Question description

REQUIREMENTS

• When selecting a clinical issue (the clinical issue chosen is Hand washing) to be addressed in the assignment, the student is expected to draw from one of the four main categories of the NCLEX‐RN examination blueprint: assurance of a safe and effective care environment, health promotion and maintenance of health, the preservation of the patient’s psychosocial and physiological integrity.
• Length of paper 8‐10 pages excluding the title page and the reference page.
• The sources cited both in text and on the reference page for this assignment will be formatted according APA 6th edition guidelines.
• A minimum of six (6) peer‐reviewed scholarly sources are required in support of the Evidence‐based Capstone Evidence‐based Paper.
• This assignment will be graded using the Capstone Evidence‐ based Paper Rubric available in Unit 6 of the course.

PREPARING THE ASSIGNMENT

The student will be required to:

• Produce an 8‐10 page evidence‐based paper addressing a significant clinical issue
• Identify and explore a solution to a clinical issue
• Gather additional background information on:

o   the clinical issue

o   the patient population

• Develop a plan that could be carried out by a nurse to resolve the clinical issue.
• Reflect on the knowledge and experience gained in the nursing program
• Draw from one of the four main categories of the NCLEX‐RN examination blueprint

o   assurance of a safe and effective care environment,

o   health promotion and maintenance of health,

o   preservation of the patient’s psychosocial

o   preservation of the patient’s physiological integrity

• With the exception of the Introduction, each criterion listed below will serve as the major headings of this assignment due in Unit Six and will include the following:
• Title Page: (APA 6th edition formatting)
• Introduction:

o   Offers a detailed description of the statement of purpose for the paper.

o   Identifies a clinical issue or problem drawn from one of the four main categories of the NCLEX‐RN examination blueprint:

• Assurance of a safe and effective care environment
• Health promotion and maintenance of health
• Preservation of the patient population’s psychosocial integrity
• Preservation of the patient population ’s physiological integrity
• In this paper the student will provide a detailed description of the relationship between the category from the NCLEX‐RN examination blueprint and the clinical issue.
• The reference to the NCLEX‐RN examination blueprint found at the National Council of State Boards of Nursing website constitutes one scholarly reference.
• Importance: The student will describe the importance of the clinical issue to the health of a patient population. This discussion will include the potential negative effect of leaving the clinical issue unresolved.

3

• Patient Population: The student will describe the patient population that is impacted by the clinical issue. With a focus on the diversity of the human condition found within this patient population, the student will describe the influence that cultural values may have on the proposed solution.
• Proposed Solution: The student will set the stage for proposing the best solution to the clinical problem by using appropriate evidence‐based data and integrating data from peer‐reviewed journal articles. In this paper, the student will:

o   Propose a clear solution to the clinical problem that is supported by a minimum of three scholarly, peer‐reviewed journal articles.

o   Expand on the ethical considerations when developing the plan.

• Goals: While the intervention will not actually be carried out, the student will discuss the plan that could be implemented by a nurse to address the clinical issue. One short‐term and one long‐term goal of the intervention will be identified. The student will include a description of how attainment of each of the goals would be measured.
• Barriers: The student will identify a minimum of two potential barriers to the success of the plan as well as a strategy for addressing each one.
• Benefits: The student will describe a minimum of one benefit to the patient population and one benefit to the nursing profession that will result from carrying out the plan. Provides a minimum of one scholarly, peer‐reviewed source in support of the benefit of the plan to the patient population.
• Participants and Interdisciplinary Approach: The student will identify all of the parties whose participation is important for the success of implementing the plan.

o   This list will include a minimum of two members of disciplines outside of nursing.

o   A description of the benefit of including each member from another discipline to the success of the plan.

o   A minimum of one scholarly, peer‐reviewed source providing support for the success of the plan by including the healthcare team member outside of nursing.

• Conclusion:

o   Provides a thorough recap of the purpose of the plan to prevent or help to resolve the clinical issue.

o   Includes a complete statement describing why addressing this clinical problem matters and to whom.

o   Reference Page: (APA 6th edition formatting)

Attachments:

capstone_evidence_based_paper.pdf

Question description

This is the review:

Ashford General Hospital is a 263-bed regional hospital located in California, serving its community for more than 50 years. The hospital maintains the only 24-hour emergency department in the area and an “extended hours” urgent care clinic. Similar to other hospitals in the United States, Ashford General Hospital is encountering a nursing shortage. Sixty-eight percent of the nursing staff is over the age of 45, facing retirement. The retention rate on nurses is 61{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119}, compared to 65{0e601fc7fe3603dc36f9ca2f49ef4cd268b5950ef1bbcf1f795cc00e94cdd119} nationwide.  Many of the nursing staff find the work too physically demanding and have a feeling of emotional burn-out as well.  In the past two years, the hospital has used both per diem nurses and traveling nurses who sign short-term contracts to fill individual shifts and accommodate short-term staffing needs arising from staff vacations or medical leaves.  This has not only driven up personnel costs but also resulted in lower scores on patient satisfaction surveys. Ashford General Hospital faces significant challenges in nurse staffing ahead as it grapples with these issues, and the hospital board is very concerned. They know there must be some changes made in order to prevent a major financial and human resources crisis in the future. As the newly hired CEO, you are asked to present a proposal in the next board meeting.

Instructions for the final paper:

For your Final Paper, you will create a 10 to 15 page proposal (excluding title and reference pages) for the Ashford General Hospital Board of Directors. In your proposal, you will:

• Include an executive summary.
• Research and describe solutions implemented at five other hospitals in the US that were dealing with these same issues.
• Based on your research, describe two solutions that are the most viable for Ashford General Hospital to implement within the next two years.
• Create a total of two stakeholder group analyses for two solutions you select. Each analysis should include at least five stakeholder groups involved (e.g. patients, hospital executive administration, accounting, Human Resources (HR), marketing, third-party payers, etc.). As part of your analysis, address the following questions:
  • Who is impacted?
  • What change processes may be required?
  • What fiscal impact would occur?
  • What are the ethical, legal, and diversity risk factors involved?
• Based upon the stakeholder group analyses, recommend the best solution for Ashford General Hospital with detailed justification. Explain why you feel it is the most viable and appropriate solution given the financial impact, HR issues, and interpersonal dynamics of hospital personnel, cultural shift, and change management.
• To prepare your board proposal, including the textbook, utilize at least 10-to-12 scholarly and/or peer-reviewed sources that were published within the past five years, as well as hospital or foundation websites. All sources must be cited according to APA style.
  .

Assignment:

Review the instructions for your Final Paper located in Week Six of your online course. As part of your Final Paper, you are asked to research and identify solutions implemented at five other hospitals in the U.S. that were dealing with the same issues. Create an outline illustrating five solutions implemented at five other hospitals, including key details.  Use the “Guide to Creating an Outline” for assistance.

Your outline must be formatted according to the guidelines as stated in the.  Your paper must be two to three double-spaced pages (excluding title and reference pages) and formatted according to APA style  Including the textbook, utilize a minimum of five scholarly and/or peer-reviewed sources from published within the last five years. Document all references in APA style