well staffed facilities have better patient outcomes and lower staff

Well staffed facilities have better patient outcomes

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well-staffed facilities have better patient outcomes and lower staff dissatisfaction rates among workers. My evidence-based proposal includes the various pros and cons to adequately staffing the department, in the hopes of effecting change. Educating stakeholders is an efficacious way to begin the process of modifying current care standards. Presenting corroborating evidence regarding the effects of understaffing, poor patient outcomes, increased readmission rates, nurse burnout and high turnover rates as well as the effects of counterbalancing these will aid management in making an informed decision regarding my proposed change. The importance of the proposed evidence-based change stems from the dire consequences of inappropriate staffing. High patient-nurse ratios have been linked to many undesirable events as listed above and should be avoided whenever possible.
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4 CHANGE PROPOSAL PICOT PICOT inquiries are consistently formulated to develop a comprehensively worded research query. Customarily it has a population of interest, an intervention (the variable of interest), a comparison, outcome and a time frame to achieve the outcome. My query is as follows: In adult hospitalized patients, how effective is adequate staffing compared to traditional practices in providing positive patient outcomes during their length of stay? Literature Search Strategy Employed The literature search strategy I employed was to search three reputable databases, PubMed, CINAHL and Cochrane Database of Systematic Reviews. PubMed is a resource that was developed and maintained by National Center for Biotechnology Information, it houses articles on subjects such as nursing, medicine and health care systems among others. The CINHAL database provides indexing of the most recent, reliable publications dealing with health literature from the American Nurses Association and National League for Nursing. The writings cover wide ranging topics such as biomedicine, nursing, consumer health as well as alternative/complementary medicine and include books, journals and clinical trials (Morrison- Beedy & Melnyk, 2012). The Cochrane Database of Systematic Reviews is the foremost resource for systematic reviews of primary research in health care and health policy and is recognized on an international level due to the unique feature of documents being constantly updated with the latest emergent evidence (Poryo, Khosrawikatoli, Abdul-Khaliq & Meyer, 2017).
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5 CHANGE PROPOSAL Evaluation of the Literature I compared studies from studies from Sweden, England, Japan and the United States their research questions, sample populations, study limitations and results. 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 majority of the literature reviewed has clearly delineated the cascade effects that nurse staffing ratios, education and skill sets have on patient outcomes. No matter the country, the data consistently ascertains
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  • Spring '15
  • Nursing, Health care provider, Universal health care

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