Week 7 1 Nr532 Big

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Requirements:

  1. This paper will be graded on quality of information, use of citations, use of Standard English grammar, sentence structure, and organization based on the required components.
  2. Create this assignment using Microsoft (MS) Word, which is the required format for all Chamberlain documents. You can tell that the document is saved as a MS Word document because it will end in “.docx.”
  3. Submit to the appropriate assignment area by 11:59 p.m. MT on Sunday of the week due. Any questions about this paper may be discussed in the weekly Q & A Discussion topic.
  4. The length of the paper is to be no greater than three pages, excluding title page and reference page.
  5. NOTE: You have the option of verbally presenting the content of your paper and uploading/sending the video to your instructor and posting it in the designated Week 8 threaded discussion. For the video option, you must still include a written introduction and conclusion, title page and reference list, per APA.
  6. APA format (6th edition) is required in this assignment, including a title page and reference page. Use APA level 1 headings for the organizational structure of this assignment. Remember that the introduction does not carry a heading that labels it as a level heading in APA format. The first part of your paper is assumed to be the introduction. See APA manual for details. See resource under the course Library Guide, “Guidelines for Writing Professional Papers.” Use the suggested format and headings to organize your assignment.
    1. Include introduction (do not label as a heading in APA format)
    2. New Nursing Care Delivery Model and Patient Safety Goals
    3. Key Concepts
    4. Supporting Evidence
    5. Conclusion

 

Preparing the paper

As the nurse executive of your organization, you must reexamine your current nursing care delivery model (your current model is total-patient-care) and propose a new model to reduce costs and improve the quality of healthcare for your organization. Your staffing budget will remain fixed next year, and you had a recent visit by The Joint Commission which revealed some patient safety goal issues, which you must address. You are considering switching from a total-patient-care delivery model to a new patient care delivery model.

  1. Clearly introduce your quality of healthcare assignment in the introduction paragraph. Include a sentence that states the purpose of your assignment.
  2. Clearly identify and articulate a new nursing care delivery model to increase the economic (reduce costs) and quality outcomes for your organization. Discuss at least two patient safety goals to focus on, that you feel are needed, for your organization.
  3. Clearly articulate how the key concepts of your new nursing care delivery model will reduce costs and improve the quality of healthcare in the organization you have chosen. Discuss how these key concepts relate to the contextual domain of the person-centred nursing leadership framework by McCormack and McCance (2017).
  4. Include a minimum of three sources of scholarly, empirical evidence to support the nursing care delivery model to be implemented.
  5. Provide concluding statements that should summarize your overall assignment content.
  6. The paper will be three pages maximum, excluding title and reference page(s).
 
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Week 7 1 2

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Respond 

 

Using references, identity the research result that you could use in your practice setting.

This research I refer to identify key points in my project, my research question is about increasing communication to decrease readmission rates align well with the result of the following article. Ya-huei and Hung-Chang (2019), provide the readers with the type of tool they used to compute the result of their study with an outcome that was closed enough to the right answer. The use of  the  Kaiser-Meyer Olkin test has shown that these researchers have used the right amounts of subjects, in which it was proven that the result was accurate and can be used by healthcare professionals to make necessary improvement in the workplace. The overall reliability for the study was .93, and the retest to make sure that  the result is solid and can be trusted was almost the same. The validity of the study shows a firm association in that positive outcomes can derive from learning how to correctly communicate in the healthcare settings. Per Schaffer, Sandau, and Diedrick, (2012). Evidence-based practice is a paradigm and life-long problem-solving approach to clinical decision-making that involves the conscientious use of the best available evidence (p. 1198)

Determine fit, feasibility, and appropriateness of the result for your practice setting.

I can see that using certain information from the study that show a positive association on the outcome of the problem will surely take precedence in what I need to accomplish by using EBP to make change. The following four factors from the study put together the general idea that  providers can use when they need to increase communication in the practice setting. Knowing these facts will help put the focus on the importance of what matter to patients.  Per Ya-huei and Hung-Chang (2019), these factors are: “1- perception of trust and receptivity, 2- patient-centered information giving, 3- rapport building, and  4- facilitation of patient involvement+ (p. 7, 8). Knowing the focus area will help put into perspective the change process and will have a better chance to succeed. As stated in the result of the study the number of subjects were enough to deduct that the study can be used as evidence to make change in the workplace.

Using Plan-Do-Study-Act (PDSA), outline an action plan.

The PDSA model is a great tool that provider can use to establish a ground rule in order to implement a change that is needed at the workplace. An action plan in this instance is the strategy that  will be used to make the implemented change successful. Per Mennella and Balderrama, (2017), the component of the PDSA in which P: will be the planning phase, which is where the leader put the plan into action by establishing goals, identifying the cause of the problem, what needs to be done in this instance: increase communication, which starts by gather information. D: that is where the leader start doing, so after talking to participants he or she provides ground rules for participants to follow, the idea is to make notes to see if any of these rules were followed. S: is looking back at the information and see is the current situation has improved, or whether the need for improvement is needed, is there any barrier? If so, it will be imperative at this point to break these barriers for a complete success of the change. A: to take action is always an important phase after implementation of a change, because this is where the leader will revise and take action either to continue with the current change or make changes. In any case the need to se that the issue has improved and even resolved is the epitome of the project for change.

Identify the resources (physical, personal, technology) needed to implement your action plan.

Communicate to every participant, share what the leader sees for the future, in addition, establish a way for participants to know what is going on with the proposed change such as encrypted email, or text. Also, establish leadership and make sure participants know that you are in charge. As per Mennella and Balderrama, (2017), “Effective communication occurs through verbalization of the vision and role modeling of desired actions. Role modeling is generally more effective than verbalization” (p. 2).

Determine the criteria that you would use to determine whether the implementation of your project was successful.

Per Brousseau and Pohl,  (2017). In a study in which they were looking at risk of readmission  shows that when you know the risk and correct them, it will lower readmission from 7.4% to 3%.  With that said, regarding this proposed change, when readmission rates decreased and patients were seen by a provider within 48 hours of discharge, only then that we can tentatively say the change is a success. Easter and Tamburri (2018) stated that  the reason leaders should use the PDSA model is the fact that it can authenticate the new change and can show that the enhancement at the practice is underway.  

Identify one future research study that would be useful in extending knowledge of your selected project result.

It will be interesting to continue looking  into  research and know that healthcare quality improvement is a complete success due to improve awareness on issues that impede its quality. Per Adair, Quow, Frankel, Mosca, Profit, Hadley, and Sexton. (2018). “To date, no validated scale exists to specifically measure Improvement Readiness (IR), or the ability of a work-setting to effectively participate in continuous learning” (p. 1). In this article quality improvement in healthcare needs work, and providers should always on the look out for research based  on EBP to drive delivery of care and to continue healthcare promotion.

BROUSSEAU, H., & POHL, D. (2017). Quality Improvement Processes in Obesity Surgery Lead to Higher Quality and Value, Lower Costs. Rhode Island Medical Journal, 100(3), 28–30. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=a9h&AN=121622898&site=eds-live&scope=site (Links to an external site.)

Easter, K., & Tamburri, L. M. (2018). Understanding Patient Safety and Quality Outcome Data. Critical Care Nurse, 38(6), 58–66. https://doi-org.chamberlainuniversity.idm.oclc.org/10.4037/ccn2018979 (Links to an external site.)

Kathryn C. Adair, Krystina Quow, Allan Frankel, Paul J. Mosca, Jochen Profit, Allison Hadley, … J. Bryan Sexton. (2018). The Improvement Readiness scale of the SCORE survey: a metric to assess capacity for quality improvement in healthcare. BMC Health Services Research, (1), 1. https://doi-org.chamberlainuniversity.idm.oclc.org/10.1186/s12913-018-3743-0

Mennella, H. D. A.-B., & Balderrama, D. R. M. (2017). Leadership: Facilitating Change. CINAHL Nursing Guide. Retrieved from https://search-ebscohost-com.chamberlainuniversity.idm.oclc.org/login.aspx?direct=true&db=nup&AN=T903697&site=eds-live&scope=site (Links to an external site.)

Ya-huei Wang, & Hung-Chang Liao. (2019). Development and validation of the Patient-Healthcare Provider Communication Scale: Chinese version. Social Behavior & Personality: An International Journal, 47(3), 1–10. https://doi-org.chamberlainuniversity.idm.oclc.org/10.2224/sbp.75

 
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Week 7 1 19321745

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Week 7: Exploring Research Results

11 unread reply.11 reply.

Using the following steps found within the translation phase of the Practice Evidence Translation (PET) model developed by Johns Hopkins, select a research result reported in a journal article that supports your PICOT/PICo question. Please respond to the following steps. Please note that wording of the steps may have been modified slightly from the PET so that they help with this posting. Include the permalink at the end of your posting.

  • Using references, identity the research result that you could use in your practice setting.
  • Determine fit, feasibility, and appropriateness of the result for your practice setting.
  • Using Plan-Do-Study-Act (PDSA), outline an action plan.
  • Identify the resources (physical, personal, technology) needed to implement your action plan.
  • Determine the criteria that you would use to determine whether the implementation of your project was successful.
  • Identify one future research study that would be useful in extending knowledge of your selected project result.
 
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Week 6nr532

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respond  

Discuss one example where simulation technology could be beneficial for nursing or for patient care. Explain your rationale. In addition, discuss two strategies you could implement to ensure the confidentiality and protection of patient health information at your facility. 

 
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Week 6 Project 6005 Psyllium

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Topic is  psyllium power point please.

 

This will be done weekly and according to what we will be studying for that week, and will begin Week 2, and end Week 9.

Each student will be responsible for preparing one presentation on pharmacological management of the disease or pharmacological applications of a drug or group of drugs.

  1. Each student will clearly write a title for this topic. Examples are ‘Pharmacological Management of Deep Vein Thrombosis and/or Pulmonary Embolisms Using Anticoagulants/Thrombolytics and Nursing Implications’ or ‘Pharmacological Effects of Anti-hypertensive Medications in the Management of Hypertension and Nursing Implications’.
    • Nursing Implications are the nursing related consequences and what you as the nurse should be looking for in the treatment and care of your patient.
  2. Students must get their title approved by the professor before the deadline shown in your schedule. Unapproved titles will not be accepted
  3. The presentation must identify the Pharmacodynamic properties and actual/potential effects on the patient.
  4. This is worth 20 points.

Submission Details:

  • Submit your assignment to the Submissions Area by the due date assigned.
 
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Week 6 Project 19324265

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Complete attached drug card.

 
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Week 6 Power Point

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Week 6: Performance Measurement PowerPoint Slide Show (graded)

 Submit Assignment

Due Oct 8 by 11:59pm  Points 200  Submitting a file upload

Performance Measurement PowerPoint Slideshow Guidelines

Update 4/27/2017

Purpose

The purpose of this PowerPoint presentation is to locate and compare performance measurement data on common health conditions for the hospitals in your area. You will investigate the Centers for Medicare and Medicaid Services websites and locate hospital compare data for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. You will prepare a PowerPoint presentation and share the results of your findings. Opportunities for improving performance measurement indicators will be shared.

Course Outcomes

Completion of this assignment enables the student to meet the following course outcomes.

CO1: Apply leadership concepts, skills, and decision making in the provision of high-quality nursing care, healthcare team management, and the oversight and accountability for care delivery in a variety of settings. (PO2)

CO2: Implement patient safety and quality improvement initiatives within the context of the interprofessional team through communication and relationship building. (PO3)

CO3: Participate in the development and implementation of imaginative and creative strategies to enable systems to change. (PO7)

CO7: Apply leadership concepts in the development and initiation of effective plans for the microsystems and system-wide practice improvements that will improve the quality of healthcare delivery. (POs 2 and 3)

CO8: Apply concepts of quality and safety using structure, process and outcome measures to identify clinical questions as the beginning process of changing current practice. (PO8)

Due Dates

This assignment is to be submitted by Sunday, 11:59 p.m. MT, end of Week 6.

Points

This assignment is worth 200 points.

Directions

Review information found on the following website related to hospital compare http://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalCompare.html (Links to an external site.)Links to an external site.

Read the information carefully and then locate the following website. http://www.medicare.gov/hospitalcompare (Links to an external site.)Links to an external site.

Search for hospitals within a 50-mile radius of the community where you are working or had your prelicensure clinical experiences. Type in your zip code. Select your hospital and two others. Select hospitals/facilities and choose compare. If you live in a remote area and there are no hospitals listed within a 50-mile radius, select a zip code for a family member or a close friend who does not live near you. The idea is to review comparative data.

Click on the following topics to learn more.

Survey of patient’s experiences

Timely and effective care (focus your search on two of the conditions that apply to services provided at the hospitals)

Readmissions, complications, and deaths

Carefully read the information provided.

Develop a PowerPoint slideshow consisting of 8-10 slides. Include the following, keeping in mind what all this data means.

Title slide with information pertinent to the course.

List reasons to recommend hospital compare to consumers (patients).

List reasons to recommend hospital compare to staff who may seek employment.

For the slides below, clearly label them as Hospital A, B, or C:

Summarize patient experiences data for each hospital.

Summarize timely and effective care data for two conditions.

Summarize data for readmissions and complications and deaths.

List recommendations for improving data for one selected facility.

Summarize what you learned from this experience.

Tutorial: For those not familiar with the development of a PowerPoint slideshow, the following link to the Microsoft website may be helpful. http://office.microsoft.com/en-us/support/training-FX101782702.aspx (Links to an external site.)Links to an external site. The Chamberlain Student Success Strategies (CCSSS) offers a module on Computer Literacy that contains a section on PowerPoint. The link to SSP CCSSS may be found in the course list in the student portal.

Submit your PowerPoint slideshow by 11:59 p.m. MT, Sunday, end of Week 6.

Best Practices in Preparing PowerPoint Presentations

The following are best practices in preparing this presentation.

Be creative.

Incorporate graphics, clip art, or photographs to increase interest.

Make easy to read with short bullet points and large font.

Review directions thoroughly.

Proofread prior to final submission.

Spell check for spelling and grammar errors prior to final submission.

Abide by the Chamberlain academic integrity policy.

**Academic Integrity Reminder**

Chamberlain College of Nursing values honesty and integrity. All students should be aware of the Academic Integrity policy and follow it in all discussions and assignments.

By submitting this assignment, I pledge on my honor that all content contained is my own original work except as quoted and cited appropriately. I have not received any unauthorized assistance on this assignment.

Please see the grading criteria and rubrics on this page.

NOTE: Please use your browser’s File setting to save or print this page.

Rubric

NR447_Performance_Measurement

NR447_Performance_Measurement

CriteriaRatingsPts

This criterion is linked to a Learning OutcomeTitle slide

view longer description

Slide contains all pertinent information related to assignment, course, student, date, and faculty member

10.0 pts

Slide contains most information; however, one component is missing.

9.0 pts

Slide contains most information; however, two to three components are missing.

8.0 pts

Slide contains some information; and more than three components are missing or slide is missing.

4.0 pts

Title slide is missing.

0.0 pts

10.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to patients

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the patient’s perspective.

20.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the patient’s perspective.

18.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to patient’s perspective.

16.0 pts

One reason is included but is not logical or easy to read and is not from the patient’s perspective.

8.0 pts

No reasons given are given to recommend hospital compare to patients.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeReasons to recommend hospital compare to staff

view longer description

At least four reasons are included and are logical and easy to read and are directly related to the potential staff member’s perspective.

30.0 pts

Three reasons are included and are logical and easy to read and are mostly related to the potential staff member’s perspective.

26.0 pts

Two reasons are included and are logical and easy to read and are somewhat related to the potential staff member’s perspective.

24.0 pts

One reason is included but is not logical or easy to read and is not from the potential staff member’s perspective.

11.0 pts

No reasons are given to recommend hospital care to potential staff members.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to patient experiences

view longer description

Three hospitals are labeled A, B, and C and data related to patient experiences are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B, and C and data related to patient experiences are clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C, and data related to patient experiences are briefly displayed.

24.0 pts

Three hospitals are included but are not labeled appropriately, and data related to patient experiences are difficult to ascertain.

11.0 pts

Fewer than three hospitals are summarized and no data related to patient experiences are included.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to timely and effective care

view longer description

Three hospitals are labeled A, B, and C. Two different conditions are named and concisely applied to hospitals A, B, and C.

30.0 pts

Three hospitals are labeled A, B, and C. Two different conditions are named and somewhat applied to hospitals A, B, and C.

26.0 pts

Three hospitals are labeled A, B, and C. One condition is named and somewhat applied to hospitals A, B, and C.

24.0 pts

Only one or two hospitals are listed and labeled appropriately. Only one condition is named and applied.

11.0 pts

No hospitals are listed or labeled, and no conditions are named or applied.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeSummarize data related to readmissions, complications, and deaths

view longer description

Three hospitals are labeled A, B, and C and data related to readmissions, complications, and deaths are thoroughly displayed.

30.0 pts

Three hospitals are labeled A, B and C and data related to readmissions, complications and deaths is clearly displayed.

26.0 pts

Three hospitals are labeled A, B, and C and data related to readmissions or complications or deaths (but not all three) is briefly displayed.

24.0 pts

Only one or two hospitals are selected but are not labeled appropriately and data related to readmissions, complications, and deaths are difficult to ascertain.

11.0 pts

No hospitals are summarized and no data are provided.

0.0 pts

30.0 pts

This criterion is linked to a Learning OutcomeRecommendations for improving data for one facility

view longer description

One of three hospitals is selected. Five or more recommendations for improving data are listed and thoroughly described.

20.0 pts

One of three hospitals is selected. Three to four recommendations for improving data are listed and clearly described.

18.0 pts

One of three hospitals is selected. Two recommendations for improving data are listed and briefly described.

16.0 pts

One of three hospitals is listed. One recommendation for improving data is listed.

8.0 pts

No hospitals are listed and no recommendations for improving data are listed.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeSummary of learning related to this assignment

view longer description

Thoroughly summarizes learning related to performance measurement assignment, including value of data.

20.0 pts

Generally summarizes learning related to performance measurement assignment, including value of data.

18.0 pts

Briefly summarizes learning related to performance measurement assignment; including value of data.

16.0 pts

Minimally summarizes learning related to performance measurement assignment; does NOT include value of data.

8.0 pts

Summary of learning related to performance measurement assignment, including value of data, is missing or so brief that understanding of concepts is difficult to ascertain.

0.0 pts

20.0 pts

This criterion is linked to a Learning OutcomeScholarly writing and formatting

view longer description

All slides are provided and grammar, punctuation, and sentence structure are correct. There is evidence of spell and grammar check.

10.0 pts

Minimal errors in grammar, punctuation, or sentence structure noted. Minimal indicators of spelling or grammar errors.

9.0 pts

Several errors in grammar, punctuation, or sentence structure noted. There are several indicators of spelling or grammar errors.

8.0 pts

Numerous errors in punctuation, or sentence structure noted. There are many indicators of spelling or grammar errors.

5.0 pts

Many errors in writing to the extent that it is difficult to understand the meaning of the information presented on the slides.

0.0 pts

10.0 pts

Total Points: 200.0

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 As the nurse administrator for SLMC, you must communicate to your team the disappointing news that your organization is discontinuing tuition reimbursement benefits. Discuss how you will communicate this message to your direct reports and to the rest of the organization. Be specific and state your rationale for your communication plan.    

 
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Week 6 Midweek Assignment

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Research Proposal Draft

By the due date Assigned, write a 1-2 page paper addressing the sections below of the research proposal.

Methodology

  •     Sample/Setting: Number and criteria for inclusion and description of place in which data will be collected.
  •     Sampling Strategy
  •     Research Design: Type (e.g., Quasi-Experimental), description, and rationale for selection.
 
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