Project: Final Project: Writing the Grant Part 1: Need Statement, Goals, and ObjectivesThis week, you begin work on your Final Project. The Final Project consists of three written assignments that culminate in the submission of your grant proposal to your Instructor in Week 11. Parts 1, 2, and 3 will focus on major elements required of all proposals. In the final Grant Proposal Submission, incorporating the cumulative feedback you receive from your Instructor, you will compile these elements into your grant proposal.The three parts of the Final Project are:Part 1: Need Statement, Goals, and Objectives (Due Week 6)Part 2: Methodology and Evaluation Plans (Due Week 7)Part 3: Budget, Budget Narrative, and Sustainability Plan (Due Week 9)The final Grant Proposal Submission is due Week 11.For this Assignment:Review the Final Project Guidelines located in this week’s Learning Resources.Download a copy of your selected RFP. You will use this document to guide, focus, and support the development of all parts of your Final Project. Keep in mind as you complete your Final Project assignments that you are writing in accordance with the requirements of the RFP.With consideration to feedback to this week’s Discussion that you received from colleagues and your Instructor, and to your continued evaluation of the literature and funder guidelines, finalize your need statement, project goals, and objectives.Keep in mind that the need statement must prove that it addresses funder interests, as well as establish the specific problem the proposal will address.Keep in mind that objectives must be specific and measurable and lead directly to your goals.The Assignment (3–4 pages, excluding APA references)Write your Need Statement. Substantiate the need by presenting proof of need. Keep in mind that the Need Statement must reflect best practices in grant writing as addressed in Week 4.Note: If proof of need legitimately requires information that will still need to be gathered, such as a survey or focus group, provide a full explanation of how this proof will be gathered and what it will address.List each of your project goals.Ensure that goals align to the need statement.Clarify what will be accomplished at the completion of the project or at a specific point.List each of your project objectives.Project objectives must align to the project goals.Project objectives must be specific.Project objectives must be measureable.Support your work with citations from the course Learning Resources and additional scholarly sources as appropriate. Refer to the Essential Guide to APA Style for Walden Students to ensure that your in-text citations and reference list are correct.The files added is what I have done thus far concerning the project, but please feel free to make adjustments as necessary.1
Increasing Quality of Care:
An analysis of nursing home care
Ashley Smith
Walden University
There is a need to improve quality of care in nursing homes. This project will focus on
the barriers within nursing homes that prevent staff from providing quality of care and residents
from being unable to receive appropriate care. Per nursing home statistics, staff turnover rates are
as high as 119\% (Castle, 2006 p. 210). Investor ownership has also raised questions regarding
quality of care within nursing homes. Medicare and Medicaid facilities have been proven to
provide poorer care in comparison to nonprofit and public facilities (Harrington, Woolhandler,
Mullan, Carrilla & Himmelstein 2001, p. 1452).
My passion for the elderly and disabled began during my childhood years when I began
volunteering at the local nursing homes. The joy that the residents expressed was very
rewarding; whether it was an activity or just a conversation to see how their day was going.
There were about four nursing homes in the small town, however there was one that differed
from the other three. Three of the nursing homes were in the underserved communities.
Therefore, the residents in these facilities are primarily insured through Medicare and Medicaid.
When volunteering at these facilities I noticed the lack of upkeep within the common
areas and patient rooms. The smell of soiled linens and human urine and feces was normal, along
with cockroaches being seen regularly in patient rooms and the hallways. The residents at these
facilities never looked or smelled clean either, it always seemed as though there was a neglect
factor as it pertained to the quality of care of residents.
This project is serving as a resource to reduce staff turnover and increase quality of care
in the nursing home setting to have better patient outcomes. Funding for this project is important
because studies have demonstrated that staffing and resident care are connected. Staffing plays a
pertinent role in the delivery of care to residents because the outcomes of resident is based upon
facility staffing; functional ability, functional decline and pressure ulcer are a few indicators that
re sensitive to staffing levels (Bostick, Rantz, Flesner & Ruggs, 2006, p. 366). Quality is a
concept that cannot be directly captured because it includes measures of resident care and facility
outcomes which entails several different measures.
With funding for this project, staffing turnover will be able to be decreased due to
increased pay and education on the role staffing has on patient care. Also, facilities that care for
Medicare and Medicaid patients primarily will receive additional funding to be able to provide
the same care as those that have private insurance. Education will also be a part of the funding so
that staff and residents are educated on what quality of care looks like, and how it affects staff
and residents when not delivered appropriately.
This project is a better solution because it will provide additional funding and education
to those facilities with Medicare and Medicaid residents. This project will also find solutions to
staff shortage and understanding the barriers that staff have with longevity in working in a
nursing home. This is a project that will not only focus on the residents but the staff as well so
that the continuum of care can continue to add value to care and not diminish it.
Harrington, C., Woolhandler, S., Mullan, J., Carrillo, H., & Himmelstein, D. U. (2001). Does investor
ownership of nursing homes compromise the quality of care?. American Journal of Public Health, 91(9),
Bostick, J. E., Rantz, M. J., Flesner, M. K., & Riggs, C. J. (2006). Systematic review of studies of staffing
and quality in nursing homes. Journal of the American Medical Directors Association, 7(6), 366-376.
Castle, N. G., & Ferguson, J. C. (2010). What is nursing home quality and how is it measured?. The
Gerontologist, gnq052.
Castle, N. G. (2006). Measuring staff turnover in nursing homes. The Gerontologist, 46(2), 210-219.
Proposal Funding:
Improving Quality of Care in Nursing Homes
Ashley Smith
Walden University
The funding source for my request for proposal is
Innovations for healthy living-Improving population health and elimination health
disparities is the opportunity title that focuses on minority health and health
disparities. My initial project focused solely on the quality of care provided to
residents that are insured with Medicare and Medicaid. This grant has a health
disparity component, which allows me to be able to research a specific health
disparity that relates to the quality of care provided in nursing homes. The disparity
that I chose is racial and ethnic disparities, which will allow me to evaluate factors
such as access to care, for an in-depth assessment of quality of healthcare received
(Smedley, Stith & Nelson, 2002). is an organization that provides governmental funding to fund
ideas and projects that provide public services and stimulate the economy
(, 2016). Applicants that are eligible for this funding opportunity
are small businesses and foreign components as defined in the National Institute of
Health Grants policy statement, may be allowed to apply.
Improving the quality of care provided to residents in nursing homes in areas
of lower socioeconomic status, and those insured with Medicare and Medicaid is
the goal of this project. This funding opportunity fits because this grant allows a
proposal to develop a product, process or service for commercialization with the
aim of reducing disparities in healthcare access and health outcomes and in
preventing disease and improving health in one or more National Institute of
Health disparity population group (, 2016). I am confident that this RFP
will work well with the project because it provides $1,000,000 funding which will
allow the project to have access to necessary resources for a successful outcome.
Also, the technologies included with the grant entities will provide effectiveness,
affordability and focus on racial/ethnic minorities within these nursing homes.
Searching for grants that was focused on quality of care in nursing homes
specifically was very narrow. Majority of the grants focused on quality of care in
healthcare and not a specific entity such as long term care facilities. Evaluation of
an RFP consist of the need of the project, funding and eligibility. When searching
for an RFP, one must have be able to identify the funding opportunity that mirrors
the goal of the desired project.
Smedley, B. D., Stith, A. Y., & Nelson, A. R. (Eds.). (2002). Unequal treatment: Confronting racial and
ethnic disparities in health care (full printed version). National Academies Press. . Retrieved December 18 2016.

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