3-4 pages APA formatted assignment. USE 4-5 references. Please come up with a PICO question that is about the “NURSING SHORTAGE” and include it in the introduction paragraph. 

Start the introduction section here (no header).

PLEASE USE THIS TOPIC FOR THE ASSIGNMENT: NURSING SHORTAGE

Introduction paragraph: NURSING PICO QUESTION NEEDED:_______ (related to nursing shortage)

Problem Identification

Choosing the right topic is important. What gaps in practice have you observed? What do frontline workers/coworkers comment on or think needs to change? This can be the same as your issue identified in week one, or it can be different.

Process for change *Note: Examples could include PDSA or Lewin’s Change Theory

Fully and clearly described the process for the change including the use of a change theory or process*. 

Team Member Selection (4-5 people)

Who needs to be included in order to make the project work? Include titles or roles (not names). Consider who can fulfill the roles discussed in the classroom presentation.

*Who are the primary stakeholders? Include them.

Planning

Aim Statement

What are you trying to accomplish? Why is it important? Who is the target population? When will the project be completed? How will it be carried out? (make sure statement is specific, measurable, achievable, realistic, and timely.)

Outcome Goals

What are some processes and short-term outcome goals that will help you know that you have achieved your overall project aim?  Make sure that these are measurable and realistic. (Include short and long term goals)

Outcome Measures

What tools or measures should be used to determine if the goals were met? What information is provided by these tools? How will the data be analyzed and by whom? (INCLUDE 2)

Recommendations for Change

Describe three possible changes or solutions that address the identified problem. Be specific/detailed. What leads you to believe these will work? Include literature based support.  

Benefits

Fully and clearly described the benefits of this project/change to the institution with literature and/or anecdotal evidence. 

Conclusion

Summarize the above information in a clear and concise conclusion.

OVERVIEW PLEASE BE SURE TO INCLUDE EACH TOPIC: 

*INTRODUCTION with PICO Question

* Problem Identification

* Process for change

*Team Member Selection (4-5 people)

*Aim Statement

*Outcome Goals

*Outcome Measures

*Recommendations for Change

*  Benefits

*Conclusion

Question #1:

“About 610,000 people die of heart disease in the United States every year–that’s 1 in every 4 deaths. Heart disease is the leading cause of death for both men and women. … Of these, 525,000 are a first heart attack and 210,000 happen in people who have already had a heart attack.”

What are the modifiable and unmodifiable risk factors for heart disease?

 In your opinion, why is heart disease still the leading cause of death in the U.S.?

Would you say that you follow a heart healthy diet? Why or why not?

Question #2:

After reading the article: “Impact of a four-year wellness programme on coronary artery disease risk in male employees”, why do you think changes in BMI and HDL cholesterol were not significant?

Do you feel that the program was successful? Why or why not?

Have you ever participated in an employer based wellness program and if so, what was your experience?

 

A paradigm shift is occurring across the United States from volume-based to value-based care. Reflect upon your organizational culture to address the following:

1. Analyze and assess the culture of your healthcare setting as it relates to patient safety.
2. Examine one opportunity to improve patient safety outcomes. Include in your strategy current technology being used to support safety and explain the importance of interprofessional collaboration to help promote a safer environment.

  

1. Evaluate two health websites using the PEMAT rubric posted under resources in this module. These websites can be about any health-related topic that interests you. Drop the topic in your search engine and see what sites appear — that’s how your patients do it! What are they reading? is it valuable?

Score the websites using the PEMAT rubric from the AHRQ website. What are the strengths and limitations of the sites? Submit the tool evaluating both sites and discuss your findings in a 2–3-page summary. The summary should include an overview of the sites you chose, a description of both the understandability and actionability subscores, and the pros and cons of the sites.

This assignment should be completed using APA 7th edition format with a title page and references.

2.  Conduct a search using a digital library and the internet to extend your knowledge about healthcare smart cards. Summarize the results of your search and cite sources (1-page limit). Would you use a healthcare smart card? Why or why not? 

 

Considerations and Challenges for Implementation

The project manager has planned and prepared for barriers to impact project implementation. Implementing mindfulness will require leadership and staff support to be successful long term. The staff has endured a two-year pandemic, and staffing resources are limited. The lack of nurses will limit the amount of time the team will be available for training. The facility does not have a solid shared governance structure, and the staff may be resistant to change initially. The culture is established, and the nurses work well together and respect the more experienced nurses. The project manager will identify unit champions and leverage their rapport to gain participants to change the culture.

Outcomes

The Figley Compassion Fatigue Scale will be utilized as the pretest and post-test. The data will be collected electronically using Survey Monkey. The nurses will answer the same 41-questions that were asked during the pretest. The data will be analyzed and compared. The Compassion fatigue scale was created in 1995 and has been validated. The nurse will respond to each question, rating it 0-5. The zero represents never, and five means very often. The nurse with points more significant than 36 will be identified as high risk for compassion fatigue (Kelly & Lefton, 2017).

The test will be completed in 30 minutes or less. The project manager will not collect demographic data and will identify each nurse by the same number on the pre and post-test. The data will be abstracted from the post-test and compared to the pretest answer following the intervention. The subscale scores for each observation (baseline and post-intervention) will be calculated using the associated scoring rubric for the CFS (Beaumont et al., 2018). The CFS will be administered at baseline before the intervention is provided to each participant and then again at the end of the intervention to see a significant change in the subscale scores. Because the outcome variables are subscales yielded from a validated instrument, the values will be considered as being continuous level measures. All analyses will be performed using SPSS Version 28 (Armonk, NY: IBM Corp.), and statistical significance will be assumed at an alpha value of 0.05 (Sinclair et al., 2017).

References

Beaumont, E., Durkin, M., Hollins Martin, C. J., & Carson, J. (2018). Measuring relationships between self-compassion, compassion fatigue, Burnout and well-being in student counsellors and student cognitive behavioural psychotherapists: A quantitative survey. Counselling and Psychotherapy Research, 16(1), 15–23. https://doi.org/10.1002/capr.12054

Kim, S. H., Schneider, S. M., Bevans, M., Kravitz, L., Mermier, C., Qualls, C., & Burge, M. R. (2013). PTSD symptom reduction with mindfulness-based stretching and deep breathing exercise: Randomized controlled clinical trial of efficacy. The Journal of Clinical Endocrinology & Metabolism, 98(7), 2984–2992. https://doi.org/10.1210/jc.2012-3742

Sinclair, S., Raffin-Bouchal, S., Venturato, L., Mijovic-Kondejewski, J., & Smith-MacDonald, L. (2017). Compassion fatigue: A meta-narrative review of the healthcare literature. International Journal of Nursing Studies, 69, 9–24. https://doi.org/10.1016/j.ijnurstu.2017.01.003

I NEED A COMMENT FOR THIS DISCUSSION BOARD WITH AT LEAST 2 PARAGRAPHS AND USE AT LEAST 3 SOURCES NO LATER THAN 5 YEARS.