Section 5

To prepare:

Review your work on the Course Project thus far, particularly Sections 3 and 4.

Think about how your quality improvement initiative could be evaluated. Consider the following:

Which stakeholders need information related to this initiative? What do they need this information for?

How would you assess the outcomes in the short-term and long-term?

How would you analyze related processes, including but not limited to the one you redesigned in Section 4?

How should an analysis of organizational structures be integrated into your evaluation?

How would you identify and evaluate any unintended consequences that may arise?

What metrics should the organization use to gauge progress and the effectiveness of the quality improvement initiative? How would these metrics incorporate the measures and indicators that you identified in Section 3? Are there additional measures and indicators that you now think should be included?

How should the organization track and display data for an interdisciplinary audience? How could the use of a dashboard or balanced scorecard be of value?

How could the organization create an integrated view of performance that links finance and quality?

To complete:

Develop a 2- to 3-page evaluation plan that includes the following:

An outline of the methods that you would propose for evaluating the quality improvement initiative and the financial implications

A description of specific metrics that integrate your previously identified measures and indicators and any others that you have deemed important

A recommendation of how the organization could represent data related to this quality improvement issue for ongoing monitoring and to determine the value or success of the initiative

An explanation of how the organization could create an integrated view of performance that links finance and quality

Section 6

To prepare:

Begin to develop a plan for implementing your quality improvement initiative, including the redesigned process that you identified in Section 3. Consider the following:

How would you undertake the process of determining a timeline for planning, implementing, and evaluating this quality improvement plan?

What are some reasonable milestones for this initiative? What are the daily, weekly, monthly steps/goals?

To complete:

Write a 2- to 3-page summary of your quality improvement action plan.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

Due 6/10 10 p.m est  FOLLOW APA FORMAT!!!!

2 PAGES NOT INCLUDING REFERENCE PAGE (MIN)

For this week’s Scholar-Practitioner Project assignment “HIV/AIDS in lower income areas),one that has multiple data sources and elaborate on many of the data considerations you must take into account in monitoring the disease.

The disease or condition you select will be the subject of a disease surveillance system you create throughout the duration of this Project. As such, the portion you submit this week should serve as a preliminary plan for your surveillance system.

To complete this portion of your Scholar-Practitioner Project, write a 2-pg paper that addresses the following: 

(Must Be Included In Paper)

· Identify a disease or condition that will be the subject of your Scholar-Practitioner Project surveillance system.

· Identify the population most at risk for the disease or condition you selected.

· Describe the data that you will need to perform the surveillance on your selected disease/condition, including the primary and secondary data sources you will need.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

DUE 6/24 5P.M EST

TOPIC: HIV/AIDS IN LOWER INCOME COMMUNITIES

 

his week, you explore annotated bibliographies, which are part of a larger systematic review of literature. The main purpose of the annotated bibliography is to delve into the current knowledge base surrounding a chosen problem. Reviewing the literature and discovering the current state of the research will help to identify gaps in the knowledge or questions not yet answered about the problem. An annotated bibliography is usually your “first look” at the published literature relating to a problem of interest. Annotated bibliographies help identify the all-important research question that needs to be addressed related to that problem. According to the Walden Library, an annotated bibliography combines “a set of notes, comments, or critiques” with “a list of references that helps a reader identify sources of information” 

What type of information should be included in these notes, comments, and critiques? The annotations should summarize the key information in the article or resource without merely paraphrasing the content. The intent is to provide a succinct analysis of the “why” behind the study you read in the published material. It should be based on your opinion of why the author(s) believed the study was necessary and chose the particular methods of investigation used. Annotations might also include theories and conclusions postulated by the authors. An effective annotation includes the strengths of an article, but even better, the weaknesses or deficiencies as well.

 

The Assignment: INCLUDE THIS IN PAPER

Paper (2pages)

Section I

• Summarize the health problem related to the particular community you identified for your Final Project.
• Develop a research question related to a problem.
• Provide a rationale for your selection of this question, along with supporting data.

Section II

Create an annotated bibliography of research related to this problem. In your annotated bibliography, include the following:

• Six to eight resources on the identified public health problem related to the research question.
• For each source, write a brief summary of the key points of the study. Include the problem, main research question, study type, and an analysis of the major findings. You may also include any information or notes that you believe are relevant and would be useful to you as you revisit your bibliography later.
• An explanation of the problem areas and gaps in the existing research revealed by the annotated bibliography.

The majority of the resources should be primary research. Annotations should describe relevancy and timeliness and should indicate whether the research is primary or secondary.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

4-I agree with you that Sampling theory was developed to determine the most effective way of acquiring a sample that accurately reflects the population under study. A sample is the selected group of people or elements in a study. The sample selected should represent an identified population or a particular group of individuals or elements that is the focus of the research. And  to add that Sampling theory is also  the study of the relationship that exist between a target population and the samples that are drawn from the population and this only applies to samples that are drawn randomly.  The main concepts of the sampling theory are the target population, representative samples and sampling plans or methods.

Target population is also known as research universe.  The subject of investigation is the whole statistical data.  A sampling plan normally states methods that are to be used to collect random samples from the population in such a way that there is very minimal to zero biasness.  The methods can use random probability sampling techniques.

The following steps are normally involved when developing a sampling plan, they are as follows,

Identification of parameters to be measured.

Designing intervals of measurement.

Selection of sample sizes

Establishment of data storage formats

Assigning roles and responsible to the research teams.

Generalizability is the process of extrapolating the research findings of a sample population to the general population.  The reason behind it, that the sample population that was selected represented the entire population. As such the research could extrapolate the findings and make a conclusion that represents the entire population.

   References:

Chambers, R, Chambers R, L & Skinner, C(2003), Analysis of Survey Data. Retrieved from https://www.powells.com/books/analysis.

Korn, E & Graubard, B. (1999) Analysis of Health Surveys. Retrieved from online library .wiley.com.

  

5-‘In theoretical sampling the sample is ‘not selected from the population based on certain variables prior to the study, rather the initial sample is determined to examine the phenomena where it is found to exist. Then, data collection is guided by a sampling strategy called theoretical sampling. This implies that the researcher starts the study with a sample where the phenomenon occurs and then the next stage of data collection is when theoretical sampling begins. Theoretical sampling is the process of data collection whereby the researcher simultaneously collects, codes and analyses the data to decide what data to collect next. Deciding where to sample next according to emerging codes and categories is theoretical sampling” (Coyne, 1997)

An example might include a group of Caucasian men, ages 60-70, diagnosis of heart failure. The study could include the effects of following a sodium and fluid restriction diet and the impact on the men’s health.

“Generalizability is a measure of how useful the results of a study are for a broader group of people or situations. If the results of a study are broadly applicable to many different types of people or situations, the study is said to have good generalizability. If the results can only be applied to a very narrow population or in a very specific situation, the results have poor generalizability” (Hydrocephalus, n.d)

Coyne, I. (1997). Sampling in qualitative research. Purposeful and theoretical sampling; merging or clear

             boundaries? Journal of Advanced Nursing, 26(3), 623-630. Retrieved 9 13, 2018, from

             http://corcom300-

             s12-lay.wikispaces.umb.edu/file/view/article_sampling_qualitative.pdf

Hydrocephalus Association, n.d. Research 101:  Generalizability. Retrieved 9 13, 2018, from

  

6-I agree with you that Sampling is choosing a determinate variable within a research study.  There are many steps in the process of choosing a sample.” Sampling theory was developed to determine the most effective way of acquiring a sample that accurately reflects the population under study. And  to add that Sampling also entails studying a chosen group of people who represents a larger population.  Sampling theory describes two sampling domains: probability sampling and non-probability sampling.   In probability sampling findings can be generalized to the given population while in non-probability sampling, findings can only be generalized to the place the study was done. (Summers, 1991)

Probability sampling methods are systemic sampling, random sampling and cluster sampling while non-probability sampling methods involves theoretical sampling, purposeful sampling, network sampling and convenience sampling. (Thompson,1999)

The textbook defines generalizability as the extendibility “of the implication of the findings from the samples or situation that was studied to a larger population or situation.” (Grove et al. 2015).  In my opinion, findings from a health-related research study should only be generated if it is performed among many people and is proven to be accurate multiple times.

        References:

Grove, S, Gray, J & Burns, N.( 2015) Understanding Nursing Research, 6th edition.

Summers, S(1991) Selecting a sample from a research study. Post Anesthesia Nurse. Retrieved from http://ebn.bmj.com.

Thompson, C(1999) .If you could just provide me with a sample: examining sampling in qualitative and quantitative research papers. Retrieved from http://ebn.bmj.com.

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"

  

4-Continuous Quality Improvement (CQI) is defined by the American Society for Quality (ASQ) as “a philosophy and attitude for analyzing capabilities and processes and improving them repeatedly to achieve customer satisfaction”. (Huber 292) CQI is something that is relevant to all nurses as we all need to be responsible for continual improvement at work. As professionals we should always have this as a top priority. There are many challenges in the workplace, and by looking for ways to improve, we are constantly learning and growing as a profession, this is a large piece of evidence-based practice, which is something we all hold as a standard in healthcare today.

An example of how I would apply CQI in my current position working as a nurse circulator in the operating room, is to ensure that the time out procedure is followed every single case I circulate. This is important as we often get complacent in rules and regulations, as do surgeons that we are trying to keep happy as they are customers just as much as our patients are.

I had circulated a case with another nurse during orientation in which not all implants for a total knee replacement were in the room. I was not notified of this until after the case started, the patient was anesthetized, and time out had been completed though this requirement was not stated/asked. Later the rep for the implants then stated the implants were in route from another location. This is unacceptable, and I am glad that I was still in orientation at the time this occurred as it was a great learning experience for me. I learned how to write an incident report that day, and why the time out procedure is so important.

Resources

Huber, Diane. Leadership and Nursing Care Management, 5th Edition. Saunders, 10/2013. VitalBook file.

 

5-Health care delivery requires structure (staff, education, equipment, prospective data collection), and process (policies, procedure, protocols), which when integrated provide a system (programs, organizations, cultures) leading to outcomes (patient safety, quality, satisfaction). An effective health care system has all of these elements – structure, process, system, and patient outcomes in a framework of continuous quality improvement, or CQI (Kronich et al., 2015).

The purpose of QCI is to improve health care by identifying problems, implementing and monitoring corrective action and evaluating its effectiveness. Hospitals use a specific process to find areas in the health care delivery system that need improvement. When an area has been found, staff develop and implement strategies for improvement. General areas that are being studied include access to care, continuity of care, the intake process upon admission, emergency care, and adverse patient events, including all deaths (National Commission on Correctional Care, 2018).

In my previous position, working as a NICU RN, we initially did not use two RN’s to verify the content in the TPN-bags for each patient. Shortly after I started working at this facility, this change was implemented. The purpose was to catch medical errors from pharmacy that sadly was occurring more frequently. This new process of reading labels with another RN while verifying the content with the document from pharmacy, and then hanging the TPN required more time in the nurses’ day. In addition, all this was done toward the end of day-shift around 1730. This process resulted in stress among the RN’s and often overtime, which was not appreciated by management. Thankfully, a solution was found by changing the time of day TPN was delivered to the unit. By working together and brainstorming solutions, everyone was satisfied in the end; quality of care was improved, and the nurses were able to finish their duties in time.

References:

Continuous Quality Improvement. (2018).

Retrieved from https://www.ncchc.org/spotlight-on-the-standards-24-1

Kronich, L., Kurz, M., Lin, S., Edelson, D., Berg, R., Billi, J.,…Cabanas, J. (2015). System of Care and Continuous Quatity Improvement.

Retrieved from https://www.ahajournals.org/doi/abs/10.1161/cir.0000000000000258

 

6-I agree with your response about having a rapid response team because this helps identify patients at risk for cdoing before the event when you can give care to help prevent a code. I think rapid response teams are a must in facilities. according to patient safety primer .gov 

Rapid response teams represent an intuitively simple concept: When a patient demonstrates signs of imminent clinical deterioration, a team of providers is summoned to the bedside to immediately assess and treat the patient with the goal of preventing intensive care unit transfer, cardiac arrest, or death (psnet.ahrq.gov). I also agree with your staement about the lean technique that is in our text as a useful apporach to imrove efficincy in renedering care. When we are effective communicators and work as a team in our settings, we will definietly be more productive and work loads can be reduced, less stress in the workplace, etc. Team work is amazing when it is used the way it was intended to. Evryone working together to achieve a common goal is also important. If everyone is not on the same page, then this is where conflict can areise. Thank you for sharing, I enjoyed reading your post!

Reference

Retrieved from 

https://psnet.ahrq.gov/primers/primer/4/rapid-response-systems

 

"Looking for a Similar Assignment? Get Expert Help at an Amazing Discount!"