Increased Number of Patients

PICOT Question Research Paper

Based on my practicum site which is a long-term care facility, the nursing facility is currently facing a major problem with nursing turnover and related nursing shortages. This being a long-term skilled care as any involved nurse; one requires caring for an increased number of patients than one would care while offering necessitated care at hospitals. Increased workload that requires extended time for the nurses in these facilities has contributed a lot in raising the rates of nursing turnover which in turn gives rise to nursing shortages (Gullatte, 2016). As outlined by Gullatte (2016), nursing shortage can affect the quality of health care delivered in all facilities and this can result to increased complications and at times deaths amongst the involved patients. Basically, high turnover rates in rehabilitation centers or long-term care facilities can affect the way organization functions where it is widely-known to cause ineffective functioning.

The augmented shortages of nurses due to increased nurse turnover have necessitated nurses to work for more and extended hours. The act of so doing makes such working conditions to be much stressful and give rise to job dissatisfaction, nurse burnout, and fatigue and at times cause some injury. Statistically, increased workloads amongst nurses continue to increase nurse burnout, re-admission rates, and risk of acquiring infections in patients and higher rates of mortality (American Association of Colleges of Nursing, 2017). Such mistakes or related outcomes are widely-known to make patients receive health care services of reduced quality and thus giving rise to various complications which could be prevented at the first place. Some medication errors resulting from fatigue is one illustration concerning how nurses that are having increased workload can increase the mortality rate.

The paper aims at addressing how providing necessitated resources like PPE, improving work environment and job satisfaction as compared to recruiting with sign-on bonus help in reducing the nursing turnover rates in long-term facilities to help in improving patient outcomes and safety.

PICOT question: Among nurses having chronic burnout, what would be the effect or impact of increasing the nurse enrolment compared to the issue of exploring retention strategies to resolve the nursing shortage that is currently affecting the United States healthcare over the next eight years? You still are comparing two interventions Nancislyn. You should compare a strategy to no strategy. For example, choose diligent retention strategies to no such strategies. For example: Nurses who are employed in a facility which employs concerted nursing retention strategies such as……contributes to less nurse burnout, more nurse satisfaction and better patient outcomes compared to the facility who does not utilize said strategies.

Population of Focus: Nurses working in long-term facilities. The population which is affected by this act is geriatric patients who are sixty-five years and above who are served by this category of nurses specifically in my site of practicum.

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