This week, you will seek approval for a research area for your quantitative research proposal project due in weeks 7 and 8. Submit a one-page, double-spaced paper addressing the following points: Upon completion, your instructor will approve, deny, or make recommendations for modifications of your research topic, problem statement, or research question(s) to ensure successful completion of the research proposal project. If you need some assistance creating a PICOT question, for a template provided by the AAACN.

Title: Exploring the Relationship between Nurse Staffing Levels and Patient Outcomes in Intensive Care Units

Introduction:
The purpose of this research proposal is to investigate the relationship between nurse staffing levels and patient outcomes in intensive care units (ICUs). Nurse staffing levels have been a topic of concern in healthcare settings due to their potential impact on patient safety and quality of care. In critical care units such as ICUs, where patients require close monitoring and complex care, the role of nurses is crucial. Therefore, understanding the relationship between nurse staffing and patient outcomes in ICUs is essential for improving patient care and ensuring optimal resource allocation.

Problem Statement:
Adequate nurse staffing is critical for maintaining patient safety and delivering quality care in ICUs. However, many ICUs face challenges related to insufficient staffing, such as nurse shortages, increased workload, and high turnover rates. These staffing issues can compromise patient care and potentially lead to adverse outcomes. Therefore, it is necessary to examine the relationship between nurse staffing levels and patient outcomes in ICUs to identify areas for improvement.

Research Question:
What is the relationship between nurse staffing levels and patient outcomes (mortality rates, length of stay, and complications) in intensive care units?

Significance:
The significance of this research lies in its potential to inform healthcare policy and practice. By investigating the relationship between nurse staffing levels and patient outcomes in ICUs, this study can contribute to evidence-based decision-making regarding nurse staffing and resource allocation. It can also highlight the importance of adequate nurse staffing for improving patient safety and quality of care in critical care settings.

Literature Review:
Several studies have explored the relationship between nurse staffing levels and patient outcomes in various healthcare settings. However, limited research specifically focuses on ICU settings. A study by Aiken et al. (2002) found a significant association between lower nurse staffing levels and increased patient mortality rates in ICUs. Similarly, Duffield et al. (2011) found that higher nurse-to-patient ratios were associated with decreased patient mortality rates and reduced complications in ICUs.

Additional studies have also examined the impact of nurse staffing on other patient outcomes, such as length of stay and patient satisfaction. For instance, Kane (2007) reported that inadequate nurse staffing was associated with longer ICU stays, potentially contributing to increased healthcare costs and resource utilization. Furthermore, a study by An et al. (2019) found a positive correlation between higher nurse staffing levels and improved patient satisfaction in ICUs.

Research Design and Methods:
To investigate the relationship between nurse staffing levels and patient outcomes in ICUs, a quantitative research design will be utilized. This design allows for the collection and analysis of numerical data to determine the strength and direction of the relationship between nurse staffing and patient outcomes. The study will be conducted in multiple ICUs within a large healthcare system, using existing patient data and nurse staffing records.

Nurse staffing levels will be measured based on the nurse-to-patient ratio, which is calculated as the number of nurses per patient within a specific time period. Patient outcomes will be assessed using mortality rates, length of stay, and complications. The study will employ statistical methods, such as regression analysis, to analyze the relationship between nurse staffing and patient outcomes while controlling for potential confounding variables.

Conclusion:
This research proposal aims to investigate the relationship between nurse staffing levels and patient outcomes in ICUs. By conducting a quantitative study, it is anticipated that this research will provide valuable insights into the impact of nurse staffing on patient outcomes in critical care settings. The findings of this study can inform healthcare stakeholders in making evidence-based decisions regarding nurse staffing and resource allocation in ICUs, ultimately leading to improved patient care and outcomes.