Directions for Quality Improvement Project<\/p>\n
Leadership and Management Module Five & Seven<\/p>\n
The intent of this assignment is to have the student become familiar with the Quality Improvement (QI) process and be exposed to some useful tools that will help with QI projects. Some examples are provided to assist students in parts of this assignment. First, the student should visit the Institute for Healthcare Improvement (IHI) website (http:\/\/www.ihi.org\/topics\/Pages\/default.aspx) and select a topic for their QI project. If the student has another topic they are passionate about, check with the instructor for permission to use the topic. <\/p>\n
In Module 5, the student will write about the topic and cover the below content. Like all professional papers, the paper should be in the American Psychological Associate (APA) template used in the BSN program. The expectation is the APA formatting, references in text and in the reference page should be in proper format. To begin, the introduction of the paper should state some brief information about the project, along with a purpose. The reader should be able to understand the intent of the project in the introduction. After the student submits the paper in Module five, the instructor will review and return with a grade and recommendations for improvement. The expectation is that the student will make the recommended changes when submitted in Module seven. <\/p>\n
The paper should begin with an introduction. <\/p>\n
Introduction<\/p>\n
A good paper typically begins with an introduction. This introduction should begin with a few general statements about the topic followed by a purpose statement. As described in previous assignments, the purpose should contain all the elements of the paper. One example could be: The purpose of this quality improvement project is to define a clinical practice problem, a gap in practice, best practice and recommended changes from the literature. In addition, this paper will review a change theory that will drive the project, cultural competency and teams, aims and measures (In module seven, add the additional items). <\/p>\n
Problem, Gap & Best Practice <\/p>\n
In paragraph form:<\/p>\n
What specifically is the problem identified in this project, please state so explicitly. For example, state something like \u201cThe identified problem in this quality improvement project is\u2026\u201d <\/p>\n
Describe the magnitude of the problem (with a reference)<\/p>\n
What is the identified gap in practice? Typically, this that healthcare providers are not following best practices from the literature. <\/p>\n
What is the best practice summary from the literature (with a reference)<\/p>\n
Below is an example of all the items addressed above: <\/p>\n
Introduction<\/p>\n
In the United States, thousands of people are diagnosed and living with congestive heart failure (CHF) each year. The identified problem in this project is the lack of standardized care for patients who suffer from CHF. CHF is defined as \u201c A condition in which the heart fails to pump an adequate supply of blood to meet the body\u2019s needs (Institute for Health Care Improvement [IHI}, 2008, p. 3). For those who live with CHF, the course of treatment is often long term, taxing to the patient, the family and puts a strain on an already taxed healthcare system. Standardizing a plan of care for these patients may help the patient and family maintain a better quality of life and decrease the long-term cost of care. The purpose of this paper is to\u2026..<\/p>\n
Living with CHF presents many obstacles for the patient, the family and the healthcare system. Jones and Smith (2018) found that the magnitude of the problem is\u2026that four million people suffered from CHF in the United States between 2002 and 2012. Fifty two percent of those patients had a 75% chance of readmission to the hospital within the first month of being discharged. This cost represented four billion dollars spent on patients who suffered from this affliction (Doran, 2017). This wide spread problem puts a large strain on the healthcare system. Additional literature suggests that those patients with CHF suffer a poorer quality of life, due to frequency of hospital visits and financial strain (Algood & Jackson, 2018). Regarding the impact on those with CHF, The Institute for Health Care Improvement (2008) found:<\/p>\n
CHF carries with it a substantial human toll. The debilitation from the condition itself significantly affects the person\u2019s ability to function in daily life. Yet, because of inadequate treatment, discharge guidance and follow-up, many patients with CHF are caught in a \u201crevolving door\u201d process that ultimately culminates in deterioration and rehospitalization. This is reflected in the following readmission rates among 616,000 Medicare discharges in 2005: 27% within 30 days, 39% within 60 days, nearly 50% within 90 days of hospital discharge (p.22). <\/p>\n
For these reasons, a standardized plan of treatment is appropriate and recommended by multiple authors in the literature.<\/p>\n
According to the literature, there is an identified gap in recommended and current practice. Many of our nation\u2019s hospitals are not following recommended guidelines set forth from the IHI. Martin (2017) found that only 30% of hospitals follow the current recommended guidelines for the treatment of CHF. Add two more references. This information details a need to change practice. Best practices identified by the IHI (2020) include seven key care components. <\/p>\n
Recommended Changes<\/p>\n
What are the recommended changes needed in practice found in the literature? Tell the reader what changes are needed in practice compared to current evidence. If current practice is similar to the literature, tell the reader what could be done to monitor and maintain best practices. List three recommendations found in the literature in bullet points. Identify exactly what needs to be changed. For each recommendation, tell the reader whether it is a change in knowledge, skill or attitude. <\/p>\n
Examples <\/p>\n
The IHI has identified seven key care components recommended for all CHF patients. These recommendations are as follows: <\/p>\n
(System wide). The most notable recommendation calls for a left ventricular systolic function assessment. This should be done on admission to the healthcare facility and become part of the care plan for all CHF patients. Developing a team to identify the best method to implement this recommendation would be appropriate during the planning section of this project. In addition, physicians, all licensed health care providers should be aware of this recommendation. Educational sessions for this recommendation should be done for all nursing units prior to the implementation of the plan. In addition, it would be helpful to add this item to each patient\u2019s care plan while in the hospital and also to the care pathway if used. This would be a change in knowledge and attitude. <\/p>\n
The second recommendation is the prescribing of an ACE-inhibitor or angiotensin receptive blocker (SRB) at discharge for CHF patients with systolic function <40%. The is recommendation should be included in an educational program for all licensed health care providers and physicians prior to the implementation of the plan. In addition, it would be helpful to add this item to each patient\u2019s care plan while in the hospital and also to the care pathway if used. This would be a change in knowledge and attitude. <\/p>\n
The third recommendation is the prescribing of an anticoagulant medication at discharge for CHF patients with chronic or recurrent atrial fibrillation. This recommendation should also be included in an educational program for all licensed health care providers and physicians prior to the implementation. In addition, it would be helpful to add this item to each patient\u2019s care plan while in the hospital and also to the care pathway if used. This would be a change in attitude and knowledge. <\/p>\n
Change Theory & Cultural Competency<\/p>\n
(No example)<\/p>\n
What change theory would you use to implement this Quality Improvement project? The text and module have many different examples of these types of theories. This is a very important part of the project because if you are not aware of how to make change happen or the stages of change theory, the project may not be successful. In this section:<\/p>\n
Define the change theory with a reference;<\/p>\n
How would you use the change theory to implement the recommendations? Then tell the reader what would happen in each stage of the theory; <\/p>\n
Next, after reading the Department of Health and Human Services resource under readings and resources, respond in paragraph form to the following (make sure you provide references to each): <\/p>\n
Define cultural competence (Chapter One)<\/p>\n
Why is it important in nursing? (Chapter One)<\/p>\n
Name three requirements for organizational cultural competence (p.75);<\/p>\n
Name the three Critical Treatment Issues to Consider in Providing Culturally Responsive Services (p.80); <\/p>\n
Name three requirements for organizational cultural competence (p.75); and<\/p>\n
Discuss at least four qualities of effective cultural competence training (p.92)<\/p>\n
Teams, Aims and Measures (provide references from the IHI for each)<\/p>\n
After visiting the Institute for Health Care Improvement (IHI) website at http:\/\/www.ihi.org\/resources\/Pages\/HowtoImprove\/ScienceofImprovementHowtoImprove.aspx review the Model for Improvement and its various sections. With your project in mind, respond to the following questions in paragraph form:<\/p>\n
What does the IHI say about forming a team? Provide a reference<\/p>\n
How would this be done in this project?<\/p>\n
What disciplines would be on the team and why?<\/p>\n
What does the IHI say about setting aims? Provide a reference<\/p>\n
How would aims be set in this project?<\/p>\n
What does the IHI say about setting measures? Provide a reference<\/p>\n
How would measures be set in this project?<\/p>\n
Module 7<\/p>\n
Testing & Implementing Changes<\/p>\n
Visit the IHI website at http:\/\/www.ihi.org\/resources\/Pages\/HowtoImprove\/ScienceofImprovementTestingChanges.aspx and respond to the following questions in paragraph form:<\/p>\n
What specific tool would you use to test the changes? Provide a reference<\/p>\n
What would be done in each step of the tool in this project?<\/p>\n
How would you implement and spread the changes?<\/p>\n
Leadership Style & Potential Cultural Legal Issues<\/p>\n
This section should tell the reader what leadership style would be used to implement the project. In addition, the student will describe a potential legal problem if a manager were not culturally sensitive. <\/p>\n
Define the leadership style with a reference and tell the reader why it would work. <\/p>\n
Given that we all work in diverse organizations, it is important for us to be culturally sensitive when managing a diverse workforce. According to the readings, if a manager is not culturally sensitive with their communication what specifically could be a potential legal problem? Ensure you provide a reference<\/p>\n
Conclusion<\/p>\n
The summary or conclusion should be comprehensive and should give a brief overview of the project. Each section included in the directions should be briefly addressed. This section should be a minimum of three to six paragraphs. The reader should be able to read the summary only and gather enough information to understand the intent of the project.<\/p>\n","protected":false},"excerpt":{"rendered":"
Directions for Quality Improvement Project Leadership and Management Module Five & Seven The intent of this assignment is to have the student become familiar with the Quality Improvement (QI) process and be exposed to some useful tools that will help with QI projects. Some examples are provided to assist students in parts of this assignment. […]<\/p>\n","protected":false},"author":1,"featured_media":0,"comment_status":"closed","ping_status":"closed","sticky":false,"template":"","format":"standard","meta":{"footnotes":""},"categories":[1],"tags":[10],"class_list":["post-106983","post","type-post","status-publish","format-standard","hentry","category-research-paper-writing","tag-writing"],"_links":{"self":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/106983","targetHints":{"allow":["GET"]}}],"collection":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts"}],"about":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/types\/post"}],"author":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/users\/1"}],"replies":[{"embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/comments?post=106983"}],"version-history":[{"count":0,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/posts\/106983\/revisions"}],"wp:attachment":[{"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/media?parent=106983"}],"wp:term":[{"taxonomy":"category","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/categories?post=106983"},{"taxonomy":"post_tag","embeddable":true,"href":"https:\/\/papersspot.com\/blog\/wp-json\/wp\/v2\/tags?post=106983"}],"curies":[{"name":"wp","href":"https:\/\/api.w.org\/{rel}","templated":true}]}}