Nursing Capstone Project Assignment

Nursing Capstone Project Assignment

The instructor graded PICOT paper referenced is in an attachment. The literature evaluation paper referenced is also attached, both done by you.

 Details: Instructions

While the implementation plan prepares students to apply their research to the problem or issue they have identified for their capstone change proposal project, the literature review enables students to map out and move into the active planning and development stages of the project.

A literature review analyzes how current research supports the PICOT, as well as identifies what is known and what is not known in the evidence.Nursing Capstone Project Assignment. Students will use the information from the earlier PICOT Statement Paper and Literature Evaluation Table assignments to develop a 750-1,000 word review that includes the following sections:

  1. Title page
  2. Introduction section
  3. A comparison of research questions
  4. A comparison of sample populations
  5. A comparison of the limitations of the study
  6. A conclusion section, incorporating recommendations for further research

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

This assignment uses a rubric.Nursing Capstone Project Assignment. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

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You are required to submit this assignment to Turnitin. Please refer to the directions in the Student Success Center.

Rubic

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Unsatisfactory
0.00%
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Less than Satisfactory
75.00%
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Satisfactory
79.00%
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Good
89.00%
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Excellent
100.00%
80.0 %Content  
10.0 %Introduction An introduction is not present. An introduction is present, but it does not relate to the body of the paper.Nursing Capstone Project Assignment An introduction is present, and it relates to the body of the paper. There is nothing in the introduction to entice the reader to continue reading. An introduction is present, and it relates to the body of the paper. Information presented in the introduction provides incentive for the reader to continue reading. An introduction is present, and it relates to the body of the paper. Information presented in the introduction is intriguing and encourages the reader to continue reading.
20.0 %Comparison of Research Questions No comparison of research questions is presented. A comparison of research questions is presented, but it is not valid. A cursory though valid comparison of research questions is presented.Nursing Capstone Project Assignment A moderately thorough and valid comparison of research questions is presented. A reflective and insightful comparison of research questions is presented.
20.0 %Comparison of Sample Populations No comparison of sample populations is presented. A comparison of sample populations is presented, but it is not valid. A cursory though valid comparison of sample populations is presented. A moderately thorough and valid comparison of sample populations is presented.Nursing Capstone Project Assignment A reflective and insightful comparison of sample populations is presented.
20.0 %Comparison of the Limitations of the Study No comparison of the limitations of the study is presented.Nursing Capstone Project Assignment A comparison of the limitations of the study is presented, but it is not valid. A cursory though valid comparison of the limitations of the study is presented. A moderately thorough and valid comparison of the limitations of the study is presented.Nursing Capstone Project Assignment A reflective and insightful comparison of the limitations of the study is presented.
10.0 %Conclusion and Recommendations for Further Research No conclusion and recommendations for further research are presented.Nursing Capstone Project Assignment A conclusion and recommendations for further research are presented, but they are not valid. A conclusion and recommendations for further research are valid, but they are cursory. A conclusion and recommendations for further research are valid and moderately thorough. A conclusion and recommendations for further research are reflective and insightful.Nursing Capstone Project Assignment
15.0 %Organization and Effectiveness  Nursing Capstone Project Assignment
5.0 %Thesis Development and Purpose Paper lacks any discernible overall purpose or organizing claim. Thesis is insufficiently developed or vague. Purpose is not clear.Nursing Capstone Project Assignment Thesis is apparent and appropriate to purpose. Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.Nursing Capstone Project Assignment
5.0 %Argument Logic and Construction Statement of purpose is not justified by the conclusion. The conclusion does not support the claim made. Argument is incoherent and uses noncredible sources.Nursing Capstone Project Assignment Sufficient justification of claims is lacking. Argument lacks consistent unity. There are obvious flaws in the logic. Some sources have questionable credibility. Argument is orderly, but may have a few inconsistencies. The argument presents minimal justification of claims. Argument logically, but not thoroughly, supports the purpose. Sources used are credible. Introduction and conclusion bracket the thesis.Nursing Capstone Project Assignment Argument shows logical progressions. Techniques of argumentation are evident. There is a smooth progression of claims from introduction to conclusion. Most sources are authoritative. Clear and convincing argument that presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.
5.0 %Mechanics of Writing (includes spelling, punctuation, grammar, language use) Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. Frequent and repetitive mechanical errors distract the reader. Nursing Capstone Project Assignment Inconsistencies in language choice (register), sentence structure, or word choice are present. Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct sentence structure and audience-appropriate language are used. Prose is largely free of mechanical errors, although a few may be present.Nursing Capstone Project Assignment A variety of sentence structures and effective figures of speech are used. Writer is clearly in command of standard, written, academic English.
5.0 %Format  
2.0 %Paper Format (use of appropriate style for the major and assignment) Template is not used appropriately or documentation format is rarely followed correctlyNursing Capstone Project Assignment. Template is used, but some elements are missing or mistaken; lack of control with formatting is apparent. Template is used, and formatting is correct, although some minor errors may be present.Nursing Capstone Project Assignment Template is fully used; There are virtually no errors in formatting style. All format elements are correct.
3.0 %Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) Sources are not documented. Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.Nursing Capstone Project Assignment Sources are documented, as appropriate to assignment and style, and format is mostly correct. Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
100 %Total Weightage  

Nursing Capstone Project Assignment

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Nursing Capstone Project Assignment

  

Literature Evaluation Table

Student Name: Nsg 490

Change Topic: Nursing shortage is a reality characterized by increasing demand for nurses that is not matched by supply. It is evident by an aging nurse workforce, more knowledgeable patient population whose expectations are rising, increased access to healthcare, and increasing cost of healthcare.Nursing Capstone Project Assignment To improve provision of nursing services, nurse populations must be increased and nurse-patient ratios optimized.  

Criteria Article 1 Article 2 Article 3 Article 4
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Kurnat-Thorma, E., Ganger, M., Peterson, K. & Channell, L.,

SAGE Open Nursing,

http://journals.sagepub.com/doi/full/10.1177/2377960817697712#articleCitationDownloadContainer

Nursing Capstone Project Assignment

Twigg, D.,

International Journal of Nursing Studies,

https://www.journalofnursingstudies.com/article/S0020-7489(13)00158-2/fulltext

MacPhee, M., Dahinten, V., & Havaei, F.,

Administrative Sciences,

http://www.mdpi.com/2076-3387/7/1/7/htm

Bruyneel, L., Li, B., Ausserhofer, D., Lesaffre, E., Dumitrescu, I., Smith, H. L., Sermeus,

W.,

Medical Care Research and Review,

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4631674/

Article Title and Year Published

 

Reducing Annual Hospital and Registered Nurse Staff Turnover—A 10-Element Onboarding Program Intervention, 2017 Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings, 2014 The Impact of Heavy Perceived Nurse

Workloads on Patient and Nurse Outcomes, 2017

Organization of Hospital Nursing, Provision of Nursing Care, and Patient Experiences With Care in Europe, 2015
Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

The research question is: can the 10-element onboarding program reduce annual hospital and registered nurse staff turnover?Nursing Capstone Project Assignment

The research applies a quantitative approach to answer the question with the focus on staffing figures.

The research question is: What are some of the strategies for improving nursing retention?Nursing Capstone Project Assignment

The intention was to explore opinions on the available strategies.

The research question is: What is the relationship between seven workload factors and patient and nurse outcomes?

The intention is to show that a heavy workload has a negative impact on nurse and patient outcomes.

The research question is: Does staffing levels, education and work environment affect patient care experiences?

The intention was to explore the relationship between education, staffing levels, and patients’ outcomes.

Design (Type of Quantitative, or Type of Qualitative)

 

The study applies a quantitative approach that includes elements of pre-test and post-test analysis. Literature review that relied on pass publications A cross-sectional correlational study Cross-sectional study design supports accuracy of the population relevant to the subject.
Setting/Sample

 

The program was conducted in a hospital facility.Nursing Capstone Project Assignment Literature search in selected databases based on an inclusion criteria. Nurses working in acute care facilities in British Colombia, Canada Survey data from RN4CAST study data collected in 8 countries of patients and nurses in general surgical and internal medicine units between 2009 and 2010. 11,549 patients and 10,733 nurses were recruited in 217 facilities.
Methods: Intervention/Instruments

 

The intervention entailed applying a 10-element program to strengthen and standardize employee onboarding process Literature search conducted in Cinahlplus, Medline, and Proquest databases that identified 39 publications. 472 nurses subjected to surveys to evaluate workload factors and patient outcomes. The participants (both patients and nurses) were subjected to surveys.
Analysis

 

Analysis relied on Wilcoxon signed ranks test Wilcoxon signed ranks test and percentages Analysis relied on recurrent themes. Analysis based on most recurrent themes. Statistical analysis that presented percentages and means based on variables under review.
Key Findings

 

The program reduced turnover from 18.2% to 11.9%.Nursing Capstone Project Assignment The study determined that nurse retention is best achieved through empowering work environment, shared governance structure, autonomy, professional development, leadership support, adequate numbers and skill mix and collegial relationships within the healthcare team. Heavy nursing workloads have a negative impact on nurse and patient outcomes. Better educated nurses can handle more work to reduce the pressure of staffing shortage.
Recommendations

 

The program should be routinely applied in medical facilities as a strategy for managing medical staff. The identified strategies should be applied to improve nurse retention. Facility administrators would work collaboratively with nurses to ameliorate and optimize workload demands to reduce the strain on nurses. Nurses’ education levels should be improved to handle the increased workload.
Explanation of How the Article Supports EBP/Capstone Project

 

The article supports the capstone project by presenting a strategy for improving nurse retention and nurse-patient ratios. The article is useful since it identifies strategies that can be applied to improve nurse retention.Nursing Capstone Project Assignment The article is useful in presenting information on how heavy workloads resultant from staffing shortages affect outcomes. In addition, it presents strategies for reducing the workload. The article is useful since it presents a novel strategy for addressing nursing shortage in education that also supports the need for more qualified educators.

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Criteria Article 5 Article 6 Article 7 Article 8
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

 

Feldkamp, J. K.,

Caring for the

Ages,

https://www.caringfortheages.com/article/S1526-4114(09)60024-X/fulltext?code=carage-site

 

Mincer, J.,

Reuters,

https://www.reuters.com/article/us-usa-healthcare-nursing/short-on-staff-nursing-crisis-strains-u-s-hospitals-idUSKBN1CP0BD

Russell, J.,

Indianapolis Business Journal,

https://www.ibj.com/articles/57067-retirements-aging-population-cause-nursing-shortage

Spann, J.,

Robert Wood Johnson Foundation,

https://www.rwjf.org/en/library/research/2005/01/cnf-addressing-the-nursing-shortage.html

Article Title and Year Published

 

Implications of an Endless Nursing Shortage,Nursing Capstone Project Assignment

2009

Short on staff: nursing crisis strains U.S. hospitals,

2017

Retirements, aging population cause nursing shortage,

2016

Addressing the Nursing Shortage,

2005

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

The research question is: What are the implications of nursing shortage that goes unaddressed?

The intention is to explore the practical and legal effects of nursing shortage, and propose strategies to address the shortage.

The research question is: Is the US facing a nurse staffing shortage that threatens to compromise the quality of care provided in medical facilities?Nursing Capstone Project Assignment

The article explores the nuances of nursing staffing shortage experienced in the US and its implications.

The research question is: Is retirements and aging nurses responsible for the nursing shortage?

The intention is to evaluate retirement and age as contributors to the issue of nursing shortage.

The research question is: What is the situation in nursing shortage and how can it be addressed?

The intention is to present strategies for easing nursing shortage.

Design (Type of Quantitative, or Type of Qualitative)

 

Literature review approach that relies on secondary information from previous publications.Nursing Capstone Project Assignment The study applies an exploratory approach that entails the research providing an informed opinion based on evidence drawn from the performance of medical facilities. The study applies an exploratory approach that sees the researcher rely on secondary information to present informed opinion on the link between retirement, age and nursing shortage.Nursing Capstone Project Assignment The study applies literature review to identify useful information
Setting/Sample

 

All available publications deemed to contain useful information were included in the study. Generalized across the US with representative facilities selected as examples. Generalized across the US. Generalized for useful information
Methods: Intervention/Instruments

 

Literature search that identified useful information. The intervention entailed exploring available evidence to inform opinion. Evidence was explored and reviewed from public sources. Evidence explored from public sources
Analysis

 

Analysis was based on emerging trends and themes.Nursing Capstone Project Assignment Analysis was based on trends and prevailing themes from the evidence. Analysis was based on recurring themes. Analysis was conducted based on recurrent themes
Key Findings

 

Nursing shortage has both practical effects (such as care errors, and turnover) and legal effects (such as fines and negligence lawsuits). These effects can be minimized educating more nurses, recruiting inactive nurses, and providing financial programs for nursing students. There is a nursing shortage in the US with facilities forced to reduce operations, hire less experienced nurses, increase salaries, and turn away patients. Retirement and age has caused high nurses turnover and subsequent staffing shortage.Nursing Capstone Project Assignment The article notes that as nursing shortage will worsen over time even as nurses retire to widen the gap between supply and demand. The issue should be addressed by increasing capacity for education through government involvement.
Recommendations

 

Nursing shortage can be addressed through educating more nurses, recruiting inactive nurses, and providing financial programs for nursing students.Nursing Capstone Project Assignment An effective strategy is necessary to increase the number of nurses in the US. Better staff planning that prepared younger personnel to replace their older counterparts so that no staffing gaps exist. The government and other partners should be involved in increasing the number of trained nurses to address the shortage.
Explanation of How the Article Supports EBP/Capstone

 

The article supports the capstone by presenting information on the effects of nursing shortage, and how to minimize these effects. The article will be useful in exploring the nursing shortage experienced in the US.Nursing Capstone Project Assignment The article is useful in exploring retirement and age is causes of the nurse shortage. Additionally, it present a viable strategy for addressing the shortage. The article is useful in presenting an informed strategy on how to address the nursing shortage.

 

Nursing Capstone Project Assignment

Criteria Article 9 Article 10 Article 11 Article 12
Author, Journal (Peer-Reviewed), and

Permalink or Working Link to Access Article

Fencl, J. L.,

AORN Journal,

doi: 10.1016/j.aorn.2016.09.020

Steelman, V. M. & Graling, P. R.,

AORN Journal,

doi: 10.101.1016/j.aorn.2013.04.012

Scott, P. A., Matthews, A., & Kirwan, M.,

Nursing               Philosophy,

doi: 10.1111/nup.12032

Cho, E., Chin, D. L., Kim, S., & Hong, O.,

Journal of Nursing Scholarship,

doi: 10.1111/jnu.12183

Article Title and Year Published Guideline Implementation: Patient Information Management,

2016

Top 10 Patient Safety Issues: What More Can We Do?

2013Nursing Capstone Project Assignment

What is nursing in the 21st century and

what does the 21st century health system require of nursing?

2013

The Relationships of Nurse Staffing Level and

Work Environment With Patient Adverse Events,

2015

Research Questions (Qualitative)/Hypothesis (Quantitative), and Purposes/Aim of Study

 

The research question is: What are the key points in the AORN’s update “Guideline for patient information management”?

The intention is to explore the implications of the guideline for nursing personnel.Nursing Capstone Project Assignment

The research question is: What are the top 10 safety issues in nursing care provision for patients and how can they be addressed?

The article explores the issues facing patients when offered nursing services from the nurses’ perspective.

The research question is: What are the advances noted for nursing profession in the 21st century?Nursing Capstone Project Assignment

The intention is to evaluate the nursing needs in the 21st century and how this differs from past needs.

The research question is: What is the relationships of nurse staffing level and work environment with patient adverse events?

The intention is to show that staffing and environment have an effect on patient outcomes.

Design (Type of Quantitative, or Type of Qualitative)

 

Literature review approach that relies on secondary information. The study applies a survey approach.Nursing Capstone Project Assignment The study applies a literature review approach that relies on secondary information. The study applies a cross-sectional study design.
Setting/Sample

 

All available publications deemed to contain useful information were included in the study. AORN members who actively practice as nurses. All available literature on the subject of nursing advances.Nursing Capstone Project Assignment 4,864 nurses, 8 facilities, and 113,426 patients in South Korea
Methods: Intervention/Instruments

 

Literature search that identified useful information. Surveys were used to collect information from the nurses. Literature search. Survey data, facility data, and discharge data.
Analysis

 

Analysis was based on emerging trends and themes.Nursing Capstone Project Assignment Analysis was based on prevailing themes from the nurses’ opinion. Analysis was based on recurring themes. Collected data subjected to statistical analysis.
Key Findings

 

The guideline presents a data capture approach that support nursing practices while safeguarding confidentiality and accepting input from other stakeholders. Each of the ten safety issues can be mitigated through deliberate action by nurses.Nursing Capstone Project Assignment Nursing practice has changed to conform to financial realities, patient expectations, and health care reforms. Nurse shortage and poor environment are linked with greater incidence of nursing errors.
Recommendations

 

Nurses should familiarize themselves with the guidelines to improve how they manage patient information.Nursing Capstone Project Assignment Nurses should actively identify the risks of the safety issues, contributing factors, and actively seek to mitigate the risks. Nursing practice should be always conform to the existing environmental realities of finances, expectations, and health care reforms.Nursing Capstone Project Assignment Medical facilities should improve nurse staffing and work environment.
Explanation of How the Article Supports EBP/Capstone

 

The article supports the capstone by showing that nurses should be proficient in professional practices to include awareness of guidelines.Nursing Capstone Project Assignment The article will be useful in exploring the importance of nurses in patient care outcomes. The article is useful in determining that any shortage to address nursing shortage must take into account the environmental realities of finances, expectations, and health care reforms.Nursing Capstone Project Assignment The article is useful in presenting evidence to show that nurse staffing shortage has an adverse effect on nursing outcomes.

 

Nursing Shortage Affecting Patient Outcomes

Grand Canyon University

NSG 490

Nursing Shortage Affecting Patient Outcomes

Nursing workforce shortage is a source of concern in the United States (US) health industry. The concern arises from an increasing demand for nurses that is not matched by supply. The issues have been occasioned by an aging nurse workforce, more knowledgeable patient population whose expectations are rising, and an increasing cost of healthcare (Buerhaus et al., 2017). The issue is further complicated by poor nurse retention figures that indicate likely worsening the current issue and future demand.Nursing Capstone Project Assignment. The reality is that nurse population in the US is significantly lower than the national population with unfavorable nurse-patient ratios (Kurnat-Thorma et al., 2017). As a result, low nurse populations in relation to patient population is a source of concern.

As stated earlier, the reality is that the US is facing a nursing shortage. As nursing education programs accept fewer students, nursing personnel approach the age of retirement, lack of nursing educators, and the Baby Boomers advance in age, the current nursing shortage is only anticipated to continue, if not worsen. This state of affairs has serious implication for medical facilities and nursing personnel within the workforce, but perhaps the more significant effect is felt by patient who require nursing care to facilitate their recuperation (Mincer, 2017; Russell, 2016). Nursing Capstone Project Assignment.That is because nursing personnel are forced to work for longer hours and more shifts within a stressful environment, with the outcome that nurses report higher dissatisfaction levels, injury and fatigue incidences. The overworked nurses who operate in these stressful environments are more prone to causing medical errors and making mistakes. The unfortunate result is that patients’ care outcomes are negatively affected by preventable problems that include errors in managing medication, overcrowding in medical facilities, never events, and higher mortality rates (Walker, 2017). In this respect, nurses’ shortage results in unfavorable care outcomes for patients.Nursing Capstone Project Assignment

To address the issue of the nursing shortage that has resulted in unfavorable patient outcomes, three strategies are proposed. The three strategies are intended to improve retention efforts since they support practicing nurses. The first strategy is to build leadership capacity. This would encourage nurses to engaged in innovation, research activities, and support all decisions with evidence to improve their efficiency so that fewer nurses handle more patients without negatively affecting care outcomes. A clear example of this intervention is to initiate a perioperative program for surgical nurses to proactively intervene to mitigate risks for the top perioperative safety issues (Steelman & Graling 2013).  The second strategy is to improve retention by supporting nurses in the workplace (to include offering them counselling services) and encouraging them to make early career preparations through balancing workplace demand and competence.Nursing Capstone Project Assignment. This would ensure that each nurse works where he or she is required since responsibilities are matched to education, experience and expectations. The third strategy is to improve productivity through innovation in the workplace. This would address the existing organizational and managerial shortcomings as well as barriers inherent in the health industry that halt innovation (Twigg, 2014). For instance, using population demographics to determine nurse staffing decisions and management decisions. Another example, is an innovative approach from management that provides for acceptable documentation practices as in AORN evidence based practices can reduce errors and reduce negative patient outcomes (Fencl, 2016).Nursing Capstone Project Assignment

The PICOT question to address this issue has been presented as: ‘among patients receiving nursing care (P), can optimizing nurse-patient ratios (I) versus not addressing nurse’s shortage (C) improve patients’ outcomes (O) over a period of three months (T)? Presenting this question into the five PICOT elements takes the form of firstly (P), targeting patients of all ages receiving nursing care as the population of interest. Secondly (I), optimizing nurse-patient ratios so that more trained nurses care for the patients. Thirdly (C), comparison with nurse shortages. Fourthly (O), the desired outcome that sees improved patient outcomes. Finally (T), the desired outcome being observed for the next three months after the start of the intervention.Nursing Capstone Project Assignment

P (population) – Patients receiving nursing care

I (intervention) – Optimizing nurse-patient ratios

C (comparison) - Versus not addressing nurses shortage

O (outcome) – Improve patients’ outcomes.

T (time) - Positive results expected to occur within three months of the program starting

In conclusion the nursing shortage does have a negative impact on patient outcomes.

The application of strategies will improve patient outcomes relative to the nursing shortage.

Additionally, the PICOT approach will be instrumental in the research of the nursing shortage

and its implications to patient outcomes.Nursing Capstone Project Assignment

 

 

References

Buerhaus, P., Skinner, L., Aurhach, D. & Staiger, D. (2017). Four challenges facing the nursing workforce in the United States. Journal of Nursing Regulation, 8(2), 40-46.

Fencl, Jennifer L. “Guideline Implementation: Patient Information Management.” AORN

Journal, vol. 104, no. 6, 2016, pp. 566–577., doi:10.1016/j.aorn.2016.09.020.

Kurnat-Thorma, E., Ganger, M., Peterson, K. & Channell, L. (2017). Reducing Annual Hospital and Registered Nurse Staff Turnover—A 10-Element Onboarding Program Intervention. SAGE Open Nursing, 3. Retrieved from http://journals.sagepub.com/doi/full/10.1177/2377960817697712#articleCitationDownloadContainer

Mincer, J. (2017). Short on staff: nursing crisis strains U.S. hospitals. Retrieved from https://www.reuters.com/article/us-usa-healthcare-nursing/short-on-staff-nursing-crisis-strains-u-s-hospitals-idUSKBN1CP0BD

Russell, J. (2016). Retirements, aging population cause nursing shortage. Retrieved from https://www.ibj.com/articles/57067-retirements-aging-population-cause-nursing-shortage

Steelman, Victoria M., and Paula R. Graling. Top 10 Patient Safety Issues: What More Can We Do?  AORN Journal, vol. 97, no. 6, 2013, pp. 679-701., doi:10.101.1016/j.aorn.2013.04.012

Twigg, D. (2014). Nurse retention: a review of strategies to create and enhance positive practice environments in clinical settings. International Journal of Nursing Studies, 51(1), 85-92.

Walker, N. (2017). Embrace action: protect the future of nursing. AORN, 105(6), 535-537.Nursing Capstone Project Assignment