In this assignment, students will pull together the change proposal project components they have been working on throughout the course to create a proposal inclusive of sections for each content focus area in the course. At the conclusion of this project, the student will be able to apply evidence-based research steps and processes required as the foundation to address a clinically oriented problem or issue in future practice.

Students will develop a 1,250-1,500 word paper that includes the following information as it applies to the problem, issue, suggestion, initiative, or educational need profiled in the capstone change proposal:

  1. Background
  2. Problem statement
  3. Purpose of the change proposal
  4. PICOT
  5. Literature search strategy employed
  6. Evaluation of the literature
  7. Applicable change or nursing theory utilized
  8. Proposed implementation plan with outcome measures
  9. Identification of potential barriers to plan implementation, and a discussion of how these could be overcome
  10. Appendix section, if tables, graphs, surveys, educational materials, etc. are created

Review the feedback from your instructor on the Topic 3 assignment, PICOT Statement Paper, and Topic 6 assignment, Literature Review. Use the feedback to make appropriate revisions to the portfolio components before submitting.

Prepare this assignment according to the 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.

RUBRIC:

Background

Background section is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Problem Statement

Problem statement is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Change Proposal Purpose

Purpose of change proposal is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

PICOT

PICOT is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature Search Strategy

Literature search strategy is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Literature Evaluation

Literature evaluation is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Utilization of Change or Nursing Theory (2.2)

Theory utilization content is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Proposed Implementation Plan with Outcome Measures (3.2)

Implementation plan is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Identification of potential barriers to plan implementation, and a discussion of how these could be overcome (2.3)

Identification of potential barriers to plan implementation with a discussion component is present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Appendices Inclusive of Practice Immersion Clinical Documentation (1.2)

Appendices are present, complete, and incorporates additional relevant details and critical thinking to engage the reader.

Evidence of Revision

Evidence of incorporation of research critique feedback and revision is comprehensive and thoroughly developed.

Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

Running Head: PICOT STATEMENT 1

PICOT STATEMENT 2

PICOT statement

University affiliation:

Date of submission: 11/18/2018

Good start on your PICO question this week. However, I am not clear on what the PICOT question is. What is the specific intervention, comparison, and outcomes you are evaluating? I noted a few corrections and comments in your paper. Be sure to make corrections before including this in the final capstone paper in week 9. Thanks. –

PICOT Sstatement

Patient/Ppopulation

The population that is mostly affected with hypertension are male adults between the ages of 40 and 70 with hypertension, and with different diseases, that shows alteration in lifestyle (attracting routinely in practice and taking in more advantageous and sufficient dinners), appeared differently in relation to patients who use solution to treat/manage their high blood pressure, assist to manage their heartbeat and lessen the threat of making cardiovascular sicknesses in their recovery time inside a half year. The period will be adequately long to make a sick be able not to encounter the evil impacts of high blood pressure and to in like manner diminish the threats that the general population will customarily experience (Dua, et.al, 2014). Comment by Melanie Guzman: Meaning is not clear Comment by Melanie Guzman: This is vague Comment by Melanie Guzman: 5 authors: Put all last names inn first citation, then et al. in subsequent citations

Intervention Comment by Melanie Guzman: Headings bolded

The essential strategy for mediation for sick with high blood pressure it is with no vulnerability to place them under medicine so that they can be restored. That is the most secure way as it will impact the patient to have the ability to manage themselves to the extent how they to think, what they eat and even the activities that they endeavor to take an interest in. The age of the patients will in like manner suggest that the sick are given arrangement that can oversee them in the most useful means and which they can recognize with everything taken into account. The medicine that can be provided for this circumstance is one that can diminish the brutality of a prescription. The nursing intercession for sick with high blood pressure is evaluating the migraine torments that sick is encountering and checking the obscured vision in like clockwork until the point when it leaves. Another nursing mediation is for an attendant to teach a sick on how they counsel with their specialist before the medicine is ceased (Dua, et.al, 2014). Comment by Melanie Guzman: This is not clear. What is the identified problem? PICOT statement? What evidenced-based interventions related to that proble

Running Head: Shortage of Nurses 1

Shortage of NursesSHORTAGE OF NURSES 3

Shortage of Nurse

November 8, 2018

Course Number: NRS-490


Letzy, Good work on your assignment this week! I noted a few corrections and comments in your paper. Be sure to make corrections before including this in the final capstone paper in week 9. –Mrs. Guzman

Task

Points

· Explains setting and/or context in which nursing problem, issue, suggestion, initiative, or educational need is observed.

10 / 10

· Explains the problem, issue, suggestion, initiative, or educational need.

10 / 10

· Describes the impact of the project topic on a) the work environment, b) the quality of care provision, and c) patient outcomes.

10 / 10

· Discusses the significance of and the implications to the nursing profession.

10 / 10

· Proposes a solution to the identified project topic.

10 / 10

50 / 50

Shortage of Nurses

The Nnursinge shortage has been a problem for many health facilities, not only in the United States, but the whole world. In the past few years, I have been working as a nurse in pPractice in a rehabilitation center with geriatric patients, whereand there is a demand for workforce in this department. In fact, this is the most delicate department to work in a health facility since one has to deal with patients straight from the surgery room. Due to the shortage of nurses, we are few in the department, and thus we are assigned many responsibilities. With more responsibilities, there is reduced efficiency, and there is the likelihood of decreased effectiveness of health professionals. to go down.

The cause for nurse shortage in the department is due to a combination of factors. For instance, there is a high number of patients who need surgery, and thus our department is receiving many of these patients immediately after they leave the operation room. Another reason why there is a shortage of nurses is the lack of funds in the facility to hire more nurses and other health practitioners to reduce the gap of the patient to nurse ratio (Monye, 2014). On the other hand, there is less pay in public health care facilities as compared to private facilities and hence more nurses are opting to work with private health facilities rather than working with government sponsored facilities. There has been a general shortage of nurses in the country over the last few years as m