A 20 page nursing research proposal seeking approval for instituting a primary nursing structure in a nursing home setting. Primary nursing is an old concept and has not been extensively studied in the long term care setting. The paper includes an extensive literature review as well as methods, hypotheses, data collection, data analysis, level of significance, implementation and dissemination of results sections. Format strictly adheres to APA (5th) format for both the manuscript and references. Bibliography lists 22 sources.
Name of Research Paper File: CC6_KSmaFullProp.rtf
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p. 290 - instructor gave only 1st level format) All health care costs continue to
increase despite managed care, regulatory insurer and individual efforts to halt the spiral. These cost increases have not spared the skilled nursing facility (SNF), which in fact has additional issues
with which to contend. The ongoing nursing shortage has meant for SNFs that they have fewer RNs available to them and that recruiting and retention has become more costly over
the past several years (Laakso & Routasalo, 2001). The situation as it exists is expected to intensify in coming years as the baby boomers now approach retirement age (Chao, 2002).
Problem statement. Though costs are of significant importance to SNFs, quality of care remains of central focus (Ilumin & Ignacio, 1999). The cost
of professionally-trained nurses combined with decreased availability to the SNF has increased the attractiveness of using staff members holding less training (Colling & Doan, 1987). These authors reported that the
danger of the trend noted nearly two decades ago is that lesser-trained care providers are not as likely to notice changes in patients physical conditions, leading to delay of attention
to changes which in turn can result in higher costs and reduced perceived quality of care. Primary nursing is not a new concept,
of course. Dating from the 1970s (Manthley, 2001), it can appear to be a concept that has limited relevance to todays rapidly-changing health care environment. To the contrary, primary nursing
holds promise of achieving four things: (1) greater RN scrutiny of patient care; (2) better use of the SNFs human resources; (3) more timely reporting of patient changes according to
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