NRS490 Nurse Practitioners Contributions to Primary Care

In nursing practice, accurate identification and application of research is essential to achieving successful outcomes. Being able to articulate the information and successfully summarize relevant peer-reviewed articles in a scholarly fashion helps to support the student’s ability and confidence to further develop and synthesize the progressively more complex assignments that constitute the components of the course change proposal capstone project.

For this assignment, the student will provide a synopsis of eight peer-reviewed articles from nursing journals using an evaluation table that determines the level and strength of evidence for each of the eight articles. The articles should be current within the last 5 years and closely relate to the PICOT statement developed earlier in this course. The articles may include quantitative research, descriptive analyses, longitudinal studies, or meta-analysis articles. A systematic review may be used to provide background information for the purpose or problem identified in the proposed capstone project. Use the “Literature Evaluation Table” resource to complete this assignment.

While APA style is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

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

You are not required to submit this assignment to LopesWrite.

ORDER CUSTOM, PLAGIARISM-FREE PAPER

Solution to the Primary Care Shortage Sample

Problem statement

One of the most rampant problems affecting the nursing profession in the United States is the shortage of nurses. This problem is especially critical in the case of nurses working in the primary care unit, as it results in a notable decrease in the quality of care given to the patient. The reduced quality of the primary care service has the inconvenient that it increases the demand for specialized care, escalating the problem further. Faced with this shortage, federally qualified health centers provided essential primary care, ensuring that about 24 million American citizens have access to comprehensive primary care that contributes to improving their health and wellbeing (Xue et al., 2018). The investment in such programs, however, required a fund of over $11 billion to the healthcare system, illustrating the importance of developing methods through which to address the issue of primary care shortage in a cost-effective manner (Xue et al., 2018).

PICOT statement

The project will address the above problem statement by analyzing the effectiveness of a program to alleviate the primary care shortage in the community. Finding the best solution to this problem requires answering the following questions:

How do socioeconomic factors contribute to aggravating the issue of primary care shortage?
How do demographic factors (e.g., the age of the people living in the community) impact the primary care shortage?
Which is the most effective method to address primary care shortage based on the existing, proven evidence?

The proposed PICOT statement to the above problem would be as follows:

Population: Primary care units
Intervention and indicators: The proposed intervention is to increase the number of nurses working in the primary care units by reallocating those working in the internal medicine residency as they have the necessary skills and knowledge to accomplish the roles of a primary care nurse (Xue et al., 2018). The first indicator is the relation between the number of patients in primary care and the number of primary care nurses working in the healthcare institutions in the area of coverage of the community. The second indicator is the quality of the primary care given to the patient, measured as a function of the patient satisfaction
Controls: Retrospective comparison between the current situation and after six months to observe if there has been an improvement in the quality of care given by the primary nurses through the reduced nursing shortage issue in the community (Xue et al., 2018).
Outcome: Improved quality of the primary care provided to the patients and reduced derivation of the patients to a specialistic visit unless strictly necessary as per the health status of the patient.
Time frame: 6 months.

Evidence supporting the suggested PICOT statement

Qualitative references

Poghosyan, L., & Aiken, L. H. (2015). Maximizing nurse practitioners’ contributions to primary care through organizational changes. The Journal of ambulatory care management, 38(2), 109-117.

Wojnar, D. M., & Whelan, E. M. (2017). Preparing nursing students for enhanced roles in primary care: The current state of prelicensure and RN-to-BSN education. Nursing Outlook, 65(2), 222-232.

Quantitative references

Brislen, H., Dunn, A., Parada, A., & Rendon, P. (2016). Addressing the primary care shortage on a shoestring: a successful track in an internal medicine residency. Academic Medicine, 91(2), 224-228.

Xue, Y., Greener, E., Kannan, V., Smith, J. A., Brewer, C., & Spetz, J. (2018). Federally qualified health centers reduce the primary care provider gap in health professional shortage counties. Nursing Outlook, 66(3), 263-272.

Song, H., Ryan, M., Tendulkar, S., Fisher, J., Martin, J., Peters, A. S., … & Singer, S. J. (2017). Team dynamics, clinical work satisfaction, and patient care coordination between primary care providers: a mixed methods study. Health Care Management Review, 42(1), 28-41.

Nkhata, M. J., Muzambi, M., Ford, D., Chan, A. K., Abongomera, G., Namata, H., … & Mabugu, T. (2016). Shifting human resources for health in the context of ART provision: qualitative and quantitative findings from the Lablite baseline study. BMC health services research, 16(1), 660.