Below are my purpose and problem statements, and my instructor wants me to create the framework of the study. Could someone help explain the breakdown of what she means by framework, so that way I can understand what she is needing. With my disability I use examples or simple breakdowns to help me learn and could not find one to guide me. Please help me understand what is needed.

Create the Purpose Statement

The Purpose of this questionnaire study is to examine costs of hired nursing staff and costs of traveling nurses to provide hospital and healthcare services in Texas, with results about the challenges they are experiencing attracting and keeping nurses. A correlation quantitative research study, McLeod (2023), explains that quantitative research tests relationships between variables, summaries larger populations and provides numerical data.

The data analysis software used is SPSS (IBM Statistical software suite stabilized in 2022 and used for advanced analytics, multivariate analysis) for about 300 nursing staff in Texas with an open-ended questionnaire to gather important information needed to complete the study. The questionnaire will be created by the author and take 3 months to complete so that data analysis can be evaluated and performed. The study will be performed in Texas by hospital and healthcare professional nursing staff (registered nurses, licensed practical nurses, and other nursing professionals) through a nurse or medical forum or network.

The purpose of the questionnaire study is to provide analysis of the cost of hired and traveling nurses in Texas and the challenges being experienced in attracting and keeping nurses. These results will provide an analysis that could be used to make further decisions in the nursing field in Texas.

Creating a Problem Statement

According to Zeff (2023), the Texas Hospital Association says there is a shortage of nurses, and they say it is about 1 million nurses in the United States and Texas is needing about 30,000 nurses. Many are due to long hours, demanding working conditions, and became worse due to the Covid-19 Pandemic. The Texas Senate and House passed a bill to add $18 million to help with financial aid for nursing students, but it doesn't help with the need for faculty and clinical both didactic (classrooms) and experimental (clinical site and bedside education). This is missing in the Texas strategy currently (The nursing shortage is a code red for the Texas legislature. (2023, Mar 22)).

The nursing shortage is a major problem facing hospitals and healthcare organizations. According to Villalpando (2022), the average wage for a registered nurse is about $77,600 a year. Enrollment into a school nursing program can take from about 3 to 6 months before they can be approved to start. They have also found that the reason some don't go is because they have a job and family that they need to take care of, and many are single parents. The problem to be addressed in this study is to examine the costs and advantages of hiring new nurses verses the cost and advantages of retaining experienced nurses in Texas by offering the better pay and benefits. This study will also explore the challenges that hospitals and other healthcare organizations in Texas are facing in recruiting and retaining nurses, and the strategies they are using to address the challenges.

Buerhaus (2021), explains the nursing shortages are going to be longer lasting, and affect many hospitals, affect access to care, quality of care, safety to patients and nurses, and cost to hospitals and healthcare organizations. Buerhaus (2021), also says that we should avoid a Category 5 shortage to ensure the health of our nation, stability of the healthcare delivery systems, and the future of nursing workforce.