1500 words paper

Running head: ASSIGNMENT TITLE HERE

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Running head: CAPSTONE PROJECT TOPIC SELCTION AND APPROVAL

Capstone Project Topic Selection and Approval

Identified Issue

Since i visited and interacted with my mentor in her workplace, we decided to base my research on the integration of my capstone project for safe workers or acuity-based work research, some of which are patiently focused. The charge nurse of the pending shift change is currently developing client duties for the upcoming switch. An authorized acuity device is not used for the function of patient activities or staff.

Setting

The practicum site is a 127-bed community-based psychiatric hospital and a behavioral health department in Riverside university health system, which is a medical educational school. Psychiatric emergency services are available on the site for all genders. Facilities provide evaluations, emergencies and referrals to other mental health care as necessary. Emergency treatment services (ETS) Specializes in mental and emotional distress assessment and treatment. Medication and referral to others in mental health facilities can be given to patients who arrive at ETS and released back. Some patients may be admitted to the hospital for further treatment. My specific focus will be on the Inpatient units.

Issue Description

Acuity tests the quality of a patient's nursing care. The change of a nurse according to the need of patient is governed by an acuity-based recruitment framework and not by pure patient numbers (O'Keeffe, 2016). Acuity is the degree to which treatment is to be carried out in a hospital. Greater acuity people need more care, so that the nursing-patient rate is lower. Adequate nursing staff is important to enhancing the safety and maintenance of patients, although poor work puts patients at risk and pushes nurses out of jobs' (O'Keeffe 2016).

Impact of the Issue

The shortage contribute to depression, illness, call offs, and job frustration. Nurse need to work for long hours in extremely demanding circumstances. In these conditions, nurses who work are more likely to make mistakes and medical mistakes. "The unfortunate outcome is that the standard of patient care is vulnerable to a variety of preventable risks, including medication errors and increased mortality levels.” (Knudson, 2013). If the rate of nursing staffing is so low, nurses are sometimes required to jeopardize patient care. Unsafe nursing staff is a dangerous profession that contributes to clinical errors, worse outcomes and nursing injuries and burnout that jeopardizes the safety of staff and patients. (Knudson, 2013).

Significance of the Issue

Only seven states require hospitals to have health and staff control boards responsible for their policies. Such states are, among others: CT, IL, NV, OH, OR, TX, WA (Jones, Whyley, Doyle and Bevan, L, 2018). California is the only State to have the minimum nursing to patient ratios necessary to be managed by all the units at all times in law and regulations.(Jones, Whyley, Doyle & Bevan, L, 2018). Inadequate staff increases the risk of preventable harm to the client. "Because nursing salaries are the greatest administrative expense of acute care, most companies consider reducing the costs of nursing jobs. When resources are limited or existing staff do not fulfill patient care expectations, healthcare providers may be required to restrict the level of care appropriate for optimal and healthy patient outcomes.

(Pearce, Morgan, Matthews, Martin, Ross, Rochin & Welton, 2018).

Proposed Solution

Patient acuity is a critical component of the healthcare profession. Task dependent models of recruitment were shown to improve patient outcomes and to boost the performance of nurses. Current technology for acuity calculation allows rational, right and effective measurements to support personnel decision taking (Kidd & Grove, 2014).

References

Africa, L. M. (2017). Transition to Practice Programs: Effective Solutions to Achieving

Strategic Staffing in Today’s Healthcare Systems. Nursing Economic$, 35(4), 178–183.

M. (2018). The Value of Nurse Staffing: ANA Principles Redevelopment and Direction