NURS FPX 6025 Practicum and Technological Changes Assignment Example

NURS FPX 6025 Assessment 4 Practicum and Technological ChangesNURS FPX 6025 Assessment 4 Practicum and Technological Changes

NURS FPX 6025 Practicum and Technological Changes Assignment Brief

Course: NURS FPX 6025 MSN Practicum

Assignment Title: Practicum Experience and Technological Advancements

Assignment Overview:

In this assignment, you will reflect on your practicum experience as a nurse, focusing on the integration of evolving technologies in healthcare settings. Specifically, you will explore how technologies such as electronic health records (EHRs), mobile applications, wearable devices, and telehealth have impacted care delivery and patient outcomes.

Understanding Assignment Objectives:

The primary objective of this assignment is to critically analyze the role of technological advancements in improving healthcare outcomes. You will explore the benefits and challenges associated with the adoption of various technologies, considering their impact on patient safety, care coordination, and accessibility to healthcare services.

Student’s Role:

As a student completing this assignment, your role is to critically reflect on your practicum experience and the integration of evolving technologies in healthcare. You will analyze the impact of these technologies on patient care and outcomes, identify challenges and considerations, and reflect on your personal experiences and contributions during the practicum. Additionally, you will provide recommendations for optimizing the use of technology in healthcare delivery.

You Can Also Check Other Related Assessments:

NURS FPX 6025 Practicum and Scholarly Article Assignment Example

NURS FPX 6025 Practicum and Experience Reflection Example

NURS FPX 6025 Practicum and Social Justice Reflection Paper Example

NURS FPX 6025 Practicum and MSN Reflection Paper Example

NURS FPX 6025 Practicum and Technological Changes Assignment Example

Introduction

This paper reflects on my practicum experience as a nurse, focusing on improving health outcomes for overweight autistic teenagers. It delves into the integration of evolving technologies such as electronic health records (EHRs), mobile applications, wearable devices, and telehealth, highlighting their impact, achievements, and challenges encountered during the practicum.

Impact of Evolving Technology and Trends

The integration of evolving technology has significantly transformed healthcare for overweight autistic teenagers, positively influencing patient safety and care outcomes. Electronic health records (EHRs) have notably enhanced care coordination and documentation accuracy, fostering improved communication among healthcare providers and reducing medical errors (AlThubaity & Mahdy Shalby, 2023).

Moreover, mobile applications and wearable devices hold promise in facilitating weight management interventions. While specific statistics on their effectiveness for overweight autistic teenagers are scarce, these technologies can potentially promote physical activity, healthy eating, and weight loss (Vajravelu & Arslanian, 2021).

Telehealth services have also emerged as a vital tool in extending healthcare delivery, particularly to remote or underserved areas. For individuals with autism spectrum disorders, including overweight autistic teenagers, telehealth interventions offer specialized care and support, effectively overcoming geographical barriers (Gabellone et al., 2022).

Challenges and Considerations

Despite the benefits, the adoption of evolving technologies presents challenges, particularly concerning the privacy and security of patient information. Robust policies and safeguards are imperative to protect sensitive data and comply with privacy regulations like HIPAA (Chenthara et al., 2019).

Additionally, the rapid evolution of technology necessitates continuous training and support for healthcare providers to ensure proficient utilization. It is essential for nurses to stay abreast of emerging technologies and provide education to maximize the benefits of these tools while minimizing risks (Albahri et al., 2023).

Reflection on Practicum Experience

My practicum experience involved utilizing tailored EHRs to enhance care coordination and communication among healthcare providers. Despite initial challenges, the EHRs contributed significantly to informed decision-making and personalized care planning.

Furthermore, the integration of mobile applications and wearable devices empowered overweight autistic teenagers and their caregivers in monitoring physical activity, dietary habits, and sleep patterns. However, challenges included ensuring consistent engagement and addressing sensory sensitivities or behavioral challenges associated with autism.

Telehealth interventions proved instrumental in providing specialized care and support, albeit with challenges such as the need for reliable internet connection and access to technological devices for effective virtual consultations.

Completion of Hours

Throughout my practicum, I dedicated numerous hours to actively engage with overweight autistic teenagers, collaborate with interdisciplinary teams, and leverage various technologies. A detailed log documented my activities, reflections, and achievements, showcasing the depth and breadth of my involvement.

Conclusion

In conclusion, my practicum experience as a nurse informaticist working with overweight autistic teenagers, leveraging evolving technologies, has been both valuable and rewarding. The integration of EHRs, mobile applications, wearable devices, and telehealth has positively impacted care coordination, empowered patients, and expanded access to specialized care. Challenges were encountered and addressed through resilience, adaptability, and a commitment to ongoing professional development. This experience has enriched my understanding of the role of technology in healthcare and its potential to enhance health outcomes for this population.

References

Albahri, A. S., et al. (2023). A systematic review of trustworthy and explainable artificial intelligence in healthcare: Assessment of quality, bias risk, and data fusion. Information Fusion, 76(2).

AlThubaity, D. D., & Mahdy Shalby, A. Y. (2023). Perception of health teams on the implementation of strategies to decrease nursing errors and enhance patient safety. Journal of Multidisciplinary Healthcare, Volume 16(3).

Chenthara, S., et al. (2019). Security and privacy-preserving challenges of e-health solutions in cloud computing. IEEE Access, 7(3).

Gabellone, A., et al. (2022). Expectations and concerns about the use of telemedicine for autism spectrum disorder: A cross-sectional survey of parents and healthcare professionals. Journal of Clinical Medicine, 11(12).

Haleem, A., et al. (2021). Telemedicine for healthcare: Capabilities, features, barriers, and applications. Sensors International, 2(2).

Haydon, C., et al. (2021). Autism: Making reasonable adjustments in healthcare. British Journal of Hospital Medicine, 82(12).

Kreysa, H., et al. (2022). Psychosocial and behavioral effects of the COVID-19 pandemic on children and adolescents with autism and their families: Overview of the literature and initial data from a multinational online survey. Healthcare, 10(4).

Skelton, B., et al. (2021). Care coordination needs of families of children with Down syndrome: A scoping review to inform the development of health applications for families. Children, 8(7).

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NURS FPX 6025 Practicum and Scholarly Article Assignment Example

NURS FPX 6025 Assessment 3 Practicum and Scholarly ArticleNURS FPX 6025 Assessment 3 Practicum and Scholarly Article

NURS FPX 6025 Practicum and Scholarly Article Assignment Brief

Course: NURS FPX 6025 MSN Practicum

Assignment Title: Assessment 3 Practicum and Scholarly Article

Assignment Instructions Overview:

In this assignment, you will undertake a reflective analysis of the vital role nurses play in addressing the healthcare needs of a specific population group. Drawing insights from a scholarly article and reflecting on your practicum experience, you will explore challenges, strategies, accomplishments, and lessons learned in providing care to this population.

Understanding Assignment Objectives:

The primary objective of this assignment is to enhance your understanding of the complexities involved in nursing practice, particularly concerning specific patient populations. By critically analyzing a scholarly article related to the healthcare needs of the chosen population, you will gain insights into evidence-based practices and challenges in care delivery. Additionally, reflecting on your practicum experience will allow you to apply theoretical knowledge to real-world scenarios, fostering professional growth and competency in nursing practice.

The Student’s Role:

As a student undertaking this assignment, your role is to engage in a reflective analysis of nursing practice concerning a specific patient population. You will:

  • Conduct a thorough review and summary of a peer-reviewed scholarly article relevant to the healthcare needs of the chosen population.
  • Reflect on your practicum experience, highlighting accomplishments, challenges, and lessons learned in providing care to this population.
  • Discuss the implications of the scholarly article findings on nursing practice and how they align with or diverge from your practicum experience.
  • Offer insights and recommendations for improving nursing practice and patient outcomes within the context of caring for the chosen population.
  • Present your analysis in a coherent, well-structured manner, adhering to academic writing standards and citing relevant literature to support your arguments.

You Can Also Check Other Related Assessments:

NURS FPX 6025 Practicum and Experience Reflection Example

NURS FPX 6025 Practicum and Technological Changes Assignment Example

NURS FPX 6025 Practicum and Social Justice Reflection Paper Example

NURS FPX 6025 Practicum and MSN Reflection Paper Example

NURS FPX 6025 Practicum and Scholarly Article Assignment Example

Abstract

This paper offers a reflective analysis of the critical role nurses play in addressing the healthcare needs of overweight autistic teenagers, drawing insights from peer-reviewed articles. Specifically, it explores a systematic review by Curtin et al. (2020) on weight management challenges in autistic children and reflects on the practicum experience in caring for this unique population. Through discussions with peers and personal reflections, the paper highlights accomplishments, challenges, and strategies for improving healthcare outcomes for overweight autistic teenagers.

Introduction

Nurses play a pivotal role in addressing the complex healthcare needs of various populations, including overweight autistic teenagers. This reflective analysis delves into the challenges and strategies associated with managing weight in autistic children, as explored in the systematic review by Curtin et al. (2020). Additionally, it reflects on the practicum experience, discussing accomplishments, challenges, and lessons learned in providing care for this vulnerable group.

Summary of Evidence-Based Journal Articles

Curtin et al. (2020) conducted a systematic review titled “Weight Management in Primary Care for Children with Autism,” which identified key challenges in managing weight among autistic children. The review highlighted factors such as sensory issues, food selectivity, and behavioral challenges, emphasizing the need for tailored interventions. Similarly, studies by Ismail et al. (2020) and Singh & Seo (2021) shed light on eating and nutritional challenges and atypical sensory functions among autistic individuals, respectively.

Discussion on Article with a Peer

Engaging in discussions with colleagues revealed the significance of structured routines and sensory-based strategies in managing weight among autistic teenagers. Integrating these insights into electronic health record (EHR) systems emerged as a practical approach to enhance patient care. Additionally, addressing behavioral challenges through behavior-tracking tools within EHR systems was identified as crucial for tailored interventions.

Reflection on Practicum Experience

The practicum experience provided valuable insights into the healthcare needs of overweight autistic teenagers. Accomplishments included a deeper understanding of their unique needs, leading to the development of targeted interventions and personalized care plans. Challenges, such as limited comprehensive data on this population, necessitated collaborative efforts to improve data collection processes. Active participation in interdisciplinary engagement, data analysis, and EHR implementation marked dedication to professional growth in nurse informatics.

Conclusion

In conclusion, the practicum experience significantly expanded knowledge and skills in nurse informatics while positively impacting the care provided to overweight autistic teenagers. Collaborative efforts, active participation, and the implementation of EHR systems contributed to improved healthcare outcomes for this population. Moving forward, continued dedication to professional growth and specialized knowledge will further enhance healthcare delivery for overweight autistic teenagers.

References

Curtin, C., Hyman, S. L., Boas, D. D., Hassink, S., Broder-Fingert, S., Ptomey, L. T., Gillette, M. D., Fleming, R. K., Must, A., & Bandini, L. G. (2020). Weight management in primary care for children with Autism: A systematic review. Pediatrics, 145. https://doi.org/10.1542/peds.2019-1895p

Ismail, N. A. S., Ramli, N. S., Hamzaid, N. H., & Hassan, N. I. (2020). Exploring eating and nutritional challenges for children with autism spectrum disorder: Parents’ and special educators’ perceptions. Nutrients, 12(9). https://doi.org/10.3390/nu12092530

Singh, A., & Seo, H. (2021). Atypical sensory functions and eating behaviors among adults on the autism spectrum: One‐on‐one interviews. Journal of Sensory Studies, 74(34). https://doi.org/10.1111/joss.12724

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NURS FPX 6025 Practicum and Experience Reflection Example

NURS FPX 6025 Assessment 2 Practicum and Experience ReflectionNURS FPX 6025 Assessment 2 Practicum and Experience Reflection

NURS FPX 6025 Practicum and Experience Reflection Assignment Brief

Assignment Title: Assessment 2 Practicum and Experience Reflection

Course: NURS FPX 6025 MSN Practicum

Assignment Overview:

In this assignment, you will reflect on your practicum experience within the nursing field, focusing on the application of theoretical knowledge in real-world scenarios. The assignment aims to evaluate your understanding of the role of informatics in healthcare, the significance of mentorship during practicum, the formulation of clear goals and objectives, and the completion of designated hours.

Understanding Assignment Objectives:

This assignment requires you to critically reflect on your nursing practicum experience, emphasizing the application of theoretical concepts in addressing healthcare challenges. You will need to analyze how informatics tools and strategies were utilized to enhance patient care within a specific demographic. Additionally, you should evaluate the role of your preceptor in guiding and supervising your learning journey, emphasizing the importance of mentorship in professional development.

The Student’s Role:

As a student undertaking this assignment, your role is to reflect on your nursing practicum experience in a holistic manner. You should focus on the broader aspects of your experience, such as the challenges encountered, lessons learned, and the impact of your contributions on patient care. Your reflection should demonstrate a deep understanding of the role of informatics in healthcare, the significance of mentorship, and the formulation of clear goals and objectives to guide your practicum experience.

You Can Also Check Other Related Assessments:

NURS FPX 6025 Practicum and Scholarly Article Assignment Example

NURS FPX 6025 Practicum and Technological Changes Assignment Example

NURS FPX 6025 Practicum and Social Justice Reflection Paper Example

NURS FPX 6025 Practicum and MSN Reflection Paper Example

NURS FPX 6025 Practicum and Experience Reflection Example

Engaging in a practicum experience is a vital step for students to bridge the gap between theoretical knowledge and practical application within their chosen field. This experience offers invaluable opportunities to immerse oneself in real-world scenarios, enhancing understanding and proficiency (Cain et al., 2019).

In my nursing practicum, I focused on addressing the healthcare needs of overweight autistic teenagers, a demographic presenting unique challenges. Utilizing informatics, I aimed to improve their health outcomes by enhancing communication, coordination, and data-driven decision-making.

Active participation in interdisciplinary team meetings allowed me to contribute informatics expertise to discussions on care planning and interventions. Collaborating with healthcare providers, educators, and administrators provided insights into the complex dynamics between clinical practice, technology, and the specific needs of overweight autistic teenagers (Saqr et al., 2020). Furthermore, it presented opportunities to advocate for integrating informatics solutions to enhance care delivery and patient outcomes.

The Role of the Preceptor

The preceptor plays a pivotal role as both mentor and supervisor during a practicum experience. In my nursing practicum, my preceptor guided and supervised my learning journey effectively. Actively engaged in my educational process, my preceptor provided invaluable insights, shared experiences, and offered guidance on various aspects of the field. Discussions on research design, methodology, and data analysis were facilitated, refining my capstone project to align with best practices.

As a mentor, continuous feedback and support were provided by my preceptor, who meticulously reviewed my work and offered constructive criticism to improve its quality. Beyond technical aspects, my preceptor encouraged the development of effective communication and collaboration skills within interdisciplinary teams, contributing significantly to my professional growth throughout the practicum (Myers & Chou, 2021). Serving as a site supervisor, my preceptor ensured access to necessary resources and clinical settings, facilitated introductions to key stakeholders, and monitored my progress while addressing challenges as they arose (Wallin et al., 2020).

The dual role of mentor and site supervisor significantly influenced my professional development during the practicum. Their guidance expanded my understanding of the nursing role and its impact on healthcare delivery, enabling the effective integration of theoretical knowledge with practical experience.

Goals and Objectives

Establishing clear goals and objectives is crucial for guiding the learning and professional development of students during a practicum experience (Dunn et al., 2021). In the context of my practicum, focusing on overweight autistic teenagers, these goals and objectives played a pivotal role in shaping the focus and outcomes of my work.

The practicum aimed to deepen my understanding of the unique healthcare needs of overweight autistic teenagers, exploring factors contributing to their weight management difficulties and identifying suitable interventions (Saqr et al., 2020). Additionally, it focused on enhancing my technical skills in utilizing healthcare informatics tools and platforms, specifically engaging with tailored electronic health record systems to optimize care and improve patient outcomes. Lastly, effective communication and collaboration within interdisciplinary teams to facilitate patient-centered care were essential objectives, achieved through active participation in team meetings, sharing insights, and advocating for informatics solutions (Ortíz-Barrios & Alfaro-Saíz, 2020).

Completion of Hours

Successfully fulfilling the required hours for the practicum marked a significant achievement. Throughout the designated timeframe, I actively participated in various activities related to my role as a nurse working with overweight autistic teenagers. Collaborating with interdisciplinary teams, implementing electronic health record systems, conducting data collection and analysis, and contributing to the development of personalized care plans were among the activities undertaken. Meeting the designated hours not only provided valuable practical experience but also marked meaningful progress in achieving the set objectives for my practicum.

In conclusion, my nursing practicum experience provided invaluable opportunities for professional growth and development. Through active engagement, guidance from my preceptor, and clear goals and objectives, I was able to translate theoretical knowledge into practical skills, contributing to improved healthcare outcomes for overweight autistic teenagers through informatics solutions.

References

Cain, M., Le, A. D., & Stephen Richard Billett. (2019). Sharing stories and building resilience: Student preferences and processes of post-practicum interventions. Professional and Practice-Based Learning, 27–53. https://doi.org/10.1007/978-3-030-05560-8_2

Dunn, S. V., Ehrich, L., Mylonas, A., & Hansford, B. C. (2021). Students’ perceptions of field experience professional development: A comparative study. Journal of Nursing Education, 39(9), 393–400. https://doi.org/10.3928/0148-4834-20001201-05

Myers, K., & Chou, C. L. (2021). Collaborative and bidirectional feedback between students and clinical preceptors: Promoting effective communication skills on health care teams. Journal of Midwifery & Women’s Health, 61(S1), 22–27. https://doi.org/10.1111/jmwh.12505

Ortíz-Barrios, M. A., & Alfaro-Saíz, J.-J. (2020). Methodological approaches to support process improvement in emergency departments: A systematic review. International Journal of Environmental Research and Public Health, 17(8). https://doi.org/10.3390/ijerph17082664

Saqr, Y., Braun, E., Porter, K., Barnette, D., & Hanks, C. (2020). Addressing medical needs of adolescents and adults with autism spectrum disorders in a primary care setting. Autism, 22(1), 51–61. https://doi.org/10.1177/1362361317709970

Wallin, K., Hörberg, U., Harstäde, C. W., Elmqvist, C., & Bremer, A. (2020). Preceptors´ experiences of student supervision in the emergency medical services: A qualitative interview study. Nurse Education Today, 84. https://doi.org/10.1016/j.nedt.2019.104223

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Why Work with Professionals for Your Nursing Practicum Projects?

Leverage the expertise of professionals who are attuned to the latest trends and changing dynamics in nursing. A well-structured nursing practicum project not only contributes to your academic success but also aids in reshaping the healthcare system. Professionals guide you through challenging tasks like literature reviews, ensuring effective communication and decision-making on relevant and interesting topics.

Whether you’re short on time, need help with project ideas, or seek assistance in gathering research information, NursingCustomWriting.com is your trusted partner in academic excellence.

Why Trust NursingCustomWriting.com?

At NursingCustomWriting.com, we pride ourselves on our commitment to excellence and unparalleled expertise in nursing paper writing. Here’s why thousands of students trust us with their academic success:

  • Unmatched Expertise: Our team comprises seasoned nursing professionals with years of experience in the field. They possess the knowledge and skills to tackle any nursing topic with precision and proficiency, ensuring your papers are nothing short of exceptional.
  • Direct Communication: Say goodbye to frustrating communication barriers. With NursingCustomWriting.com, you’ll have direct communication with your assigned writer, fostering seamless collaboration and transparency throughout the writing process.
  • Affordable Prices: We understand the financial constraints of students, which is why we offer competitive prices starting at just $10 per page. We believe that academic excellence should be accessible to all, regardless of budget constraints.
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NURS FPX 6021 Quality Improvement Presentation Poster Example

NURS FPX 6021 Assessment 3 Quality Improvement Presentation PosterNURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

NURS FPX 6021 Quality Improvement Presentation Poster Assignment Brief

Assignment Title: Quality Improvement Presentation Poster

Course: NURS FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Assignment Objective:

The primary objective of this assignment is to demonstrate proficiency in understanding and implementing quality improvement measures in healthcare settings. Students will create a presentation poster focusing on quality improvement strategies, with an emphasis on addressing healthcare challenges and proposing solutions to enhance patient outcomes.

Understanding Assignment Objectives:

  • Demonstrate knowledge of quality improvement concepts and methodologies.
  • Utilize research evidence to support arguments and recommendations.
  • Analyze challenges and propose viable solutions in healthcare settings.
  • Communicate ideas effectively through a presentation poster format.

The Student’s Role:

As a nursing student, your role in this assignment is to research, analyze, and present information on quality improvement measures in healthcare. You will need to:

  • Conduct thorough research on quality improvement strategies and their application in healthcare.
  • Critically evaluate research evidence to support your arguments.
  • Identify challenges and barriers to implementing quality improvement measures.
  • Develop creative and practical solutions to address these challenges.
  • Present your findings in a clear, concise, and visually appealing poster format.

You Can Also Check Other Related Assessments:

NURS FPX 6021 Concept Map Nursing Example

NURS FPX 6021 Change Strategy and Implementation Essay Example

NURS FPX 6021 Quality Improvement Presentation Poster Example

Abstract

Renal failure, often linked with diabetes, poses a significant healthcare challenge in the United States. Developing effective treatment plans is crucial for improving patient outcomes in this population. Quality Improvement (QI) measures offer a promising avenue to enhance the quality of care for renal failure patients. These measures encompass various strategies such as training, collaboration, and the implementation of the Plan-Do-Study-Act (PDSA) cycle. This poster emphasizes the effectiveness of the PDSA cycle in improving treatment outcomes, supported by research evidence. Additionally, it discusses the importance of interdisciplinary teamwork and addresses potential challenges in renal treatment to enhance overall health strategies for patients.

Keywords: Renal failure, Quality improvement measures, PDSA cycle, Interdisciplinary teamwork, Poster

Quality Improvement Poster Presentation

Quality Improvement (QI) serves as a structured approach to enhance healthcare interventions and outcomes. It aims to standardize procedures, strategies, and treatment plans using evidence-based methods. QI initiatives in healthcare facilities, like the one discussed in this poster, focus on planning, analyzing, and implementing evidence-based approaches to address various healthcare issues, including renal failure. These initiatives aim to equip nurses and healthcare professionals with effective treatment strategies to reduce errors, minimize delays, and improve overall treatment outcomes. For instance, a hospital in the US successfully reduced medical errors by 50% through QI measures (Tariq et al., 2022).

In this hospital setting, QI measures are carefully planned and executed to enhance the effectiveness of medical procedures. Collaborative strategies, team-based approaches, training sessions, and the utilization of the PDSA cycle are key components of these measures. They are designed to promote coordination and communication among healthcare professionals, ensuring a cohesive approach to improving patient outcomes. These initiatives prioritize effective planning and research-based interventions to optimize treatment plans and achieve better outcomes (Mondal et al., 2022).

The PDSA cycle, a fundamental component of QI initiatives, plays a crucial role in designing effective interventions for patients with renal failure related to diabetes. This cycle guides nurses in planning training sessions and implementing evidence-based interventions tailored to meet patient health goals. By integrating research-based practices, nurses gain insights into self-management techniques and medication adherence strategies, leading to improved treatment outcomes for renal failure patients (Mudgal et al., 2022).

Limitation of PDSA Cycle

Despite its effectiveness in enhancing the quality of care for renal failure patients, the PDSA cycle presents certain implementation challenges. For instance, the training required for nurses to effectively execute treatment plans can be time-consuming and costly, posing challenges at various levels of healthcare delivery. Additionally, the continuous need for innovation in treatment plans may strain the competencies of nurses and clinical staff, especially without adequate training and supervision. Moreover, the active involvement of patients in treatment strategies presents challenges, as some patients may lack motivation, willpower, or resistance to change, hindering the effective implementation of quality measures for renal failure (Rahmah et al., 2021; Schmidt et al., 2020).

Evidence Supporting QI Methods

Evidence from various studies strongly supports the effectiveness of Quality Improvement (QI) methods in improving patient outcomes for renal failure. Bulck et al. (2020) conducted a study focusing on QI measures in treating renal failure, which revealed that interventions such as nurses’ training and patient education significantly enhanced treatment outcomes for patients with chronic diseases. Similarly, Li et al. (2020) expanded on this research, demonstrating that treatment therapies such as insulin, medication, and care led to improved health outcomes, emphasizing QI as a valuable approach in healthcare.

Moreover, Neale et al. (2020) provided further support for QI effectiveness, particularly in strategies like nurses’ education and training, which notably improved treatment outcomes for renal failure patients. Their research emphasized the importance of effective planning, research-based study, and action improvement plans in enhancing care quality and patient outcomes.

Identifying Knowledge Gap

Identifying a knowledge gap is crucial in understanding where improvements can be made in healthcare practices. Quality improvement measures are considered innovative and essential in significantly enhancing treatment outcomes for renal failure patients. Addressing this gap requires enhancing the knowledge of both nurses and patients in implementing QI measures effectively. Effective nurse training, as suggested by Johns et al. (2022), is essential for achieving desirable health outcomes. Additionally, involving patients in care activities through active self-management requires learning, awareness, and training. This approach can enhance patient participation in care activities, ultimately improving care quality and health outcomes for patients with renal failure (Johns et al., 2022).

Change Strategy Foundation

In order to enhance the health outcomes and well-being of patients grappling with renal failure, it’s imperative to establish an effective treatment plan. Renal failure has emerged as a significant healthcare concern in the United States, affecting around 37 million Americans. The Centers for Disease Control and Prevention (CDC) underscored that 15% of Americans are affected by this condition, with diabetes and high blood pressure being the primary culprits (CDC, 2020). Research indicates that inadequate care quality and patient self-management exacerbate the issue, leading to serious health implications. Delays in kidney monitoring and elevated blood sugar levels due to medication contribute to adverse effects on renal failure associated with diabetes (Ghelichi et al., 2022). Consequently, there’s an urgent need to devise change strategies aimed at enhancing health outcomes.

Potential Challenges

Despite the effectiveness of patient learning and training sessions in improving treatment quality for renal failure patients with diabetes, certain challenges persist. CDC data reveals that while these sessions enhance treatment quality, they also present specific hurdles. Notably, out of the 37 million renal failure patients in the US, 38% are aged 67 years or older (NIDDK, 2023). This demographic poses a significant challenge for healthcare interventions due to older adults’ reluctance to adopt advanced treatment strategies. They often exhibit greater resistance to change compared to traditional medication for renal failure, thus impeding the effective implementation of Quality Improvement (QI) measures (Neale et al., 2020).

In addition to patient-related constraints, the healthcare industry faces challenges regarding specialized care professionals for renal treatment. Hospitals encounter time and financial constraints when recruiting specialists for the majority of groups, posing potential hurdles in maintaining care quality (Neale et al., 2020).

Solutions

Addressing these challenges requires practical solutions such as effective care coordination and communication between healthcare professionals and patients. Open-line communication enhances patient awareness and understanding of effective treatment strategies, fostering their participation and leading to improved health outcomes. Furthermore, training healthcare professionals addresses challenges related to specialized care staff for renal treatment. Doctor training enhances their research and knowledge of renal treatment, ensuring quality care for patients in distress (Wen et al., 2022).

Effectiveness of Interprofessional Teamwork

The effectiveness of interprofessional teamwork significantly boosts the treatment outcomes of patients grappling with renal failure linked to diabetes. Collaborative efforts among healthcare professionals play a pivotal role in improving patient awareness and understanding of effective self-management techniques and advanced medications for addressing renal failure alongside diabetes (Johns et al., 2022).

Interprofessional teamwork further facilitates the smooth execution of the Plan-Do-Study-Act (PDSA) cycle. Through collaborative planning, the team formulates advanced treatment plans, conducts necessary research, and integrates evidence-based practices into their approach. This collective effort ensures better health outcomes for patients dealing with renal failure and diabetes, contributing to an overall enhancement in care quality (Johns et al., 2022).

Project Overview and Benefits

The initiative’s overview and benefits encompass various advantages, particularly in enhancing care quality through teamwork and training sessions. Interprofessional collaboration empowers nurses to adopt and implement effective evidence-based strategies, thereby enhancing patient outcomes. Additionally, the project’s implementation of the PDSA cycle for renal failure treatment enhances care coordination and communication between nurses and patients. Ultimately, these measures foster improved care quality through initiatives focused on self-management and increased patient participation (Johns et al., 2022).

Conclusion

In conclusion, addressing the healthcare challenges posed by renal failure, especially in patients with diabetes, necessitates a multifaceted approach that integrates Quality Improvement (QI) measures, effective change strategies, and interprofessional teamwork. QI initiatives, such as the Plan-Do-Study-Act (PDSA) cycle, have demonstrated significant potential in enhancing treatment outcomes and care quality for renal failure patients. Collaborative efforts among healthcare professionals, supported by evidence-based practices, play a crucial role in optimizing patient care and improving health outcomes. Despite the challenges associated with implementing QI measures, such as training requirements and patient engagement, practical solutions can be devised to overcome these obstacles and ensure the effective delivery of care. Overall, prioritizing interdisciplinary teamwork, embracing innovative strategies, and addressing knowledge gaps are essential steps in advancing renal failure management and promoting better health for patients.

References

Bulck, L. et al. (2020). Enhancing Treatment Outcomes for Renal Failure Patients through Quality Improvement Measures. Journal of Healthcare Quality, 10(3), 45-58.

Centers for Disease Control and Prevention (CDC). (2020). Chronic Kidney Disease and Diabetes: Important Health Information. Retrieved from [URL].

Ghelichi, M. et al. (2022). Adverse Impacts of Delayed Kidney Monitoring and High Blood Sugar Levels on Renal Failure. Journal of Diabetes and Kidney Health, 5(2), 87-102.

Johns, T. S. et al. (2022). Enhancing Patient Outcomes through Interprofessional Teamwork: A Case Study in Renal Failure Management. Journal of Interprofessional Care, 15(4), 321-335.

Li, S. et al. (2020). Impact of Treatment Therapies on Renal Failure Patients: Insights from a Quality Improvement Study. Journal of Clinical Nursing, 25(1), 67-79.

Mondal, A. et al. (2022). Advancing Treatment Quality through Quality Improvement Measures: Lessons Learned from a Hospital Initiative. Healthcare Management Review, 30(2), 112-125.

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK). (2023). Renal Failure Statistics in the United States. Retrieved from [URL].

Neale, R. et al. (2020). Improving Treatment Outcomes for Renal Failure Patients: The Role of Quality Improvement Strategies. Journal of Nursing Management, 18(3), 201-215.

Rahmah, K. et al. (2021). Challenges and Opportunities in Implementing the Plan-Do-Study-Act Cycle for Renal Failure Management: A Case Study Approach. International Journal of Healthcare Quality Assurance, 12(4), 189-202.

Schmidt, J. et al. (2020). Patient Engagement in Quality Improvement Measures for Renal Failure: Challenges and Solutions. Patient Experience Journal, 7(1), 56-69.

Tariq, M. et al. (2022). Reduction of Medical Errors through Quality Improvement Measures: A Case Study of a US Hospital. Journal of Patient Safety & Quality Improvement, 5(2), 78-91.

Wen, Y. et al. (2022). Enhancing Healthcare Professional Competencies through Training: Implications for Renal Failure Management. Health Education Research, 40(3), 212-225.

Detailed Assessment Instructions for the NURS FPX 6021 Quality Improvement Presentation Poster Assignment

Description

Overview

Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100–250 words about the QI plan and key information in your poster.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

The ability to propose and promote quality improvements in care is a vital skill for a master’s-prepared nurse. One aspect of this is understanding strategies for implementing best practice changes in a team, department, or care setting. Another is understanding how best practices can help lead to a continuous quality improvement cycle. Additionally, it is important to grasp how successful change strategies can be leveraged to help in the creation or implementation of clinical best practices. Part of this is considering the audience when proposing quality improvement projects or new best practices. Another part of this is being able to effectively communicate the goals, rationale, and benefits of a project.

For this assessment you will create a presentation poster to communicate a quality improvement project.

Assessment Instructions

SCENARIO

For this assessment, you may take one of two approaches:

  • The first is to build upon the clinical issue that was the focus of your Change Strategy and Implementation assessment, and turn it into a full, organization- or community-wide quality improvement initiative.
  • The second is to identify a new issue related to a biopsychosocial (BPS) clinical issue, or a clinical issue related to one of the items from the list of conditions, diseases, and disorders presented in the Resources section for the Concept Map assessment. The focus should be on a community rather than on a specific patient or health care setting.

As a master’s level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders.

INSTRUCTIONS

Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan.

Abstract Requirements

  • Your abstract should be 100–250 words.
  • It should summarize the key information in your poster.
  • Do not put your abstract on your poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract.

Poster Requirements

  • Your poster should include the following sections:
    • Quality Improvement Methods.
    • Evidence Supporting QI Methods.
    • Change Strategy Foundation.
    • Interprofessional Team Benefits.
    • Overall Project Benefits.
  • There are templates in PowerPoint or on the Internet that can help you get a start designing your poster.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of them. You may also want to read the Quality Improvement Presentation Poster scoring guide and the Guiding Questions: Quality Improvement Presentation Poster document to better understand how each grading criterion will be assessed.

  • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
  • Evaluate specific evidence that supports the quality improvement methods proposed.
  • Explain how the project is grounded in successful change strategies.
  • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
  • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

ADDITIONAL REQUIREMENTS

  • Length of submission:
    • Abstract: 100–250 words. Your abstract should be succinct and precise.
    • Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assessment instructions.
  • Number of references: Cite a minimum of 5–7 sources of scholarly or professional evidence that support your considerations and plans. Resources should be no more than five years old.
  • APA formatting: Resources and citations are formatted according to current APA style.

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NURS FPX 6021 Change Strategy and Implementation Essay Example

NURS FPX 6021 Assessment 2 Change Strategy and ImplementationNURS FPX 6021 Assessment 2 Change Strategy and Implementation

Assignment Brief: NURS FPX 6021 Change Strategy and Implementation Assessment

Course: NURS FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Assignment Title: Assessment 2 Change Strategy and Implementation in Nursing

Assignment Overview:

In this assignment, you will explore the importance of change strategies and their implementation in nursing practice. Specifically, you will analyze the significance of integrating mental health considerations into the treatment of patients with chronic conditions. Through a comprehensive examination of existing literature and evidence-based practices, you will develop strategies to address both physical and psychological aspects of patient care.

Understanding Assignment Objectives:

The primary objective of this assignment is to deepen your understanding of the holistic approach to patient care within the nursing profession. You will critically evaluate the current gaps in healthcare delivery, particularly regarding the integration of mental health support for patients with chronic conditions. By identifying these gaps, you will develop innovative change strategies aimed at improving patient outcomes and enhancing the quality of care provided.

The Student’s Role:

As a nursing student, your role in this assignment is to act as a proactive advocate for patient well-being. You will analyze existing research literature to identify areas where the current healthcare system may be falling short in addressing the mental health needs of patients with chronic conditions. Using this analysis, you will propose practical and feasible change strategies that can be implemented within clinical settings to bridge these gaps and ensure comprehensive patient care.

You Can Also Check Other Related Assessments:

NURS FPX 6021 Concept Map Nursing Example

NURS FPX 6021 Quality Improvement Presentation Poster Example

NURS FPX 6021 Change Strategy and Implementation Essay Example

Respiratory issues, ranging from difficulty breathing to coughing, are common reasons for patients to seek medical care. Chronic obstructive pulmonary disease (COPD) is a prevalent condition among these patients, often requiring specialized treatment in pulmonary wards. Treatment for COPD typically focuses on improving physical health through interventions like antibiotics, ventilation, and pulmonary rehabilitation programs. However, it overlooks the mental health aspects of patients, despite the strong association between COPD and anxiety and depression (NHS, 2016a; Pooler & Beech, 2014).

Studies show that COPD patients with comorbid anxiety and depression are more likely to be hospitalized, face longer hospital stays, and have higher mortality rates after discharge (Pooler & Beech, 2014). Neglecting mental health can significantly impact treatment adherence and overall health outcomes. Anxiety and depression symptoms often overlap with COPD symptoms, such as dyspnea (shortness of breath), leading to heightened distress and exacerbation of symptoms (Heslop et al., 2013; Pooler & Beech, 2014).

Depression, in particular, is linked to decreased quality of life and physical activity in COPD patients, with potential underdiagnosis and undertreatment (Pooler & Beech, 2014). Patients with COPD and depressive symptoms may struggle to adhere to recommended physical therapy, worsening their COPD symptoms and necessitating further treatment, potentially leading to hospitalization (Dursunoğlu et al., 2016).

Addressing both physical and psychological aspects of COPD is crucial for improving patient outcomes and breaking the cycle of deteriorating health. Integrated interventions targeting mental health alongside physical health can enhance treatment effectiveness and patient well-being (Dursunoğlu et al., 2016). Therefore, implementing change strategies to address COPD patients’ mental health needs within the healthcare system is imperative.

Change Strategies

Both anxiety and depression necessitate attention from mental health professionals to effectively assist patients. Cognitive-behavioral therapy (CBT) stands out as an efficacious approach in managing various mental health conditions, including anxiety and depression (NHS, 2016b). In CBT sessions, patients collaborate with therapists to dissect their problems into manageable parts. They explore thoughts, physical reactions, and behaviors associated with their issues, aiming to identify unhelpful patterns and their impact (NHS, 2016b). Through this process, patients develop strategies to modify counterproductive thoughts and behaviors, eventually applying learned skills to real-life situations. For instance, individuals with COPD and anxiety might learn to dissociate shortness of breath from catastrophic outcomes, enhancing their coping mechanisms (NHS, 2016b).

However, CBT entails challenges. It demands patients’ willingness to confront emotions and anxieties, which may be discomforting (NHS, 2016b). Additionally, patient commitment and cooperation are crucial for successful outcomes, as therapy effectiveness relies on active participation (NHS, 2016b). Yet, hospitals often struggle with limited therapist availability, posing challenges in ensuring an optimal therapist-to-patient ratio.

To address these challenges, a combination of group and one-on-one therapy sessions can be implemented. Group therapy offers a broader access to treatment, potentially reducing intimidation for participants and providing additional support through peer interaction. Furthermore, nurses could undergo training in CBT or specialists could be hired to facilitate individual sessions, ensuring patients have access to diverse treatment modalities (Howard & Dupont, 2014). By integrating these options alongside COPD management, patients can experience an enhanced quality of life and better manage both physical and mental health conditions (Howard & Dupont, 2014).

Pharmacological interventions also play a role in managing anxiety and depression, though they come with potential side effects. Antidepressants, such as selective serotonin reuptake inhibitors, are commonly prescribed, but caution is needed due to potential adverse effects like headaches and gastrointestinal distress (NHS, 2016b). However, these side effects may exacerbate existing conditions in COPD patients. Unlike pharmacological interventions, CBT and group therapy present nonpharmacological alternatives without contraindications (Tselebis et al., 2016). Moreover, implementing pharmacological treatment at a policy level proves challenging due to individualized medication requirements and patient reluctance stemming from mental health stigma (Tselebis et al., 2016).

Expected Outcomes

In the current situation, individuals diagnosed with Chronic Obstructive Pulmonary Disease (COPD) often face challenges in accessing mental health support despite experiencing significant anxiety and depressive symptoms. Many COPD patients encounter anxiety due to difficulties in breathing, while others may struggle with depressive symptoms linked to worsening COPD conditions. To address this gap in care, several essential measures need to be implemented. Firstly, it is crucial to ensure that therapists are readily available for COPD patients, allowing them to receive necessary psychological support. Additionally, nurses should undergo training in Cognitive Behavioral Therapy (CBT), or specialized CBT-trained nurses should be recruited to provide tailored assistance. Regular group therapy sessions should also be organized for COPD patients experiencing anxiety, depression, or both, offering them a supportive environment for shared experiences and coping strategies (NHS, 2016b).

Upon the successful implementation of these strategies, COPD patients are expected to have improved access to mental health services, leading to better management of both their physical and psychological well-being. Specifically, patients with comorbid COPD and anxiety would be better equipped to differentiate between anxiety symptoms and exacerbations of their COPD condition (Howard & Dupont, 2014). Similarly, individuals facing COPD and depression would receive enhanced support to effectively manage both their respiratory condition and depressive symptoms (Dursunoğlu et al., 2016).

Conclusion

In conclusion, the management of Chronic Obstructive Pulmonary Disease (COPD) should encompass both physical and mental health aspects to optimize patient outcomes. The strong association between COPD and anxiety/depression underscores the importance of addressing mental health alongside physical treatment. Neglecting mental health can lead to exacerbated symptoms, decreased treatment adherence, and poor overall well-being for COPD patients. Integrated interventions, such as Cognitive Behavioral Therapy (CBT) and group therapy, offer promising avenues for addressing mental health needs alongside COPD management. By ensuring access to mental health professionals and implementing diverse treatment modalities, healthcare systems can significantly improve COPD patients’ quality of life and enhance their ability to manage both physical and psychological conditions effectively.

References

Dursunoğlu, N., Köktürk, N., Baha, A., Bilge, A. K., Börekçi, Ş., Çiftçi, F., … Turkish Thoracic Society-COPD Comorbidity Group. (2016). Comorbidities and their impact on chronic obstructive pulmonary disease. Tüberküloz ve Toraks, 64(4), 289–298.

Howard, C., & Dupont, S. (2014). ‘The COPD breathlessness manual’: A randomised controlled trial to test a cognitive-behavioural manual versus information booklets on health service use, mood and health status, in patients with chronic obstructive pulmonary disease. npj Primary Care Respiratory Medicine, 24.

Heslop, K., Newton, J., Baker, C., Burns, G., Carrick-Sen, D., & De Soyza, A. (2013). Anxiety and depressive symptoms in bronchiectasis: Associations with health-related quality of life. Respiratory Medicine, 107(6), 895–903.

NHS. (2016a). Pulmonary rehabilitation. https://www.nhs.uk/conditions/pulmonary-rehabilitation/

NHS. (2016b). Cognitive behavioral therapy (CBT). https://nhs.uk/conditions/cognitive-behavioural-therapy-cbt/

Pooler, A. M., & Beech, R. (2014). Examining the relationship between anxiety and depression and exacerbations of COPD which result in hospital admission: A systematic review. International Journal of Chronic Obstructive Pulmonary Disease, 9, 315–330.

Tselebis, A., Pachi, A., Ilias, I., Kosmas, E., Bratis, D., Moussas, G., & Tzanakis, N. (2016). Strategies to improve anxiety and depression in patients with COPD: A mental health perspective. Neuropsychiatric Disease and Treatment, 12, 297–328.

Detailed Assessment Instructions for the NURS FPX 6021 Change Strategy and Implementation Assignment

Description

  • Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3-5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.

Introduction
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented. Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients. The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, then our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals. This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.

Preparation
As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment. The assessment will be based on one or more outcomes that you would like to see improve. Think about experiences you have had working on setting goals for outcomes or using data to identify areas of need. Part of achieving your goal will be your ability to implement change in pursuit of improving outcomes. The Vila Health: Using Evidence to Drive Improvement simulation may be helpful in this regard.

    • Where do you look for resources and evidence to help you get started when treating a specific condition?
    • Where do you look for resources and evidence to help you get started when setting clinical goals?     
      • When there are no guidelines or policies for setting clinical goals, where do you look for resources and evidence to help you get started?
    • How do you use these resources and evidence to begin constructing evidence-based treatment, or developing evidence-based goals?
    • What data do you plan to use as a basis for setting improved outcome goals?     
      • What care environment do you envision using as the context of your assessment?       
        • How would change models, strategies, or theories need to be applied to help ensure achievement of your outcome goals?
        • Which change models, strategies, or theories seem to be the best fit for your goals and environments. Why?
    • Scenario
      Consider the current environment. This could be your current care setting, the care settings presented in the Vila Health: Using Evidence to Drive Improvement or Vila Health: Concept Maps as Diagnostic Tools media, or a care setting in which you are interested in working.For the setting that you choose you will need to have a data set that depicts sub-optimal outcomes related to a clinical issue. This data could be from existing sources in the course (Vila Health: Using Evidence to Drive Improvement), a relevant data set that already exists (a data set from the case study you used as a basis for your Concept Map assessment, or from your current place of practice), or an appropriate data set that you have created yourself. (Note: if you choose to create your own data set, check with your instructor first for approval and guidance.)After you have selected an appropriate data set, use your understanding of the data to create at least one realistic goal (though you may create more) that will be driven by a change strategy appropriate for the environment and goal.Potential topics for this assessment could be:
    • Consider ways to help minimize the rate of secondary infections related to the condition, disease, or disorder that you focused on for your Concept Map assessment. As a starting point you could ask yourself, “What could be changed to facilitate safety and minimize risks of infection?”
    • Consider how to help a patient experiencing traumatic stress or anxiety over hospitalization. As a starting point you could ask yourself, “How could the care environment be changed to enhance coping?”
    • Once you determine the change you would like to make, consider the following:
    • What data will you use to justify the change?
    • How can the team achieve this change with a reasonable cost?
    • What are the effects on the workplace?
    • What other implementation considerations do you need to consider to ensure that the change strategy is successful?
    • How does your change strategy address all aspects of the Quadruple Aim, especially the well-being of health care professionals?
    • Once the change strategy is implemented, how would you evaluate the efficiency and effectiveness of the care system if the desired outcomes are met?
    • Instructions
      Your assessment submission should include a data table that illustrates the current and desired states of the clinical issue you are attempting to improve through your application of change strategies. Additionally, you will need to explain the rationale for your decisions around your chosen change strategies, as well as how the change strategies will be successfully implemented. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your change strategy addresses all of them. You may also want to read the Change Strategy and Implementation scoring guide and Guiding Questions: Change Strategy and Implementation [DOCX] to better understand how each grading criterion will be assessed.
    • Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
    • Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
    • Justify the specific change strategies used to achieve desired outcomes.
    • Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
    • Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
    • Communicate the change plan in a way that makes the data and rationale easily understood and compelling.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.
    • Example Assessment
      You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:
    • Assessment 2 Example [PDF].
    • Additional Requirements
    • Length of submission: 3-5 double-spaced, typed pages, not including the title and reference pages. Your plan should be succinct yet substantive.
    • Number of references: Cite a minimum of 3-5 sources of scholarly or professional evidence that supports your goal setting, proposed change strategies, quality improvement, and interprofessional considerations. Resources should be no more than five years old.
    • APA formatting: Use the APA Style Paper Tutorial [DOCX] to help you in writing and formatting your analysis. No abstract is required.
    • Competencies Measured
      By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
    • Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.     
      • Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
    • Competency 2: Develop change strategies for improving the care environment.     
      • Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
      • Justify the specific change strategies used to achieve desired outcomes.
    • Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.     
      • Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
    • Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.     
      • Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
    • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.     
      • Communicate change plan in a way that makes the data and rationale easily understood and compelling.

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NURS FPX 6021 Concept Map Nursing Example

NURS FPX 6021 Assessment 1 Concept MapNURS FPX 6021 Assessment 1 Concept Map

NURS FPX 6021 Assessment 1 Concept Map Nursing Assignment Brief

Course: NURS FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Assignment Title: Assessment 1 Concept Map Nursing and Evidence-based Narrative

Assignment Objective:

The objective of this assignment is to develop a concept map and provide a supporting evidence-based narrative that illustrates a plan for achieving high-quality outcomes for a condition related to impaired glucose regulation or metabolic imbalance. This assignment aims to enhance students’ understanding of evidence-based practice, quality improvement initiatives, and interprofessional collaboration in nursing care.

Understanding Assignment Objectives:

In this assignment, you are tasked with creating a concept map that outlines a comprehensive plan for managing a specific condition or disorder related to impaired glucose regulation or metabolic balance. Additionally, you are required to provide a brief narrative that justifies the evidence used in the concept map and analyzes how interprofessional strategies can improve patient outcomes.

The Student’s Role:

As a student, your role is to critically analyze the provided information, apply evidence-based principles, and demonstrate your understanding of nursing interventions and interprofessional collaboration in managing conditions related to impaired glucose regulation or metabolic imbalance. You will develop a concept map that outlines a comprehensive care plan and provide a narrative that justifies your decisions and strategies.

You Can Also Check Other Related Assessments:

NURS FPX 6021 Change Strategy and Implementation Essay Example

NURS FPX 6021 Quality Improvement Presentation Poster Example

NURS FPX 6021 Concept Map Nursing Example

Patient Info

  • Name: Jena Olivia
  • Gender: Female
  • Age: 72
  • Vitals:
    • Temp: 37 °C (98.6 °F)
    • BP: 162/94
    • Pulse: 92
    • Respiratory rate: 26 and shallow
  • Chief complaint: Shortness of breath (SOB) and difficulty breathing
  • Medical history: Hypertension, hyperlipidemia, and chronic obstructive pulmonary disease (COPD)

Nursing Diagnoses

  • Impaired gas exchange related to destruction of the alveoli, narrowing of bronchioles, and trapping of air resulting in loss of lung elasticity.
    • Subjective data: Difficulty breathing and SOB
    • Objective data: Crackles and wheezing heard upon auscultation, dyspnea, tachypnea, nasal flaring, use of accessory muscles, late signs of cyanosis, and oxygen saturation is 90% on room air.
  • Activity intolerance related to hypoxia (imbalance between oxygen supply and demand).
    • Subjective data: “I find it difficult to breathe. I can’t catch my breath when I walk a few feet.”
    • Objective data: Late signs of cyanosis, crackles and wheezing heard upon auscultation, and use of accessory muscles.
  • Ineffective airway clearance related to bronchoconstriction, increased mucus production.
    • Subjective data: The patient states she has been sleeping in a recliner chair for the past three nights because of difficulty breathing.
    • Objective data: Wheezing heard upon auscultation, dyspnea, tachypnea, and use of accessory muscles.

Nursing Interventions

Independent interventions (II):

  • Monitor the patient’s arterial blood gases, oxygen saturation, vital signs, and color and assess for manifestations such as restlessness, anxiety, lethargy, and confusion.
    • Rationale: This process will help detect potential hypoxemia or hypercapnia.
  • Position the patient in an upright or high Fowler’s position.
    • Rationale: This posture promotes lung ventilation.
  • Instruct and teach the patient to perform the pursed-lip breathing technique.
    • Rationale: This technique slows the respiratory rate and reduces air trapping and fatigue.

Collaborative interventions (CI):

  • Supervise oxygen (O2) at 2 L/min through nasal cannula as ordered. Instruct the patient and kin not to increase the O2 level.
    • Rationale: Oxygen therapy is used to treat hypoxia and is prescribed for chronic and acute breathing problems. However, a sudden increase in the O2 level can lead to respiratory failure.

Expected Outcomes

  • Arterial blood gases and vital signs will be consistent with patient norms, indicating improvement in gas exchange.
  • The pursed-lip breathing technique will reduce dyspnea.

Additional Evidence (Concept Map Narrative Part)

Jena Olivia, a 72-year-old female, is experiencing SOB and difficulty breathing. The evidence used in the concept map is a combination of subjective and objective data obtained after investigation. Doe also suffered from emphysema in the past. Symptoms such as fatigue, SOB, edema, and wheezing are common in COPD. The diagnoses in the concept map are related to various conditions related to COPD such as emphysema and chronic bronchitis. However, symptoms such as wheezing, edema, SOB, and fatigue can also be observed in congestive heart failure. Interprofessional collaboration between health care professionals, patients, and their caregivers is required for high-quality outcomes. Successful collaborations require positive reinforcement and mutual feedback. COPD will benefit from a combination of pharmacological and non-pharmacological interventions guided by an interprofessional collaborative practice. The concept map facilitates communication in an interprofessional team by identifying the types of nursing interventions required. Health care professionals, caregivers, and COPD patients must work together to deliver the prescribed pharmacotherapy. An evidence-based concept map with interprofessional strategies allows health care professionals to collaborate and analyze patient data as well as think critically. Concept mapping is useful in improving critical thinking among professionals and recording a holistic picture of the patient’s needs.

References

Ackley, B. J., Ladwig, G. B., & Makic, M. B. F. (2016). Nursing diagnosis handbook: An evidence-based guide to planning care (11th ed.).

Aein, F., & Aliakbari, F. (2017). Effectiveness of concept mapping and traditional linear nursing care plans on critical thinking skills in clinical pediatric nursing course.

Amalakuhan, B., & Adams, S. G. (2015). Improving outcomes in chronic obstructive pulmonary disease: The role of the interprofessional approach.

Boon, C.W. (2018). Oxygenation. In Potter, P. A., Perry, A. G., Stockert, P. A., & Hall, A. M. (Eds.), Essentials for nursing practice (9th ed.).

Kazanowski, M. K. (2017). End-of-life-care concepts. In Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (Eds.), Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.).

LeMone, P., Burke, K., Dwyer, T., Levett-Jones, T., Moxham, L., & Reid-Searl, K. (2015). Medical-Surgical nursing: Critical thinking for person-centred care (2nd Australian ed.).

Rees, H. (2017). Care of patients requiring oxygen therapy or tracheostomy. In Ignatavicius, D. D., Workman, M. L., & Rebar, C. R. (Eds.), Medical-surgical nursing: Concepts for interprofessional collaborative care (9th ed.).

Detailed Assessment Instructions for the NURS FPX 6021 Assessment 1 Concept Map Assignment

Create a concept map of a chosen condition, disease, or disorder with glucose regulation or metabolic balance considerations. Write a brief narrative (2–3 pages) that explains why the evidence cited in the concept map and narrative are valuable and relevant, as well as how specific interprofessional strategies will help to improve the outcomes presented in the concept map.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, you should complete the assessments in this course in the order in which they are presented.

The biopsychosocial (BPS) approach to care is a way to view all aspects of a patient’s life. It encourages medical practitioners to take into account not only the physical and biological health of a patient, but all considerations like mood, personality, and socioeconomic characteristics. This course will also explore aspects of pathophysiology, pharmacology, and physical assessment (the three Ps) as they relate to specific conditions, diseases, or disorders.

The first assessment is one in which you will create a concept map to analyze and organize the treatment of a specific patient with a specific condition, disease, or disorder.

Assessment Instructions

Scenario

You have already learned about evidence-based practice and quality improvement initiatives in previous courses. You will use this information to guide your assessments, while also implementing new concepts introduced in this course. For this assessment, you will develop a concept map and provide supporting evidence and explanations. You may use the case studies presented in the Vila Health: Concept Maps as Diagnostic Tools media, a case study from the literature or your practice that is relevant to the list of conditions below, or another relevant case study you have developed. This case study will provide you with the context for creating your concept map. You may also use the practice context from the case study or extrapolate the case study information and data into your own practice setting. Think carefully when you are selecting the case study for this assessment, as you may choose to build upon it for the second assessment as well.

Some example conditions, diseases and disorders that are relevant to metabolic balance and glucose regulation considerations are:

  • Cancer.
  • Diabetes (type 2).
  • HIV/AIDS.
  • Hyperthyroidism.
  • Hypothyroidism.
  • Metabolic syndrome.
  • Obesity.
  • Polycycstic ovary syndrome.
  • Prediabetes.
  • Pregnancy.

Instructions

Develop a concept map and a short narrative that supports and further explains how the concept map is constructed. You may choose to use the Concept Map Template (in the Resources) as a starting point for your concept map, but are not required to do so. The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your evidence-based plan addresses all of them. You may also want to read the Concept Map scoring guide and the Guiding Questions: Concept Map document to better understand how each grading criterion will be assessed.

Part 1: Concept Map

  • Develop an evidence-based concept map that illustrates a plan for achieving high-quality outcomes for a condition that has impaired glucose or metabolic imbalance as related aspects.

Part 2: Additional Evidence (Narrative)

  • Justify the value and relevance of the evidence you used as the basis for your concept map.
  • Analyze how interprofessional strategies applied to the concept map can lead to achievement of desired outcomes.
  • Construct concept map and linkage to additional evidence in a way that facilitates understanding of key information and links.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

  • Assessment 1 Example [PDF].

Additional Requirements

  • Length of submission: Your concept map should be on a single page, if at all possible. You can submit the concept map as a separate file, if you need to. Your additional evidence narrative should be 2–3 double-spaced, typed pages. Your narrative should be succinct yet substantive.
  • Number of references: Cite a minimum of 3–5 sources of scholarly or professional evidence that supports your concept map, decisions made regarding care, and interprofessional strategies. Resources should be no more than five years old.
  • APA formatting:
    • For the concept map portion of this assessment: Resources and citations are formatted according to current APA style. Please include references both in-text and in the reference page that follows your narrative.
    • For the narrative portion of this assessment: use the APA Paper Template linked in the Resources. An APA Template Tutorial is also provided to help you in writing and formatting your analysis. You do not need to include an abstract for this assessment.

Questions to Consider:

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.
SHOW LESSThe assessment will be based on the case of a specific patient with a specific condition, disease, or disorder. Think about an experience you have had treating a patient with a condition, disease, or disorder that interests you, or one of the cases presented in the Vila Health: Concept Maps as Diagnostic Tools media simulation.

Vila Health attached below as images

examples attached

templates attached

*****Must get distinguished in all categories or revise*****

  • What is the primary condition, disease, or disorder affecting the patient? 
    • What types of experience have you had working with patients with this condition, disease, or disorder?
    • How does this condition, disease, or disorder typically present?
    • What are the recommended treatment options? 
      • What, if any, characteristics of an individual patient should be kept in mind when determining a course of treatment.
  • How have you used concept maps to help plan and organize care? 
    • What are the advantages of concept maps, from your point of view?
    • How could concept maps be more useful?
  • How can interprofessional communication and collaboration strategies assist in driving patient safety, efficiency, and quality outcomes with regard to specific clinical and biopsychosocial considerations? 
    • What interprofessional strategies do you recommend health care providers take in order to meet patient-centered safety and outcome goals?

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NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal Example

NURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative ProposalNURS FPX 6016 Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal Assignment Brief

Course: NURS-FPX 6016 Quality Improvement of Inter-professional Care

Assignment Title: Assessment 3 Data Analysis and Quality Improvement Initiative Proposal

Overview:

The NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal Assignment is designed to enhance students’ understanding of healthcare quality improvement processes and their ability to analyze data to identify areas for improvement. In this assignment, students will critically analyze data from a healthcare institution and develop a comprehensive Quality Improvement Initiative Proposal (QIIP) to address identified issues.

The Student’s Role:

As a student enrolled in NURS FPX 6016, your role in this assignment is to act as a healthcare quality improvement specialist tasked with evaluating data from a hypothetical healthcare institution. You will utilize your knowledge of healthcare quality improvement principles and evidence-based practices to develop a comprehensive Quality Improvement Initiative Proposal. Your proposal should address key areas of concern identified through data analysis and propose strategies to enhance patient safety, treatment quality, and overall healthcare outcomes.

You Can Also Check Other Related Assessments:

NURS FPX 6016 Adverse Event or Near-Miss Analysis

NURS FPX 6016 Quality Improvement Initiative Evaluation

NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal Example

Introduction

Greetings esteemed colleagues; I am Levin, a Registered Nurse at Valley Hospital. I extend a warm welcome to everyone present for today’s presentation on Data Analysis and Quality Improvement Initiative Proposal. Our focus today revolves around devising a proposal for a quality improvement initiative based on an analysis of our hospital’s dashboard metrics. Through meticulous data analysis, we aim to pinpoint a specific health issue and craft a comprehensive Quality Improvement Initiative Proposal (QIIP) targeted at mitigating medication adverse events.

The imperative of this endeavor stems from our unwavering commitment to delivering superior healthcare, which hinges on enhancing patient safety and treatment quality, particularly in the realm of medication management. Failing to uphold stringent standards across all facets of healthcare provision jeopardizes patient well-being and may lead to dire consequences. Thus, our presentation is centered on formulating a QIIP tailored to address a critical health issue identified through our hospital’s dashboard data analysis.

Dashboard Metrics and Quality Improvement

Healthcare institutions worldwide leverage quality dashboards to furnish clinical teams and managers with essential metrics and analytics for monitoring care quality and orchestrating improvement initiatives. These dashboards encompass a spectrum of metrics ranging from performance indicators to data quality assessment and are instrumental in driving localized service enhancements. By harnessing the power of dashboards, organizations can gain invaluable insights into prevailing health policies and recalibrate strategies accordingly (Randell et al., 2020; Salgado et al., 2022).

Dashboard Data Analysis and Healthcare Issue

In pursuit of our Quality Improvement Initiative Proposal, we collaborated with Valley Hospital’s quality management department to procure pertinent data. Adhering to the stringent standards stipulated by the Health Insurance Portability and Accountability Act (HIPAA), we meticulously scrutinized patient health reports to discern prevailing care quality. Our analysis spotlighted key dashboard metrics encompassing patient satisfaction, patient safety, treatment errors, and hospital readmission rates, which served as lynchpins in identifying critical healthcare issues warranting remedial action.

Data Analysis

The analysis of data from Valley Hospital revealed concerning findings regarding patient satisfaction and medication errors. Patient satisfaction was notably low at only 40%, largely attributed to the high occurrence of medication errors. Approximately 30 out of 100 patients experienced harmful medication errors, leading to significant safety concerns. Tragically, 10 patients lost their lives due to these errors (Randell et al., 2020). Medication errors ranked as the most prevalent among treatment errors, contributing to increased hospital readmission rates. This analysis underscores the urgent need for a quality improvement initiative to address medication errors within Valley Hospital.

While the analysis provides valuable insights into the extent of medication errors, there are notable knowledge gaps. Specifically, details regarding the types of medication errors, such as wrong dosage, incorrect medication, or improper administration routes, are missing. This information could have facilitated a more targeted analysis to pinpoint specific areas for improvement within the hospital’s medication processes (Randell et al., 2020).

Selected Quality Improvement Initiative Proposal

Upon identifying the significant issue of adverse medication events, Valley Hospital recognized the pressing need for a quality improvement initiative to enhance patient care, safety, and satisfaction. To address this concern, the proposed approach is the implementation of the six sigma DMAIC model. This model comprises five key steps: Define, Measure, Analyze, Improve, and Control (Ahmed, 2019). The initial step involves identifying specific areas for improvement, with a focus on nursing practices given their pivotal role in medication administration. Additionally, attention can be directed towards the prescribing and dispensing processes conducted by physicians and pharmacists, respectively.

The DMAIC model offers a structured framework to address the identified issues comprehensively. For instance, to mitigate adverse medication events, the hospital team will first define and delineate the problem among all stakeholders. Subsequently, data pertaining to these events, including their frequency and impact on patients, will be collected. This measurement phase serves as a baseline for further analysis. Through root-cause analysis, underlying factors contributing to medication errors will be identified. Subsequent steps involve devising improvement plans to prevent medication errors and implementing system changes. Continuous monitoring and evaluation ensure sustained improvements in patient safety and care quality.

Evidence-Based Strategies

To enhance the quality of care and reduce medication-associated events, several evidence-based strategies can be implemented:

Firstly, the adoption of computerized provider order entry systems during transitions in care, especially when coupled with clinical decision support systems, can significantly mitigate medication errors (Agency for Healthcare Research and Quality, 2019).

Secondly, involving clinical pharmacists in overseeing the medication dispensing process is crucial. Additionally, employing the ‘Tall man’ lettering strategy can help distinguish between look-alike and sound-alike medications, thereby minimizing confusion. Automated dispensing cabinets also play a vital role in reducing errors associated with high-risk medications.

Thirdly, adherence to the “Five Rights” of medication administration is imperative to ensure safe medication practices. These rights include administering the right medication, in the right dose, at the right time, via the right route, to the right patient.

Lastly, leveraging technologies such as Barcode medication administration can further enhance medication safety by verifying that the correct medication is administered to the intended patient (Agency for Healthcare Research and Quality, 2019).

However, the absence of specific information regarding the types of medication-associated adverse events poses a challenge in tailoring the proposal to address this particular area effectively. Having this information would have strengthened the proposal and facilitated a more targeted approach to improving medication safety.

Inter-professional Perspectives and Needed Actions

In order to ensure effective, competent, and safe patient care, collaboration among inter-professional teams is essential. Each member of the team works towards a common goal of enhancing patient health and safety. Adverse events such as medication errors not only impact patient well-being but also affect the quality of work-life for healthcare professionals. These events can lead to repercussions such as penalties or detention for healthcare providers, thereby increasing costs for both patients and the healthcare facility. Additionally, medication errors may necessitate further treatment for patients experiencing non-fatal injuries. Therefore, it is imperative for inter-professional teams to work together to minimize such events (Manias, 2018).

In Valley Hospital, various healthcare professionals including hospital administration, physicians, nurses, pharmacists, and IT personnel, such as nurse informaticists, are actively engaged in analyzing dashboard metrics and are committed to improving their performance. Their collective efforts aim not only to enhance patient safety but also to promote cost-effectiveness and improve the overall quality of work-life within the hospital setting.

Needed Actions

To achieve shared objectives of enhancing patient safety, cost-effectiveness, and work-life quality, it’s crucial for all members of the inter-professional team to collaborate effectively. Here are the specific actions identified by the team to meet these goals:

  • Communication Enhancement: Utilizing tools such as guidelines, protocols, and communication logs to facilitate clear and effective communication among team members (Manias, 2018).
  • Involvement of Pharmacists: Incorporating pharmacists into clinical settings to provide their expertise in medication management and usage, thereby reducing the occurrence of medication errors (Manias, 2018).
  • Collaborative Medication Review: Conducting joint medication reviews upon admission and discharge to ensure accuracy and safety in medication administration (Manias, 2018).
  • Educational Workshops and Conferences: Organizing collaborative educational sessions to share knowledge and best practices among healthcare professionals, promoting a culture of continuous learning and improvement (Irajpour et al., 2019).

Implementing these actions will contribute to enhancing patient safety by improving communication and raising awareness about appropriate practices. Additionally, involving pharmacists in clinical settings and conducting collaborative medication reviews will help mitigate medication errors and adverse events. This approach not only benefits patient outcomes but also enhances the cost-effectiveness of treatment. Moreover, educational workshops and conferences foster a supportive environment for ongoing learning, ultimately improving the quality of work-life for healthcare professionals.

The effectiveness of these suggestions relies on the assumption that healthcare professionals across all departments will work collaboratively towards the common goal of enhancing patient safety. By fostering positive work relationships, sharing objectives, and improving job performance, professionals can feel more competent and satisfied in their roles, thereby reducing mental stress and enhancing overall job satisfaction.

Effective Collaboration Strategies

To enhance the quality of inter-professional care, it’s essential to implement effective collaboration strategies that foster teamwork and communication among healthcare professionals. These strategies are crucial for ensuring that all members of the inter-professional team work together towards common goals, ultimately improving patient safety and the quality of care provided. Here are some evidence-based collaboration strategies:

  • Role Clarification: Clearly defining the roles and responsibilities of each team member helps in understanding their scopes of practice and identifying areas of overlap. By acknowledging these interdependencies, team members can work together more effectively, leveraging their knowledge and expertise to provide comprehensive care (White-Williams & Shirey, 2021).
  • Promoting Ethical Values: Creating an environment that values transparency, openness, and willingness to collaborate is essential for effective teamwork. Educating team members about inter-professional values and ethics encourages ethical behavior and fosters a culture of collaboration. Incorporating these values into organizational onboarding and training programs can further promote inter-professional collaboration (McLaney et al., 2022).
  • Utilizing Communication Tools: Employing effective communication tools facilitates timely and efficient exchange of information among team members. Using a common language that is easily understandable by all members and leveraging technologies such as social media and hospital communication portals can enhance communication and promote collaboration (De Las Heras-Pedrosa et al., 2020).

These strategies are predicated on the assumption that the inter-professional team shares a common vision and goals aimed at improving patient safety and quality of care. By working together collaboratively, healthcare professionals can fulfill their duties effectively, leading to enhanced job satisfaction and ultimately improving patient outcomes.

Conclusion

In conclusion, the Data Analysis and Quality Improvement Initiative Proposal presented here underscore the critical importance of data-driven decision-making and collaborative efforts in healthcare settings. Through meticulous analysis of dashboard metrics, Valley Hospital identified medication errors as a significant concern impacting patient safety and satisfaction. Leveraging evidence-based strategies and the DMAIC model, the proposed Quality Improvement Initiative aims to address these issues comprehensively, focusing on areas such as nursing practices, medication administration, and inter-professional collaboration.

Effective collaboration among healthcare professionals is paramount to achieving shared goals of enhancing patient safety, treatment quality, and work-life satisfaction. Strategies such as role clarification, promoting ethical values, and utilizing communication tools can facilitate seamless teamwork and communication, ultimately improving patient outcomes.

By implementing the proposed Quality Improvement Initiative and fostering a culture of collaboration, Valley Hospital can mitigate medication errors, enhance patient safety, and improve overall care quality. However, it is essential to address knowledge gaps and ensure ongoing monitoring and evaluation to sustain improvements over time.

Through these concerted efforts, Valley Hospital can continue its mission of delivering high-quality, patient-centered care while fostering a supportive and fulfilling work environment for healthcare professionals.

References

Ahmed, N. (2019). Six Sigma DMAIC Model: A Roadmap for Process Improvement. Quality Engineering, 31(1), 37–55. https://doi.org/10.1080/08982112.2018.1492981

Agency for Healthcare Research and Quality. (2019). Barcode Medication Administration: Lessons Learned from an Intensive Care Unit Implementation. https://www.ahrq.gov/hai/tools/barcoding/index.html

De Las Heras-Pedrosa, C., Sáez, M. E., García-Peñalvo, F. J., & Therón, R. (2020). Social Media Tools as a Support of Interprofessional Collaboration: A Systematic Review. Journal of Medical Internet Research, 22(4), e16806. https://doi.org/10.2196/16806

Irajpour, A., Farzi, S., Saghaei, M., Ravaghi, H., & Ghotbi, M. (2019). Impact of educational intervention on improving interprofessional collaboration among Iranian critical care nurses. Journal of Interprofessional Care, 33(2), 242–250. https://doi.org/10.1080/13561820.2018.1537697

Manias, E. (2018). Medication safety: Nurses’ role in improving patient outcomes. British Journal of Nursing, 27(6), 316–321. https://doi.org/10.12968/bjon.2018.27.6.316

McLaney, A., Deloney, L. A., McKnight, R., & Young, H. M. (2022). Fostering Interprofessional Collaboration Through Values Integration. Journal of Professional Nursing, 38(1), 74–79. https://doi.org/10.1016/j.profnurs.2021.07.001

Randell, R., Honey, S., & Alvarado, N. (2020). Information dashboards for improving patient care: A narrative review. Journal of Innovation in Health Informatics, 26(1), 21–30. https://doi.org/10.14236/jhi.v26i1.1005

Salgado, G., Timenetsky, K., Menezes, S., Isoni Auad, L., & Lara, E. (2022). Information systems for quality indicators in health care: a systematic review. BMC Medical Informatics and Decision Making, 22(1), 1–11. https://doi.org/10.1186/s12911-021-01739-7

White-Williams, C., & Shirey, M. R. (2021). Enhancing Interprofessional Collaboration in Healthcare Through Role Clarification. Journal of Professional Nursing, 37(1), 63–68. https://doi.org/10.1016/j.profnurs.2020.06.004

Detailed Assessment Instructions for the NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal Assignment

Prepare an 8-10 page data analysis and quality improvement initiative proposal based on a health issue of interest. Include internal and external benchmark data, evidence-based recommendations to improve health care quality and safety, and communication strategies to gain buy-in from all interprofessional team members responsible for implementing the initiative.

Introduction

Health care providers are perpetually striving to improve care quality and patient safety. To accomplish enhanced care, outcomes need to be measured. Next, data measures must be validated. Measurement and validation of information support performance improvement. Health care providers must focus attention on evidence-based best practices to improve patient outcomes.

Health informatics, along with new and improved technologies and procedures, are at the core of all quality improvement initiatives. Data analysis begins with provider documentation, researched process improvement models, and recognized quality benchmarks. All of these items work together to improve patient outcomes. Professional nurses must be able to interpret and communicate dashboard information that displays critical care metrics and outcomes along with data collected from the care delivery process.

For this assessment, use your current role or assume a role you hope to have. You will develop a quality improvement (QI) initiative proposal based on a health issue of professional interest. To create this proposal, analyze a health care facility’s dashboard metrics and external benchmark data. Include evidence-based recommendations to improve health care quality and safety relating to your selected issue. Successful QI initiatives depend on the support of nursing staff and other members of the interprofessional team. As a result, a key aspect of your proposal will be the communication strategies you plan to use to get buy-in from these team members.

Preparation

To develop the QI initiative proposal required for this assessment, you must analyze a health care facility’s dashboard metrics. Choose Option 1 or 2 according to your ability to access dashboard metrics for a QI initiative proposal.

Option 1

If you have access to dashboard metrics related to a QI initiative proposal of interest to you, complete the following:

  • Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety. For example, in a hospital setting, you would contact the quality management department to obtain the needed data. It is your responsibility to determine the appropriate resource to provide the necessary data in your chosen health care setting. If you need help determining how to obtain the needed information, consult your faculty member for guidance.
  • Include in your proposal basic information about the health care setting, size, and specific type of care delivery related to the identified topic. Please abide by Health Insurance Portability and Accountability Act (HIPAA) compliance standards.

Option 2

If you do not have access to a dashboard or metrics related to a QI initiative proposal:

  • Use the hospital data set provided in Vila Health: Data Analysis. You will analyze data to identify a health care issue or area of concern.
  • Include in your proposal basic information about the health care setting, size, and specific type of care delivery related to the identified topic.

Instructions

Use your current role or assume a role you would like to have. Choose a quality improvement initiative of professional interest to you. Your current organization is probably working on quality improvement initiatives that can be evaluated, so consider starting there.

To develop your proposal you will:

  • Gather internal and external benchmark data on the subject of your quality improvement initiative proposal.
  • Analyze data you have collected.
  • Make evidence-based recommendations about how to improve health care quality and safety relating to your chosen issue.

Remember, your initiative’s success depends on the interprofessional team’s commitment to the QI initiative. Think carefully about these stakeholders and how you plan to include them in the process, as they will help you develop and implement ideas and sustain outcomes. Also, remember how important external stakeholders, such as patients and other health care delivery organizations, are to the process. As you are preparing this assessment, consider carefully the communication strategies you will employ to include the perspectives of all internal and external stakeholders in your proposal.

The following numbered points correspond to grading criteria in the scoring guide. The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your proposal addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels related to each grading criterion.

  1. Analyze data to identify a health care issue or area of concern.
    • Identify the type of data you are analyzing from your institution or from the Vila Health activity.
    • Explain why data matters. What does data show related to outcomes?
    • Analyze the dashboard metrics. What else could the organization measure to enhance knowledge?
    • Present dashboard metrics related to the selected issue that are critical to evaluating outcomes.
    • Assess the institutional ability to sustain processes or outcomes.
    • Evaluate data quality and its implications for outcomes.&
  2. Determine whether any adverse event or near-miss data needs to be factored in to outcomes and recommendations.
    • Examine the nursing process for variations or performance failures that could lead to an adverse event or near miss.
    • Identify trends, measures, and information needed to critically analyze specific outcomes.
    • Specify desired outcomes related to prevention of adverse events and near misses.
    • Analyze which metrics indicate future quality improvement opportunities.
  3. Develop a QI initiative proposal based on a selected health issue and supporting data analysis.
    • Determine benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
    • Identify any internal existing QI initiatives in your practice setting or organization related to the selected issue. Explain why they are insufficient.
    • Evaluate external national or international QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and nongovernmental bodies on quality improvement.
    • Define target areas for improvement and the processes to be modified to improve outcomes.
    • Propose evidence-based strategies to improve quality.
    • Analyze challenges that meeting prescribed benchmarks can pose for a health care organization and the interprofessional team.
  4. Communicate QI initiative proposal based on interdisciplinary team input to improve patient safety and quality outcomes and work-life quality.
    • Define interprofessional roles and responsibilities relating to data and the QI initiative.
    • Explain how to ensure all relevant interprofessional roles are fully engaged in this effort.
    • Identify how outcomes will be measured and data used to inform interprofessional team performance related to specific tasks.
    • Reflect on the impact of the proposed initiative on work-life quality of the interprofessional team.
    • Describe how the initiative enhances work-life quality due to improved strategies supporting efficiency.
  5. Determine communication strategies to promote quality improvement of interprofessional care.
    • Identify interprofessional communication strategies that will help to promote and ensure the success of the QI initiative.
    • Identify communication models, such as SBAR and CUS, to include in your proposal.
      • SBAR stands for Situation, Background, Assessment, Recommendation.
      • CUS stands for “I am Concerned about my resident’s condition; I am Uncomfortable with my resident’s condition; I believe the Safety of the resident is at risk.”
    • Consult this resource for additional information about these fundamental evidence-based tools to improve interprofessional team communication for patient handoffs:
  6. Communicate QI initiative proposal in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.
  7. Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

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NURS FPX 6016 Quality Improvement Initiative Evaluation Essay Example

NURS FPX 6016 Assessment 2 Quality Improvement Initiative EvaluationNURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation

NURS FPX 6016 Quality Improvement Initiative Evaluation Assignment Brief

Course: NURS-FPX 6016 Quality Improvement of Inter-professional Care

Assignment Title: Assessment 2 Quality Improvement Initiative Evaluation

Assignment Overview:

In this assignment, you will critically evaluate a quality improvement initiative implemented in a healthcare setting. You will analyze various aspects of the initiative, including its rationale, approaches, success metrics, interprofessional perspectives, and recommendations for further improvement. The goal is to assess the effectiveness of the initiative in enhancing patient care and safety while identifying areas for refinement and optimization.

The Student’s Role:

As a nursing student, your role in this assignment is to act as a critical evaluator of the quality improvement initiative. You will carefully analyze the provided information, considering various factors such as patient safety, healthcare outcomes, and interprofessional collaboration. Your assessment should be objective and evidence-based, focusing on identifying strengths, weaknesses, and opportunities for improvement in the initiative. Additionally, you will provide well-reasoned recommendations for further enhancing the initiative’s effectiveness, drawing on relevant literature and best practices in quality improvement.

You Can Also Check Other Related Assessments:

NURS FPX 6016 Adverse Event or Near-Miss Analysis

NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal

NURS FPX 6016 Quality Improvement Initiative Evaluation Essay Example

Introduction

Healthcare facilities worldwide face numerous challenges that necessitate the implementation of Quality Improvement (QI) initiatives to achieve positive patient outcomes. One such initiative aimed at preventing patient falls has been implemented at Miami Valley (MV) Hospital. Patient falls are a common issue globally, with an annual occurrence of 70,000 to 1 million incidents in hospitals, resulting in approximately 250,000 injuries and up to 11,000 casualties (LeLaurin & Shorr, 2019). These falls predominantly affect the elderly population.

Research indicates that falls among older individuals occur at a prevalence rate of 26.5%, with Oceania exhibiting the highest rate at 34.4% and America at 27.9% (Salari et al., 2022). Countrywide benchmarks reveal a ratio of 3.44 falls per 1000 days in medical and surgical units. Alarmingly, about one-fourth of these inpatient falls lead to injuries, costing hospitals roughly $7000 per case. Injurious falls are among the 14 hospital-acquired public health issues, imposing a financial burden on healthcare facilities as they are not reimbursed for these costs (Venema et al., 2019). Consequently, the escalating incidence of patient falls prompted the administration to institute quality improvement initiatives to enhance quality and ensure patient safety.

Approaches and Rationale Behind the Quality Improvement Initiative

The quality improvement initiative at MV Hospital is structured around two main strategies. Firstly, an immediate response protocol is implemented for patients who experience falls. This involves promptly evaluating and analyzing the factors contributing to the fall, aiming to prevent future incidents. Secondly, a long-term management approach is adopted, wherein risk factors are identified upon admission, at three-month intervals, yearly, and whenever there’s a change in the patient’s condition. This continual assessment helps categorize patients at high risk of falls and ensures ongoing interventions tailored to individual needs. While these approaches enable the hospital to develop a comprehensive fall prevention plan, they also come with drawbacks. For instance, the initiative doesn’t address falls resulting from mishandling by healthcare professionals. Additionally, it places an increased burden on nursing staff due to heightened time demands and excessive documentation requirements.

The rationale behind initiating the quality improvement program stems from the alarming prevalence of patient falls globally, which imposes significant financial and healthcare burdens. Miami Valley Hospital recognized the substantial number of annual falls in hospitals, leading to injuries and escalated healthcare costs. Given that falls are preventable adverse events, the initiative aims to enhance patient safety, improve the quality of care, and alleviate the financial strain associated with fall-related injuries.

Evaluation of Quality Improvement Initiative Success

Assessing the effectiveness of a quality improvement (QI) initiative is paramount to ensuring its impact on patient care and safety. As emphasized by the Agency for Healthcare Research and Quality (AHRQ), the success of such initiatives hinges upon measurable outcomes and the ability to discern improvement areas (Taylor et al., 2017). In line with this, the evaluation of Miami Valley Hospital’s fall prevention program is essential to gauge its efficacy and identify areas for refinement.

Key metrics, as outlined by AHRQ, include the number of falls per 1000 occupied beds, fall risk factors, and collaborative practices among healthcare professionals (Taylor et al., 2017). Employing The Tracking Record for Improving Patient Safety (TRIPS) facilitates the systematic monitoring of these indicators, providing insights into the program’s performance.

Central to the assessment are specific indicators related to fall management, including the monthly frequency of falls, the number of patients experiencing falls, occurrences of multiple falls per patient, and incidents resulting in severe injuries. Analyzing data from these metrics at Miami Valley Hospital reveals a notable reduction in monthly fall events, declining from 27 to 15, and a decrease in the number of patients experiencing falls. Remarkably, only one patient suffered a fatal injury, signaling a significant improvement in patient safety.

Furthermore, a biannual review demonstrates a substantial reduction in fall events, accompanied by a 50% decrease in associated costs. These positive outcomes underscore the effectiveness of the QI initiative in enhancing patient safety through proactive risk identification and the implementation of targeted interventions.

However, it is imperative to acknowledge the underlying assumptions shaping this analysis, including bed occupancy rates, fall incidence, and the collaborative efforts of the implementation team. These factors influence the interpretation of outcomes and must be considered in refining future iterations of the program.

In essence, the evaluation highlights the tangible benefits of the QI initiative, emphasizing its role in mitigating fall-related risks and improving patient outcomes. Moving forward, continued monitoring and adaptation based on evolving data will be essential to sustain and further enhance the program’s effectiveness.

Interprofessional Perspectives and Collaboration in Quality Improvement

The success of quality improvement (QI) initiatives heavily relies on effective collaboration among healthcare professionals from diverse disciplines. Research has consistently demonstrated that such interprofessional teamwork enhances patient care, safety, and overall health outcomes, thereby positively influencing the outcomes of QI programs (Brugman et al., 2022). Encouraging frontline staff, particularly nurses, to collaborate seamlessly with colleagues across different specialties is crucial for the successful implementation of QI initiatives.

At Miami Valley Hospital, nurses, nurse educators, quality control personnel, finance experts, and administrators collaborated effectively to implement the fall prevention initiative. Nurses played a pivotal role in identifying risk factors by thoroughly examining patients’ medical and biographical records, and then implementing tailored prevention strategies. Concurrently, nurse educators devised educational curricula aimed at raising awareness among nurses and other healthcare professionals about the significance of risk prevention and encouraging the integration of QI strategies into their practices.

Meanwhile, the finance department meticulously analyzed the financial implications of the initiative, maintaining records of reduced case numbers and associated costs. This data-driven approach allowed for a comprehensive understanding of the economic impact of the QI program. Additionally, the quality control department and hospital administration conducted regular audits of clinical areas, scrutinized records, and utilized clinical data to enhance patient outcomes.

However, an aspect that warrants attention is the potential impact of increased responsibilities on nursing staff, which could lead to burnout and a decline in workforce effectiveness. While the analysis underscores the collaborative efforts across various departments, it overlooks initiatives aimed at alleviating nurses’ workload and reducing time consumption associated with additional responsibilities. Addressing this aspect is crucial to ensuring the sustainability of interprofessional collaboration and the long-term success of QI initiatives.

Recommendations for Enhancing the Quality Improvement Initiative

To elevate the effectiveness of the quality improvement endeavor, it is advised to employ two distinct methodologies: microsystems and the Plan-Do-Study-Act (PDSA) cycle.

The microsystems approach entails the formation of small, cohesive groups dedicated to delivering optimal patient care by focusing on attainable objectives. Research indicates that concentrating on smaller, clearly defined goals yields superior results compared to broader organizational perspectives (Abrahamson et al., 2020). By emphasizing manageable and replicable services, the microsystems strategy aligns with the objectives of the fall prevention QI initiative at Miami Valley Hospital. Assigning minimal additional responsibilities to each team member facilitates efficient implementation and enables straightforward measurement of outcomes. Unlike larger-scale interventions, microsystems prevent the complexities associated with extensive data and responsibilities, minimizing the risk of overlooking critical aspects.

Similarly, the utilization of the PDSA cycle is advocated in healthcare QI efforts due to its emphasis on continuous improvement. This model revolves around iterative cycles of planning, implementation, evaluation, and adjustment, ensuring ongoing enhancement of processes (Knudsen et al., 2019). The PDSA cycle prioritizes continuous data collection and interventions on a small scale, thereby enabling teams to address issues systematically. Breaking down the cycle into distinct phases — PLAN, DO, STUDY, and ACT — facilitates structured problem-solving. While the ACT phase marks the completion of one cycle, it initiates the subsequent cycle, perpetuating the momentum of improvement efforts. It is imperative to recognize that quality improvement is a dynamic process requiring constant action and feedback loops to refine interventions and enhance patient outcomes.

Pros and Cons of the Recommendations

The adoption of microsystems and the PDSA cycle offers several advantages. These methodologies facilitate efficient applicability, enable small-scale interventions that serve as guides for broader implementation, and alleviate workload burdens on teams by promoting focused efforts. Moreover, adhering to SMART criteria (Specific, Measurable, Achievable, Relevant, and Time-Bound) ensures goal clarity and enhances the likelihood of success.

However, these recommendations also pose certain challenges. They may consume considerable time, especially in the initial stages of implementation, and necessitate the formation of multiple small teams, potentially overburdening administrators. Moreover, differences in opinions and contradictory data may arise during the implementation process, requiring careful navigation to ensure consensus and effective decision-making.

Conclusion

In conclusion, the evaluation of Miami Valley Hospital’s Quality Improvement (QI) initiative for fall prevention underscores its significant impact on patient safety and healthcare outcomes. By implementing proactive strategies focused on immediate response and long-term management, the hospital has effectively reduced the incidence of patient falls and associated injuries. The success of the initiative is evident through the substantial decrease in monthly fall events, accompanied by a notable reduction in healthcare costs.

Furthermore, the collaborative efforts of multidisciplinary teams, comprising nurses, educators, quality control personnel, finance experts, and administrators, have been instrumental in driving the initiative’s success. However, while the evaluation highlights the positive outcomes achieved, it also underscores the need to address challenges such as increased workload and potential burnout among nursing staff.

Moving forward, the adoption of microsystems and the Plan-Do-Study-Act (PDSA) cycle presents promising avenues for further enhancing the effectiveness of the QI initiative. These methodologies offer structured approaches to continuous improvement, enabling focused interventions and sustainable progress. While these recommendations offer clear benefits, it is crucial to acknowledge and navigate potential challenges such as time consumption and differences in opinions.

References

Abrahamson, K., Hass, Z., & Morgan, A. (2020). Microsystems in health care: Part 1. American Nurse Journal, 15(8), 30-34.

Brugman, A., Farnan, J., & Manian, F. (2022). Interprofessional collaboration for quality improvement in healthcare: A scoping review. BMJ Quality & Safety, 31(1), 75-86.

Knudsen, J., Davidson, C., & Overgaard, S. (2019). The PDSA cycle at the core of learning in health professions education. Journal of Research in Interprofessional Practice and Education, 9(2), 1-12.

LeLaurin, J., & Shorr, R. (2019). An evidence-based guide to patient fall prevention. Geriatric Nursing, 40(1), 75-80.

Salari, N., Hosseinian-Far, A., Jalali, R., Vaisi-Raygani, A., Rasoulpoor, S., Mohammadi, M., & Rasoulpoor, S. (2022). Prevalence of falls among the elderly: A systematic review and meta-analysis. Journal of Aging and Physical Activity, 30(1), 1-12.

Taylor, M., McNicholas, C., Nicolay, C., Darzi, A., & Bell, D. (2017). Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Quality & Safety, 26(5), 1-10.

Venema, A., Goodridge, D., Hirdes, J., & Wickson-Griffiths, A. (2019). Balancing investment in cost-saving interventions: A case study of costs associated with hospital-acquired injuries in a Canadian acute care hospital. Healthcare Management Forum, 32(3), 112-118.

Detailed Assessment Instructions for the NURS FPX 6016 Quality Improvement Initiative Evaluation Assignment

Deliver to the interprofessional team a presentation (20 minutes; 12-15 slides) that analyzes an existing workplace quality improvement initiative related to a specific disease, condition, or public health issue of interest. The presentation’s purpose is to inform and get buy-in from the interprofessional team.

Introduction

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—various groups talking among themselves about results and enhancements. Nurses are critical to the delivery of high-quality, efficient health care. As a result, they must develop their skills in reviewing and evaluating performance reports. They also need to be able to communicate outcome measures related to quality initiatives effectively. Patient safety and positive institutional health care outcomes mandate collaboration among nursing staff members to ensure the integration of their perspectives in all quality care initiatives.

In this assessment, you will have the opportunity to analyze a quality improvement initiative in your workplace. You will then present your analysis to a group of nurses and other health care professionals. The purpose of your presentation is to inform and enlist support for the initiative from your audience.

Preparation

Quality Initiative Selection

In this assessment you will deliver an analysis of an ongoing quality improvement initiative in your workplace. The initiative you analyze must relate to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of your analysis is to assess whether specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your audience consists of nurses and selected health care professionals with specializations or interest in your selected condition, disease, or issue. You hope to inform and garner support for the initiative from your audience.

Recording Your Presentation

To prepare to record a voice-over for your presentation:

  • Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.
  • Practice using the equipment to ensure the audio quality is sufficient.
  • Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.
  • Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.
  • Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.

Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at DisabilityServices@Capella.edu to request accommodations.

Instructions

The optional QI Initiative Evaluation Presentation Template [PPTX] is provided to help you prepare your slides. If you choose to work without the template, consider referring to Guidelines for Effective PowerPoint Presentations [PPTX].

In your presentation, you will:

  • Analyze a current quality improvement initiative in a health care or practice setting according to strategic organizational initiatives.
    • Explain the rationale behind the QI improvement initiative. What prompted the initiative?
    • Detail problems that were not addressed and any issues that arose from the initiative.
  • Evaluate the success of a current quality improvement initiative according to recognized national benchmarks.
    • Analyze the benchmarks used to evaluate success. Which aspects of the initiative were most successful? What outcome measures are missing or could be added?
    • Incorporate one appropriate supporting visual (such as a graph or chart) that showcases the most critical aspect of this presentation.
  • Incorporate interprofessional perspectives related to initiative functionality and outcomes.
  • Integrate the perspectives of interprofessional team members involved in the initiative. Who did you talk to? What are their professions? How did their perspectives impact your analysis?
  • Recommend additional indicators and protocols to improve and expand outcomes of a quality initiative.
    • Identify specific process or protocol changes as well as technologies that would improve quality outcomes.
  • Ensure slides are easy to read and error free. Provide detailed speaker notes. Also ensure audio is clear, organized, and professionally presented.
  • Organize content with clear purpose/goals and with relevant and evidence-based sources (published within 5 years).

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NURS FPX 6016 Adverse Event or Near-Miss Analysis Essay Example

NURS FPX 6016 Assessment 1 Adverse Event or Near-MissNURS FPX 6016 Assessment 1 Adverse Event or Near-Miss

NURS FPX 6016 Adverse Event or Near-Miss Analysis Assignment Brief

Course: NURS-FPX 6016 Quality Improvement of Inter-professional Care

Assignment Title: Assessment 1 Adverse Event or Near-Miss Analysis in Healthcare

Assignment Overview:

In healthcare, patient safety is of utmost importance. Despite numerous quality improvement initiatives, adverse events and near misses still occur, highlighting the need for continuous analysis and improvement. This assignment aims to provide students with an opportunity to analyze a real or simulated adverse event or near miss from their nursing experience. By examining the circumstances, root causes, and implications for stakeholders, students will propose evidence-based quality improvement initiatives to prevent similar incidents in the future.

The Student’s Role:

As a student in the NURS FPX 6016 course, your role is to analyze an adverse event or near miss that you or a peer experienced during your nursing career. You will critically examine the circumstances surrounding the event, identifying missed steps or protocol deviations that contributed to the incident. Additionally, you will evaluate the implications of the event for all stakeholders involved, considering short- and long-term effects.

Furthermore, you will research and evaluate quality improvement technologies and metrics relevant to the event, proposing evidence-based initiatives to prevent similar incidents in the future. Your analysis should be communicated effectively, demonstrating clear and logical writing, adherence to APA style, and integration of scholarly sources to support your arguments and recommendations.

You Can Also Check Other Related Assessments:

NURS FPX 6016 Quality Improvement Initiative Evaluation

NURS FPX 6016 Data Analysis and Quality Improvement Initiative Proposal

NURS FPX 6016 Adverse Event or Near-Miss Analysis Essay Example

In healthcare, ensuring patient safety and providing optimal care is paramount. Adverse events and near misses highlight the critical need for continuous quality improvement initiatives (Isaksson et al., 2021). This assessment focuses on a case study centered around patient John Smith, exploring the circumstances, sequence of events, and root causes that led to an adverse event. By analyzing this scenario, evaluating existing quality improvement technologies, and considering evidence-based practices, we aim to uncover valuable insights into preventing similar incidents in the future. This assessment underscores the significance of proactive measures, interprofessional collaboration, and the application of best practices to safeguard patient well-being and enhance healthcare outcomes.

Patient Scenario

John Smith, a 55-year-old with heart issues, was admitted to Villa Hospital for chest pain. Amidst understaffing and a high workload, Nurse Lisa, stressed and overwhelmed, mistakenly administered nitroglycerin meant for another patient. John’s blood pressure dropped, and though the error was caught, his condition worsened due to inadequate monitoring. A delayed arrhythmia detection led to a code blue, and he was transferred to the ICU. Despite efforts, John’s heart damage was irreparable, and he passed away on Day 6. This tragic event highlights the dangerous mix of staffing shortages, nurse stress, and inadequate monitoring, emphasizing proper nurse-patient ratios, stress management, and a robust patient safety culture.

Implications of the Adverse Event for Stakeholders

The adverse event involving John Smith carries significant implications for all stakeholders involved in his care. The consequences for the patient and his family were tragically severe, as John lost his life due to a chain of errors and delays in his treatment. This sudden loss not only devastated the family emotionally but could also lead to a lasting distrust in the healthcare system, impacting their future interactions with healthcare professionals.

The interprofessional team, including Nurse Lisa and other healthcare providers, experienced immediate emotional distress after the event. Feelings of guilt, anxiety, and grief were likely to have occurred. In the long term, this incident may catalyze changes within the team dynamics. It could lead to reevaluating protocols, fostering an environment of enhanced communication and collaboration to prevent similar incidents from occurring in the future. Healthcare professionals might become more vigilant and open to discussing errors to facilitate improvements in patient safety (Rigamonti & Rigamonti, 2021).

The healthcare facility faces not only reputational damage but also potential legal consequences due to the unfortunate outcome of medical errors. Regulatory bodies might closely scrutinize the facility’s operations and protocols, possibly affecting its accreditation status. The event could trigger a series of assessments and improvements to ensure patient safety measures are strengthened (Behrens et al., 2022).

Within the community, incidents such as Adverse Event or Near-Miss Analysis could erode trust in the healthcare system. Word-of-mouth discussions and media coverage might impact community members’ perceptions and choices when seeking medical care. The incident’s effects could ripple beyond the hospital, shaping the community’s perspective on healthcare institutions in general.

Adverse Event or Near-Miss Analysis

Following the adverse event, the interprofessional team must take a proactive approach to address the situation. A thorough root cause analysis is crucial to identify the underlying factors contributing to the errors. Reviewing and revising protocols, prioritizing training in stress management and proper medication administration, and addressing staffing shortages are measures the team must undertake collectively (Laatikainen et al., 2021).

Responsible parties include frontline healthcare providers like Nurse Lisa and higher-level management, who must ensure adequate staffing and support mechanisms. The impact of the incident has likely led to changes in workflows, stricter adherence to protocols, and potentially altered reporting mechanisms to facilitate a more transparent and proactive approach to patient safety (Nantsupawat et al., 2021).

Adverse Event with Root Cause Analysis

The sequence of events that led to the adverse event involving John Smith can be analyzed through a root cause analysis. The event resulted from a series of missed steps and protocol deviations in his medical management, exacerbating the impact of his underlying condition. The missed steps and deviations began with Nurse Lisa’s crushing workload due to understaffing. This led to the first error – administering the wrong medication, nitroglycerin, due to stress-induced cognitive overload. Subsequently, inadequate monitoring of John’s condition due to Nurse Lisa’s multiple responsibilities delayed the recognition of a developing arrhythmia (Raeissi et al., 2022).

The adverse event stemmed from these protocol deviations in the context of “Adverse Event or Near-Miss Analysis” rather than solely from John’s underlying heart condition. The sequence of errors amplified the stress on John’s already compromised cardiovascular system, leading to a rapid deterioration of his health. The missed steps failed to provide appropriate medication, timely monitoring, and accurate recognition of critical changes. Nurse Lisa’s cognitive overload and the facility’s staffing shortages contributed to these lapses. Communication breakdowns were also evident as the team failed to identify and rectify the medication error in a timely manner (Hsieh et al., 2021).

To prevent this event, effective interprofessional communication is crucial. Regular team briefings, handoffs, and clear protocols could have played a vital role in preventing medication errors. Improved communication channels between nurses, doctors, and other team members would ensure timely intervention and error correction (Hsieh et al., 2021).

The adverse event was partially preventable through proper nurse staffing, stress management support, and stringent medication administration protocols. While unexpected medical complications can occur, the sequence of errors due to workload, cognitive overload, and communication gaps significantly contribute to the adverse outcome (Behrens et al., 2022).

Knowledge Gaps

There are some knowledge gaps about the specific medications, dosages, and monitoring procedures relevant to John’s case. Additionally, it doesn’t provide clear insights into the underlying heart condition, the nature of the arrhythmia, and how these medical aspects interacted with the protocol deviations to lead to the adverse event.

Evaluation of Quality Improvement Technologies Related to the Event

Healthcare facilities could implement quality improvement measures to mitigate risks and bolster patient safety in response to adverse events involving John Smith. Electronic Medication Administration Records (eMARs) represent a significant technological solution. These systems can help prevent medication errors by providing accurate records and alerts, ensuring that the right patient receives the right medication at the right dose and time. Integrating eMARs seamlessly into the workflow is essential to maximize their effectiveness (Pruitt et al., 2023).

Appropriate Utilization and Training

The successful deployment of such technologies necessitates proper training and education for healthcare staff. Conducting regular training sessions on how to use eMARs effectively and navigate other related systems is vital. Moreover, ensuring that nurses and other healthcare providers are well-versed in the technology can substantially enhance its usefulness and impact (Karnehed et al., 2021).

Patient Monitoring Technologies at Other Institutions

Across different healthcare institutions, a proactive approach involves using real-time patient monitoring systems. Wearable devices that continuously track vital signs allow for the early detection of deteriorating conditions. These systems provide healthcare teams with timely insights, enabling prompt intervention and preventing adverse events (Fuller et al., 2022).

Dashboard Data and Metrics

Within the facility’s dashboard data, metrics related to medication errors, patient monitoring frequency, patient satisfaction, and readmission rates are crucial. These metrics provide a comprehensive overview of patient outcomes and care quality. By comparing internal data with external benchmarks, healthcare facilities can identify areas for improvement and align their strategies with best practices.

External Research and Data

While specific external data about the exact adverse event might not be available, broader research on the effectiveness of technologies like eMARs and patient monitoring systems can guide improvement efforts. Utilizing insights from the broader healthcare literature can help tailor strategies to prevent future adverse events (Karnehed et al., 2021).

Criteria to Evaluate

To evaluate the discussed actions and technologies, criteria such as effectiveness in reducing errors, ease of integration into existing workflows, staff competency in utilizing the technologies, patient outcomes, and alignment with external best practices should be considered. Comparing internal data trends with external benchmarks can further assess the impact of these measures on patient safety and care quality (Fuller et al., 2022).

Quality Improvement Initiative to Prevent a Future Adverse Event or Near Miss

A comprehensive quality improvement initiative can be implemented to prevent future adverse events. Beginning with a thorough analysis of the incident involving John Smith, the initiative could introduce electronic Medication Administration Records (eMARs) to reduce medication errors by ensuring accurate dosages and timely administration. Standardized protocols for interprofessional communication during medication administration and patient monitoring can also be established to enhance coordination (Cotton et al., 2022).

To manage and monitor such incidents, the selected institution engaged in incident reporting, immediate intervention, and post-event analysis. Incident reports were filed to capture errors, followed by a detailed examination to determine root causes and implement preventive measures. Dashboard metrics tracking medication errors, patient monitoring frequency, and patient satisfaction facilitated ongoing monitoring and improvement assessment (Laatikainen et al., 2021). Evidence-based practices support the effectiveness of such initiatives. Research demonstrates that eMARs significantly reduce medication errors, improving patient safety. Real-time patient monitoring technologies have shown success in the early detection of deteriorating conditions, contributing to enhanced outcomes and decreased adverse events.

Applying these principles to prevent future adverse events, entails the implementation of eMARs for accurate medication administration, stress management support for healthcare providers, introduction of wearable patient monitoring devices for timely intervention, and the utilization of dashboard metrics to monitor progress (Cotton et al., 2022).

Conflicting Data

Conflicting data suggests that success with eMARs hinges on proper integration and staff training, while wearable monitoring technologies might face reliability and acceptance challenges. This underscores the need for careful implementation and ongoing evaluation to ensure the effectiveness of these technologies and practices. By combining evidence-based strategies with data-driven insights, healthcare facilities can cultivate a safety culture and minimize adverse events (Tanui, 2022).

Conclusion

John’s case, exemplifies the critical importance of patient safety and the need for robust quality improvement measures. The sequence of errors, stemming from nurse workload, medication administration, and monitoring lapses, resulted in tragic consequences. Implementing eMARs, enhancing interprofessional communication, and utilizing real-time patient monitoring can mitigate risks. Incident analysis, evidence-based initiatives, and benchmarking are vital for preventing future adverse events. Striking a balance between conflicting data underscores the necessity of thoughtful implementation and continuous evaluation to ensure patient safety.

References

Behrens, D. A., Rauner, M. S., & Sommersguter-Reichmann, M. (2022). Why resilience in health care systems is more than coping with disasters: Implications for health care policy. Schmalenbach Journal of Business Research. https://doi.org/10.1007/s41471-022-00132-0

Cotton, K., Booth Richard Booth, R. G., McMurray, J., & Treesh, R. (2022). Understanding health information exchange processes within Canadian long‐term care: A scoping review. International Journal of Older People Nursing. https://doi.org/10.1111/opn.12501

Fuller, A. E. C., Guirguis, L. M., Sadowski, C. A., & Makowsky, M. J. (2022). Evaluation of medication incidents in a long-term care facility using electronic medication administration records and barcode technology. The Senior Care Pharmacist, 37(9), 421–447. https://doi.org/10.4140/tcp.n.2022.421

Hsieh, M.-C., Chiang, P.-Y., Lee, Y.-C., Wang, E. M.-Y., Kung, W.-C., Hu, Y.-T., Huang, M.-S., & Hsieh, H.-C. (2021). An investigation of human errors in medication adverse event improvement priority using a hybrid approach. Healthcare, 9(4). https://doi.org/10.3390/healthcare9040442

Isaksson, S., Schwarz, A., Rusner, M., Nordström, S., & Källman, U. (2021). Monitoring preventable adverse events and near misses. Journal of Patient Safety, Publish Ahead of Print. https://doi.org/10.1097/pts.0000000000000921

Karnehed, S., Erlandsson, L.-K., & Norell Pejner, M. (2021). Nurses’ perspectives on an electronic medication administration record in home healthcare: Qualitative interview study (Preprint). JMIR Nursing, 5(1). https://doi.org/10.2196/35363

Laatikainen, O., Sneck, S., & Turpeinen, M. (2021). Medication-related adverse events in health care—what have we learned? A narrative overview of the current knowledge. European Journal of Clinical Pharmacology. https://doi.org/10.1007/s00228-021-03213-x

Nantsupawat, A., Poghosyan, L., Wichaikhum, O., Kunaviktikul, W., Fang, Y., Kueakomoldej, S., Thienthong, H., & Turale, S. (2021). Nurse staffing, missed care, quality of care and adverse events: A cross‐sectional study. Journal of Nursing Management, 30(2). https://doi.org/10.1111/jonm.13501

Pruitt, Z. M., Kazi, S., Weir, C., Taft, T., Busog, D.-N., Ratwani, R., & Hettinger, A. Z. (2023). A systematic review of quantitative methods for evaluating electronic medication administration record and bar-coded medication administration usability. Applied Clinical Informatics, 14(01), 185–198. https://doi.org/10.1055/s-0043-1761435

Raeissi, P., Aryankhesal, A., Shahidi Sadeghi, N., & Kalantari, H. (2022). Root Cause Analysis (RCA) of adverse events in one of the biggest western Iranian general hospitals: Short communication. Health Scope, 11(4). https://doi.org/10.5812/jhealthscope-118032

Raisi-Estabragh, Z., & Mamas, M. A. (2022). COVID-19: Health care implications. Cardiology Clinics. https://doi.org/10.1016/j.ccl.2022.03.010

Rigamonti, D., & Rigamonti, K. H. (2021). Achieving and maintaining safety in healthcare requires unwavering institutional and individual commitments. Cureus, 13(2). https://doi.org/10.7759/cureus.13192

Tanui, A. K. (2022). Ethical management of incidental findings related to development and use of digital health platforms for older people. www.theseus.fi. https://www.theseus.fi/handle/10024/785923

Detailed Assessment Instructions for the NURS FPX 6016 Adverse Event or Near-Miss Analysis Assessment

Write a comprehensive analysis (5-7 pages) of an adverse event or near miss from your nursing experience. Integrate research and data on the event to propose a quality improvement (QI) initiative to your current organization.

Health care organizations strive to create a culture of safety. Despite technological advances, quality care initiatives, oversight, ongoing education and training, legislation, and regulations, medical errors continue to be made. Some are small and easily remedied with the patient unaware of the infraction. Others can be catastrophic and irreversible, altering the lives of patients and their caregivers and unleashing massive reforms and costly litigation. Many errors are attributable to ineffective interprofessional communication.

This assessment’s goal is to address a specific event in a health care setting that impacts patient safety and related organizational vulnerabilities with a quality improvement initiative to prevent future incidents.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 1: Plan quality improvement initiatives in response to adverse events and near-miss analyses.
    • Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Analyze the implications of the adverse event or near miss for all stakeholders.
    • Outline a quality improvement initiative to prevent a similar adverse event or near miss.
  • Competency 3: Evaluate quality improvement initiatives using sensitive and sound outcome measures.
    • Incorporate relevant metrics of the adverse event or near miss incident to support need for improvement.
  • Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
    • Communicate analysis and proposed initiative in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Instructions

For this assessment, you will prepare a comprehensive analysis on an adverse event or near miss that you or a peer experienced during your professional nursing career. You will integrate research and data on the event and use this information as the basis for a quality improvement (QI) initiative proposal in your current organization.

The following points correspond to the grading criteria in the scoring guide. The subbullets under each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your adverse event or near-miss analysis addresses all of the content below. You may also want to read the scoring guide to better understand the performance levels relating to each grading criterion.

  1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.
    • Describe how the event resulted from a patient’s medical management rather than from the underlying condition.
    • Identify and evaluate the missed steps or protocol deviations leading to the event.
    • Explain the extent to which the incident was preventable.
    • Research the impact of the same type of adverse event or near miss in other facilities.
  2. Analyze the implications of the adverse event or near miss for all stakeholders.
    • Evaluate the short- and long-term effects on the stakeholders (patient, family, interprofessional team, facility, community). Analyze each stakeholder’s contribution to the event.
    • Analyze the interprofessional team’s responsibilities and actions. Explain what measures each interprofessional team member should have taken to create a culture of safety.
    • Describe any change to process or protocol implemented after the incident.
  3. Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.
    • Analyze the quality improvement technologies put in place to increase patient safety and prevent recurrence of the near miss or adverse event.
    • Determine the appropriateness of the technology application for a specific patient or situation.
    • Research scholarly, evidence-based literature to learn how institutions can integrate solutions to prevent similar events.
  4. Incorporate relevant metrics of the adverse event or near-miss incident to support need for improvement.
    • Identify the salient data associated with the adverse event or near miss that is generated from the facility’s dashboard.
      • Note: Dashboard means data generated from the information technology platform that provides integrated operational, financial, clinical, and patient safety data for health care management.
    • Analyze what the relevant metrics show.
    • Explain research or data related to the adverse event or near miss that is available outside of your institution. Compare internal data to external data. Use resources such as the Centers for Disease Control and Prevention (CDC), Agency for Healthcare Research and Quality (AHRQ), Institute for Healthcare Improvement (IHI), and the World Health Organization (WHO).
  5. Outline a quality improvement initiative to prevent the recurrence of an adverse event or near miss.
    • Explain, from an evidence-based viewpoint, how your facility now manages or should manage the process or protocol.
    • Evaluate how other institutions addressed similar incidents or events.
    • Analyze QI initiatives developed to prevent similar incidents. Explain why they are successful. Provide evidence of their success.
    • Propose solutions for your selected institution that can be implemented to prevent similar future adverse events or near-miss incidents.
  6. Communicate analysis and proposed initiative in a professional, effective manner, writing content clearly and logically, with correct use of grammar, punctuation, and spelling.
  7. Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Example Assessment: You may use the Adverse Event or Near-Miss Analysis Exemplar [PDF] for an idea of what an assessment receiving a proficient or higher evaluation would look like.

Additional Requirements

  • Submission length: 5–7 typed, double-spaced pages.
  • Font: Times New Roman, 12 points.
  • Number of references: Cite a minimum of 5 current scholarly and/or authoritative sources to support your evaluation, recommendations, and plans. Current literature is defined as no older than 5 years unless it is a seminal work.
  • APA formatting: Citations and references must adhere to APA style and formatting guidelines. Consult these resources for an APA refresher:

Grading Rubric: 

  1. Analyze the missed steps or protocol deviations related to an adverse event or near miss.

Passing Grade:  Analyzes the missed steps or protocol deviations related to an adverse event or near miss. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty where further information could improve the analysis. 

  1.  Analyze the implications of the adverse event or near miss for all stakeholders.

Passing Grade:  Analyzes the implications of the adverse event or near miss for all stakeholders. Identifies assumptions on which the analysis is based. 

  1.  Evaluate quality improvement technologies related to the event that are required to reduce risk and increase patient safety.

Passing Grade:  Evaluates quality improvement technologies related to the event that are required to reduce risk and increase patient safety. Identifies criteria by which to evaluate the technologies. 

  1.   Incorporate relevant metrics of the adverse event or near-miss incident to support need for improvement.

Passing Grade:  Incorporates relevant metrics of the adverse event or near-miss incident to support need for improvement. Evaluates the quality of the data. 

  1.  Outline an evidence-based quality improvement initiative to prevent an adverse event or near miss.

Passing Grade:  Outlines an evidence-based quality improvement initiative to prevent an adverse event or near miss. Impartially considers conflicting data and other perspectives. 

  1.   Communicate analysis and proposed initiative in a professional, effective manner, writing clearly and logically, with correct use of grammar, punctuation, and spelling.

Passing Grade:  Communicates analysis and proposed initiative in a professional, effective, and error-free manner, writing clearly and logically. 

  1.   Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Passing Grade:  Integrates relevant sources to support arguments, formatting citations and references, using APA style without errors. 

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NURS FPX 6011 Implementing Evidence-Based Practice Essay Example

NURS FPX 6011 Assessment 3 Implementing Evidence-Based PracticeNURS FPX 6011 Assessment 3 Implementing Evidence-Based Practice

NURS FPX 6011 Implementing Evidence-Based Practice Assignment Brief

Course: NURS FPX 6011 Evidence-Based Practice for Patient-Centered Care and Population Health

Assignment Title: Assessment 3 Implementing Evidence-Based Practice

Assignment Overview:

The NURS FPX 6011 Implementing Evidence-Based Practice Assignment aims to equip students with the knowledge and skills necessary to effectively implement evidence-based practice in nursing care. This assignment requires students to develop and implement an evidence-based intervention to address a specific healthcare issue or improve patient outcomes.

Understanding Assignment Objectives:

The primary objective of this assignment is to enable students to understand the importance of evidence-based practice in nursing and its role in improving patient care and outcomes. By completing this assignment, students will gain practical experience in applying evidence-based interventions, critically analyzing research literature, and evaluating the effectiveness of their interventions.

The Student’s Role:

As a student undertaking this assignment, your role is to act as a healthcare professional responsible for implementing evidence-based practice in a clinical setting. You will need to identify a healthcare issue or area for improvement, conduct a comprehensive literature review to identify evidence-based interventions, and develop an implementation plan.

Your goal is to demonstrate your ability to critically evaluate research evidence, translate research findings into practice, and effectively implement evidence-based interventions to address healthcare challenges. Throughout the assignment, you will be required to adhere to best practices in evidence-based practice and demonstrate a commitment to improving patient outcomes through the application of research evidence.

NURS FPX 6011 Implementing Evidence-Based Practice Essay Example

Cancer is a significant health challenge, affecting many individuals worldwide. Recent data from the American Cancer Society shows a notable decrease in cancer mortality rates over the years (Siegel et al., 2019). However, cancer still poses substantial risks, with millions of new cases and deaths reported globally each year (Hanahan, 2022).

Cancer encompasses various diseases, each with its unique symptoms and treatment approaches. The impact of cancer extends beyond physical health, affecting emotional and social well-being. While advancements in research and treatment have improved outcomes for many patients, there is still a need for further progress in prevention, detection, and management.

The aim of this presentation is to address the gap between evidence-based practice and clinical care, particularly in promoting exercise among cancer survivors. Exercise has shown promising results in improving the quality of life and health outcomes for survivors. By outlining an implementation plan, the paper seeks to integrate exercise interventions into survivorship care effectively.

Background:

Cancer incidence and mortality rates have fluctuated over time, highlighting the ongoing challenge of the disease. Despite improvements in survival rates, cancer survivors often face physical and emotional challenges post-treatment, such as fatigue and emotional distress. Exercise has emerged as a potential solution to address these issues and enhance overall well-being.

PICOT Question

When considering the impact of exercise programs on the quality of life of cancer survivors compared to standard care or non-exercise programs within a 6-month timeframe, the paper will employ the PICOT framework. The focus is on understanding how exercise interventions affect the well-being of cancer survivors.

Population: The individuals under study are cancer survivors, encompassing those who have completed treatment and are in remission or post-treatment phase.

Intervention: The paper will be evaluating exercise programs designed specifically for cancer survivors, which may include various forms of physical activity tailored to their needs and capabilities.

Comparison: The comparison group consists of cancer survivors who receive standard care or do not participate in structured exercise programs.

Outcome: The desired outcome is an improvement in the quality of life among cancer survivors within a period of 6 months. This encompasses physical, emotional, and social aspects of well-being, including but not limited to reduced fatigue, improved mood, enhanced physical function, and better overall health-related quality of life.

Action Plan

Exercise plays a crucial role in fostering positive change in our lives. Similarly, integrating exercise programs into the routine of cancer patients can offer tangible support in transforming their lives (Stout et al., 2017). This initiative spans six months, during which recently recovered cancer patients are encouraged to engage in activities like walking and low-intensity exercises to boost their energy levels and overall well-being. The action plan emphasizes the importance of promoting physical activity among cancer survivors, as studies have consistently shown its positive impact on their health and recovery.

Research indicates that exercise yields substantial benefits for cancer survivors, as evidenced by studies focusing on breast cancer survivors and systematic reviews of existing literature (Stout et al., 2017; Cormie et al., 2017; Ferioli et al., 2019). These sources confirm the efficacy of exercise before, during, and after cancer treatment, highlighting its role in improving physical function and mitigating the adverse effects of cancer-related impairments. Moreover, engaging in moderate to vigorous physical activity has been associated with a reduced risk of cancer mortality and recurrence, as well as fewer adverse effects (Cormie et al., 2017; Ferioli et al., 2019).

The action plan begins with a needs assessment to identify the specific exercise requirements and preferences of cancer survivors, conducted through focus groups, surveys, and professional consultations. Subsequently, a comprehensive literature review is conducted to determine evidence-based best practices for designing exercise interventions (Stout et al., 2017). Based on the findings, personalized practice changes are recommended, including guidelines for exercise frequency, intensity, duration, and type tailored to individual patient needs.

A timeline is established to guide the implementation process, delineating key milestones and deadlines for each phase of the intervention. Necessary tools and resources, such as educational materials, exercise equipment, and funding, are identified and secured to support program development and implementation. The exercise program is then rolled out according to the established guidelines, with ongoing monitoring and support provided to participants.

Finally, the impact of the program is evaluated by assessing participants’ health outcomes, quality of life, and adherence to exercise regimens (Stout et al., 2017; Cormie et al., 2017; Ferioli et al., 2019). This comprehensive evaluation aims to gauge the effectiveness of the intervention in improving the overall well-being of cancer survivors and inform future iterations of the program.

Stakeholders and Potential Barriers

In the implementation of this project, several key stakeholders play crucial roles:

Firstly, cancer survivors themselves are at the heart of this initiative. They will actively participate in the fitness program and provide valuable feedback on its effectiveness (Smith et al., 2018).

Healthcare providers, including oncologists, nurses, and physical therapists, are instrumental in guiding the development and execution of the exercise program. Their expertise ensures the program aligns with the specific needs of cancer survivors (Johnson & Amankwah, 2019).

Cancer support organizations, such as hospitals, contribute resources and support for survivors. They play a vital role in disseminating information about the fitness program to the community (Smith et al., 2018).

Certified exercise professionals bring specialized knowledge to the table. They assist in crafting tailored exercise plans that cater to the unique circumstances of cancer survivors (Johnson & Amankwah, 2019).

Researchers provide evidence-based insights into the benefits of exercise for cancer survivors. Their expertise guides the selection of effective techniques for inclusion in the program (Smith et al., 2018).

Despite the involvement of these stakeholders, several barriers may hinder the project’s success:

Firstly, both cancer survivors and healthcare providers may lack sufficient information about the benefits of exercise for survivors. Addressing this knowledge gap is crucial for program uptake and adherence (Jones et al., 2020).

Secondly, limited access to exercise facilities and equipment poses a significant challenge for cancer survivors. Financial constraints may further exacerbate this issue, hindering participation in the fitness program (Jones et al., 2020).

Additionally, some survivors face physical limitations or comorbidities that restrict their ability to engage in certain forms of physical activity. Overcoming these barriers requires tailored strategies and adaptive approaches to exercise (Smith et al., 2018).

Outcome Assessment:

To assess the effectiveness of the exercise program for cancer survivors, various outcome criteria will be evaluated using multiple sources (Johnson & Brown, 2019).

Firstly, participation rates will be monitored to determine the percentage of cancer survivors actively engaging in the exercise program. This data will provide insights into program uptake and adherence (Jones et al., 2020).

Secondly, changes in physical functioning will be assessed through objective measures such as the walk test or grip strength test. These assessments will help gauge improvements in physical capabilities resulting from the exercise program (Smith et al., 2018).

Furthermore, mood assessment will be integrated to evaluate the impact of exercise on the mental well-being of cancer survivors. Monitoring mood changes will provide valuable insights into the program’s effect on overall mental health (Jones et al., 2020).

Moreover, changes in quality of life among participants will be evaluated using standardized questionnaires such as the Functional Assessment of Cancer Therapy-General or general quality of life questionnaire. This assessment will capture improvements in various aspects of life resulting from participation in the exercise program (Smith et al., 2018).

Lastly, cancer-related outcomes, including recurrence rates, mortality, and treatment-related issues, will be monitored to assess the program’s impact on long-term health outcomes. Tracking these outcomes will provide valuable data on the program’s effectiveness in improving cancer survivorship (Johnson & Brown, 2019).

Overall, the comprehensive evaluation of these outcome criteria will enable a thorough assessment of the exercise program’s effectiveness and inform future interventions aimed at enhancing the well-being of cancer survivors (Johnson & Brown, 2019).

Value and Relevance

The evidence supporting the need for incorporating exercise into the care of cancer survivors is both compelling and highly relevant. Numerous studies have highlighted the multitude of benefits that exercise can offer to individuals who have battled cancer. These benefits encompass improvements in physical function, quality of life, and various cancer-related outcomes, making exercise a crucial component of survivorship care (Smith et al., 2020).

For instance, a systematic review conducted by Campbell et al. (2019) underscored the significant advantages of exercise across all stages of cancer treatment and recovery. Their findings indicated that engaging in regular exercise can lower the risk of cancer mortality and recurrence, while also reducing the severity of treatment-related side effects. This suggests that exercise plays a vital role not only in enhancing physical health but also in promoting long-term well-being among cancer survivors.

By implementing evidence-based exercise programs tailored to the needs of cancer survivors, healthcare providers can effectively contribute to improving the lives of those who have undergone cancer treatment. Through targeted exercise interventions, we have the opportunity to positively impact survivors’ physical and emotional health, empowering them to lead fulfilling lives beyond their cancer diagnosis (Jones & Brown, 2018).

Conclusion

In conclusion, the implementation of evidence-based exercise programs for cancer survivors holds immense potential in enhancing their quality of life and overall well-being. Cancer remains a significant health challenge globally, despite advancements in treatment and decreasing mortality rates. However, by integrating exercise interventions into survivorship care, we can address the physical, emotional, and social needs of cancer survivors more effectively.

The action plan outlined in this paper provides a structured approach to implementing exercise programs for cancer survivors, encompassing needs assessment, evidence review, practice change recommendations, and program evaluation. By engaging key stakeholders, including survivors, healthcare providers, support organizations, exercise professionals, and researchers, we can ensure the success and sustainability of such programs.

Despite potential barriers such as limited access to information, resources, and physical limitations among survivors, the evidence overwhelmingly supports the value and relevance of exercise interventions in cancer survivorship care. Studies have consistently demonstrated the positive impact of exercise on physical function, quality of life, and cancer-related outcomes, highlighting its importance in promoting long-term well-being.

Moving forward, continued research and collaboration are essential to further refine and optimize exercise programs for cancer survivors. By addressing existing gaps in knowledge and practice, healthcare providers can better support survivors on their journey to recovery and survivorship, ultimately empowering them to lead healthier and more fulfilling lives.

References

Campbell, K. L., Winters-Stone, K. M., Wiskemann, J., May, A. M., Schwartz, A. L., Courneya, K. S., … & Schmitz, K. H. (2019). Exercise guidelines for cancer survivors: Consensus statement from International Multidisciplinary Roundtable. Medicine & Science in Sports & Exercise, 51(11), 2375-2390.

Cormie, P., Zopf, E. M., Zhang, X., & Schmitz, K. H. (2017). The impact of exercise on cancer mortality, recurrence, and treatment-related adverse effects. Epidemiologic Reviews, 39(1), 71-92.

Ferioli, M., Zauli, G., Martelli, A. M., Vitale, M., McCubrey, J. A., Ultimo, S., … & Neri, L. M. (2019). Impact of physical exercise in cancer survivors during and after antineoplastic treatments. Oncotarget, 10(23), 2247-2258.

Hanahan, D. (2022). Global Cancer Statistics 2020: GLOBOCAN Estimates of Incidence and Mortality Worldwide for 36 Cancers in 185 Countries. CA: A Cancer Journal for Clinicians, 72(3), 209-249.

Johnson, B. L., & Amankwah, E. K. (2019). Implementing evidence-based exercise programs for cancer survivors: Perspectives and recommendations from healthcare providers. Journal of Cancer Education, 34(3), 487-494.

Jones, L. W., Eves, N. D., Peddle, C. J., Courneya, K. S., Haykowsky, M., Kumar, V., … & Reiman, T. (2010). Effects of presurgical exercise training on systemic inflammatory markers among patients with malignant lung lesions. Applied Physiology, Nutrition, and Metabolism, 35(4), 512-517.

Siegel, R. L., Miller, K. D., & Jemal, A. (2019). Cancer statistics, 2019. CA: A Cancer Journal for Clinicians, 69(1), 7-34.

Smith, L., Croker, H., Fisher, A., Williams, K., Wardle, J., & Beeken, R. J. (2020). Cancer survivors’ attitudes towards and knowledge of physical activity, sources of information, and barriers and facilitators of engagement: A qualitative study. European Journal of Cancer Care, 27(2), e12611.

Stout, N. L., Baima, J., Swisher, A. K., Winters-Stone, K. M., Welsh, J. (2017). A systematic review of exercise systematic reviews in the cancer literature (2005–2017). Health and Quality of Life Outcomes, 15(1), 1-9.

Detailed Assessment Instructions for the NURS FPX 6011 Implementing Evidence-Based Practice Assignment

Create a poster presentation to communicate an implementation plan to bridge the gap between the evidence you will research and clinical practice. You will then record audio of no more than five minutes presenting your poster.

Introduction

Master’s-level nurses need to be able to think critically about the evidence, outcomes data, and other relevant information they encounter throughout their daily practice. Often the evidence or information that a nurse encounters, researches, or studies is not presented in the exact context of that nurse’s practice. A key skill of the master’s-level nurse is to transfer evidence from the context in which it was presented and apply it to a different context in order to maximize the benefit to patients in that new context.

Professional Context

Master’s-level nurses understand the importance of utilizing evidence-based practice in their healthcare setting. The challenge is bridging the gap between the evidence and clinical practice. “This is the way we’ve always done it,” is a common response and may not indicate evidence-based practice is being utilized. Furthermore, when a practice problem is identified, what are the steps to communicate the need for change with the interprofessional team?

One way to communicate the need for quality improvements, as well as your plans for achieving specific changes, is through a presentation poster. This type of communication tool is used both in the workplace and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.

Scenario

You have been asked to give a poster presentation based on your work and research on a clinical problem in your practice setting. The purpose is to lay out the evidence and a potential implementation plan to your colleagues in order to bridge the gap between the evidence and the practice in order to improve the quality and outcomes of care.

Instructions

Identify a clinical problem in your work setting and develop an implementation plan to carry out your evidence-based practice proposal using a poster presentation. You may use the Poster Presentation Template [PPTX] to help structure and organize your assessment submission.   

Your Implementation Plan should include the following:

  • Background on the clinical problem. 
  • PICOT question. 
  • Stakeholders that will be impacted. 
  • Action plan for implementation.
  • Potential barriers to project implementation.  
  • Baseline data that will be needed to evaluate outcomes.
  • Search strategy and databases used.
  • Summary of the evidence with a critical appraisal of its quality.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your poster presentation addresses all of them. 

  • Develop a PICOT question for a chosen clinical problem.
  • Include a graphic that is relevant to the clinical problem.
  • Provide a background on the clinical problem identified. 
  • Outline an action plan to implement the evidence-based project that includes:

The recommended practice change.

Proposed timeline for implementation.

The tools or resources that will be needed to support the project.

Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation. 

Who are the stakeholders that will be impacted?

What are areas of the project that present opportunities for innovation?

What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?

Propose outcome criteria to evaluate the evidence-based practice project and how they will be measured.

How will outcomes be measured?

How do your outcomes align with the Quadruple Aim?

How will your outcome measures inform evidence-based practice, guidelines, or policies?

Evaluate the evidence that supports the need for practice change. 

In the notes section of your poster presentation:

Describe your search strategy and databases that were used.

Summarize your findings with a critical appraisal of the quality and relevance of your resources. Convey purpose of the poster presentation, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.  Integrates relevant and credible sources of evidence to support assertions, using current APA style.

If you choose not to use the provided template, there are templates in PowerPoint or on the Internet that can help you get started designing your poster. Before starting to record your presentation make sure you have:

Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.

Practice using the equipment to ensure the audio quality is sufficient.

Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.

Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your stories.

Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.

Note:

If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at Disabilityservices@capella.edu to request accommodations.

Submission Requirements

Font and font size: Appropriate size and weight for a presentation, generally 24–28 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.

Length of presentation: No more than five minutes.

Number of references: Cite a minimum of 3–5 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.

APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Apply evidence-based practice to plan patient-centered care.

Outline an action plan to implement the evidence-based practice project that includes the recommendations for practice change, a timeline, and tools or resources needed.

Propose outcome criteria for evaluating the evidence-based practice project and how the outcomes will be measured.

Competency 2: Apply evidence-based practice to design interventions to improve population health.

Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation.

Competency 3: Evaluate the value, relevance, and ethics of available evidence upon which clinical decisions are made.

Develop a PICOT question for a chosen clinical problem.

Evaluate the value and relevance of the evidence that supports the need for a practice change.

Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.

Convey purpose of the poster presentation in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.

Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style.

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