Individual Analyzing Published Research Article (IAPRA) Paper

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Individual Analyzing Published Research Article (IAPRA) Paper

Purpose

  • The purpose of this paper is to interpret the article as most relevant to the group topic.
  • Use your article from your ITSS paper to write this paper.

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Course Outcomes

This assignment enables the student to meet the following course outcomes:

CO 2: Apply research principles to the interpretation of the content of published research studies (PO#4 & 8).

CO 4: Evaluate published nursing research for credibility and clinical significance related to evidence-based  

           practice (PO#4 & 8). Individual Analyzing Published Research Article (IAPRA) Paper 

 

Due Date (please see course calendar for specific dates/times)

  • The Late Assignment Policy applies to this assignment.

 

Points Possible: 200 Points

 

Paper Preparation:

  • It is NOT acceptable to use bullet-points in the body of text review paper.
  • The paper must be PARAPHRASED with your OWN words with in-text citations.
  • It is NOT acceptable to QUOTE article contents EXCEPT the Purpose of Study.

 

  • Paper must include all required APA-Style/Format
  • Do NOT leave blank for any of these review elements.
  • Any review element left blank will get 0 point: If authors did not provide information or it was not applicable for certain elements, make note such as “No information was given” or “Not applicable”

 

 

PLAGIARISM: “Turnitin” Percentage

  • Less than 25 percentage: Acceptable percentage.
  • Turnitin Draft Submission Box
    • Submit your draft of paper into Turnitin Draft Submission Box to check your percentage as many times as needed before you submit your final paper to designated Unit.
  • If your Final paper has 25% or higher percentage, you must revise/modify your paper contents BEFORE you submit your paper due date and time.
  • If your Final paper has 25% or higher percentage AT/AFTER you submit your final paper due date and time, Academic Integrity Violation Procedures will be initiated

 

Academic Integrity Violation Procedure

  • Academic Integrity Violation letter will be sent to student
  • Assignment Grade will be 0 point
  • The violation case will be reviewed, and a further sanction will be determined by the Administrators

 

 

 

 

 

 

 

 

 

Individual Analyzing Published Research Article (IAPRA)

 

Part I: Research Question, Purpose, Variables and Participants

Research Question

Clearly and concisely states your group research question as formulated in PICO format.

PICO Question: Does Exercise improve mental health symptoms in patients with psychiatric disorders

 

Purpose of the Study

Describe the purpose/aim of the study as the author stated in the article: may cut & paste

Do NOT change or modify the purpose statement on the article

 

Variables

Identify study variables from the above stated Purpose of Study

Quantitative Study: Dependent & Independent Variables OR Descriptive, Qualitative Study: Variables of Interest

 

Participants

Enrollment: How did they recruit/enroll eligible participants in the study?

 

Inclusion & Exclusion Criteria: Describe Inclusion & Exclusion Criteria

 

Total Participant Numbers: Total numbers of participants in the study

 

 

Intervention Procedures/Obtaining Information Procedures

Quantitative Study

Intervention/Treatment Group

Describe the intervention contents given to Intervention group

Describe how the contents were given to Intervention group

Identify the person who provided Intervention contents to Intervention group

 

Control Group: If the study has Control Group

Describe the contents given to Control group

Describe how the contents were given to Control group

Identify the person who provided contents to Control group                   

OR

Descriptive/Qualitative Study: Obtaining Information Procedure

Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met in clinical setting……etc)

 

Part II: Data Collection Procedures & Measurement Tools/Instruments

Describe ALL methods to collect data in detail (i.e. interview, survey, observation……etc.)

Describe each measurement tool/instrument used to measure/assess outcomes in the study in detail.

 

Results/Findings

Participant Characteristics/Sociodemographic Findings

Describe participant characteristics or sociodemographic status

Must be objective, descriptive, and comprehensive

Must describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided.

 

Study Results/Findings

Describe ALL Other Results/Findings besides above participant characteristics in detail.

Each result item must include Headings/Subheadings as the article provided.

Do NOT simply saying “pain level was decreased,” “adherence was increased”…etc 

Do NOT include contents from Discussion and/or Conclusion in the article.

 

Part III: Synthesis of Findings

Synthesis of Findings

Describe the Rationale/Mechanism for how/why Finding of each intervention/factor helps your Research Question (i.e. how/what mechanism does music therapy help pain, how does sucking stimulation increase oral intake for pre-term infants)

Should NOT repeat same contents you had on Findings section and/or article

May include citations from other sources for above described rationale/mechanism (i.e. textbooks, CDC…etc)

 

Nursing Implications

How the nurses can implement the research findings into nursing practice.

 

Group Article Summary Table (All group members)

Describe each group member’s article on Research Article Summary Table.

Use bullet points for each category.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Grading Rubric & Description for IAPRA

Part I (80)
Research Question  5 ·  Accurately/Clearly states group’s Research Question as your group formulated
Purpose of Study 5 · Describe the purpose of the study as the author stated in the article.

§ Do NOT change or modify the statement on the article
Variables 10

 

 

 ·  Identify study variables from the above stated Purpose of Study

§ Quantitative Study: Dependent & Independent variables

                             OR

§ Descriptive, Qualitative Study: Variables of Interest
Participants 5

5

5

 ·  Enrollment: How did they recruit eligible participants in the study?

·  Eligibility: Describe Inclusion & Exclusion Criteria

·  Numbers: Total numbers of participants in the study
Intervention Procedures

 

 

 

 

 

 

Obtaining Information Procedures

 

 

 35 Quantitative Study:

·   Intervention Group: Describe the detailed Intervention contents, procedures, and person who provided Intervention for Intervention group.

·   Control Group: Describe the detailed contents, procedures, and person who provided contents for Control group  

OR
Descriptive Study:

·  Describe the detailed procedure for obtaining information/data (i.e. made appointment to meet each participant, visited home/met clinical……etc)
Format 10 Followed APA format for paper and in-text citations
Part II (75)
Data Collection

 

Measurement Tools

 5

 

25

 ·  Describe ALL data collection methods in detail (i.e. survey, interview, observation)

·  Describe each measurement tool/instrument used to measure study outcomes in detail.
Participant Characteristics/Sociodemographic Findings

 

 

 

All other Results/Findings

 10

 

 

 

 

 

25

 

 

 

 

 

 

 

 

 ·   Must be descriptive and comprehensive

·   Describe participant characteristics or sociodemographic findings

·   Describe the findings of Tables/Figures to provide comprehensive information about participant characteristics as article provided

 

 

·   Describe ALL Other Results/Findings besides above participant characteristics in the article in detail for each Result item

·    Each Result item may include Headings/Subheadings of Results as the article provided.

·    Do NOT simply saying “pain level was decreased,” “adherence was increased” – provide numbers or % if available

·    Do NOT include contents from Discussion and/or Conclusion in the article. 
Format 10 ·   Followed APA format for paper and in-text citations
 

Part III (45)
Synthesis of Findings

 

 10 ·   Describe the Rationale for how/why Finding of each intervention/factor helps your Research Question (i.e. how or by what mechanism does music therapy help pain? How does sucking stimulation increase oral intake for pre-term infants?)

·   Should NOT repeat same contents you had on Findings section and/or article

·   Should have citation of analyzed article(s)

·   May include citations from other sources for above described rationale and mechanism (i.e. textbooks, CDC…etc)
Nursing Implication 7 ·   How can nurses implement the research findings into nursing practice?
Format 3 ·  Followed APA format for paper, in-text citation, references.
Article Summary Table (Group) 25 ·  Describe article on Research Article Summary Table

·  Use bullet points for each column in the Table

·  Submit Table as separate document

 

Total Points: 200 Points

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Project Timeline Graphic Organizer

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Project Timeline Graphic Organizer

The purpose of this assignment is to develop a graphic timeline for the development of your project. At a minimum, be sure to include the deadline or timeframe for your: Project Timeline Graphic Organizer

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  • Project approval (Week 6)
  • Education development (Week 7-9)
  • Stakeholder education (Week 7-9)
  • Implementation date (Week 10)
  • Assessment of initial outcomes/implementation (Week 14)
  • Reassessment of outcomes (Week 16)

Include the roles and responsibilities of stakeholders in each implementation step. Be sure to provide sufficient detail. Please keep in mind some of the dates may be after your practicum has ended.

APA style is not required, but solid academic writing is expected. 

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

 

 

Rubric

 

Deadline or Timeframe for Project Approval 

6.75 points

expand Deadline or Timeframe for Education Development assessment

Deadline or Timeframe for Education Development

6.75 points

expand Deadline or Timeframe for Stakeholder Education assessment

Deadline or Timeframe for Stakeholder Education 

6.75 points

expand Deadline or Timeframe for Implementation Date assessment

Deadline or Timeframe for Implementation Date 

6.75 points

expand Deadline or Timeframe for Assessment of Initial Outcomes/Implementation assessment

Deadline or Timeframe for Assessment of Initial Outcomes/Implementation 

6.75 points

expand Deadline or Timeframe for Reassessment of Outcomes assessment

Deadline or Timeframe for Reassessment of Outcomes 

6.75 points

expand Mechanics of Writing assessment

Mechanics of Writing 

2.25 points

expand Layout of Graphic Organizer assessment

Layout of Graphic Organizer

2.25 points

 

Practicum Project Plan/Proposal

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Practicum Project Plan/Proposal

The setting for my practicum project is within the Wound Care Department at my current employer, which has been scoring poorly when it comes to communication. I will be working with the department director Ms. Sylvia Coleman, and the project aim is to promote excellent communication within the department in order to provide an improvement on patient satisfaction ratings for the hospital. We need to give people a reason to care in order to promote a more pleasant and less stressful place to work we needed to work on the communication process amongst staff members and patients (Mazhisham et al., 2021). I found that a lot of the unsatisfactory comments regarding care were coming from the communication process within the department.  Practicum Project Plan/Proposal

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The tools I used were the different tools that the hospital uses which were the discharged patient surveys as well as inpatient score cards. I will be using the information given to decipher the problems in communication that are most common from each of the surveys collected within the last 3 months and compare them with the patient surveys prior to the change of ownership. Ongoing inpatient surveys using score cards will be used, along with discharge patient surveys to obtain the sustainability of this project. I chose to work with the Wound Care Department because I conducted some brief research and found that there were a lot of comments regarding gaps in communication in the patient surveys that were collected from their specific patients. Coincidently, these comments increased after the hospital went through a change of ownership. In order to gain a better rating from patients receiving wound care I will have to put in quite a bit of work on revamping the communication tools used for them. The current tool appeared very confusing to me, and by improving this tool it will help reconcile individual patient wound care orders, improve patient satisfaction, and increase the quality of care.

Leadership Journal Template

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Leadership Journal Template

Leadership Journal Template

Name:

Weeks Covering: 16 weeks

Preceptor/Mentor:

Clinical/Practicum Site: SFMC

Hours Worked (past two weeks):_36__

Total Hours: __36__/150 total of all hours worked up to this point

Practicum Activities Reflection:

I selected the wound care department as the focus of my practicum because there is a significant communication problem to be resolved. It has been discovered that the department scored poorly with patients in regard to communication. My first activity was to observe the scorecards collected from patients during the last three months at their discharge or from outpatient services. Communication is an essential tool between doctors, nurses, and patients so I had to find the reason for poor communication and the solutions needed to resolve them. It was also discovered that the communication scores dropped after the hospital went through a change of ownership. Leadership Journal Template

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The scorecards revealed that the patients were not satisfied with the care, and they complained that the doctors and nurses do not come to ask about their well-being and do not discuss their issues with them. My second activity was communicating with the directors, nurses, and the other hospital staff to know how they communicate with the patients. The patients do not need wound care treatment only, but they require the proper care overall. If the proper care is not given to the patients, the patient flow will decrease in the coming months. The patient satisfaction level is directly related to the number of patients and the department’s reputation. The surveys will continue to be collected throughout the practicum because I want to know the effect of ownership change and staff behavior toward the patients. The ownership change might also affect the staff behavior with the patients. The last three months were proved to be critical for the patients because it was found that there were soar comments about the hospital administration. Leadership Journal Template

I observed that leadership styles are essential in the improvement of communication. Communication with the patients is essential because it brings value to the treatment, and the patient’s satisfaction will be enhanced. I will continue the survey of the patients to know the other impacts. I expect that these activities will help me improve the communication process, and the patients will feel better.

Application of Leadership:

            Professional responsibility and power, authenticity, integrity, and emotional intelligence are key factors of multiple leadership styles. During the observation and involvement of the preceptor activities, I felt that these factors were neglected. There was no element of emotional intelligence and authenticity in the leadership styles. During conversation with my preceptor, I realized that she favored the authoritarian leadership style with the patients and department staff. For authoritative leadership to be effective, team members must be given a clear goal to work toward and instructions for getting there. (Alqatawenh, 2018).

Various leadership styles can be implemented in the hospital, especially in the wound care department. The leadership styles are not easily changed altogether, but certain elements can be inserted into them. The first element that should be inserted in the leadership style is professional integrity. Professional integrity means that the patients should discuss the processes with the doctors, and the doctors/preceptors/nurses should give proper time to all the patients.

Professional integrity is one of the essential elements that should be inserted into the leadership styles. The next element that I would like to insert into the leadership styles is authenticity during the treatment. Authenticity in leadership means that all leaders must know their duties and responsibilities. The duty is not merely to admit the patients to the hospital and discharge them. The responsibilities include several factors like the care of patients and the proper administration of wound care treatments. The staff should discuss a patient’s condition with the family and encourage them to be involved in the care. All these elements are necessary for a patient, and if these elements are not provided there will be negative comments on the scorecard (Adi, 2019).

Last but not least, the leadership in hospital management or nursing involves protecting ethical principles. If the practices include ethics, the patients are satisfied; if there is a lack of implementation of the ethical tenets, the complaints will be increased. The principles include autonomy, beneficence, and justice. The leaders should think of these principles, and when the roots of problems and solutions are observed, they will meet a single factor known as communication. The patients have severe complaints about the lack of effective communication that should be resolved (DeConinck, 2018).

Practicum Project Preparation:

I have strong ideas about the project practicum because two essential concepts are involved. These are the leadership styles and the communication improvement. It is already explained that the leadership styles are numerous, and the leaders have to choose the appropriate one. I have planned to present the implementation of transformational and servant leadership within the department. Transformational leadership encourages the employees to learn that they are an essential part of an organization, and they have to work for the betterment of the organization. One of the essential elements that the project has made me learn is that effective leadership is essential in the success of leadership. The project has a massive role in my career because the practical observations are different from the theoretical concepts.

I have read a lot about leadership inefficiency and the lack of implementation of leadership styles. The project has made me learn that the situation exists in reality, and it helps me identify the real problems and solutions. I have learned different leadership styles like transformational and servant leadership, which I expect to implement in my career. Both the leadership styles are essential in the project, and the hospital management should learn them to the maximum extent (Gandolfi, 2018).

Leadership Video Reflection:

Servant leadership is an essential leadership style that many previous leaders observed in the past. The video was quite informational because it provided the lessons regarding servant leaders and the characteristics that should be present. The first thing that I have learned and am impressed with is that the leaders should understand that they are the servants of the public. They are appointed in the vital position of serving the people instead of giving them the orders. The leaders should learn that there is a differentiation between giving orders and leading the people through serving. The other aspect that I have learned from the servant leadership video is the power of a leader to listen and heal the patients. It is not only about the patients but the employees and customers. If the leader cannot listen to the employees, they do not have the leader’s personality. The leaders should always be concerned about the problems of the public and should resolve them (Nursing, 2016).

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

References

Alqatawenh, A. S. (2018). Transformational leadership style and its relationship with change management. Verslas: teorija ir praktika, 19(1), 17-24. https://www.ceeol.com/search/article-detail?id=772622.

DeConinck, J. B., Moss, H. K., & Deconinck, M. B. (2018). The relationship between servant leadership perceived organizational support, performance, and turnover among business-to-business salespeople. Global J Management and Marketing, 2(1), 38-52. https://www.igbr.org/wp-content/Journals/2018/GJMM_Vol_2_No_1_2018.pdf

Gandolfi, F., & Stone, S. (2018). Leadership, leadership styles, and servant leadership. Journal of Management Research, 18(4), 261-269. https://www.researchgate.net/publication/340940468_Leadership_Leadership_Styles_and_Servant_Leadership

Adi, K. R. (2019, October). Transformational leadership and team performance: the role of innovation in Indonesia property agent industry. In 2018 International Conference on Islamic Economics and Business (ICONIES 2018) (pp. 334-338). Atlantis Press. https://doi.org/10.2991/iconies-18.2019.67

Nursing, A. G.-. (2016, October 10). Servant Leadership – The Issue Of Power [cc] [Video]. YouTube. https://www.youtube.com/watch?v=Z8yMNFMp0k8&feature=youtu.be

 

 

 

Theoretical And Empirical Knowledge

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Theoretical And Empirical Knowledge

Select a quantitative research study. Be sure that the study includes a theoretical or conceptual framework. Please attach a copy of the article. Describe and summarize the purpose, type of study design, findings, and implications for nursing practice (application of the scientific evidence). Theoretical And Empirical Knowledge

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  1. Explain the theory that guided the study. How does the theory relate to the study?
  2. Explain how the theory could guide the research by analyzing the theory using Alligood’s five criteria for analysis of theory (Chapter 5, Box 5.2): clarity, simplicity, generality, accessibility, and importance.
  3. Discuss how different types of evidence may evolve from the research methodology used, and how it can be used to influence practice.
  4. In addition, isolate and describe one empirical concept within the selected study to investigate the methodologies used to examine this concept. Check the research questions, hypotheses, or purpose statement to find the major study concepts. For example, in a study examining pain and therapeutic touch, the major concepts would be pain and therapeutic touch. In addition to conceptual definitions, these concepts should have operational definitions (may be in methodology). Pain might use a visual analog scale (VAS) in order to provide quantitative measurement to a subjective concept.
  5. How is the evidence that emerges from the study explained through the theory? If this is not discussed in the study, describe how you think the theory does or does not support the research study. Theoretical And Empirical Knowledge

Case Study Part 2: CHF

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Case Study Part 2: CHF

                ___________________       Case Study Part 2: CHF__________________________

Clinical Course Day 1: The patient is admitted to the telemetry floor for diabetic ketoacidosis and becomes your patient. The patient has been started on IV fluids and an insulin drip. After 8 hours of being under your care the patient complains of increasing shortness of breath and believes her swelling of lower extremities is worsening. You obtain vital signs: Case Study Part 2: CHF

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Vital Signs: T: 99.8; HR: 110; R: 32; B/P: 172/98; O2 sat: 90% on 2 Liters O2 per NC

Stat labs and chest x-ray are obtained, and an echocardiogram and EKG have been ordered.

Na 134 mEq/L    K 5.1 mEq/L     Cl 109 mEq/L      HCO3 17 mEq/L       BUN 44 mg/dL     Cr 1.5 mg/dL

Glucose 180   WBC 12.7 x 103/mm3   Hb 13.6 g/dl /  Hct43%

BNP: 1025pg/ml              patient Troponin I, High Sens: 15

  CXR: Cardiomegaly with pulmonary venous hypertension. Evidence of mild pleural effusion. No consolidation or atelectasis noted

  ECHO = EF(ejection fraction) = 38%                                  EKG = Sinus tachycardia with rare  PVCs

 

_____________________________________________________________________________________

 

Answer the following questions based on the information above:

 

 

6)The patient is noted to be in congestive heart failure.  What lab results and diagnostic tests support this diagnosis? (3 points)

 

 

 

 

7) What are the contributing factors for CHF noted in the patient history (2 points) and assessment findings noted in the physical exam (2 points) that contribute and/ or relate to this diagnosis? (hint: see H&P from week 1).

 

 

 

 

 

8) The patient is a known hypertensive on medication, but her blood pressure continues to rise. Name three early compensatory mechanisms occurring in heart failure and the expected effect in compensation (6 points)

Compensatory Mechanism Expected Effect
 

 

  
 

 

  
 

 

  

 

 

 

 

 

9) What physical findings would you look for to differentiate left heart failure from right heart failure? (4 points)

 

 

 

 

 

 

 

 

 

 

 

 

APA 1 point         Scholarly Work  1 point           Total points 19

 

NURS 8302 Week 3 Discussion: Identifying Practice Gaps for Quality Improvement

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NURS 8302 Week 3 Discussion: Identifying Practice Gaps for Quality Improvement

Discussion: Identifying Practice Gaps for Quality Improvement

What should be happening in practice? What is happening or observed in practice?

These two questions help to identify where quality improvement practice gaps might exist in nursing practice. If we know what should be happening does not coincide with what is happening, we know there is an issue, or more appropriately, a practice gap.

Photo Credit: Getty Images/iStockphoto NURS 8302 Week 3 Discussion: Identifying Practice Gaps for Quality Improvement

A practice gap is the difference between a desirable or achievable state of practice and current reality. For example, a common gap in practice in healthcare organizations today, are healthcare associated infections (HAIs), such as central line associated blood stream infections (CLABSIs), or catheter associated urinary tract infections (CAUTIs).

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The ongoing identification of practice gaps is critical to quality improvement and involves identifying the current state, comparing that current state to the desired state, identifying the causes of the gaps in practice, and validating those gaps to develop a process for improvement.

For this Discussion, reflect on quality improvement practice gaps that may exist in your practice or organization. Consider what quality improvement methods and/or tools might be useful in improving this practice gap. Then, think about how you might address these challenges and what strategies you might implement as a future DNP-prepared nurse.

To Prepare:

  • Review the Learning Resources on tools and methods for quality improvement.
  • Reflect on a potential quality improvement practice gap, you have seen in your practice or organization, which you might consider using for your DNP project.
  • Consider the tools and methods you might use to address this quality improvement practice gap.

By Day 3 of Week 3

Post a brief explanation of how you would identify a quality improvement practice gap in your practice or organization. Describe a potential quality improvement practice gap you might use for your DNP project, and explain why. Then, explain at least two types of tools and/or methods you might use to address this quality improvement practice gap, and explain why. Be specific and provide examples. NURS 8302 Week 3 Discussion: Identifying Practice Gaps for Quality Improvement

By Day 6 of Week 3

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post and suggesting alternative tools and/or methods your colleague might consider using to address the quality improvement practice gap they selected.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

NURS 8302 Week 3 Discussion: Identifying Practice Gaps for Quality Improvement

NURS 8302 Week 3 Assignment: Tools for Measuring Quality

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NURS 8302 Week 3 Assignment: Tools for Measuring Quality

Assignment: Tools for Measuring Quality

How do we determine quality? Quality in other areas of our lives can be subjective, so as it relates to our nursing practice, how do we specifically ensure that quality is clearly defined and measurable?

Tools for measuring quality are used to assess the value measured, collected, or compared. These tools allow for subjectivity to be replaced with objectivity through data, formula, ranking, and analysis. NURS 8302 Week 3 Assignment: Tools for Measuring Quality

Photo Credit: Getty Images/iStockphoto

For this Assignment, you will explore at least three rate-based measures of quality. You will deconstruct each measure to explore your understanding of the it, including its importance and its impact on patient safety, the cost of healthcare, and the overall quality of healthcare.

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To Prepare:

  • Review the Learning Resources for this week, and reflect on tools for measuring quality in nursing practice.
  • Select three rate-based measurements of quality that you would like to focus on for this Assignment.
    • Note: These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care, and for the purposes of this Assignment, an analysis of staffing levels is not permitted.
    • You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose only one of the three measures to be some form of patient satisfaction measure.
  • Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the measures were collected, and how these measures are communicated to both internal and external stakeholders.
  • Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance.
  • Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of healthcare, and overall quality of healthcare. NURS 8302 Week 3 Assignment: Tools for Measuring Quality

The Assignment: (8–10 pages)

  • Describe the three rate-based measures of quality you selected, and explain why.
  • Deconstruct each measure to include the following:
    • Describe the definition of the measure.
    • Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.).
    • Explain how the data for this measure are collected.
    • Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a percentile ranking. Be specific.
    • Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.
    • Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be specific and provide examples. NURS 8302 Week 3 Assignment: Tools for Measuring Quality
  • Describe the importance of each measure to a chosen clinical organization and setting.
    • Using the websites and resources you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic, or private office. A total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings.
    • Note: Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the Instructor for guidance. You do not need actual data from a given organization to complete this Assignment.
  • Explain how each measure you selected relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific and provide examples.

NURS 8302 Week 3 Assignment: Tools for Measuring Quality

 

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

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NURS 8302 Week 5 Discussion: Measurement Systems and Methods

Discussion: Measurement Systems and Methods

You are a DNP-prepared nurse working at a hospital focused on improving patient satisfaction. After receiving care at your hospital, patients are provided a scorecard to survey their patient experience. The patient surveys range in questions from wait time to effectiveness of care, and these surveys provide your hospital with a scorecard indicating how the hospital is performing against these metrics. Upon reviewing the scorecards, you are able to highlight areas of improvement and areas of success, however, you find the responses are often difficult to analyze, as there are a wide range of responses, and there are many variables. NURS 8302 Week 5 Discussion: Measurement Systems and Methods

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Photo Credit: Getty Images

The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.

To Prepare:

  • Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.
  • Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.
  • Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.
  • Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.
  • Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.
  • Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not? NURS 8302 Week 5 Discussion: Measurement Systems and Methods

By Day 3 of Week 5

Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.

By Day 6 of Week 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.

Note: For this Discussion, you are required to complete your initial post before you will be able to view and respond to your colleagues’ postings. Begin by clicking on the “Post to Discussion Question” link and then select “Create Thread” to complete your initial post. Remember, once you click on Submit, you cannot delete or edit your own posts, and you cannot post anonymously. Please check your post carefully before clicking on Submit!

NURS 8302 Week 5 Discussion: Measurement Systems and Methods

NURS 8302 Week 6 Assignment 1: Organizational Culture Assessment Tool

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NURS 8302 Week 6 Assignment 1: Organizational Culture Assessment Tool

Assignment 1: Organizational Culture Assessment Tool

Your organization is ready to implement a quality improvement initiative; however, it is becoming increasingly clear that perhaps not everyone is on board with the proposal. NURS 8302 Week 6 Assignment 1: Organizational Culture Assessment Tool

What could be contributing to this potential resistance? How might organizational culture impact or influence the ability to engage in quality improvement initiatives?

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Organizational culture is the shared way of thinking or feeling in a given organization. This culture creates the dynamic for a willingness to change and/or improve. For example, if an organizational culture is one in which change is welcomed to improve and all voices are encouraged to be shared, the implementation of a quality improvement initiative will likely be accepted and supported. However, if an organizational culture is one in which the acknowledgement of mistakes are penalized and only leadership voices are respected, the implementation of a quality improvement initiative may be met with hesitation and skepticism.

For this Assignment, you will consider the impact of cultural and organizational readiness as it relates to the implementation of quality improvement initiatives. You will consider the leadership strategies needed to support these measures and complete an Organizational Culture Assessment Tool.

To Prepare:

Review the Learning Resources regarding the implementation of quality improvement initiatives.
Consider what stakeholders must be present to implement these initiatives, and reflect on the leadership strategies needed for success in promoting quality improvement initiatives in healthcare organizations and nursing practice.
Select a healthcare organization or nursing practice (with which you are familiar) to complete the Organizational Culture Assessment Tool.
The Assignment: (2–3 pages)

Complete the Organizational Culture Assessment Tool for the healthcare organization or nursing practice you selected. Then, address the following:

What is the state of cultural/organizational readiness for quality improvement?
Is the organizational culture present for quality improvement?
What leadership strategies are present in the organization to support quality improvement, positive patient experiences, and healthcare quality?
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632). All papers submitted must use this formatting. NURS 8302 Week 6 Assignment 1: Organizational Culture Assessment Tool

By Day 7

Submit your completed Organizational Culture Assessment Tool and the responses to the prompts for this Assignment by Day 7 of Week 6.

Submission and Grading Information

To submit your completed Assignment for review and grading, do the following:

Please save your Assignment using the naming convention “WK6Assgn1+last name+first initial.(extension)” as the name.
Click the Week 6 Assignment 1 Rubric to review the Grading Criteria for the Assignment.
Click the Week 6 Assignment 1 link. You will also be able to “View Rubric” for grading criteria from this area.
Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK6Assgn1+last name+first initial.(extension)” and click Open.
If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Datab

NURS 8302 Week 6 Assignment 1: Organizational Culture Assessment Tool