Evidence-based project, part 4: recommending an evidence-based

Please see attachment for instructions

4 to 5 please have references

Assignment: Evidence-Based Project, Part 4: Recommending an Evidence-Based Practice Change

The collection of evidence is an activity that occurs with an endgame in mind. For example, law enforcement professionals collect evidence to support a decision to charge those accused of criminal activity. Similarly, evidence-based healthcare practitioners collect evidence to support decisions in pursuit of specific healthcare outcomes.

In this Assignment, you will identify an issue or opportunity for change within your healthcare organization and propose an idea for a change in practice supported by an EBP approach.

To Prepare:

· Reflect on the four peer-reviewed articles you critically appraised in Module 4, related to your clinical topic of interest and PICOT.

· Reflect on your current healthcare organization and think about potential opportunities for evidence-based change, using your topic of interest and PICOT as the basis for your reflection.

· Consider the best method of disseminating the results of your presentation to an audience.

The Assignment: (Evidence-Based Project) for this assignment I am attaching other projects you have done for me for you to use as references such as Module 4 peer-reviewed articles you critically appraised. The topic can be nursing shortage and the consequences of it to and organization and patient care

Part 4: Recommending an Evidence-Based Practice Change

Create an 8- to 9-slide narrated PowerPoint presentation in which you do the following:

· Briefly describe your healthcare organization, including its culture and readiness for change. (You may opt to keep various elements of this anonymous, such as your company name.)

· Describe the current problem or opportunity for change. Include in this description the circumstances surrounding the need for change, the scope of the issue, the stakeholders involved, and the risks associated with change implementation in general.

· Propose an evidence-based idea for a change in practice using an EBP approach to decision making. Note that you may find further research needs to be conducted if sufficient evidence is not discovered.

· Describe your plan for knowledge transfer of this change, including knowledge creation, dissemination, and organizational adoption and implementation.

· Explain how you would disseminate the results of your project to an audience. Provide a rationale for why you selected this dissemination strategy.

· Describe the measurable outcomes you hope to achieve with the implementation of this evidence-based change.

· Be sure to provide APA citations of the supporting evidence-based peer reviewed articles you selected to support your thinking.

· Add a lessons learned section that includes the following:

· A summary of the critical

Evaluation Table

Use this document to complete the
evaluation table
requirement of the Module 4 Assessment, Evidence-Based Project, Part 3A: Critical Appraisal of Research

Part 3B: Critical Appraisal of Research

The best practice that emerges from the research I reviewed is the implementation of ideal nurse-to-patient ratios in hospitals. Poor nurse-to-patient ratios often result in nurse burnout. In turn, burnout leads to poor job satisfaction among nurses, which causes many of these professionals to quit their jobs and opt for other alternatives. In the end, a nurse shortage arises simply because nurses get overworked. Hence, ensuring that nurses are not overworked is vital in preventing burnout and the subsequent nursing shortage. This can only be achieved by facilitating ideal nurse-to-patient ratios.

According to Shuldham et al. (2019), “there is a direct relationship between staffing levels and patient outcomes for specific nurse-sensitive indicators, with the lower patient to nurse ratios (i.e., fewer patients per nurse) associated with better outcomes.” Generally, burnout is a huge problem for many nurses who either quit their job or consider quitting. Consequently, healthcare organizations need to implement evidence-based strategies to alleviate burnout. Shah et al. (2021) suggests the implementation of adequate nurse staffing and limiting the number of hours that nurses work per shift.

Muabbar and Alsharqi (2021) reveal that a lot of evidence proves the relationship between patient care quality and nurse staffing. Furthermore, the limited nursing workforce in many healthcare institutions is tied to the mediocre management of ill patients. In turn, the few nurses are made to cater to large patient numbers, which worsens the situation because most of these individuals eventually quit. This further exacerbates the nursing shortage problem. Hence, it is crucial to ensure that regardless of the demand for healthcare services, hospitals should try to implement ideal nurse-to-patient ratios as a long-term solution to the nurse-shortage crisis.

References

Muabbar, H., & Alsharqi, O. (2021). The impact of short-term solutions of nursing shortage on nursing outcome, nurse perceived quality of care, and patient safety. American Journal of Nursing Research, 9(2), 35-44

Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.

Shuldham, C., Parkin, C., Firouzi, A., Roughton, M., & Lau-Walker, M. (2019). The relationship between nurse staffing and patient outcomes: A case study. International Journal of Nursing Studies, 46(7), 986-992.

Matrix Worksheet Template

Use this document to complete Part 1 of the Module 2 Assessment,
Evidence-Based Project, Part 1: Identifying Research Methodologies

Full APA formatted citation of selected article.	Article #1	Article #2	Article #3	Article #4
	Shah, M. K., Gandrakota, N., Cimiotti, J. P., Ghose, N., Moore, M., & Ali, M. K. (2021). Prevalence of and factors associated with nurse burnout in the US. JAMA Network Open, 4(2), e2036469-e2036469.	Shuldham, C., Parkin, C., Firouzi, A., Roughton, M., & Lau-Walker, M. (2019). The relationship between nurse staffing and patient outcomes: A case study. International Journal of Nursing Studies, 46(7), 986-992.	Muabbar, H., & Alsharqi, O. (2021). The impact of short-term solutions of nursing shortage on nursing outcome, nurse perceived quality of care, and patient safety. American Journal of Nursing Research, 9(2), 35-44.	Westbrook, J. I., Woods, A., Rob, M. I., Dunsmuir, W. T., & Day, R. O. (2010). Association of interruptions with an increased risk and severity of medication administration errors. Archives of Internal medicine, 170(8), 683-690.
Evidence Level * (I, II, or III)	Level III	Level III	Level I	Level I
Conceptual Framework Describe the theoretical basis for the study (If there is not one mentioned in the article, say that here).**	No theoretical basis.	No theoretical basis.	No theoretical basis.	No theoretical basis.
Design/Method Describe the design and how the study was carried out (In detail, including inclusion/exclusion criteria).	An analysis was done using cross-sectional survey data collected from the National Sample Survey of Registered Nurses in the US.	A case study using retrospective hospital data, at ward level.	A cross-sectional study was conducted at King Abdullah Medical City (KAMC) located in Makkah, Saudi Arabia.	The researchers performed an observational study of nurses preparing and administering medications in 6 wards at 2 major teaching hospitals in Sydney, Australia.
Sample/Setting The number and characteristics of patients, attrition rate, etc.

Full
citation
of selected article

Article #1

Article #2

Article #3

Article #4

Tamata, A. T., Mohammadnezhad, M., & Tamani, L. (2021). Registered nurses’ perceptions on the factors affecting nursing shortage in the Republic of Vanuatu Hospitals: A qualitative study. Plos One, 16(5), e0251890.

Why
you chose this article and/or
how it relates
to the clinical issue of interest (include a brief
explanation of the ethics
of research related to your clinical issue of interest)

I chose this article because it comprehensively discusses one of the primary reasons behind the current nursing shortage: nurse burnout. Nurses constitute the most significant proportion of the healthcare workforce. Therefore, nurse burnout adversely impacts patients’ quality and safety of care. Also, nurse burnout results in many nurses quitting their professions, which leads to the nursing shortage. This article helps address the issue of nurse burnout to minimize nursing shortage.

The ethics of research related to the issue of nursing shortage is tied to a situation where nurses are forced to choose between caring for the needs of their patients and caring for their welfare. When nurses quit their jobs, they cause a nursing shortage, adversely affecting patients’ healthcare services.

I chose this article because it investigates how nurse-to-patient staffing ratios impact the healthcare services given to patients and the subsequent patient outcomes. Nursing shortages result in poor staffing ratios. It has been proben that a direct relationship between staffing levels and patient outcomes for specific nurse-sensitive indicato

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