes, but many are driven by the bottom line. Existing laws are currently in need of revision in most states to give nurses a very much needed upper hand with regards to patient ratios. The mandates imposed on present-day nurse-patient ratios lead to nurse burnout and high turnover rates which progress to nurses obtaining nonclinical positions and become a factor in nursing shortages (Haruko, 2015). I have set out to answer the following PICOT question by reviewing peer reviewed studies. In adult hospitalized patients, how effective is adequate staffing compared to traditional practices in providing positive patient outcomes during their inpatient recovery time? Comparison of Research Question The research questions for all 8 studies centered around the effects of nursing staff on patient outcomes. Studies 1, 4, 5 and 8 deal with nurse staffing and outcomes while studies 2,3 and 6 were specifically concerned with nurse-to-patient ratios. Study 7 looked at nurse staffing and patient mortality. The research question for the first study dealt with nursing staff in a hemodialysis setting and how it impacted target levels of anemia in renal patients. The second

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