Capstone Project Change Proposal Presentation for Faculty Review and Feedback

Create a professional presentation of your evidence-based intervention and change proposal to be disseminated to an interprofessional audience of leaders and stakeholders. Include the intervention, evidence-based literature, objectives, resources needed, anticipated measurable outcomes, and how the intervention would be evaluated. Submit the presentation in the digital classroom for feedback from the instructor.
Capstone Project Change Proposal Presentation” is a presentation of your project. This assignment should be on a Power Point. Please review the rubric to make sure you include all the required parts. Make sure you are using proper formatting. You are creating this presentation as if you were going to present your proposal findings to the leadership and stakeholders of your practicum facility. Make it informative, professional, and have some fun with it.
While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

ANSWER

Capstone Project Change Proposal

Nurses play a great role as a care giver for patients and help in management of physical needs, treatment of heath conditions and prevention of illness. They have to check on patients and monitor the patient, recording all the vital information that aid in treatment and disease management decision making. However, the nursing role has become complex due to nursing shortages. Nurses are experiencing extended work shifts of twelve hours and more. The long shifts have been popular within hospital staff nurses but most healthcare organizations do not understand the impact of extended hours on patient care and well-being. When the long working shifts are combined with unplanned overtime and consecutive shifts, nurses are at a high risk of burnout and fatigue which may impact patient care.

The impact of long working shifts among nurses has been supported by a number of literature evidences. According to Kaliyaperumal, Elango, Alagesan, et al., (2017) nurses who work long hours are at risk for chronic health problems such as heart disease, obesity, and diabetes. Long shiftwork can lead to fatigue, stress, and burnout (Hegney, Rees, Osseiran‐Moisson et al., 2019). The continuous amount of work has amplified emotional anxiety and burnout among nurses, which diminishes the value of services they offer to patients. (Olley et al., 2019). To address these concerns, there is a need to understand the causes of these problems and identify effective interventions (Vidotti, Ribeiro, Galdino et al., 2018).

The change proposal being proposed to solve the problem of long working hours and shifts is the shift scheduling. The shift scheduling interventions are aimed at creating more regular and flexible schedules. Shift scheduling can result in a positive patient outcome since it reduces medical errors, improve nurse performance, and reduce turnover rates.  Shift scheduling focuses on scheduling of the nursing workforce to reduce long working hours that lead to fatigue and medical errors. Online nursing scheduling software will enable the administrators and managers to schedule nurses more efficiently. The organization will communicate the transition to the nurses in a structured and systematic manner to prevent change conflicts. The shift scheduling intervention is expected to improve the patient care, reduce sickness absence, turnover rate, low-fatigue related errors and improve the nursing working environment thus improving the quality of care.

References

Hegney, D. G., Rees, C. S., Osseiran‐Moisson, R., Breen, L., Eley, R., Windsor, C., & Harvey,  C. (2019). Perceptions of nursing workloads and contributing factors, and their impact on implicit care rationing: A Queensland, Australia study. Journal of Nursing Management, 27(2), 371-380. DOI: https://doi.org/10.1111/jonm.12693.

Kaliyaperumal, D., Elango, Y., Alagesan, M., & Santhanakrishanan, I. (2017). Effects of sleep deprivation on the cognitive performance of nurses working in shifts. Journal of clinical and diagnostic research: JCDR, 11(8), CC01.

Olley, R., Edwards, I., Avery, M., & Cooper, H. (2019). A systematic review of the evidence related to mandated nurse staffing ratios in acute hospitals. Australian Health Review, 43(3), 288-293.

Vidotti, V., Ribeiro, R. P., Galdino, M. J. Q., & Martins, J. T. (2018). Burnout Syndrome and    shift work among the nursing staff1. Revista latino-americana de enfermagem, 26.