Instructions attached

Overview/Description:

The final project for NSG6101 consists of the development of a novel research proposal specific to your role specialization. The project must include an intervention appropriate to nursing practice and consistent with your MSN role option. An alternative to the above includes the selection of a specialty organization to focus research proposals based on the priorities of that organization. Examples of these organizations could include (but are not limited to): Sigma Theta Tau International, American Nurses’ Foundation, Oncology Nursing Society, Association of Nurses in AIDS Care, American Psychiatric Nursing Association, American Association of Critical Care Nurses, National Association of Pediatric Nurse Associates and Practitioners, National League For Nursing, etc.

Throughout this course you have been developing various sections of the research proposal. This week you will assemble the final proposal (addressing faculty feedback). This paper is to be developed in APA format/style using the required template and not to exceed 8-10 pages (excluding title page/references/appendices).

Criteria: 
Introduction

· Background and Significance of Problem

· Statement of the Problem and Purpose of the Study

Literature Review

· Summary of the Evidence for the Proposed Study

Research Question, Hypothesis, and Variables with Operational Definitions


Theoretical Framework

· Overview and Guiding Propositions(s) Described in Theory

· Application of Theory to Your Study’s/Project’s Focus

Methodology

· Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.

· Sampling Strategy

· Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection. 

· Extraneous Variables (and plan for how controlled).

· Instruments: Description, validity, and reliability estimates, which have been performed (on a pre-established measure). Include plans for testing validity and reliability of generating your own instrument(s).

· Description of the Intervention

· Data Collection Procedures

· Data Analysis Plans

· Describe plan for data analysis for demographic variables (descriptive statistical tests).

· Describe plan for data analysis of study variables (descriptive and inferential statistical tests).

Ethical Issues

· Describe ethical considerations and your plan to protect human rights.

Limitation of Proposed Study
Implications for Practice
References
Appendices

· Informed Consent Letter

· Proc

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Nursing Project

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

Background and the Significance

The nurse turnover is undergoing rapid growth as a human resource issue affecting the healthcare sector in the entire world. The rate of nurse intervention is considered to be higher with a range of 15 to 44 percent. The management of the nurse turnover is an important aspect in the successful delivery of healthcare services to the patients. However, the poor management of the high nurse turnover is affecting the quality of service delivery in healthcare institutions. The high nurse turnover is also having a considerable effect on the overall national healthcare system performance. Nurse turnover is leading to the disruption in the operations of service operations to different degrees ranging from the fairly disruptive to very disruptive (Dewanto & Wardhani, 2018).

Based on the adverse outcomes associated with nurse turnover, there is an opportunity to address the issues that leads to nurse turnover. The managers of healthcare facilities need to ensure that focus is put on the approaches and maximize solutions concerning the causes of nurse turnover. The approaches include the prevention of resignation as a result of the new job offers, ensure that there is an existence of conducive working conditions, make sure that the unmet expectations of the new nurses are addressed, and maximization of the selection process to help in understanding the perspective of the new nurse’s expectations (Halter et al., 2017).

Statement of the problem and the purpose of the study

Nurse turnover is a major healthcare concern that affects the quality of healthcare services. It leads to a low nurse-patient ratio as a result of few nurses caring for the patients. It leads to an increase in medication errors and preventable hospital-acquired infections. This is associated with work overload which makes it hard for the nurses to adhere to other safety measures like those aimed at preventing patient falls when they are overwhelmed with the responsibilities. The purpose of the paper is therefore to determine how the methods used in the nursing staff retention are impacting the retention of the new nurses (Kurnat-Thoma et al., 2017).

Research Question

The study is guided by the research question that is based on the PICOT question that is looking at how the staff retention methods within the in-hospital nurses are implemented by the management to address the issue of retention as compared to no intervention. Therefore, the possible research question for this paper is: what are the effects of some of the nurse retention methods adopted on the reduction of nurse turnover in the in-hospital nurses’ facilities?

Research or

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Nursing Project

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

Nurses are facing several issues that affect their quests to deliver quality healthcare services within the healthcare system. One of these issues is the increase in nurse turnover due to the poor management of interventions such as retention. Instead of looking at the factors that lead to the increase in nurse turnover, many hospital management fails to consider effective intervention so that suitable solutions can be arrived at. The focus of this paper is focused on providing a literature review on the issue of nurse intervention.

According to Halter et al (2017), nurse turnover is a global concern in many healthcare systems. Therefore, understanding the type of interventions that is effective in reducing the rates of turnover is important to the managers as well as healthcare organizations. There are several types of research on the intervention to help in reducing nurse turnover; however, the strength of the pieces of evidence is still hard to find. Therefore, lack of funded primary research work to help in providing robust evidence for nurse and human resource managers to put nurses on the retention strategies.

A study by Kurnat-Thoma et al., (2017) outlined turnover analysis and onboarding program performance improvement initiative utilized by a 187-bed community healthcare facility in the Washington DC metropolitan area to help in the reduction of the staff turnover. According to the outcome of the study, even though the degree of employee turnover is expected and healthy, the increase in the rate of this turnover within the hospital environment is threatening the core primary function of providing safer and quality-driven patient care. The turnover cause damages to the overall fiscal health thereby leading to the loss of qualified nursing staff. The replacement of qualified nurses tends to be costly. The frequent orientation of the new staff, working with unskilled staff, and working short when staff is replaced affects the morale, attendance, patient and staff satisfaction, and affecting the bottom line of the healthcare facilities (Kurnat-Thoma et al., 2017). According to this study, having well-researched and collaborative designed turnover reduction initiatives serve as a valuable support system and resource.

Many firms are lacking strategies required to ensure a successful reduction in voluntary employee turnover. Lack of strategies is a threat to the organization’s performance and competitive advantage of the firm. Employee compensation is the driving force that is used to help in the retention of workers. Having comprehensive compensation and benefits packages and the capacity to offer intangible benefits helps in the reduction of turnover. The a

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Nursing Project

Student’s Name

Department, Institutional Affiliation

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The selected theory

According to Frederick Herzberg’s theory, the satisfaction of the employees is based on two dimensions for example hygiene and satisfaction. The hygienic issues are associated with the salary and supervision and reduction in employee dissatisfaction within the workplace. The motivators like recognition and achievement are making employees more productive, creative, and remaining committed to their jobs. The motivators are the intrinsic factors that influence the nurses’ turnover rates and they are related to the level of satisfaction, promotions, the lack of recognition, and the absence of autonomy (Alrawahi et al., 2020). The hygienic factors are extrinsic and they include dissatisfaction with the payment, dissatisfaction with the organizations or administrative policies.

The application of Herzberg theory to the issue of nurse turnover

Job satisfaction is an important aspect in the maintenance of the number of nurses in the organization. The absence of satisfaction among workers leads to high turnover rates and detrimental impacts on the individuals for example burnout. The main reasons for the lack of job satisfaction are the increase and high workload that results in anxiety, fatigue, physical and mental distress among nurses. There is also a lack of rewards, incentives, lack of motivation, inspiration, and other recreational activities. Herzberg’s theory of motivation can be used to help in the reduction of the nurse turnover rates (Alrawahi et al., 2020). This theory proposed the existence of intrinsic factors and extrinsic factors.

According to this theory, the nurses’ turnover rate is reduced when the promotion policies are made to be consistent. The management must ensure that nurses are satisfied with their salaries. The management must ensure that nurses are satisfied with the promotions, given an opportunity for advancement, and involving them in every policy of the organization. Therefore, Herzberg’s theory of motivation supports the existence of consistent promotion and policies, advancement in the opportunities, consideration for the qualification when making promotions, clarification on salary issues, and active involvement of the nurses in the policymaking process (Alrawahi et al., 2020).

References

Alrawahi, S., Sellgren, S. F., Altouby, S., Alwahaibi, N., & Brommels, M. (2020). The application of Herzberg’s two-factor theory of motivation to job satisfaction in clinical laboratories in Omani hospitals. Heliyon, 6(9), e04829. https://doi.org/10.1016/j.heliyon.2020.e04829

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Week 6 Midweek Assignment

Student’s Name

Department, Institutional Affiliation

Course Title

Tutor’s Name

Date

The issue of nurse turnover continues to be the key problem that affects the successful delivery of healthcare services to patients. The effects of a high rate of nurse turnover are not only felt by the patients but also by nurses. Nurse turnover leads to an increase in the nurse workload in the healthcare facility as a result of inadequate or nurse shortages. The nurse turnover rates lead to the increase in the reported cases of medication errors and this is linked to the low nurse-patient ratio thus leaving many patients unattended. Therefore, the research proposal is guided by the objective of finding out the effects of the nurses’ retention methods on the reduction of the nurse turnover rates in healthcare facilities (Halter, 2017). In this paper, the focusing is to present the sampling or setting; the sampling strategy to be adopted for the research; and the type of research design that will be used.

Sampling and settings

The selected settings are the HCA-affiliated Central Florida Regional Hospital (CFRH) for example the Fawcett Memorial Hospital, Port Charlotte in Florida, and Las Palmas Medical Centers found in El Paso. These facilities have been on the headline as a result of their employees especially nurses holding informational picketing (Dewanto & Wardhani, 2018). The event was common in 2018 as nurses’ picket to urge the management of these facilities to address the issue of registered nurse turnover rates and to ensure that there is consistent compliance with the staffing grids. The picketing is purposely aimed at improving the recruitment and retention of the experienced registered nurses to ensure that there is maximum patient care.

A sample of 200 nurse participants and a total of 10 human resources from the three facilities will be targeted as the study participants. The information collected from these participants will be important in understanding the real situation in these facilities concerning the techniques that the management of these facilities are employing to retain the workers and how the nurses are feeling about these retention strategies (Dewanto & Wardhani, 2018).

Sampling strategy

The sampling method that will be adopted in this case is the criterion sampling for both nurses and the human resource managers or the nurse managers. This strategy is involving the identification of the specific criteria of importance and articulating the criteria. For the case of this research proposal, the sampling criterion will be based on the identification of the nurse managers or the human resource managers in the nursing department with hiring responsibilities through using their leadership qualities for

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Nursing Project

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Department, Institutional Affiliation

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Tutor’s Name

Date

Extraneous Variable

An extraneous variable is a variable that is not intentionally studied in the experimental test. During the experimental work in a study, the focus is to see whether one variable or the independent variable is affecting another variable known as the independent variable. The extraneous variables are the undesirable variables ad they are categorized as demand characteristics, experimenter or the investigator effects, the participant variables, and the situational variables. The of the research will be to determine the effects of the nurse retention methods being adopted by the healthcare management on the reduction of nurse turnover. In this research, the dependent variable is the nurse turnover whereas the independent variable is the nurse retention method being adopted by the facility in ensuring that nurses are retained in the facility (Dewanto, A., & Wardhani, 2018 ).

However, other variables are considered to be extraneous are likely to affect the outcome of the study. One of them is the age of the nurses. This variable must be controlled to prevent it from influencing the outcome of the study that is focused on the effects of the nurse retention method on the reduction of nurse turnover. Therefore, the approach that will be adopted to help in the control of the extraneous variable is through the performance of random sampling to make sure that there is an existence of equality in selecting the participants (Halter et al., 2017).

Research instruments

The research instruments refer to the tools that are purposely used for the collection, measurement, and analysis of the data that is collected from the study participants based on the topic of the research study. The success of the research project depends on the research instrument used. The type of instrument used for the study is influenced by the type of study being performed. Therefore, for the case of the proposed study, the type of research instruments that will be used is the questionnaire and the interview. The application of the instrument will be based on the participants being targeted for example interview instrument will be used to collect data from the management of the facility for example nurse managers concerning the retention methods being used to retain nurses within their facilities (Halter et al., 2017). The questionnaire instrument will be used to collect data from the nurses. There will be questions that require prompt responses from the participants.

It is important to ensure that the validity and reliability of the instruments used for research are maintained. Therefore, a pilot tests, entry of the data into the spreadsheet, using the principal

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Department, Institutional Affiliation

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Tutor’s Name

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The process of understanding the effects of the nurse retention methods adopted by the organization on the nurse turnover rate can be made possible through analysis of the data collected. Therefore, one of the data analyses approaches that will be adopted is descriptive statistical data analysis. It will be used in analysing the numerical data gathered through closed-ended questions using the questionnaires and interviews (Halter et al., 2017). In this case, the SPSS computer software will be adopted to help in the production of the data analysis that assists in comparing the participants’ responses.

The rate of turnover is also influenced by the characteristics of the nurses on the decision to seek alternative job opportunities. Therefore, for this research proposal, it would be important to understand the demographic features of these study participants. Therefore, the relative risk test and Mann-Whitney test will be used for the analysis of such data (Halter et al., 2017).

Pearson moment correlation analysis would be used to help in the assessment of the association that exists between the internal motivation of the nurses and the nurse retention and the work environment and the retention of the nurses. This will be important in determining the strength of the relationship in the organization. The regression analysis will be used to predict the association between the work environment, the internal motivational factors, and the retention of the nurses (Halter et al., 2017). The results from the regression analysis will be used to reveal the key factors that hold nurses in the organization, the internal motivational factors used by the organizations, and the quality or the effectiveness of the present retention approaches that are used to ensure that the employees are retained in the organization.

References

Halter, M., Pelone, F., Boiko, O., Beighton, C., Harris, R., Gale, J., … & Drennan, V. (2017). Interventions to reduce adult nursing turnover: a systematic review of systematic reviews. The open nursing journal, 11, 108.


THIS IS AN EXAMPLE OF SOUTH UNIVERSITY’S INFORMED CONSENT LETTER AND IS ONLY TO BE COMPLETED AND SUBMITTED AS AN ASSIGNMENT FOR NSG6101
.

For Official Use Only

Date received:

Date reviewed:

End date:

File #:


South_Estab1899_2PMS_CS5main

SELF CONSENT

I have been invited to take part in a research study titled: the effects of the retention methods adopted on the rate of nurse turnover

This study is being conducted by Name of the student , who can be contacted at: contact of the student

I understand that my participation is voluntary and that I can refuse to participate or stop taking part any time without giving any reason and without facing any penalty. Additionally, I have the right to request the return, removal, or destruction of any information relating to me or my participation.

PURPOSE OF STUDY

I understand that the purpose of the study is to: the focus of this study is to find out how the retention methods adopted by the organizations are impacting the rates of nurse turnover.

PROCEDURES

I understand that if I volunteer to take part in this study, I will be asked to: to describe the demography; mention the retention practices that are adopted by the organization where I am employed; the personal perception about the retention practices used in the organization; and how such retention affects my decision to quit or stay within the organization.

BENEFITS

I understand that the benefits I may gain from participation include: improving the retention methods that will be adopted based on the study outcome disseminated to the healthcare organization. Improving employee satisfaction and reduction of burnout; and a drop in the nurse turnover rates.

RISKS

I understand that the risks, discomforts, or stresses I may face during participation include: security issues during the study and economic harm from the management in terms of dismissal from their jobs for the information revealed.

CONFIDENTIALITY

The participants will be assured of the identity protection of any personal information collected. All the information collected will be coded to ensure that they are protected. No names or other identities will be used when discussing or giving reports of the data. The file of the data collected will be kept safe within the secure