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acuity, work system factors and expectations also contribute to the nurses’ workload: nurses are expected to perform nonprofessional tasks such as delivering and retrieving food trays; housekeeping duties; transporting patients; and ordering, coordinating, or performing ancillary services” (Carayon & Gurses, 2008). Sometimes, they flex the charge nurse, CNA, secretary, and even another nurse if possible. There have been a lot of incidences that have happened on the floor; patients falling, rapids being called, or patients being coded, nurses falling behind on their work and having to stay overtime to complete it.In one of meetings (consisting of unit heads, the CNO, department heads, charge nurses, and supervisors), the financial department proudly announced that the hospital has saved over 2000 hours flexing people and made about a million dollars to a series of applause and whoops. I was a charge nursethat day and I distinctively remember the charge nurses exchanging looks. I was sure we were thing the same thing; they were sacrificing the help we needed to save and earn more money. The hospital’s response to the sudden frequent patient falls was to print up hourly rounding sheets for allthe nurses. This does not always get done. The problem needs to be studied because there seems to be a correlation between staff being flexed and patient safety issues. I believe the hourly rounding is not enough.Carayon P, Gurses A. P., (2008). Nursing Workload and Patient Safety—A Human Factors Engineering Perspective. Retrieved August 28, 2019, from
PICOT The first step of the evidence-based practice process is to evaluate a nursing practice environment to identify a nursing problem in the clinical area. When a nursing problem is discovered, the nurse researcher develops a clinical guiding question to address that nursing practice problem.For this assignment, you will create a clinical guiding question know as a PICOT question. The PICOT question must be relevant to a nursing practice problem. To support your PICOT question, identify six supporting peer-revised research articles, as indicated below. The PICOT question and six peer-reviewed research articles you choose will be utilized for subsequent assignments.Use the "Literature Evaluation Table" to complete this assignment.1.Select a nursing practice problem of interest to use as the focus of your research. Start with the patient population and identify a clinical problem or issue that arises from the patient population. In 200–250 words, provide a summary of the clinical issue.2.Following the PICOT format, write a PICOT question in your selected nursing practice problem area of interest. The PICOT question should be applicable to your proposed capstone project (theproject students must complete during their final course in the RN-BSN program of study).