NURS 4220A LC4004A Quality Improvement Tools Nursing Paper Example

NURS 4220A LC4004A Quality Improvement Tools Nursing AssignmentNURS 4220A LC4004A Quality Improvement Tools Nursing Assignment

NURS 4220A LC4004A Quality Improvement Tools Nursing Paper Assignment Brief

Course: NURS 4220A – Leadership Competencies in Nursing and Healthcare

Assignment Title: NURS 4220A LC4004A Quality Improvement Tools Nursing Assignment

Assignment Instructions Overview

This assignment focuses on the analysis and application of quality improvement tools in nursing practice. Students are required to explore the use of Fishbone Diagrams, Pareto Charts, Process Flow Charts, and Run Charts. The aim is to demonstrate understanding and proficiency in utilizing these tools to identify, analyze, and prevent issues related to medication errors and patient satisfaction within a healthcare setting.

Understanding Assignment Objectives

The primary objective of this assignment is to enhance students’ ability to use quality improvement tools to identify the root causes of problems, prioritize interventions, and monitor outcomes. Students will analyze data depicted in various quality improvement tools and explain how these insights can be applied to improve nursing practice, particularly in preventing medication errors and enhancing patient satisfaction.

The Student’s Role

Students are expected to engage with the course materials and learning resources to understand the principles and applications of different quality improvement tools. They should critically analyze provided data using these tools and describe how the information can be used to inform and improve nursing practice. Additionally, students must support their analysis and recommendations with evidence from scholarly literature.

Competencies Measured

This assignment measures several competencies essential for nursing practice, including:

  • Analytical skills: Ability to dissect and interpret data using quality improvement tools.
  • Problem-solving: Identifying root causes of issues and proposing effective interventions.
  • Evidence-based practice: Integrating scholarly evidence into the analysis and recommendations.
  • Communication: Clearly and effectively conveying analysis and recommendations in written form.

You Can Also Check Other Related Assessments for the NURS 4220A – Leadership Competencies in Nursing and Healthcare Course:

NURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment Example

NURS 4220A LC4002A Healthcare Quality Nursing Assignment Example

NURS 4220A LC4003A Quality Improvement Processes Nursing Assignment Example

NURS 4220A LC4005A Improving Patient Quality and Safety Assessment Assignment Example

NURS 4220A LC4004A Quality Improvement Tools Nursing Paper Example

Quality Improvement Tools in Nursing Practice

Fishbone Diagram (Cause-and-Effect Diagram)

Analyzing the Fishbone Diagram

Fishbone diagrams, also known as cause-and-effect diagrams, are critical in identifying and analyzing the root causes of problems in healthcare settings. They categorize potential causes into major categories such as human factors, equipment and supplies, environmental factors, and processes (Ishikawa, 1986).

Human factors play a significant role in medication errors. For instance, knowledge deficits among healthcare staff can be addressed through comprehensive training programs and standardized procedures. This ensures that both pharmacists and nursing staff have a thorough understanding of medication interactions, thus preventing errors (Carlfjord et al., 2010). Additionally, stress and burnout among staff can be mitigated by implementing ergonomic workstations and workload management strategies, enhancing performance and reducing errors (Bakker et al., 2011). The availability of pharmacists is another critical factor. Enhancing remote monitoring technologies and collaborative platforms can enable pharmacists to provide timely support, even from a distance, thereby improving medication safety (Pontefract et al., 2018).

Equipment and supplies are equally crucial in preventing medication errors. Distinct packaging and labeling for similar-looking drugs can prevent confusion during administration. Ensuring the use of high-quality, durable barcode labels and regular inspections can maintain accuracy in medication administration (Poon et al., 2010). Scanner issues, such as readability problems, can be resolved through regular maintenance and calibration of scanning equipment (Baysari et al., 2011).

Environmental factors, such as workplace distractions, need to be minimized to create a focused environment for medication preparation. Proper storage conditions for medications prevent degradation and administration errors (Flynn et al., 2016). Processes also require attention. Implementing user-friendly and intuitive technology systems for medication documentation can streamline processes and reduce manual entry errors. Adopting workload management strategies and leveraging technology to automate non-clinical tasks can address inadequate staffing issues, further reducing the risk of medication errors (Tucker & Edmondson, 2003).

Using the fishbone diagram to address these factors allows nurses to identify and mitigate the root causes of medication errors effectively. Advocating for ergonomic workstations, comprehensive training programs, and regular equipment checks can enhance medication safety. By understanding and addressing these root causes, nursing practice can significantly reduce medication errors and improve patient outcomes.

Pareto Chart

Analyzing the Pareto Chart

Pareto charts are instrumental in identifying the most significant factors contributing to a problem. According to the Pareto principle, 80% of problems often result from 20% of the causes (Juran, 1954). In analyzing medication errors, data collected revealed twelve types of errors. Three major error types—incorrect dosage, wrong medication, and missed dose—accounted for approximately 81% of the total errors.

This analysis underscores the importance of focusing on these critical areas. For instance, incorrect dosages, which accounted for 40% of errors, can be addressed through targeted training programs that emphasize accurate dosage calculations and administration procedures. Implementing barcode scanning systems can prevent the administration of wrong medications, which comprised 25% of errors. Establishing protocols for double-checking medication dosages and verifying patient information can significantly reduce missed doses, which represented 16% of errors (Kaushal et al., 2001).

By concentrating efforts on these priority areas, resources can be allocated more effectively, leading to substantial improvements in medication safety. This focused approach ensures that interventions have the most significant impact, thereby enhancing patient safety and reducing error rates.

Process Flow Chart

Analyzing the Process Flow Chart

Process flow charts visually map out the steps involved in a process, identifying potential points of failure or inefficiency. In the context of medication administration, a typical process flow might include computerized physician order entry (CPOE), pharmacy technician selection, nurse verification, medication administration following the “7 Rights,” and electronic documentation (Horsky et al., 2012).

Each step in this process is crucial for ensuring accuracy and safety. CPOE reduces errors associated with handwritten prescriptions by ensuring accurate and legible medication orders (Bobb et al., 2004). Verification steps, such as barcode scanning and electronic documentation, help to ensure the correct medication is administered to the right patient. Following the “7 Rights” principle—right patient, right medication, right dose, right route, right time, right reason, and right documentation—ensures comprehensive checks are performed before medication administration, minimizing the risk of errors (Grissinger, 2010).

By streamlining and standardizing each step, process flow charts can significantly reduce medication errors and improve patient safety. They provide a clear visual representation of the process, making it easier to identify and address potential points of failure.

Run Chart

Analyzing the Run Chart

Run charts track data points over time, allowing for the identification of trends and variations. In analyzing patient satisfaction with pain management, a run chart indicated that the initial satisfaction rate was around 70%. After implementing specific interventions, the satisfaction rate increased to 97%.

This significant increase in patient satisfaction suggests that the interventions were effective. Run charts help in monitoring trends, identifying periods of low satisfaction, and understanding the factors contributing to these variations. They also allow for the evaluation of interventions, ensuring that changes lead to improved outcomes. Continuous monitoring and data-driven adjustments can help maintain high standards and improve patient satisfaction with pain management (Perla et al., 2011).

By using run charts, healthcare providers can ensure consistent improvements in patient care, leading to better outcomes and higher satisfaction rates.

Conclusion

The use of quality improvement tools such as fishbone diagrams, Pareto charts, process flow charts, and run charts is essential in nursing practice. These tools provide valuable insights that inform targeted interventions, leading to enhanced patient safety and improved healthcare delivery. By systematically identifying and addressing the factors contributing to medication errors and patient dissatisfaction, nurses can significantly improve patient outcomes and foster a culture of safety within healthcare settings.

References

Bakker, A. B., Demerouti, E., & Sanz-Vergel, A. I. (2011). Burnout and work engagement: The JD–R approach. Annual Review of Organizational Psychology and Organizational Behavior, 1(1), 389-411.

Baysari, M. T., Westbrook, J. I., Richardson, K. L., & Day, R. O. (2011). The influence of computerized prescriber order entry on prescribing practices in an emergency department. PLOS One, 6(1), e14534.

Bobb, A., Gleason, K., Husch, M., Feinglass, J., Yarnold, P. R., & Noskin, G. A. (2004). The epidemiology of prescribing errors: The potential impact of computerized prescriber order entry. Archives of Internal Medicine, 164(7), 785-792.

Carlfjord, S., Lindberg, M., & Andersson, A. (2010). Staff perceptions of addressing patient safety in primary health-care settings: A qualitative approach. BMC Health Services Research, 10(1), 5-10.

Flynn, E. A., Barker, K. N., & Gibson, J. T. (2016). Dispensing errors and counseling quality in 100 pharmacies. Journal of the American Pharmaceutical Association, 37(3), 35-39.

Grissinger, M. (2010). The five rights: A destination without a map. Pharmacy and Therapeutics, 35(10), 542-542.

Horsky, J., Schiff, G. D., Johnston, D., Mercincavage, L., Bell, D., & Middleton, B. (2012). Interface design principles for usable decision support: A targeted review of best practices for clinical prescribing interventions. Journal of Biomedical Informatics, 45(6), 1202-1216.

Ishikawa, K. (1986). Guide to quality control. Asian Productivity Organization.

Juran, J. M. (1954). Management of quality. Juran Institute.

Kaushal, R., Bates, D. W., Landrigan, C., McKenna, K. J., Clapp, M. D., Federico, F., … & Seger, D. L. (2001). Medication errors and adverse drug events in pediatric inpatients. JAMA, 285(16), 2114-2120.

Perla, R. J., Provost, L. P., & Murray, S. K. (2011). The run chart: A simple analytical tool for learning from variation in healthcare processes. BMJ Quality & Safety, 20(1), 46-51.

Pontefract, S. K., Hodson, J., Marriott, J. F., Redwood, S., & Coleman, J. J. (2018). Pharmacist–physician communications in a highly computerized hospital: Sign-offs and patient handoffs. Journal of the American Medical Informatics Association, 25(8), 1007-1014.

Poon, E. G., Keohane, C. A., Yoon, C. S., Ditmore, M., Bane, A., Levtzion-Korach, O., … & Gandhi, T. K. (2010). Effect of bar-code technology on the safety of medication administration. New England Journal of Medicine, 362(18), 1698-1707.

Tucker, A. L., & Edmondson, A. C. (2003). Why hospitals don’t learn from failures: Organizational and psychological dynamics that inhibit system change. California Management Review, 45(2), 55-72.

Detailed Assessment Instructions for the NURS 4220A LC4004A Quality Improvement Tools Nursing Paper Assignment

LC4004A Quality Improvement Tools

Have you ever seen one of the quality improvement tools (i.e., Fishbone Diagram, Pareto Chart, or Run Chart) used in practice? How was it used? What data was being depicted? Please describe an additional quality tool that could have been used in the situation?

If you have not had any experience with the quality tools please describe in detail one tool and how the tool could be used in your practice setting. Please support your statements with evidence from the learning resources.

Evidence from scholarly literature

Prompts:

Analyze the fishbone diagram. Explain how the information presented in the fishbone diagram might be used to help inform nursing practice when preventing medication errors. Analyze the Pareto chart Include an explanation of how many medication errors there were and how this information might assist the nursing unit in preventing future medication errors. Analyze the process flow chart. Explain how this information might be used to help inform nursing practice for the prevention of future medication errors

Module 1: Fishbone Diagram

Analyze the fishbone diagram

Analyze the use of fishbone diagrams in preventing medication errors.

Explain how the information presented in the fishbone diagram might be used to help inform nursing practice when preventing medication errors.

Module 2: Pareto Chart

Analyze the Pareto chart

Explain medication error prevention information based on a Pareto chart.

Include an explanation of how many medication errors there were and how this information might assist the nursing unit in preventing future medication errors.

Module 4: Process Flow Chart.

Analyze the process flow chart.

Explain the use of process flow charts in preventing medication errors.

Explain how this information might be used to help inform nursing practice for the prevention of future medication errors

Module 4: Run Chart

Analyze the run chart as it relates to patient satisfaction with pain management.

Explain whether the data in the run chart indicates improved or decreased satisfaction with pain management.

Defend your reasoning for whether the run chart indicates improved or decreased satisfaction with pain management.

Consider the practice problem that you identified in LC4002A and either revised or affirmed in LC4003A.

Choose a fishbone diagram, Pareto chart, process flow chart, or run chart, and apply it to the data relating to the practice problem (that you located in LC4002A).

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NURS 4220A LC4003A Quality Improvement Processes Nursing Paper Example

NURS 4220A LC4003A Quality Improvement Processes Nursing AssignmentNURS 4220A LC4003A Quality Improvement Processes Nursing Assignment

NURS 4220A LC4003A Quality Improvement Processes Nursing Paper Assignment Brief

Course: NURS 4220A – Leadership Competencies in Nursing and Healthcare

Assignment Title: NURS 4220A LC4003A Quality Improvement Processes Nursing Assignment

Assignment Instructions Overview

This assignment focuses on the analysis and application of quality improvement processes in a nursing context. You will examine various quality improvement methods, verify a practice problem using data from your practicum facility, and apply a specific quality improvement process to address the identified issue. The aim is to enhance your understanding and practical skills in implementing quality improvement strategies to improve patient care and healthcare outcomes.

Understanding Assignment Objectives

The primary objective of this assignment is to provide a comprehensive analysis of different quality improvement processes and approaches used in healthcare. You will explore key methodologies such as Six Sigma, PDSA, TQM, and CQI, understanding their core elements and how they contribute to improving healthcare quality. Additionally, you will identify and verify a practice problem at your practicum facility, using specific data to support your findings. Finally, you will apply a quality improvement process to address the identified problem and propose measures to evaluate the success of the intervention.

The Student’s Role

As a nursing student, your role is to critically analyze and apply quality improvement processes within a healthcare setting. You will:

  • Describe Quality Improvement Processes: Examine and explain the core elements of Six Sigma, PDSA, TQM, and CQI. Understand their applications and benefits in healthcare.
  • Verify a Practice Problem: Identify a practice problem at your practicum facility and gather relevant data from various sources to verify the issue. This involves interviewing healthcare professionals, reviewing hospital data, and utilizing online resources.
  • Apply Quality Improvement Processes: Use the PDSA cycle or another suitable quality improvement method to develop and implement a strategy to address the identified practice problem. Ensure to describe the steps involved and how the intervention will be monitored and evaluated.
  • Evaluate the Intervention: Determine the measures that will be used to assess the success of the quality improvement intervention. Analyze data post-implementation to ensure the problem is being effectively addressed.

Competencies Measured

This assignment will help you develop and demonstrate several key competencies essential for nursing practice, including:

  • Analytical Skills: Ability to critically analyze different quality improvement processes and their core elements.
  • Data Collection and Interpretation: Skills in gathering and interpreting data to identify and verify practice problems within a healthcare setting.
  • Application of Quality Improvement Methods: Practical application of quality improvement methodologies to solve real-world healthcare issues.
  • Evaluation and Measurement: Competency in determining appropriate measures to evaluate the success of quality improvement interventions.
  • Communication: Effectively communicate findings, strategies, and outcomes related to quality improvement processes.

You Can Also Check Other Related Assessments for the NURS 4220A – Leadership Competencies in Nursing and Healthcare Course:

NURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment Example

NURS 4220A LC4002A Healthcare Quality Nursing Assignment Example

NURS 4220A LC4004A Quality Improvement Tools Nursing Assignment Example

NURS 4220A LC4005A Improving Patient Quality and Safety Assessment Assignment Example

NURS 4220A LC4003A Quality Improvement Processes Nursing Paper Example

Part 1: Quality Improvement Processes

For each of the quality improvement processes and approaches listed, describe the process and the core elements.

Process Description and Core Elements

Six Sigma

Six Sigma is a method that aims to improve the quality of process outputs by identifying and removing the causes of defects and minimizing variability in nursing processes. It uses a set of quality management tools, including statistical methods, and creates a special infrastructure of people within the organization (e.g., “Black Belts” and “Green Belts”) who are experts in these methods. The core elements of Six Sigma include:

  • Define: Define the problem, the project goals, and customer (internal and external) requirements.
  • Measure: Measure the process to determine current performance; quantify the problem.
  • Analyze: Analyze the data and identify the root cause(s) of the defect.
  • Improve: Improve the process by eliminating defects.
  • Control: Control future process performance (Knudsen et al., 2019).

PDSA (Plan-Do-Study-Act)

The Plan-Do-Study-Act (PDSA) cycle is a four-step model for carrying out change. It is a simple and effective tool for documenting a test of change. The core elements include:

  • Plan: Identify an area for improvement and plan the change. Establish objectives and processes necessary to deliver results in accordance with the expected output.
  • Do: Implement the plan and make the change. Execute the process and collect data for analysis.
  • Study: Study the results. Compare the collected data against the expected outcomes to ascertain any differences.
  • Act: If the change was successful, implement it on a broader scale and continuously assess your results. If the change did not work, begin the cycle again (Tamher et al., 2021).

TQM (Total Quality Management)

Total Quality Management (TQM) is a comprehensive and structured approach to organizational management that seeks to improve the quality of products and services through ongoing refinements in response to continuous feedback. The core elements include:

  • Customer Focus: Understand and meet the needs of customers.
  • Total Employee Involvement: All employees participate in working toward common goals.
  • Process-Centered: A fundamental part of TQM is focusing on process thinking.
  • Integrated System: All functions and processes in an organization work together.
  • Strategic and Systematic Approach: A strategic plan must integrate quality as a core component.
  • Continual Improvement: There is a constant focus on continuous improvement.
  • Fact-Based Decision Making: Decisions are made using accurate data and analysis.
  • Communications: Effective communication must be maintained (Gu et al., 2021).

CQI (Continuous Quality Improvement)

Continuous Quality Improvement (CQI) is an approach used to improve the quality of services by making systematic and continuous actions that lead to measurable improvement in healthcare services and the health status of targeted patient groups. The core elements include:

  • Focus on Patients: Ensuring that the patient’s needs and expectations are met.
  • Teamwork: Collaborating across all departments and roles.
  • Use of Data: Data is used to identify areas of improvement and to measure the effectiveness of changes.
  • Process Understanding: Thoroughly understanding healthcare processes.
  • Systems Approach: Viewing healthcare delivery as a set of interrelated processes.
  • Feedback Loops: Creating mechanisms for continuous feedback and response (Knudsen et al., 2019).

Part 2: Verification of Practice Problem

Practice Problem: CAUTI (Catheter-Associated Urinary Tract Infections)

To verify the practice problem of CAUTI at the practicum facility, data were collected from various sources including interviews with infection control and quality nurses, reviews of HCAHPS data, access to QI dashboards, and the Hospital Compare website (https://www.medicare.gov/hospitalcompare/search.html).

Summary of Data:

  • Infection Control Interviews: Infection control nurses reported a higher incidence of CAUTI in the medical-surgical unit.
  • HCAHPS Data: The patient satisfaction scores related to infection prevention were lower compared to other hospitals in the region.
  • QI Dashboards: The facility’s QI dashboards showed a significant number of CAUTI cases over the last year, with a noticeable spike in the last quarter.
  • Hospital Compare: The Hospital Compare data corroborated the internal findings, showing a higher than average rate of CAUTI for the facility compared to state and national averages.

Data Analysis and Support for Practice Problem:

The data collected supports the identified practice problem of CAUTI at the practicum facility. The interviews and internal QI dashboards particularly highlight a concerning trend in the rate of infections, suggesting a need for targeted interventions.

If the data had shown that CAUTI was not a significant issue, a new practice problem would have been identified. However, the consistency across various data sources indicates that CAUTI is indeed a critical issue requiring attention.

Part 3: Quality Improvement Processes

Addressing CAUTI with Quality Improvement Processes

The information gathered about CAUTI can be addressed effectively through a quality improvement process such as PDSA.

Applying PDSA to CAUTI:

Plan:

  • Develop a comprehensive policy and process to emphasize the importance of catheter care and infection prevention.
  • Set specific, measurable goals for reducing CAUTI rates.
  • Create educational materials and training sessions for healthcare staff.
  • Plan for data collection methods to monitor CAUTI rates pre- and post-intervention.

Do:

  • Implement the new catheter care policy and training programs.
  • Distribute educational materials to all healthcare staff.
  • Ensure consistent monitoring of catheter use and adherence to the new protocols.

Study:

  • Collect data on CAUTI rates following the implementation of the new processes.
  • Analyze the data to determine if there has been a reduction in CAUTI rates.
  • Gather feedback from healthcare staff on the new protocols and identify any issues or areas for improvement.

Act:

  • If the intervention is successful, standardize the new processes across the facility.
  • If the intervention is not as effective as desired, identify the barriers to success and plan additional modifications.
  • Continue to monitor CAUTI rates and make iterative improvements as necessary (Demirel, 2019).

Measures for Analyzing Success

To determine the success of the intervention, the following measures should be analyzed:

  • CAUTI Rates: Compare the rates of CAUTI before and after the intervention.
  • Compliance Rates: Measure the adherence to the new catheter care protocols among healthcare staff.
  • Patient Outcomes: Assess the impact of the intervention on overall patient health outcomes.
  • Staff Feedback: Collect qualitative data from staff regarding the feasibility and effectiveness of the new protocols.
  • Cost Analysis: Evaluate any cost savings resulting from reduced CAUTI rates and improved infection control (Haque et al., 2020).

By utilizing the PDSA cycle and continuously monitoring the selected measures, the facility can effectively reduce CAUTI rates and enhance the quality of patient care.

References

Demirel, A. (2019). Improvement of hand hygiene compliance in a private hospital using the Plan-Do-Check-Act (PDCA) method. Pakistan Journal of Medical Sciences, 35(3), 721. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6572982/

Gu, S., Zhang, A., Huo, G., Yuan, W., Li, Y., Han, J., & Shen, N. (2021). Application of PDCA cycle management for postgraduate medical students during the COVID-19 pandemic. BMC Medical Education, 21(1), 1-11. https://link.springer.com/article/10.1186/s12909-021-02740-6

Haque, M., McKimm, J., Sartelli, M., Dhingra, S., Labricciosa, F. M., Islam, S., & Charan, J. (2020). Strategies to prevent healthcare-associated infections: a narrative overview. Risk Management and Healthcare Policy, 13, 1765. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7532064/

Knudsen, S. V., Laursen, H. V. B., Johnsen, S. P., Bartels, P. D., Ehlers, L. H., & Mainz, J. (2019). Can quality improvement improve the quality of care? A systematic review of reported effects and methodological rigor in plan-do-study-act projects. BMC Health Services Research, 19(1), 1-10. https://link.springer.com/article/10.1186/s12913-019-4482-6

Tamher, S. D., Rachmawaty, R., & Erika, K. A. (2021). The effectiveness of Plan Do Check Act (PDCA) method implementation in improving nursing care quality: A systematic review. Enfermería Clínica, 31, S627-S631. https://www.sciencedirect.com/science/article/pii/S1130862121001716

Detailed Assessment Instructions for the NURS 4220A LC4003A Quality Improvement Processes Nursing Paper Assignment

Description

NURS 4220A LC4003A Quality Improvement Processes

Part 1: Quality Improvement Processes

For each of the quality improvement processes and approaches listed, describe the process and the core elements associated with it.

 Process Description and Core Elements

Six Sigma

PDSA     

TQM     

CQI       

Part 2: Verification of Practice Problem

Collect data on the practice problem that you identified (CAUTI) that deals with an issue at your practicum facility. There are several places that you can gather data on the practice problem. They include, but are not limited to:

  • Interview infection control and quality nurses at your practice experience facility
  • Review HCAHPS data
  • Access and review dashboards at the facility (QI dashboards)
  • Use the Hospital Compare website (https://www.medicare.gov/hospitalcompare/search.html)

You should aim to collect enough data to ensure that you understand how many times or how often a problem is occurring and over what time frame. Note that the data that you need is not global, national, or even state data. You want to focus on data that is specific to the facility and area.

Summarize the data that you found surrounding this practice problem (CAUTI) at your practice experience facility.

Explain whether the data that you found supports the practice problem (CAUTI) that you identified at your practice experience facility.

If the data shows that the selected practice problem (CAUTI) is actually an issue, either state that it is unchanged, or make minor edits. If the data does not support that the practice problem is an issue at the facility, develop a new practice problem that is supported by the data.

Part 3: Quality Improvement Processes

Explain how the information that you found about CAUTI might be addressed by a quality improvement process.

Review the information about the Plan-Do-Study-Act (PDSA) process. Explain how you would apply this process to CAUTI to determine potential solutions to the practice problem.

 Describe the measures that should be analyzed after the intervention is applied to determine its success.

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  • Direct Communication: You’ll have direct communication with your assigned writer, allowing for seamless collaboration and transparency throughout the writing process.
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Place your order with ReliablePapers.com today and experience the difference firsthand. Whether you need to buy nursing research papers, get cheap nursing papers, or professional nursing coursework help, we’ve got you covered. Trust us with your nursing assignments, and let us help you succeed in your nursing studies.

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NURS 4220A LC4002A Healthcare Quality Nursing Paper Example

NURS 4220A LC4002A Healthcare Quality Nursing AssignmentNURS 4220A LC4002A Healthcare Quality Nursing Assignment

NURS 4220A LC4002A Healthcare Quality Nursing Paper Assignment Brief

Course: NURS 4220A – Leadership Competencies in Nursing and Healthcare

Assignment Title: NURS 4220A LC4002A Healthcare Quality Nursing Assignment

Assignment Instructions Overview

This assignment requires you, as a Quality Officer, to address the declining quality of patient care in one of the state’s largest healthcare organizations. Your Chief Executive Officer (CEO) has requested a comprehensive six to eight-page summary outlining your recommended initiatives to improve patient care quality. You will analyze quality initiatives, identify cost reduction strategies, differentiate between healthcare systems, specify common law initiatives, defend the importance of healthcare quality, and create a plan to protect patient information.

Understanding Assignment Objectives

The main objectives of this assignment are to:

  • Analyze three quality improvement initiatives that can enhance patient care within your organization.
  • Determine factors that support cost reduction without compromising the quality of care.
  • Differentiate between quality in a free market healthcare system and a single-payer government system, using three examples for each.
  • Specify three common law quality initiatives that are relevant in contemporary healthcare organizations.
  • Defend the importance of healthcare quality with three supportive examples.
  • Develop a patient information protection plan that complies with legal requirements.

The Student’s Role

As a student, you are expected to:

  • Assume the role of a Quality Officer in a major healthcare organization.
  • Conduct thorough research and provide evidence-based recommendations.
  • Create and make any necessary assumptions to complete the assignment.
  • Write clearly and concisely, adhering to academic writing standards.
  • Use credible sources to support your arguments and ensure accurate citation.

Competencies Measured

This assignment will measure your ability to:

  • Describe the evolution of hospitals and sources of law.
  • Examine tort law and the criminal aspects of healthcare.
  • Analyze the impact of healthcare financing and health insurance on access, quality, and cost.
  • Determine factors affecting healthcare quality in organizations.
  • Examine information management and healthcare records, including legal reporting requirements.
  • Assess the legal implications of ethical decisions impacting consent for treatment, the right-to-die, and patient rights and responsibilities.
  • Utilize technology and information resources to research healthcare policy, law, and ethics.
  • Write effectively about healthcare policy and law, using proper mechanics.

You Can Also Check Other Related Assessments for the NURS 4220A – Leadership Competencies in Nursing and Healthcare Course:

NURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment Example

NURS 4220A LC4003A Quality Improvement Processes Nursing Assignment Example

NURS 4220A LC4004A Quality Improvement Tools Nursing Assignment Example

NURS 4220A LC4005A Improving Patient Quality and Safety Assessment Assignment Example

NURS 4220A LC4002A Healthcare Quality Nursing Paper Example

Introduction

Healthcare quality, defined by the Agency for Healthcare Research and Quality (AHRQ), refers to the degree to which healthcare services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge (AHRQ, 2020). As a Quality Officer in one of the state’s largest healthcare organizations, it is my responsibility to address the declining quality of patient care and implement initiatives to improve it. This paper will analyze three quality initiatives, explore cost reduction strategies, differentiate between healthcare systems, specify common law initiatives, defend the importance of healthcare quality, and assemble a patient information protection plan.

  1. Analyzing Three Quality Initiatives

1.1 Implementation of Evidence-Based Practice (EBP)

Evidence-Based Practice involves integrating clinical expertise with the best available clinical evidence from systematic research. EBP leads to improved patient outcomes, enhanced safety, and reduced variability in care processes. By standardizing care practices based on robust evidence, healthcare organizations can ensure that patients receive the most effective treatments, thus improving overall care quality (Burstin, Leatherman, & Goldman, 2016).

1.2 Patient-Centered Care (PCC)

Patient-Centered Care focuses on providing care that respects and responds to individual patient preferences, needs, and values. This initiative emphasizes communication, empathy, and shared decision-making between healthcare providers and patients. By prioritizing PCC, healthcare organizations can improve patient satisfaction, adherence to treatment plans, and health outcomes (Burstin et al., 2016).

1.3 Continuous Quality Improvement (CQI)

Continuous Quality Improvement involves the systematic use of data and feedback to drive incremental improvements in healthcare processes and outcomes. Techniques such as Plan-Do-Study-Act (PDSA) cycles, root cause analysis, and performance benchmarking are integral to CQI. By fostering a culture of continuous improvement, healthcare organizations can identify inefficiencies, reduce errors, and enhance care quality (Spath, 2018).

  1. Supporting Factors for Cost Reduction without Compromising Quality

2.1 Adoption of Health Information Technology (HIT)

Health Information Technology, including Electronic Health Records (EHR) and telehealth services, can streamline administrative processes, reduce redundancies, and improve care coordination. HIT enhances data accuracy and availability, facilitating better decision-making and reducing costs associated with medical errors and duplicated tests (Burstin et al., 2016).

2.2 Preventive Care and Early Intervention

Investing in preventive care and early intervention programs can reduce the incidence of chronic diseases and complications, which are often costlier to treat in advanced stages. Initiatives such as regular screenings, vaccinations, and health education can help manage health issues proactively, leading to cost savings and improved patient outcomes (AHRQ, 2020).

2.3 Lean Management Techniques

Lean management focuses on maximizing value by eliminating waste and optimizing processes. Techniques such as value stream mapping, 5S (Sort, Set in order, Shine, Standardize, Sustain), and just-in-time (JIT) inventory can reduce operational costs without affecting the quality of care. Lean management encourages efficiency, reduces unnecessary steps, and ensures resources are used effectively (Spath, 2018).

  1. Quality in Free Market vs. Single Payer Systems

3.1 Free Market Healthcare System

3.1.1 Innovation and Competition

In a free market system, competition among providers can lead to innovation and improved quality of care. Providers strive to offer superior services to attract more patients, driving advancements in medical technology and treatment methods (Burstin et al., 2016).

3.1.2 Patient Choice

Patients in a free market system have the autonomy to choose their providers based on quality and preference. This choice can drive providers to maintain high standards of care to retain and attract patients (AHRQ, 2020).

3.1.3 Variable Quality

The quality of care can vary significantly based on patients’ ability to pay, leading to disparities. High-income patients may receive superior care, while those with limited financial resources might face challenges in accessing high-quality services (Burstin et al., 2016).

3.2 Single Payer Government System

3.2.1 Universal Coverage

A single payer system ensures that all citizens have access to healthcare services, reducing disparities and improving overall population health. Quality is standardized across the board, with an emphasis on equitable access (AHRQ, 2020).

3.2.2 Cost Control

Government regulation in a single payer system can control costs through negotiated pricing and budget allocations, ensuring that resources are utilized efficiently to maintain quality care without excessive spending (Burstin et al., 2016).

3.2.3 Standardization of Care

Care protocols and standards are typically uniform across the system, ensuring consistent quality of care for all patients. This standardization can lead to improved health outcomes and reduced variability in treatment quality (Spath, 2018).

  1. Common Law Quality Initiatives in 21st Century Healthcare

4.1 Duty of Care

The duty of care principle requires healthcare providers to adhere to a standard of reasonable care while performing any acts that could foreseeably harm patients. This initiative ensures that providers deliver competent and diligent care, reducing the risk of negligence and malpractice (Spath, 2018).

4.2 Informed Consent

Informed consent mandates that healthcare providers must obtain voluntary, informed consent from patients before initiating any medical intervention. This ensures that patients are fully aware of the risks, benefits, and alternatives to treatment, promoting patient autonomy and safety (Burstin et al., 2016).

4.3 Confidentiality and Privacy

Healthcare providers are legally obligated to protect patient information and maintain confidentiality. This initiative is crucial for building trust between patients and providers and ensuring compliance with legal standards such as HIPAA (Health Insurance Portability and Accountability Act) (Spath, 2018).

  1. Defending the Importance of Healthcare Quality

5.1 Improved Patient Outcomes

High-quality healthcare is directly linked to better patient outcomes. For instance, adherence to evidence-based guidelines for managing chronic conditions like diabetes can lead to lower complication rates and improved quality of life for patients (AHRQ, 2020).

5.2 Enhanced Patient Satisfaction

Patients who receive high-quality, patient-centered care are more likely to be satisfied with their healthcare experiences. Satisfied patients are more likely to adhere to treatment plans and engage in proactive health behaviors, leading to better health outcomes (Burstin et al., 2016).

5.3 Cost Efficiency

Investing in quality improvement initiatives can lead to significant cost savings by reducing medical errors, hospital readmissions, and unnecessary procedures. For example, implementing effective infection control protocols can prevent costly hospital-acquired infections (Spath, 2018).

  1. Plan to Protect Patient Information

6.1 Compliance with HIPAA

The plan will ensure compliance with HIPAA regulations, which set national standards for protecting sensitive patient information. Measures include secure storage of patient records, regular training for staff on privacy practices, and strict access controls (Spath, 2018).

6.2 Implementation of Advanced Security Measures

Implementing advanced security measures such as encryption, firewalls, and intrusion detection systems will protect patient data from unauthorized access and cyber threats. Regular security audits and updates will ensure the system remains robust against emerging threats (AHRQ, 2020).

6.3 Patient Education and Engagement

Educating patients about their rights and the importance of protecting their personal health information will empower them to participate in safeguarding their data. Providing clear information about privacy practices and obtaining consent for data use will enhance trust and compliance (Burstin et al., 2016).

Conclusion

Improving healthcare quality is a multifaceted challenge that requires a comprehensive approach. By implementing evidence-based practices, fostering patient-centered care, and embracing continuous quality improvement, healthcare organizations can enhance patient outcomes and satisfaction. Additionally, cost reduction strategies, understanding the dynamics of different healthcare systems, adherence to common law quality initiatives, and robust data protection plans are crucial for maintaining high standards of care. Investing in healthcare quality not only benefits patients but also strengthens the overall healthcare system.

References

Agency for Healthcare Research and Quality (AHRQ). (2020). Understanding quality measurement. Retrieved from AHRQ

Best, M., & Neuhauser, D. (2006). Walter A Shewhart, 1924, and the Hawthorne factory. Quality and Safety in Health Care, 15(2), 142-143.

Burstin, H., Leatherman, S., & Goldman, S. (2016). The evolution of healthcare quality measurement in the United States. Journal of Internal Medicine, 279(1), 154-161.

Centers for Medicare & Medicaid Services. (2014). National Partnership to Improve Dementia Care in Nursing Homes. Retrieved from CMS

Lu, C., et al. (2022). The management of behavioral and psychological symptoms of dementia in nursing homes. Journal of the American Medical Directors Association, 23(5), 787-792.

Spath, P. (2018). Introduction to Healthcare Quality Management (3rd ed.). Health Administration Press.

Detailed Assessment Instructions for the NURS 4220A LC4002A Healthcare Quality Nursing Paper Assignment

NURS 4220A LC4002A Healthcare Quality

Description

Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.

Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.

Write a 6-8 page paper in which you:

  1. Analyze three (3) quality initiatives for your organization.
  2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
  3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
  4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
  5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
  6. Assemble a plan to protect patient information that complies with all legal requirements.
  7. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Describe the evolution of hospitals and sources of law.
  • Examine tort law and the criminal aspects of health care.
  • Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost.
  • Determine the factors that affect healthcare quality in healthcare organizations.
  • Examine information management and health care records and how the legal reporting requirements impact health care. 
  • Assess the legal implications of ethical decisions that impact consent for treatment, right-to-die, and patient rights and responsibilities.
  • Use technology and information resources to research issues in healthcare policy, law, and ethics.
  • Write clearly and concisely about healthcare policy and law using proper writing mechanics.

Click here to view the grading rubric. 

Points: 200 Assignment 3: Healthcare Quality
Criteria Unacceptable
Below 60% F
Meets Minimum Expectations
60-69% D
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Analyze three (3) quality initiatives for your organization.
Weight: 15%
Did not submit or incompletely analyzed three (3) quality initiatives for your organization. Insufficiently analyzed three (3) quality initiatives for your organization. Partially analyzed three (3) quality initiatives for your organization. Satisfactorily analyzed three (3) quality initiatives for your organization. Thoroughly analyzed three (3) quality initiatives for your organization.
2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
Weight: 12%
Did not submit or incompletely determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Insufficiently determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.  Partially determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Satisfactorily determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Thoroughly determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
Weight: 15%
Did not submit or incompletely differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Insufficiently differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Partially differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Satisfactorily differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Thoroughly differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
Weight: 15%
Did not submit or incompletely specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Insufficiently specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Partially specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Satisfactorily specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Thoroughly specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
Weight: 15%
Did not submit or incompletely defended your position on the importance of healthcare quality for your organization. Did not submit or incompletely provided support with at least three (3) examples that illustrate your position. Insufficiently defended your position on the importance of healthcare quality for your organization. Insufficiently provided support with at least three (3) examples that illustrate your position. Partially defended your position on the importance of healthcare quality for your organization. Partially provided support with at least three (3) examples that illustrate your position. Satisfactorily defended your position on the importance of healthcare quality for your organization. Satisfactorily provided support with at least three (3) examples that illustrate your position. Thoroughly defended your position on the importance of healthcare quality for your organization. Thoroughly provided support with at least three (3) examples that illustrate your position.
6. Assemble a plan to protect patient information that complies with all legal requirements.
Weight: 13%
Did not submit or incompletely assembled a plan to protect patient information that complies with all legal requirements. Insufficiently assembled a plan to protect patient information that complies with all legal requirements. Partially assembled a plan to protect patient information that complies with all legal requirements. Satisfactorily assembled a plan to protect patient information that complies with all legal requirements. Thoroughly assembled a plan to protect patient information that complies with all legal requirements.
7. Three (3) References
Weight: 5%
No references provided Does not meet the required number of references; all references poor quality choices. Does not meet the required number of references; some references poor quality choices. Meets number of required references; all references high quality choices. Exceeds number of required references; all references high quality choices.
8. Clarity, writing mechanics, and formatting requirements
Weight: 10%
More than 8 errors present 7-8 errors present 5-6 errors present 3-4 errors present 0-2 errors present

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NURS 4220A LC4001A Leadership for Organizational Culture and Growth Paper Example

NURS 4220A LC4001A Leadership for Organizational Culture and Growth AssignmentNURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment

NURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment Brief

Course: NURS 4220A – Leadership Competencies in Nursing and Healthcare

Assignment Title: NURS 4220A LC4001A Leadership for Organizational Culture and Growth Assignment

Assignment Overview

In this assignment, you will analyze and apply leadership strategies to promote positive social change, particularly focusing on patient quality and safety. You will address two distinct scenarios, requiring you to evaluate current leadership practices and suggest improvements that foster a supportive and effective healthcare environment.

Understanding Assignment Objectives

The primary objective of this assignment is to assess your ability to apply leadership strategies that drive organizational culture and growth. You will explore different leadership styles, the concept of a just culture, and effective delegation and team-building strategies. Your analysis should demonstrate how these elements contribute to enhancing patient quality and safety.

The Student’s Role

As a student, you will take on the role of a leader within a healthcare setting. You will evaluate the scenarios provided, identify issues related to leadership and delegation, and propose actionable strategies to improve outcomes. Your response should reflect an understanding of leadership principles, legal and ethical considerations, and the importance of fostering a positive organizational culture.

Competencies Measured

This assignment will measure your competencies in the following areas:

  • Leadership Styles and Their Appropriateness:
    • Analyze whether the current leadership style is suitable for the given situation.
    • Discuss the outcomes resulting from the leadership approach used.
  • Application of Just Culture:
    • Explain the concept of a just culture.
    • Analyze how implementing a just culture could influence outcomes in a healthcare setting.
  • Legal Principles of Delegation:
    • Apply legal principles related to delegation and drug safety.
    • Provide guidance on appropriate delegation practices.
  • Educational Strategies for Delegation:
    • Develop an educational plan for effective delegation.
    • Identify tasks that can and cannot be delegated.
  • Team-Building and Development:
    • Recommend and apply strategies for team-building.
    • Enhance nursing roles and responsibilities to improve patient quality and safety.

You Can Also Check Other Related Assessments for the NURS 4220A – Leadership Competencies in Nursing and Healthcare Course:

NURS 4220A LC4002A Healthcare Quality Nursing Assignment Example

NURS 4220A LC4003A Quality Improvement Processes Nursing Assignment Example

NURS 4220A LC4004A Quality Improvement Tools Nursing Assignment Example

NURS 4220A LC4005A Improving Patient Quality and Safety Assessment Assignment Example

NURS 4220A LC4001A Leadership for Organizational Culture and Growth Paper Example

Scenario 1: Analysis and Recommendations

  1. Analysis of Ciera’s Leadership Style:

Ciera’s leadership style can be classified as transactional. She relies on her position of authority to enforce rules and apply consequences for errors. While transactional leadership can be effective in certain contexts, it is not appropriate for handling medication errors in a healthcare setting. By emphasizing zero tolerance for errors and punishing nurses who report them, Ciera has created a culture of fear. This has led to underreporting of medication errors, which can compromise patient safety and quality of care (Yoder-Wise, 2019).

The primary outcome of Ciera’s leadership approach is a decrease in reported medication errors. However, this does not indicate an actual reduction in errors but rather a reluctance among staff to report them. This fear-based environment can result in unaddressed mistakes, potentially leading to more severe consequences for patients.

  1. Alternative Leadership Style:

In this scenario, a transformational leadership style would be more effective. Transformational leaders inspire and motivate their team members to exceed expectations by fostering a supportive and open environment. They focus on long-term goals, personal development, and team-building. By adopting this approach, I would encourage open communication, provide continuous education, and support staff in learning from their mistakes without fear of punishment (Yoder-Wise, 2019).

  1. Just Culture and Its Impact:

A just culture, as described by Paradiso and Sweeney (2019), emphasizes accountability and learning rather than blame and punishment. In a just culture, errors are seen as opportunities for improvement. Implementing a just culture on the unit would encourage nurses to report medication errors without fear of retribution. This transparency allows for the identification of systemic issues and the implementation of strategies to prevent future errors, thereby improving patient safety and quality of care.

Scenario 2: Delegation and Team-Building

  1. Response to Nursing Assistant:

Upon exploring the state nurse practice act, it is clear that delegation of medication administration to unlicensed personnel is not permissible. According to legal principles of delegation, only licensed nurses are authorized to administer medications. The nursing assistant must not perform tasks outside their scope of practice to ensure patient safety and compliance with legal standards (National Council of State Boards of Nursing [NCSBN], 2016).

  1. Education on Delegation Principles:

An educational plan for delegation should include a thorough review of tasks that can and cannot be delegated according to the state nurse practice act. For instance, Jerry can delegate tasks such as vital signs monitoring and basic care activities but not medication administration. This education should emphasize the importance of understanding each team member’s scope of practice and the legal and ethical implications of improper delegation (NCSBN, 2016).

  1. Strategies for Effective Team Development:

To develop an effective team and ensure consistency with delegation, the following strategies should be implemented:

  • Regular Training Sessions: Conduct regular training sessions on delegation principles and scope of practice to keep all staff updated.
  • Clear Communication Channels: Establish clear communication channels for discussing delegation concerns and seeking guidance when needed.
  • Team Meetings: Hold regular team meetings to review delegation practices, share experiences, and address any issues that arise.
  • Mentorship Programs: Develop mentorship programs where experienced nurses guide less experienced staff in understanding and applying delegation principles effectively (American Nurses Association [ANA], 2019).

Applying these strategies will enhance nursing roles and responsibilities, leading to improved patient quality and safety. For example, regular training sessions ensure that all staff members are aware of their roles and the boundaries of their practice, reducing the risk of errors. Clear communication channels and team meetings foster a collaborative environment where staff feel comfortable discussing and resolving delegation issues. Mentorship programs provide ongoing support and guidance, helping to build a competent and confident nursing team (ANA, 2019).

Conclusion

Effective leadership in nursing requires a balance of authority and support. Ciera’s transactional approach created a counterproductive environment of fear. Transformational leadership, combined with a just culture, can foster openness and continuous improvement. Additionally, proper education and strategies for effective delegation and team-building are crucial in enhancing nursing roles and ensuring patient safety and quality care. Through these approaches, leaders can promote positive social change within healthcare organizations.

References

American Nurses Association. (2019). Creating a nursing culture that drives patient satisfaction. American Nurse. https://www.myamericannurse.com/creating-a-nursing-culture-that-drives-patient-satisfaction/

National Council of State Boards of Nursing. (2016). National guidelines for nursing delegation. https://www.ncsbn.org/Delegation_joint_statement_NCSBN-ANA.pdf

Paradiso, L., & Sweeney, N. (2019). Just culture: It’s more than policy. Nursing Management, 50(6), 38-45. https://cdn2.hubspot.net/hubfs/4632409/Just%20Culture%20-%20Its%20More%20than%20Policy.pdf

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). Mosby Elsevier.

Detailed Assessment Instructions for the NURS 4220A LC4001A Leadership for Organizational Culture and Growth Paper Assignment

LC4001A Leadership for Organizational Culture and Growth

WU Leadership Strategies to Effect Organizational Change Discussion

Description

Apply leadership strategies to effect organizational change for the promotion of patient quality and safety.

In this Assessment, you will review two scenarios and apply leadership strategies to effect organizational change for the promotion of patient quality and safety.

Submission Length: 2- to 3-page paper in response to 2 scenarios

SCENARIO 1

Tower 6 East is a 45-bed medical unit. The nurse leader, Ciera, is a new leader, and one of the measures of her performance is based on the number of medication errors reported on her unit. As a result, she has told everyone very clearly that she will not tolerate errors and that she wants the unit to have zero medication errors each month. When an error does occur, she meets individually with the nurse, writes up the nurse’s error, and puts a report in the nurse’s performance review files. She has put two nurses on performance probation thus far. As a result, the nurses on the unit are afraid to report when an error occurs, and they have begun to cover for each other and not report errors. You are a staff nurse on the unit and you want to serve as a leader and create a blame-free environment.

In your response, address the following:

  1. Identify and explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and explain why. Then, provide at least one outcome result from Ciera’s leadership approach on the nursing unit. (Yoder-Wise, P. (2019, p.498) Leading and managing in nursing (7th ed.). Mosby Elsevier.
  2. Explain what leadership style you would use to effect change in this scenario.
  3. Using the Paradiso & Sweeney article “Just culture: It’s more than policy”, explain a just culture and how a just culture might influence the outcome of medication errors on the unit.
  4. Scenario
  5. you are the charge nurse and the nursing assistant comes to you with the following question concerning an assignment she has been asked to carry out by one of the other RN’s on the floor. “Jerry pulled a patient’s dose of Digoxin and asked me to administer it because he is so behind. Am I allowed to do that?”In your response, address the following:
  6.  
    1. After exploring your state nurse practice act, explain your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit.
    2. Explain the education that would need to be provided regarding delegation principles, including the identification of items that can be delegated and items that cannot be delegated by Jerry; and, explain why the delegation educational plan you suggest is appropriate.
    3. Recommend strategies to develop an effective team that should be implemented on the nursing floor to help develop consistency with delegation. Explain how you would apply these strategies to enhance nursing roles and responsibilities for patient quality and safety as described in the scenario.
    4. https://journals.rcni.com/nursing-standard/cpd/app…
    5. https://www.proquest.com/docview/254839484
  7.  
    1. https://cdn2.hubspot.net/hubfs/4632409/Just%20Cult…
    2. https://www.myamericannurse.com/inspire-transforma…
    3. https://www.ncsbn.org/Delegation_joint_statement_N…
    4. https://www.myamericannurse.com/creating-a-nursing…
    5. https://www.myamericannurse.com/creating-a-nursing…

Assessment Rubric

LC4001A: Leadership for Organizational Culture and Growth: Apply leadership strategies for organizational culture and growth to promote positive social change. Assessment Rubric Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations Module 1: Leadership Roles and Style Explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and explain why. Learning Objective 1.1: Analyze leadership styles as they pertain to medication errors Response does not adequately explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate or does not adequately explain why. Response adequately explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and adequately explains why. Response clearly and completely explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and clearly and completely explains why. Provide at least one outcome result from Ciera’s leadership approach on the nursing unit. Learning Objective 1.2: Analyze the outcomes resulting from leadership approaches Response does not adequately provide at least one outcome result from Ciera’s leadership approach on the nursing unit. Response adequately provides at least one outcome result from Ciera’s leadership approach on the nursing unit. Response clearly and completely provides at least one outcome result from Ciera’s leadership approach on the nursing unit. Explain what style you would use to affect change in Scenario 1. Response does not adequately explain the style you would use to Response adequately explains the style you Response clearly and thoughtfully explains the style you would use to © 2020 Walden University 2 Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations Learning Objective 1.3: Recommend leadership styles to address challenging scenarios affect change in the scenario. would use to affect change in the scenario. affect change in the scenario. Module 2: Just Culture Explain how a just culture might influence the outcome of medication errors on the unit. Learning Objective 2.1: Explain the impact of a Just Culture on medication error Response does not adequately explain how a just culture might influence the outcome of medication errors on the unit. Response adequately explains how a just culture might influence the outcome of medication errors on the unit. Response clearly and completely explains how a just culture might influence the outcome of medication errors on the unit. Module 3: Delegation Explain your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit. Learning Objective 3.1: Apply legal principles on delegation and promotion of drug safety to nursing scenarios Response does not adequately explain your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit. Response adequately explains your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit. Response clearly and completely explains your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit. Explain the education that would need to be provided regarding delegation principles, including the identification of items that Response does not adequately explain the education that would need to be provided regarding delegation principles or Response adequately explains the education that would need to be provided regarding delegation principles, including the Response clearly and completely explains the education that would need to be provided regarding delegation principles, © 2020 Walden University 3 Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations can be delegated and items that cannot be delegated by Jerry. Learning Objective 3.2: Analyze the education needed to appropriately apply delegation principles does not include the identification of items that can be delegated or items that cannot be delegated by Jerry. identification of items that can be delegated and items that cannot be delegated by Jerry. including the identification of items that can be delegated and items that cannot be delegated by Jerry. Explain why the delegation educational plan you suggest is appropriate. Learning Objective 3.3: Justify the selection of an educational plan Response does not adequately explain why the delegation education plan you suggest is appropriate. Response adequately explains why the delegation education plan you suggest is appropriate. Response clearly and completely explains why the delegation education plan you suggest is appropriate. Module 4: Team-Building Strategies Recommend team building strategies that should be implemented on the nursing floor to help develop consistency with delegation. Learning Objective 4.1: Recommend team-building strategies for developing delegation consistency Response does not adequately recommend team-building strategies that should be implemented on the nursing floor to help develop consistency with delegation. Response adequately recommends team-building strategies that should be implemented on the nursing floor to help develop consistency with delegation. Response thoughtfully and clearly recommends teambuilding strategies that should be implemented on the nursing floor to help develop consistency with delegation. Explain how you would apply these team-building strategies to enhance nursing roles and Response does not adequately explain how you would apply the selected team-building Response adequately explains how you would apply the selected teambuilding strategies to Response clearly and completely explains how you would apply the selected team-building © 2020 Walden University 4 Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations responsibilities for patient quality and safety as described in Scenario 2. Learning Objective 4.2: Apply team-building strategies to enhance nursing roles and responsibilities strategies to enhance nursing roles and responsibilities for patient quality and safety as described in the scenario. enhance nursing roles and responsibilities for patient quality and safety as described in the scenario. strategies to enhance nursing roles and responsibilities for patient quality and safety as described in the scenario. Professional Skills Assessment Professional Writing Professional Writing: Clarity, Flow, and Organization Content contains significant spelling, punctuation, and/or grammar/syntax errors. Writing does not demonstrate adequate sentence and paragraph structure and requires additional editing/proofreading. Key sections of presented content lack clarity, logical flow, and/or organization. Content contains few spelling, punctuation, and/or grammar/syntax errors. Writing demonstrates adequate sentence and paragraph structure and may require some editing. Content presented is satisfactorily clear, logical, and/or organized, but could benefit from additional editing/revision. Content is free from spelling, punctuation, and grammar/syntax errors. Writing demonstrates appropriate sentence and paragraph structure. Content presented is clear, logical, and well-organized. Professional Writing: Context, Audience, Purpose, and Tone Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and/or free from Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is © 2020 Walden University 5 and/or is not free of bias. Style is inconsistent with the professional setting/workplace context and reflects the need for additional editing. bias, and style is mostly consistent with the professional setting/workplace context. appropriate for the professional setting/workplace context. Professional Writing: Originality, Source Credibility, and Attribution of Ideas Content does not adequately reflect original writing and/or paraphrasing. Writing demonstrates inconsistent adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and reference. There are numerous and/or significant errors. Content adequately reflects original writing and paraphrasing. Writing demonstrates adequate adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are one or two minor errors. Content reflects original thought and writing and proper paraphrasing. Writing demonstrates full adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references.

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NURS 4220A – Leadership Competencies in Nursing and Healthcare Course Guide & Examples

NURS 4220A - Leadership Competencies in Nursing and Healthcare Course Guide & ExamplesNURS 4220A – Leadership Competencies in Nursing and Healthcare Course Guide & Examples

NURS 4220A – Leadership Competencies in Nursing and Healthcare Course (5 credits)

  • LC4001A Leadership for Organizational Culture and Growth
    • Analyze leadership for organizational culture and growth to promote positive social change through patient quality and safety.
  • LC4002A Healthcare Quality
    • Analyze healthcare quality for nursing practice.
  • LC4003A Quality Improvement Processes
    • Analyze quality improvement processes.
  • LC4004A Quality Improvement Tools
    • Analyze information from quality improvement tools.
  • LC4005A Improving Patient Quality and Safety
    • Apply quality improvement processes and tools as a scholar-practitioner to improve quality and safety.

NURS 4220A LC4001A Leadership for Organizational Culture and Growth

WU Leadership Strategies to Effect Organizational Change Discussion

Description

Apply leadership strategies to effect organizational change for the promotion of patient quality and safety.

Submission Length: 2- to 3-page paper in response to 2 scenarios

SCENARIO 1

Tower 6 East is a 45-bed medical unit. The nurse leader, Ciera, is a new leader, and one of the measures of her performance is based on the number of medication errors reported on her unit. As a result, she has told everyone very clearly that she will not tolerate errors and that she wants the unit to have zero medication errors each month. When an error does occur, she meets individually with the nurse, writes up the nurse’s error, and puts a report in the nurse’s performance review files. She has put two nurses on performance probation thus far. As a result, the nurses on the unit are afraid to report when an error occurs, and they have begun to cover for each other and not report errors. You are a staff nurse on the unit and you want to serve as a leader and create a blame-free environment.

In your response, address the following:

  1. Identify and explain whether Ciera’s leadership style toward medication errors on the nursing unit is appropriate and explain why. Then, provide at least one outcome result from Ciera’s leadership approach on the nursing unit. (Yoder-Wise, P. (2019, p.498) Leading and managing in nursing (7th ed.). Mosby Elsevier.
  2. Explain what leadership style you would use to effect change in this scenario.
  3. Using the Paradiso & Sweeney article “Just culture: It’s more than policy”, explain a just culture and how a just culture might influence the outcome of medication errors on the unit.
  4. Scenario
  5. you are the charge nurse and the nursing assistant comes to you with the following question concerning an assignment she has been asked to carry out by one of the other RN’s on the floor. “Jerry pulled a patient’s dose of Digoxin and asked me to administer it because he is so behind. Am I allowed to do that?”In your response, address the following:
  6.  
    1. After exploring your state nurse practice act, explain your response to the nursing assistant citing the applicable legal principles for delegation and promotion of drug safety on the nursing unit.
    2. Explain the education that would need to be provided regarding delegation principles, including the identification of items that can be delegated and items that cannot be delegated by Jerry; and, explain why the delegation educational plan you suggest is appropriate.
    3. Recommend strategies to develop an effective team that should be implemented on the nursing floor to help develop consistency with delegation. Explain how you would apply these strategies to enhance nursing roles and responsibilities for patient quality and safety as described in the scenario.
    4. https://journals.rcni.com/nursing-standard/cpd/app…
    5. https://www.proquest.com/docview/254839484
  7.  
    1. https://cdn2.hubspot.net/hubfs/4632409/Just%20Cult…
    2. https://www.myamericannurse.com/inspire-transforma…
    3. https://www.ncsbn.org/Delegation_joint_statement_N…
    4. https://www.myamericannurse.com/creating-a-nursing…
    5. https://www.myamericannurse.com/creating-a-nursing…

NWU Health Care Leadership Strategy Nursing Training Discussion

Description

Part 1

Root Cause Analysis

Review the case scenario included in this week’s media resources, and examine the process flow chart, cause/effect diagram, and Pareto chart related to the case scenario.

In the scenario, the nurse manager and the director of pharmacy blame each other for the error. The facilitator (quality assurance person) asks everyone to avoid blaming and focus on applying the tools to analyze the data and get to the root cause of the error. While all of these tools contribute, for this Discussion, select one tool to analyze.

Post each of the following:

  • Analyze the composition of the RCA team. Explain what knowledge they can contribute to the RCA.
  • Describe the collaboration in the case study that led to effective problem solving. Identify the evidence you observe in the scenario that demonstrates effective collaboration and the avoidance of blaming.
  • Explain the team’s process in testing for and eliminating root causes that were not contributing.
  • Select one of the performance improvement charts presented in the scenario and critique its effectiveness by explaining how it contributes to identifying the root cause and determining a solution to prevent repeat medication errors.
  • Identify the contributing factors, and discuss how to prevent this kind of error from occurring in the future.

Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist)

REQUIRED READINGS

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

  • Chapter 4, “Evaluating Performance” (pp. 79-118)
  • Chapter 5, “Continuous Improvement” (pp. 119-142)
  • Chapter 6, “Performance Improvement Tools” (pp. 143-174)

Note: Although these chapters are previously assigned readings, please review them in preparation for this week’s material.

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

  • Chapter 18, “Leading Change” (pp. 319-335)

Document: Fish Bone: Cause-Effect Diagram (PDF)

Document: Pareto Chart: Medication Error Analysis (PDF)

Document: Process Flow Chart: Medication Administration (PDF)

REQUIRED MEDIA

Laureate Education (Producer). (2016a). Root cause analysis at Downtown Medical [Interactive file]. Baltimore, MD: Author.

Laureate Education (Producer). (2016b). RCA dramatization 1 [Video file]. Baltimore, MD: Author.
Note: The approximate length of this media piece is 4 minutes.
Case scenario involving medication error including pharmacy, physician, and nurse—interdepartmental collaboration.
Interactive media—students select options that generate chart based on choices
(Voiceover reads the document aloud—include a downloadable pdf).Accessible player  –Downloads– Download Video w/CC Download Audio Download Transcript

Part 2

Leadership Strategy

As a nurse, you serve an important role in identifying strategies to effectively manage health care resources and in leading health care quality improvement. You must be able to decide what leadership style or strategy to apply in a given situation to achieve an effective resolution of the issue. Read the following two scenarios and select one to focus on in this Discussion. Consider the leadership style or strategy that might be most effective in the scenario you selected.

Scenario 1

You work in a for-profit nursing home, with about 100 beds, on a 20-bed unit that is largely patients with Alzheimer’s disease. Your patient mix is predominantly Medicare and Medicaid patients. Your nursing home is part of a larger system that includes a major medical center, as well as VNA, outpatient dialysis, and a fully integrated network. Your nurse manager is getting feedback from the hospital that your nursing home is sending too many patients to the ED who really don’t need to go. How would you go about figuring out what could be done at the nursing home to prevent avoidable ED visits?

Scenario 2

You’ve been associated with an outpatient cardiology clinic that is part of a large academic medical center. Your patients are mostly charity care and managed Medicaid. Most have a prescription plan, but none have a “family doctor” and use the clinic (and the ED) regularly. Most are unfamiliar with their medications and do not have the resources for care coordination in their family/social network. About 25 CHF patients have been “lovingly,” but inappropriately, called “frequent fliers” because of their inability to manage their own care, their frequent visits to the ED, and their “one night stays” paid at the observation rate. As a staff nurse in this clinic, describe the strategies you could devise for you and your fellow staff nurses targeting these 25 patients. Find at least one article from the professional literature to corroborate your recommendations.

Select one of the scenarios, and post the following:

Describe the most appropriate leadership style and/or strategy to apply in the scenario you chose in order to implement the recommendations successfully. Justify your selection.

REQUIRED READINGS

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

  • Chapter 10, “Managing the Use of Healthcare Resources” (pp. 249-280)

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.

  • Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
  • Chapter 5, “Gaining Personal Insight: The Beginning of Being a Leader” (pp. 76-87)
  • Chapter 20, “Managing Costs and Budgets” (pp. 357-375)

NURS 4220A LC4002A Healthcare Quality

Description

Assume that you are a Quality Officer who is responsible for one of the state’s largest healthcare organizations. You have been told that the quality of patient care has decreased, and you have been assigned a project that is geared toward increasing quality of care for the patients. Your Chief Executive Officer has requested a six to eight-page summary of your recommended initiatives.

Note: You may create and /or make all necessary assumptions needed for the completion of this assignment.

Write a 6-8 page paper in which you:

  1. Analyze three (3) quality initiatives for your organization.
  2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
  3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
  4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
  5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
  6. Assemble a plan to protect patient information that complies with all legal requirements.
  7. Use at least three (3) quality references. Note: Wikipedia and other Websites do not qualify as academic resources.

Your assignment must follow these formatting requirements:

  • Be typed, double spaced, using Times New Roman font (size 12), with one-inch margins on all sides; citations and references must follow APA or school-specific format. Check with your professor for any additional instructions.
  • Include a cover page containing the title of the assignment, the student’s name, the professor’s name, the course title, and the date. The cover page and the reference page are not included in the required assignment page length.

The specific course learning outcomes associated with this assignment are:

  • Describe the evolution of hospitals and sources of law.
  • Examine tort law and the criminal aspects of health care.
  • Analyze the impact of healthcare financing and health insurance on healthcare access, quality, and cost.
  • Determine the factors that affect healthcare quality in healthcare organizations.
  • Examine information management and health care records and how the legal reporting requirements impact health care. 
  • Assess the legal implications of ethical decisions that impact consent for treatment, right-to-die, and patient rights and responsibilities.
  • Use technology and information resources to research issues in healthcare policy, law, and ethics.
  • Write clearly and concisely about healthcare policy and law using proper writing mechanics.

Click here to view the grading rubric. 

Points: 200 Assignment 3: Healthcare Quality
Criteria Unacceptable
Below 60% F
Meets Minimum Expectations
60-69% D
Fair
70-79% C
Proficient
80-89% B
Exemplary
90-100% A
1. Analyze three (3) quality initiatives for your organization.
Weight: 15%
Did not submit or incompletely analyzed three (3) quality initiatives for your organization. Insufficiently analyzed three (3) quality initiatives for your organization. Partially analyzed three (3) quality initiatives for your organization. Satisfactorily analyzed three (3) quality initiatives for your organization. Thoroughly analyzed three (3) quality initiatives for your organization.
2. Determine the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
Weight: 12%
Did not submit or incompletely determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Insufficiently determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.  Partially determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Satisfactorily determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients. Thoroughly determined the supporting factors that would aid in the reduction of healthcare cost in your organization without reducing quality of care for the patients.
3. Differentiate between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
Weight: 15%
Did not submit or incompletely differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Insufficiently differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Partially differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Satisfactorily differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each. Thoroughly differentiated between quality in a free market healthcare system and in single payer government system with three (3) examples for each.
4. Specify three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
Weight: 15%
Did not submit or incompletely specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Insufficiently specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Partially specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Satisfactorily specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations. Thoroughly specified three (3) common law quality initiatives that are still found in 21st century healthcare organizations.
5. Defend your position on the importance of healthcare quality for your organization. Provide support with at least three (3) examples that illustrate your position.
Weight: 15%
Did not submit or incompletely defended your position on the importance of healthcare quality for your organization. Did not submit or incompletely provided support with at least three (3) examples that illustrate your position. Insufficiently defended your position on the importance of healthcare quality for your organization. Insufficiently provided support with at least three (3) examples that illustrate your position. Partially defended your position on the importance of healthcare quality for your organization. Partially provided support with at least three (3) examples that illustrate your position. Satisfactorily defended your position on the importance of healthcare quality for your organization. Satisfactorily provided support with at least three (3) examples that illustrate your position. Thoroughly defended your position on the importance of healthcare quality for your organization. Thoroughly provided support with at least three (3) examples that illustrate your position.
6. Assemble a plan to protect patient information that complies with all legal requirements.
Weight: 13%
Did not submit or incompletely assembled a plan to protect patient information that complies with all legal requirements. Insufficiently assembled a plan to protect patient information that complies with all legal requirements. Partially assembled a plan to protect patient information that complies with all legal requirements. Satisfactorily assembled a plan to protect patient information that complies with all legal requirements. Thoroughly assembled a plan to protect patient information that complies with all legal requirements.
7. Three (3) References
Weight: 5%
No references provided Does not meet the required number of references; all references poor quality choices. Does not meet the required number of references; some references poor quality choices. Meets number of required references; all references high quality choices. Exceeds number of required references; all references high quality choices.
8. Clarity, writing mechanics, and formatting requirements
Weight: 10%
More than 8 errors present 7-8 errors present 5-6 errors present 3-4 errors present 0-2 errors present

NURS 4220A LC4003A Quality Improvement Processes

Part 1: Quality Improvement Processes

For each of the quality improvement processes and approaches listed, describe the process and the core elements associated with it.

 Process Description and Core Elements

Six Sigma

PDSA     

TQM     

CQI       

Part 2: Verification of Practice Problem

Collect data on the practice problem that you identified (CAUTI) that deals with an issue at your practicum facility. There are several places that you can gather data on the practice problem. They include, but are not limited to:

  • Interview infection control and quality nurses at your practice experience facility
  • Review HCAHPS data
  • Access and review dashboards at the facility (QI dashboards)
  • Use the Hospital Compare website (https://www.medicare.gov/hospitalcompare/search.html)

You should aim to collect enough data to ensure that you understand how many times or how often a problem is occurring and over what time frame. Note that the data that you need is not global, national, or even state data. You want to focus on data that is specific to the facility and area.

Summarize the data that you found surrounding this practice problem (CAUTI) at your practice experience facility.

Explain whether the data that you found supports the practice problem (CAUTI) that you identified at your practice experience facility.

If the data shows that the selected practice problem (CAUTI) is actually an issue, either state that it is unchanged, or make minor edits. If the data does not support that the practice problem is an issue at the facility, develop a new practice problem that is supported by the data.

Part 3: Quality Improvement Processes

Explain how the information that you found about CAUTI might be addressed by a quality improvement process.

Review the information about the Plan-Do-Study-Act (PDSA) process. Explain how you would apply this process to CAUTI to determine potential solutions to the practice problem.

 Describe the measures that should be analyzed after the intervention is applied to determine its success.

NURS 4220A LC4004A Quality Improvement Tools

Have you ever seen one of the quality improvement tools (i.e., Fishbone Diagram, Pareto Chart, or Run Chart) used in practice? How was it used? What data was being depicted? Please describe an additional quality tool that could have been used in the situation?

If you have not had any experience with the quality tools please describe in detail one tool and how the tool could be used in your practice setting. Please support your statements with evidence from the learning resources.

Evidence from scholarly literature

Prompts:

Analyze the fishbone diagram. Explain how the information presented in the fishbone diagram might be used to help inform nursing practice when preventing medication errors. Analyze the Pareto chart Include an explanation of how many medication errors there were and how this information might assist the nursing unit in preventing future medication errors. Analyze the process flow chart. Explain how this information might be used to help inform nursing practice for the prevention of future medication errors

Module 1: Fishbone Diagram

Analyze the fishbone diagram

Analyze the use of fishbone diagrams in preventing medication errors.

Explain how the information presented in the fishbone diagram might be used to help inform nursing practice when preventing medication errors.

Module 2: Pareto Chart

Analyze the Pareto chart

Explain medication error prevention information based on a Pareto chart.

Include an explanation of how many medication errors there were and how this information might assist the nursing unit in preventing future medication errors.

Module 4: Process Flow Chart.

Analyze the process flow chart.

Explain the use of process flow charts in preventing medication errors.

Explain how this information might be used to help inform nursing practice for the prevention of future medication errors

Module 4: Run Chart

Analyze the run chart as it relates to patient satisfaction with pain management.

Explain whether the data in the run chart indicates improved or decreased satisfaction with pain management.

Defend your reasoning for whether the run chart indicates improved or decreased satisfaction with pain management.

Consider the practice problem that you identified in LC4002A and either revised or affirmed in LC4003A.

Choose a fishbone diagram, Pareto chart, process flow chart, or run chart, and apply it to the data relating to the practice problem (that you located in LC4002A).

NURS 4220 Walden University Wk 4 Quality Care & RCA Team Discussions Replies

Description

Diana Johnston

RE: Discussion – Week 4 

COLLAPSE

NURS 4220 Week 4 Discussion Initial Post Johnston, D.

The composition of the RCA team consists of a staff nurse, pharmacy technician, and the risk manager to bring together the current focus to assist in medication errors that have taken place for the eighth time within the month. Nursing can bring forth the current challenges that could have contributed to the errors, the pharmacy can bring their expertise to their role in the process of medication administration, and lastly, the risk manager assisting in providing support to both areas to review the facts within the errors and assist in the development of using the Pareto chart for problem-solving (Yoder-Wise, 2019).

Both nursing and pharmacy came to recognize that no one is to blame, instead, a strong commitment to work through the current details that created the errors. Staffing shortages were part of the initial discussion as real challenges for both nursing and pharmacy, but the risk manager wanted to first look at the current events around the medication errors. Nursing started strong with directing blame to the pharmacy, but then took responsibility for not shifting blame as they work to problem-solve together.

All of the possible root causes were pulled from event reports for medication errors that included the reason for the error. There is a list of 12 most common medication errors and of the 12, there were only 7 that resulted from the event reporting. Interestingly enough, staffing was not one of them. The highest of contributing errors 102 was from defective scanning, 60 from look-alike medication labeling, and 60 from pharmacy/tech stress errors. The inability to communicate with the pharmacy resulted in 15 errors. Nursing had a total of 15 errors that were due to unfamiliarity with medication names and five rights.

The nursing staff can provide a review for the 5 rights for safe medication administration and laminate the 5 rights to each of the workstations on wheels to assist with an easy reference tool for medication administration. With the partnership with the pharmacy, providing the brand and generic name for a drug could assist with unfamiliarity with medication names. When it comes to the support needed from Pharmacy, providing a list of those medications that are not scanning and look-alike medications could reveal trends. It provides a starting point to work from for improvements. One of the more concerning root causes was the 60 errors occurring from pharmacy/tech stress errors.

This would require a deeper dive into those errors to determine if it is a trend with employees, certain times of day, or related to staffing, doing more with less resulting in errors. Starting with a philosophy of a “Just Culture” provides direction that education is first and foremost to provide support to the daily practice (Boysen, 2013). A “Just Culture” suggests that one can learn and grow instead of a culture of penalty or punishment.

References

Boysen P. G., 2nd (2013). Just culture: a foundation for balanced accountability and patient safety. The

Ochsner Journal13(3), 400–406.

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health

Administration Press.

Yoder-Wise, P.S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby

Chapter 18, “Leading Change” (pp. 319-335).

 NURS 4220 Week 4 Initial Discussion post Johnston D.docx (16.055 KB)

Paula Miller

RE: Discussion – Week 4

COLLAPSE

A sentinel event occurred at Downtown Medical as a result of a medication error. A root cause analysis (RCA) team has been assembled consisting of a risk manager, a full-time staff nurse who had the medication error, and a full-time pharmacy technician to determine the medication error (Laureate, 2016b). The risk manager’s role is to motivate the staff nurse and pharmacy tech to contribute their experience and expertise to the processes of discovering the RCA (Spath, 2018). The risk manager re-focused the meeting when staff started to blame each other. She stated the importance of fixing the medication error with an open mind for patient safety. Teamwork is vital to identify all parties’ goals and needs to be involved in producing strategies and outcomes beneficial to the problem under discussion (Yoder-Wise, 2015).

The RCA team began its improvement process by creating a flowchart to establish the steps of administering the medication. Flowcharts allow teams to see the workings of the current process and help the members determine where improvements can be made (Spath, 2018). After the flowcharts were completed, the RCA team members formed a cause and effect diagram to identify why medication errors occurred after CPOE and NDMR processes were implemented. Once the fishbone diagram was complete, and the major causes and subfactors were determined, the RCA team members collected data of medication errors over the last year and constructed a Pareto chart based on the issues identified. Pareto charts help the RCA team to focus on inputs that will have the most significant impact, display data so that it is simple and visually appealing in order of importance, and provides an easy way to compare before and after data to confirm that changes in the process created the desired result (Chartier et al., 2018). The three major causes of medication error were scanner glitches, lack of education regarding generic vs. trade names of medications, and pharmacy technician errors related to stress and burnout. A Pareto chart sorts data from the most frequent to less frequent and places focus on the “vital few” causes an issue that affects eight percent of performance (Spath, 2018).

Identifying these three contributing factors are essential and necessary steps to develop a resolution o eliminate medication errors. Scanners should be repaired or replaced immediately. While nursing staff should always follow the five rights of medication administration. To prevent errors from occurring in the future, the team members need to develop a process improvement plan using a method such as Plan-Do-Study-Act (PDSA) or another model that suits their needs. The team needs to work towards a goal. A team with positive group dynamics tend to trust each other, focus on the issues for improvement, and hold each other accountable to provide quality care and prevent future errors.

References

Chartier, L. B., Cheng, A. H., Stang, A. S., & Vaillancourt, S. (2018). Quality improvement primer part 1: preparing for a quality improvement project in the emergency department. Canadian Journal of Emergency Medicine, 20(1), 104-111.

Laureate Education (Producer). (2016b) RCA dramatization 1 [Video File]. Baltimore, MD: Author.

Spath, P. (2018). Introduction of healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

Yoder-Wise, P.S. (2015). Leading and managing in nursing (6th ed.) St. Louis, MO: Mosby

Practice Experience

Sohilla Ahmadi

RE: Pointers for Week 4

COLLAPSE

Quality care is at the heart of every healthcare worker in any capacity. As patients visits the healthcare facility, they are entitled to receive a proper service which is safe and less life threatening.as well timely. With expectations, nurses and other health workers need to ensure patients safety hospital related infections such CLASBI. Central line- associated bloodstream infection is a major safety concern to every healthcare as it accounts for more death of patients across the globe. Central line-associated bloodstream infection occurs when germs enters the patients’ bloodstream through the central line which later results in a bloodstream infection (Lozano, R. 2020).

In order to improve patient’s safety and improved practice towards minimizing the rate of the infection, there are key measures that needs to implemented in order to achieve the desired outcome towards the infection. The proposed action steps and techniques include; education of the staff about CLASBI rates. In a resource poor environment, the education is of key importance in reducing the rate of CLABSI in hospitals. Basic education concerning the entire phenomena of the infection needs to be made clear to understand the measures needed to reduce the rate of the infection as well as understand the role they play as health care workers in prevention and reduction of the infection.

Another action step in achieving improved practice towards reduction of the rate of infection, involves the enhancement of proper hygiene. Hand hygiene is considered to be the major contributor to the high rates of the infection among the patients majorly in intensive care unit. Maintaining a proper hand hygiene before and after catheter insertion. Also hand hygiene needs to be observed during the dressing of the area used as insertion site of the catheter. Lastly the palpation of the insertion site should be done after the application of the antiseptic or unless otherwise the antiseptic measures and techniques are maintained in order to prevent the occurrence of the infection. Another technique is the application of the antiseptic in the dressing and cleaning of the catheter.

The measures discuss above are faced with many challenges resulting from the cost of the implementation of the measure and also the unwillingness of the health workers to cooperate. For instance, the education of the heath care workers is expensive as well as the purchase of hygienic substances such as antiseptics. Also the implementation of the measures calls for extra personnel in the hospital which is costly.

Reference:

Lozano, R. J. (2020). Psychological Impact of Restraint Practices on Mental Health Technicians in Inpatient Psychiatric Facilities (Doctoral dissertation, Alliant International University).

REPLY QUOTE EMAIL AUTHOR

Paula Miller

RE: Group B Practice Experience Discussion – Week 4

COLLAPSE

A fall prevention project is currently underway at a mental health facility. The project’s mission is to strive for excellence in confronting frequent fall incidents among admitted patients and prevent negative physical and psychological consequences such as fractures, pain, infection, and depression. The quality improvement plan consists of a complicated process, including conducting a root cause analysis in post-fall huddles. The proposed action steps for implementing an improved practice by preventing falls on the mental health units may be a challenge, and there may be impediments in implementing a quality improvement plan.

The nursing staff assumes a vital role in fall prevention. Although continuing education is vital for all professionals, it is equally important that nurses provide patients with detailed information about preventative measures related to falls. A primary concern in the mental health unit is inadequate staff engagement in fall prevention. According to one article, it is crucial to educate everyone involved in the patient’s care, even if it is outside the unit, including teaching families about fall prevention strategies. A team effort and communication appear to be needed to impact fall rates (Howard, 2018). Ongoing, continued education of healthcare workers, patients, and family members has been one measure shown by evidence -based practice that decreases falls within a mental health facility. Staff can learn fall prevention strategies through monthly required e-learning education.

Patient rounding is one of the most critical actions health care workers can take to improve patient safety and reduce falls up to 50% (Hicks, 2015). It would be feasible for nursing management to redesign the nursing workload to increase direct patient care contact opportunities. Intentional rounding on every patient, including assessing for falls, identifying environment safety concerns, and attending to patient needs, will increase patient satisfaction and decrease falls (Sun et al., 2020). It has been observed that unlicensed team members do not always perform rounding duties every fifteen minutes as directed—the checklist states where the patient is located and if they are involved in activity or sleeping. Nurses would need a decrease in workloads to monitor patients and direct patient care. Redundant charting is time-consuming. An intervention of modifying and condensing electronic patient records would allow nurses more time on the floors.

Possible difficulties that can compromise these proposed improvements are the compliance of the healthcare providers. Some team members do not like change, getting them to abide by new implementations can be challenging. Some nurses may take shortcuts to save time by not providing detailed information on preventing falls. Staff members may skip a rounding responsibility and initial that the rounding was completed. The project outcome’s success will depend on the team’s ability to address patient falls systematically and largely depend on the cooperation of team members and the department’s organization in implementing change. The project cannot be solved individually and would need a project improvement team that is coordinated by the efforts of different professionals with varying knowledge, skills, and perspectives (Spath, 2018).The resources needed to implement change are managerial support, educational material, incentives, and new computer programming. These interventions are cost-effective and less expensive than the cost involved with patient falls. Less charting for nurses will provide more patient care and fewer falls. Incentives such as pizza parties monthly or quarterly celebrates reduced falls within the facility. It is believed these interventions are the first steps and will positively impact the facility in decreasing patient falls.

References

Hicks, D. (2015). Can rounding reduce patient falls in acute care? An integrative literature review. Medsurg Nursing, 24(1), 51.

Howard, K. (2018). Improving Fall Rates Using Bedside Debriefings and Reflective Emails: One Unit’s Success Story. MEDSURG Nursing, 27(6), 388–391.Retrieved from: https://eds-a-ebscohost-com.ezp.waldenulibrary.org/eds/pdfviewer/pdfviewer?vid=9&sid=13ae39e9-09aa-483d-a6ba-415c281e70ae%40sessionmgr4007

Spath, P. (2018). Introduction of healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.

Sun, C., Fu, C. J., OʼBrien, J., Cato, K. D., Stoerger, L., & Levin, A. (2020). Exploring practices of bedside shift report and hourly rounding. Is there an impact on patient falls? The Journal of Nursing Administration, 50(6), 355–362. https://doi-org.ezp.waldenulibrary.org/10.1097/NNA…

NURS 4220 Week 4 Discussion Instructions

Review the case scenario included in this week’s media resources, and examine the process flow chart, cause/effect diagram, and Pareto chart related to the case scenario.

In the scenario, the nurse manager and the director of pharmacy blame each other for the error. The facilitator (quality assurance person) asks everyone to avoid blaming and focus on applying the tools to analyze the data and get to the root cause of the error. While all of these tools contribute, for this Discussion, select one tool to analyze.

Post each of the following:

  • Analyze the composition of the RCA team. Explain what knowledge they can contribute to the RCA.
  • Describe the collaboration in the case study that led to effective problem solving. Identify the evidence you observe in the scenario that demonstrates effective collaboration and the avoidance of blaming.
  • Explain the team’s process in testing for and eliminating root causes that were not contributing.
  • Select one of the performance improvement charts presented in the scenario and critique its effectiveness by explaining how it contributes to identifying the root cause and determining a solution to prevent repeat medication errors.
  • Identify the contributing factors and discuss how to prevent this kind of error from occurring in the future.

NURS 4220A LC4005A Improving Patient Quality and Safety Assessment

LC4005A Assessment Instructions

Review the details of your assessment including the rubric. You will have the ability to submit the assessment once you submit your required self-assessments and engage with your Faculty Subject Matter Expert (SME) in a substantive way about the competency.

Overview

In this Assessment, you will complete a comprehensive paper and develop a quality improvement storyboard for your Quality Improvement Project. You will also submit a completed practice experience documentation form signed by the health professionals who collaborated with you in developing the Quality Improvement Project. LC4005A Improving Patient Quality and Safety Assessment

Submission Length: 4- to 5-page comprehensive paper and a quality improvement storyboard, and a completed practice experience documentation form.

Instructions

To complete this Assessment, do the following:

  • Be sure to adhere to the indicated assignment length.
  • Access the following:
  • Review the following website regarding the use of a quality improvement storyboard and provide examples of the information and interventions that need to be included in a storyboard: Multi-State Learning Collaborative. (n.d.). Guidelines for the development of quality improvement storyboards
  • Your deliverables for this Assessment include:
    • Part 1. Comprehensive Paper
    • Part 2. Storyboard
    • Part 3. Practice Experience Documentation Form

Before submitting your Assessment, carefully review the rubric. This is the same rubric the SME will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate. Submissions that do not meet these expectations will be returned without scoring.

This Assessment requires submission of three files. Save your first file as LC4005A_firstinitial_lastname_part1 (for example, LC4005A_J_Smith_part1); save your second file as LC4005A_firstinitial_lastname_part2 (for example, LC4005A_J_Smith_part2); save your third file as LC4005A_firstinitlal_lastname_part3 (for example, LC4005A_J_Smith_part3)..

You may submit a draft of your assignment to the  area to check for authenticity. When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Important Note: As a student taking this Competency, you agree that you may be required to submit your Assessment for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted Assessment materials will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such materials. Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.

Click each of the items below for more information on this Assessment.

Your Comprehensive Paper provides the theoretical background to support your quality improvement practice problem and Quality Improvement Project. Many of the elements of this paper are parts of your Competency Assessments from previous competencies in this area of expertise. In a 4- to 5-page paper, address the following:

  • Describe the data-driven quality improvement practice problem you identified. (Use your submission and the SME feedback from LC4001A and LC4002A to help complete this section.)
  • Explain the importance of the quality improvement practice problem you identified for nursing practice. Support your explanation by synthesizing evidence-based literature found through a literature search, using a minimum of five (5) scholarly sources. (Use your submission and the SME feedback from LC4002A to complete this section)
  • Describe the quality improvement tools that will aid in the interpretation of the data that will support addressing the quality improvement practice problem you identified. (Use your submission and the SME feedback from LC4003A and LC4004A to help complete this section.)
  • Explain why these quality improvement tools are most useful in addressing your quality improvement practice problem. (Use your submission and the SME feedback from LC4004A to help complete this section.) LC4005A Improving Patient Quality and Safety Assessment
  • Explain how you would apply the PDSA quality improvement process to your quality improvement practice problem. Support your plan by synthesizing a minimum of five (5) pieces of scholarly evidence found through a literature search. (Use your submission and the SME feedback from LC4003A to help complete this section.)
    Be sure to integrate capstone-level writing guidelines in the completion of your Comprehensive Paper. This is an expectation of the completion of this program and is a requirement for future study in graduate school.

A quality improvement storyboard is required for this Competency. The Practice Experience Project Storyboard is a brief, visual summary of a completed Quality Improvement initiative. The storyboard highlights key aspects of a quality improvement effort by documenting the Practice Experience Project from beginning to end. Note that you do not have to develop different information. You are presenting the same information that you wrote about in your paper. The Competency template uses a PowerPoint format to complete this assignment. The first slide is the summary of the Quality Improvement Project; the second slide is the reference page. Choose the most pertinent information from your Comprehensive Paper to complete the Storyboard. A template is provided to guide you as you develop your storyboard.

Your Practice Experience Documentation Form should be completed and signed by your mentor. In order to successfully complete this element, your mentor must indicate that you participated sufficiently in the practice experience.

Resources – LC4005A Improving Patient Quality and Safety Assessment

Chapter 20, “Managing Costs and Budgets” (pp. 358–376) Chapter 23, “Managing Quality and Risk” (pp. 407–427) Yoder-Wise, P. (2019). Leading and managing in nursing (7th ed.). Mosby Elsevier.

Chapter 10, “Managing Use of Health Care Resources” (pp. 249–280) Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Health Administration Press.

Melnyk, B. M. (2016). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. https://nursingcentered.sigmanursing.org/features/more-features/Vol42_3_improving-healthcare-quality-patient-outcomes-and-costs-with-evidence-based-practice

Tschannen, D., Aebersold, M., Kocan, M. J., Lundy, F., & Potempa, K. (2015). Improving patient care through student leadership in team quality improvement projects. Journal of Nursing Care Quality, 30(2), 181–186. doi:10.1097/NCQ.0000000000000080

Minnesota Department of Health. (n.d.). Quality improvement storyboard. https://www.health.state.mn.us/communities/practice/resources/phqitoolbox/qistoryboard.html

Chapter 6, “Performance Improvement Tools: Quality Storyboards” (pp. 169–170) Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Health Administration Press.

LC4005: Improving Patient Quality and Safety: Apply quality improvement processes and tools as a scholar- practitioner to improve patient outcomes. Assessment Rubric

Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations
Module 1: Applying Quality Improvement Processes to Practice
Describe the data- driven quality improvement practice problem you identified. Response does not adequately describe the data-driven quality improvement practice problem that you identified. LC4005A Improving Patient Quality and Safety Assessment Response adequately describes the data-driven quality improvement practice problem that you identified. Response clearly and completely describes the data-driven quality improvement practice problem that you identified.
Learning Objective 1.1: Describe data-driven quality improvement practice problems
Explain the importance of the quality improvement practice problem you identified for nursing practice. Response does not adequately explain the importance of the quality improvement practice problem you identified for nursing practice. Response adequately explains the importance of the quality improvement practice problem you identified for nursing practice. Response clearly and completely explains the importance of the quality improvement practice problem you identified for nursing practice.
Learning Objective 1.2: Explain the importance of quality improvement practice problems in nursing practice
Support your Response does not Response adequately Response clearly and
explanation by adequately support your supports your explanation completely supports your
synthesizing evidence- explanation by by synthesizing evidence- explanation by
based literature found synthesizing evidence- based literature found synthesizing evidence-

  

Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations
through a literature search, using a minimum of five (5) scholarly sources.

 

Learning Objective 1.3: Synthesize scholarly evidence

based literature found through a literature search or does not use a minimum of 5 scholarly sources. through a literature search, using a minimum of 5 scholarly sources. LC4005A Improving Patient Quality and Safety Assessment based literature found through a literature search, using a minimum of 5 scholarly sources.
Describe the quality improvement tools that will aid in the interpretation of the data that will support addressing the quality improvement practice problem you identified.

 

Learning Objective 1.4: Describe quality improvement tools used to interpret data related to quality improvement practice problems

Response does not adequately describe the quality improvement tools that will aid in the interpretation of the data that will sill support addressing the quality improvement practice problem you identified. Response adequately describes the quality improvement tools that will aid in the interpretation of the data that will sill support addressing the quality improvement practice problem you identified. Response clearly and completely describes the quality improvement tools that will aid in the interpretation of the data that will sill support addressing the quality improvement practice problem you identified.
Explain why these quality improvement tools are most useful in addressing your quality improvement practice problem. Response does not adequately explain why these quality improvement tools are most useful in addressing your quality improvement practice problem. Response adequately explains why these quality improvement tools are most useful in addressing your quality improvement practice problem. Response clearly and completely explains why these quality improvement tools are most useful in addressing your quality improvement practice problem.

 

Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations
Learning Objective 1.5: Justify the use of quality improvement tools to address quality improvement practice problems
Explain how you would apply the PDSA quality improvement process to your quality improvement practice problem.

 

Learning Objective 1.6: Apply quality improvement processes to quality improvement practice problems

Response does not adequately explain how you would apply a quality improvement process to your quality improvement practice problem. Response adequately explains how you would apply a quality improvement process to your quality improvement practice problem. Response clearly and completely explains how you would apply a quality improvement process to your quality improvement practice problem.
Support your plan by synthesizing a minimum of five (5) pieces of scholarly evidence found through a literature search.

 

Learning Objective 1.7: Synthesize scholarly evidence relating to quality improvement plans

Response does not adequately support your plan by synthesizing a minimum of 5 pieces of scholarly evidence found through a literature search. Response adequately supports your plan by synthesizing a minimum of 5 pieces of scholarly evidence found through a literature search. Response clearly and completely supports your plan by synthesizing a minimum of 5 pieces of scholarly evidence found through a literature search.

 

Rubric Criteria Does Not Meet Expectations Meets Expectations Exceeds Expectations
Module 2: Developing a Storyboard
Create a storyboard for your quality improvement practice problem.

 

Learning Objective 2.1: Create storyboards to display plans for quality improvement practice problems

Response does not adequately create a storyboard for your quality improvement practice problem. LC4005A Improving Patient Quality and Safety Assessment Response adequately creates a storyboard for your quality improvement practice problem. Response creatively, thoughtfully, and completely creates a storyboard for your quality improvement practice problem.
Complete Practice Experience Documentation Form.

 

Learning Objective 2.2: Justify successful practice experience through

documentation form

Practice Experience Documentation Form is not signed and complete, or affirmative participation is not indicated. Practice Experience Documentation Form is signed and complete, and affirmative participation is adequately indicated. Practice Experience Documentation Form is signed and completed, and affirmative participation is exceeded as indicated by the mentor.

 Professional Skills Assessment

Professional Writing
Professional Writing: Content contains significant Content contains few Content is free from
Clarity, Flow, and spelling, punctuation, and/or spelling, punctuation, spelling, punctuation, and
Organization grammar/syntax errors. and/or grammar/syntax grammar/syntax errors.
Writing does not errors. Writing Writing demonstrates
demonstrate adequate demonstrates adequate appropriate sentence and
sentence and paragraph sentence and paragraph paragraph structure.
structure and requires structure and may require Content presented is clear,
additional some editing. Content logical, and well-organized.
editing/proofreading. Key presented is satisfactorily
sections of presented clear, logical, and/or

 

content lack clarity, logical flow, and/or organization. organized, but could benefit from additional editing/revision.
Professional Writing: Context, Audience, Purpose, and Tone Content minimally or does not demonstrate awareness of context, audience, and/or purpose. Writing is not reflective of professional/scholarly tone and/or is not free of bias.

Style is inconsistent with the professional setting/workplace context and reflects the need for additional editing.

Content demonstrates satisfactory awareness of context, audience, and purpose. Tone is adequately professional, scholarly, and/or free from bias, and style is mostly consistent with the professional setting/workplace context. LC4005A Improving Patient Quality and Safety Assessment Content clearly demonstrates awareness of context, audience, and purpose. Tone is highly professional, scholarly, and free from bias, and style is appropriate for the professional setting/workplace context.
Professional Writing: Originality, Source Credibility, and Attribution of Ideas Content does not adequately reflect original writing and/or paraphrasing. Writing demonstrates inconsistent adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and reference. There are numerous and/or significant errors. Content adequately reflects original writing and paraphrasing. Writing demonstrates adequate adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references. There are one or two minor errors. Content reflects original thought and writing and proper paraphrasing.

Writing demonstrates full adherence to reference requirements, including the use of credible evidence to support a claim, with appropriate source attribution (when applicable) and references.

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NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation AssignmentNURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment Brief

Course: Role of the Nurse Leader in Population Health

Assignment Title: NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment

Assignment Instructions Overview

This assignment involves preparing and delivering a comprehensive presentation detailing your research on a public health problem within a community and proposing an evidence-based intervention plan aimed at preventing this problem at the primary level of prevention. Your presentation will integrate work from previous courses (PH4002, PH4003, and PH4004) and emphasize mitigating upstream determinants of health. Additionally, you will solicit feedback from a healthcare professional, analyze this feedback in a summary paper, and incorporate their suggestions into your intervention plan.

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Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Identify and describe a significant public health problem within a community.
  • Develop and present an evidence-based intervention plan to prevent this problem at the primary prevention level, focusing on upstream factors.
  • Evaluate and incorporate professional feedback to refine your intervention plan.
  • Demonstrate competency in synthesizing research, developing practical intervention strategies, and engaging with healthcare professionals.

The Student’s Role

As a student, your role involves conducting thorough research on a public health issue, understanding its determinants and impacts, and developing an actionable intervention plan. You will act as a public health advocate, presenting your findings and proposed solutions to both academic and professional audiences. You are expected to:

  • Research: Conduct comprehensive research to understand the health problem, its prevalence, determinants, and impacts.
  • Plan Development: Develop an intervention plan that includes strategies for prevention, steps for implementation, and evaluation criteria.
  • Presentation: Create and deliver a clear, concise, and compelling presentation using the provided template.
  • Feedback Analysis: Present your plan to a healthcare professional, gather feedback, and incorporate this feedback into a refined intervention plan.
  • Reflection: Write a reflection paper analyzing the feedback received and outlining how it will enhance your intervention.

Competencies Measured

This assignment measures several key competencies, including:

  • Research and Analytical Skills: Ability to conduct thorough research and synthesize information from various sources.
  • Public Health Knowledge: Understanding of public health concepts, determinants of health, and primary prevention strategies.
  • Intervention Planning: Skills in developing practical, evidence-based intervention plans that address upstream factors and social determinants of health.
  • Presentation Skills: Ability to create and deliver effective presentations to professional audiences.
  • Collaboration and Feedback Integration: Skills in soliciting, analyzing, and integrating feedback from healthcare professionals to improve intervention plans.
  • Reflective Practice: Ability to reflect on feedback received and articulate plans for enhancing and implementing interventions.

You Can Also Check Other Related Assessments for the NURS 4210 – Role of the Nurse Leader in Population Health Course:

NURS 4210 PH4001 Module 2 Pre-Assessment The Role of the Nurse Leader in Population Health Pre-Assessment Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment Example

NURS 4210 PH4003 Community Assessment Practicum Assignment Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Example

Slide 1: Title Slide

Title: “Addressing Obesity in Cobb County, Georgia: An Evidence-Based Intervention Plan”

Subtitle: “PH4005 Practicum Presentation”

Presenter’s Name: [Your Name]

Date: [Presentation Date]

Slide 2: Introduction

Welcome esteemed colleagues and classmates. Today, I am honored to present an evidence-based intervention plan aimed at combating obesity within our community.

Obesity is a complex and multifaceted issue that requires a coordinated and evidence-based approach for effective intervention. Obesity presents a significant public health challenge, impacting individuals across all age groups and socioeconomic backgrounds.

In this presentation, we will delve into the various aspects of obesity within Cobb County, Georgia, including its prevalence, determinants, and associated health consequences. By understanding the scope of the problem, we can better tailor our intervention strategies to address the unique needs of our community members.

Slide 3: Defining the Health Problem

To effectively address obesity within Cobb County, Georgia, it is essential to first understand the scope of the problem. According to the CDC, Cobb County has an obesity rate of 30.0% among adults and 15.2% among children. These statistics underscore the urgency of addressing obesity as a public health priority in our community.

Obesity and Associated Health Risks

Obesity is a significant public health concern in Cobb County, with 30.0% of adults and 15.2% of children affected. This prevalence is higher than the national median of 36.2% for adults and 18.5% for children. Obesity is a major risk factor for chronic conditions such as:

  • Diabetes: Obesity increases the risk of developing type 2 diabetes, which can lead to serious complications if left untreated.
  • Cardiovascular Diseases: Obesity is linked to an increased risk of heart disease, stroke, and high blood pressure, which are leading causes of death in the US.
  • Mental Health Disorders: Obesity is associated with a higher risk of depression, anxiety, and other mental health issues.

Slide 4: Community Assessment Summary

  • This intervention plan is informed by a comprehensive community assessment conducted within Cobb County, Georgia. Through surveys, focus groups, and key informant interviews, this assessment revealed several key determinants of obesity, including limited access to healthy foods, sedentary lifestyles, and cultural norms surrounding food consumption.
  • The community assessment found that many residents in Cobb County face barriers to accessing affordable, nutritious foods, particularly in low-income and minority communities. This limited access contributes to a reliance on energy-dense, nutrient-poor foods, which can lead to weight gain and other health issues.
  • Additionally, the assessment highlighted the prevalence of sedentary behaviors among community members, with many residents reporting insufficient physical activity levels. Factors such as lack of safe and accessible recreational spaces, as well as time constraints and competing priorities, were identified as barriers to regular physical activity.
  • The community assessment also revealed the influence of cultural norms and traditions surrounding food consumption in Cobb County. Many residents reported that traditional dishes and eating habits, while comforting and familiar, may not always align with healthy dietary guidelines. Understanding these cultural factors is crucial for developing interventions that are culturally relevant and acceptable to the community.
  • Furthermore, the assessment shed light on prevailing attitudes and perceptions towards obesity and health behaviors. Many community members expressed a desire for healthier lifestyles but felt overwhelmed by the challenges of making sustainable changes. Addressing these attitudes and perceptions through targeted education and support is essential for promoting long-term behavior change.
  • By understanding the community’s perceptions and attitudes towards obesity and health behaviors, we can develop targeted interventions that effectively address the root causes of obesity and promote healthier lifestyles in Cobb County, Georgia. The findings from this comprehensive community assessment will guide the development and implementation of our intervention plan, ensuring that it is tailored to the unique needs and characteristics of the local community.

Slide 5: Synthesis and Evaluation of Literature

Our intervention plan draws upon a diverse array of approaches aimed at addressing obesity within Cobb County, Georgia, informed by the latest research and evidence. Through a thorough review of the literature, we identified several promising strategies, including community-based education programs, policy interventions, and environmental modifications.

Effectiveness of Intervention Approaches

  • Community-based education programs: Studies have shown that school-based programs combining the promotion of healthy dietary habits and physical activity can effectively prevent obesity in children and adolescents. These programs help raise community readiness for childhood obesity prevention.
  • Policy interventions: Policy changes, such as improving access to healthy foods and promoting physical activity, can have a significant impact on obesity rates at the population level. For example, increasing the availability of healthy food options in schools and community settings can encourage healthier eating habits.
  • Environmental modifications: Modifying the built environment to support physical activity, such as improving access to parks, trails, and recreational facilities, can increase opportunities for active living and reduce sedentary behaviors. Creating safe and walkable neighborhoods can encourage active transportation and promote overall physical activity.

Slide 6: Intervention Plan Overview

The intervention plan is designed to address obesity at multiple levels, targeting individual behaviors, social norms, and environmental factors within Cobb County, Georgia. Central to this approach is the promotion of physical activity and healthy eating habits, which are fundamental to preventing and managing obesity.

Key Components of the Intervention

Community-based education programs:

  • Offer workshops on nutrition, portion control, and healthy cooking techniques
  • Provide cooking classes to teach community members how to prepare affordable, nutritious meals
  • Organize walking groups and fitness challenges to encourage regular physical activity

Policy interventions:

  • Work with local government and school districts to improve access to healthy foods in schools and community settings
  • Advocate for the implementation of physical activity requirements in schools and workplaces
  • Support the development of zoning policies that promote the establishment of grocery stores and farmers’ markets in underserved areas

Environmental modifications:

  • Partner with local parks and recreation departments to improve the quality and accessibility of parks, trails, and recreational facilities
  • Collaborate with urban planners to create safe and walkable neighborhoods that encourage active transportation
  • Work with community organizations to establish community gardens and urban farms to increase access to fresh produce

Slide 7: Description of Intervention Activities

The intervention activities are designed to be engaging, informative, and accessible to community members of all ages and backgrounds within Cobb County, Georgia. The following activities are included in the intervention plan:

Workshops

  • Nutrition Education: Workshops will cover topics such as understanding nutrition labels, identifying healthy food options, and developing a balanced diet.
  • Meal Planning: Participants will learn how to plan and prepare healthy meals on a budget, incorporating local and seasonal ingredients.
  • Stress Management: Workshops will focus on stress-reducing techniques, such as mindfulness, deep breathing, and exercise, tailored to the local context.

Cooking Classes

  • Healthy Recipes: Cooking classes will feature recipes that are healthy, affordable, and culturally relevant to Cobb County. Examples include:
    • Southern-Style Vegetable Stir-Fry: A flavorful and nutritious stir-fry using locally sourced vegetables and whole grains.
    • Latin-Inspired Black Bean and Sweet Potato Tacos: A vibrant and healthy taco dish incorporating black beans, sweet potatoes, and fresh herbs.

Walking Groups

  • Scheduled Walks: Walking groups will meet at community parks and recreational areas, with scheduled walks to encourage socialization and physical activity.
  • Walk Schedules:
    • Monday: 30-minute morning walk at the Cobb County Park
    • Wednesday: 45-minute evening walk at the Marietta Trail
    • Friday: 60-minute lunchtime walk at the Smyrna Park

Slide 8: Steps for Implementation

Successful implementation of the intervention plan requires careful planning, coordination, and stakeholder engagement within Cobb County, Georgia. Key steps include:

Participant Recruitment:

  • Conduct targeted outreach to community organizations, schools, and healthcare providers to identify potential participants
  • Utilize social media, local media outlets, and community events to promote the intervention and encourage participation
  • Offer incentives, such as gift cards or raffle prizes, to increase recruitment and retention rates

Venue Selection:

  • Partner with local schools, community centers, and places of worship to host intervention activities
  • Ensure that venues are accessible, comfortable, and equipped with necessary resources (e.g., kitchen facilities for cooking classes)
  • Consider the cultural and linguistic preferences of the target population when selecting venues

Facilitator Training:

  • Recruit and train a diverse team of facilitators, including registered dietitians, fitness instructors, and community health workers
  • Provide comprehensive training on the intervention curriculum, behavior change techniques, and cultural sensitivity
  • Ensure that facilitators are equipped with the knowledge and skills needed to effectively deliver the intervention activities

Participant Engagement:

  • Develop a comprehensive communication plan to keep participants informed about upcoming activities and events
  • Offer childcare and transportation assistance to remove barriers to participation
  • Encourage social support and peer-to-peer interactions to foster a sense of community and accountability

Monitoring and Evaluation:

  • Establish clear goals and objectives for the intervention, with measurable outcomes
  • Collect data on participant attendance, satisfaction, and behavior change through surveys and focus groups
  • Regularly monitor and evaluate the intervention’s effectiveness, making adjustments as needed to ensure optimal outcomes

Slide 9: Consideration of Social and Cultural Characteristics

Cultural competence is integral to the success of our intervention plan within Cobb County, Georgia, as it ensures that our activities are relevant, respectful, and inclusive of diverse cultural perspectives. In developing our intervention plan, we carefully considered cultural preferences, beliefs, and traditions prevalent in Cobb County to ensure that our activities resonate with community members.

Embracing Cultural Diversity

Cobb County is home to a diverse population with varying cultural backgrounds, including Hispanic, African American, Asian, and Caucasian communities. Each of these groups has unique cultural characteristics that influence their attitudes towards health, food, and physical activity.

By acknowledging and embracing this diversity, we can create an intervention plan that is sensitive to the needs and preferences of all community members. This includes:

  • Offering workshops and cooking classes that feature culturally relevant recipes and preparation methods
  • Providing educational materials in multiple languages to ensure accessibility
  • Partnering with community organizations that have established trust and credibility within specific cultural groups
  • Ensuring that intervention activities are scheduled at times and locations that are convenient and comfortable for participants

Importance of Cultural Sensitivity

Cultural sensitivity is essential for building trust, fostering engagement, and promoting long-term behavior change within the community. By demonstrating respect for cultural differences and incorporating cultural elements into our intervention activities, we can create a welcoming and supportive environment that encourages participation and collaboration

Furthermore, culturally sensitive interventions are more likely to be effective in promoting healthy behaviors and reducing obesity rates. Studies have shown that culturally adapted interventions can improve participant engagement, acceptability, and health outcomes among minority cultural groups.

Slide 10: Addressing Risk Factors and Social Determinants

Obesity doesn’t occur in a vacuum—it’s often influenced by a complex interplay of social, economic, and environmental factors. That’s why our intervention plan takes a holistic approach to address both the risk factors and social determinants of obesity in Cobb County. From advocating for policies that support healthy eating and active living to partnering with local businesses to increase access to fresh produce, we’re working to create a community where healthy choices are the easy choices.

Slide 11: Barriers to Implementation

While our intervention plan holds great promise, we recognize that several barriers may hinder its successful implementation within Cobb County, Georgia. These barriers may include limited funding, logistical challenges, and community resistance to change.

Potential Barriers

  • Limited Funding: Securing adequate funding to support the intervention activities, such as workshops, cooking classes, and walking groups, may be a significant challenge.
  • Logistical Challenges: Coordinating intervention activities across multiple venues and ensuring the availability of necessary resources (e.g., kitchen facilities, fitness equipment) may pose logistical difficulties.
  • Community Resistance: Some community members may be resistant to changing their dietary and physical activity habits, making it challenging to engage them in the intervention activities.
  • Lack of Dedicated Resources: A lack of dedicated resources to support transition planning, care team training, or structured transition processes can impede the implementation of interventions and tools.
  • Outdated Protocols: As providers and organizations adapt and change due to other external and internal factors, processes may become outdated, making it difficult to implement effective transition protocols.

To overcome these barriers, we will leverage existing resources, build partnerships with local organizations and community leaders, and engage stakeholders in the planning and implementation process. By addressing barriers proactively and collaboratively, we can ensure the success and sustainability of our intervention efforts

Slide 12: Plan to Evaluate Success

Evaluation is an essential component of our intervention plan, enabling us to assess its effectiveness, identify areas for improvement, and demonstrate impact to stakeholders within Cobb County, Georgia. Our evaluation plan will utilize both quantitative and qualitative methods to measure key outcomes, such as changes in BMI, dietary habits, and physical activity levels among community members.

Evaluation Criteria

  • BMI Reduction: We will track changes in BMI among participants, aiming for a reduction of at least 5% over the course of the intervention.
  • Dietary Habits: We will assess changes in dietary habits through surveys and food diaries, focusing on increased consumption of fruits, vegetables, and whole grains.
  • Physical Activity Levels: We will measure changes in physical activity levels through surveys and pedometer data, aiming for an increase of at least 30 minutes per day.
  • Health Outcomes: We will track changes in health outcomes such as blood pressure, blood glucose levels, and cholesterol levels among participants.
  • Community Engagement: We will assess community engagement through surveys and focus groups, focusing on increased participation in intervention activities and community events.

Evaluation Goals

  • Short-term Goals: Within the first six months of the intervention, we aim to:
    • Recruit at least 50% of the target population
    • Achieve a 5% reduction in BMI among participants
    • Increase dietary habits by at least 20% among participants
    • Increase physical activity levels by at least 15 minutes per day among participants
  • Long-term Goals: Within the first year of the intervention, we aim to:
    • Achieve a 10% reduction in BMI among participants
    • Increase dietary habits by at least 30% among participants
    • Increase physical activity levels by at least 30 minutes per day among participants
    • Demonstrate significant improvements in health outcomes among participants

Evaluation Methods

  • Quantitative Methods: We will use surveys, pedometer data, and health outcome data to track changes in BMI, dietary habits, physical activity levels, and health outcomes among participants.
  • Qualitative Methods: We will conduct focus groups and interviews to assess community engagement, gather feedback on intervention activities, and identify areas for improvement.

Slide 13: Criteria for Successful Interventions

Success Criteria:

  • Reduction in obesity rates
  • Increase in physical activity levels
  • Improvement in dietary habits
  • Participant engagement and community satisfaction

Benchmarks and Targets:

  • Short-term Targets (6 months): 2% reduction in obesity rates, 15% increase in physical activity, 10% increase in fruit and vegetable consumption.
  • Long-term Targets (1 year): 5% reduction in obesity rates, 30% increase in physical activity, 20% increase in fruit and vegetable consumption.

Reflecting on the Plan Part

Changes to the Intervention Plan

After reviewing the feedback from my presentation on the obesity intervention plan for Cobb County, Georgia, several key areas for improvement have been identified. These changes are designed to enhance the effectiveness and impact of the intervention:

  • Increase Community Involvement: Several comments highlighted the need for greater community involvement in both the planning and implementation phases. To address this, we will establish a community advisory board composed of local residents, healthcare professionals, and community leaders. This board will provide ongoing input and help tailor the intervention to better meet the specific needs and preferences of the community.
  • Enhance Cultural Relevance: Feedback suggested that more culturally relevant materials and activities would improve engagement. We will incorporate culturally specific dietary guidelines, recipes, and physical activities that resonate with the diverse populations in Cobb County, such as incorporating traditional foods and celebrations into the program.
  • Strengthen Educational Components: There was a call for more robust educational components, particularly around the long-term health benefits of healthy eating and physical activity. We will expand our educational workshops to include comprehensive modules on nutrition, chronic disease prevention, and mental health.
  • Improve Accessibility: Comments indicated that accessibility to intervention activities could be improved. We will offer more virtual workshops and online resources to accommodate those who cannot attend in-person events. Additionally, we will ensure all materials are available in multiple languages spoken within the community.

Enhancing the Intervention

The feedback received has provided valuable insights on how to enhance the intervention:

  • Community Advisory Board: By involving a diverse group of community members in the planning and evaluation process, we can ensure that the intervention is more aligned with local needs and preferences. This will increase community buy-in and participation.
  • Cultural Relevance: By incorporating culturally relevant content, we can make the program more appealing and relatable, thereby increasing engagement and adherence to healthy behaviors.
  • Expanded Education: Strengthening the educational component will empower participants with the knowledge and skills they need to make informed decisions about their health. This, in turn, will contribute to more sustainable behavior changes.
  • Improved Accessibility: By offering virtual options and materials in multiple languages, we can reach a broader audience and reduce barriers to participation, making the intervention more inclusive.

Implementation through Collaboration

To effectively implement these changes and ensure the success of the intervention, collaboration with various stakeholders is crucial:

  • Nurses and Healthcare Professionals: Partnering with local nurses and healthcare professionals will allow us to leverage their expertise in patient education and chronic disease management. They can serve as facilitators for workshops and support groups, providing medical insights and personalized advice.
  • Government Representatives: Collaborating with local government representatives will help in advocating for policy changes that support healthy environments. This includes zoning laws for urban farms, funding for recreational facilities, and initiatives to improve food accessibility.
  • Community Leaders: Engaging community leaders and organizations will help in building trust and credibility within the community. They can assist in outreach efforts, help organize events, and provide valuable feedback on the intervention’s progress.
  • Local Businesses: Partnering with local businesses, especially grocery stores and fitness centers, can enhance the intervention by providing discounts on healthy foods and gym memberships, hosting educational events, and creating a supportive environment for healthy living.

Detailed Assessment Instructions for the NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment

PH4005: Evidence-Based Intervention Plan (Practicum)

Overview

For this Performance Task, you will prepare a presentation that details research about a public health problem in your community and presents a plan for how it can be prevented at the primary level of prevention with a focus on the system level of care. Your presentation will include work you have completed in PH4002, PH4003, and PH4004 and focus on mitigating determinants of health that are “upstream.” You will also solicit feedback on your plan from one healthcare professional, analyze the feedback by preparing a summary paper, and then incorporate that feedback into your intervention plan.

Submission Length: 14- to 19-slide PowerPoint presentation and a 1- to 2-page reflection paper

Instructions

To complete this Assessment, do the following:

Before submitting your Assessment, carefully review the rubric. This is the same rubric the SME will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate. Submissions that do not meet these expectations will be returned without scoring.

Your response to this Performance Task should reflect the criteria provided in the rubric and adhere to the required length. This Assessment requires submission of two (2) files: the practicum presentation and the reflection essay. Save the practicum presentation as PH4005_PracticumPresentation_ firstinitial_lastname (for example, PH4005_PracticumPresentation_J_Smith). Save the reflection essay as PH4005_ReflectionEssay_ firstinitial_lastname (for example, PH4005_ReflectionEssay_J_Smith).

You may submit a draft of your assignment to the Turnitin Draft Check area to check for authenticity. When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Important Note: As a student taking this Competency, you agree that you may be required to submit your Assessment for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted Assessment materials will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such materials. Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.

Practicum Presentation

Your practicum presentation is the culmination of all the work you have accomplished so far in this Area of Expertise. You will include a presentation of all your synthesized research about a health problem in your community, a plan for how to intervene, and a plan for how to evaluate your intervention. Your presentation will include information you developed in PH4002, PH4003, and PH4004. Use the following guide to create your presentation and essay:

For the first three sections of your presentation, use the Practicum Presentation Template to synthesize information that you prepared in PH4002, PH4003, and PH4004. Include the following:

Defining the Health Problem

  • Describe and quantify the health problem (2–3 slides)
  • Summarize information gathered from the community assessment (2–3 slides)
  • Synthesize and evaluate the literature (2–3 slides)

Developing an Intervention Plan (6–7 slides)

Use the research you completed for PH4002, PH4003, and PH4004 to develop your own intervention plan. Include the following:

  • A description of your intervention plan
  • An outline of the steps that you would take to implement your intervention plan
  • An explanation of the social and cultural characteristics that you took into consideration when developing your intervention plan
  • An explanation of how your intervention plan addresses risk factors, social determinants, upstream factors, and access to resources for the health problem in your community
  • An explanation of the possible barriers to implementing the intervention plan

Developing a Plan to Evaluate Success (2–3 slides)

Finally, develop a plan that you can use to evaluate an intervention’s success. Include the following:

  • A description of criteria that can be used to benchmark successful interventions
  • An explanation of specific goals for the evaluation of the intervention

Include 1–2 slides that list the resources used in your intervention plan and evaluation plan.

Presenting Your Intervention Plan

The next step in this Assessment is to present your entire PowerPoint presentation to at least one healthcare professional in the community (preferably one with whom you collaborated initially) and ask them for their help in improving your intervention plan. Before you begin your presentation, hand out the Feedback Form to the attendee(s) and ask them to fill it out as you present. After your presentation, collect the form(s), read through the comments, and incorporate the feedback into your reflection paper. These forms should be scanned and inserted at the end of your reflection paper.

Reflecting on Your Plan

Based on the feedback from your presentation, write a 1- to 2-page essay that addresses the following:

A list of the changes you could make to your intervention plan in response to the feedback you received about your presentation

  • An explanation of how your intervention might be enhanced through the feedback
  • A list of ways you could implement your intervention in the community by collaborating with other nurses, healthcare professionals, government representatives, or community leaders

At the end of your essay, insert scanned copies of the Feedback Form(s) from each of the health professionals who were present for your presentation. (The scans of your Feedback Forms are not included in the overall page count for the “Reflecting on Your Plan” portion of your Assessment.)

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NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper AssignmentNURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment Brief

Course: Role of the Nurse Leader in Population Health

Assignment Title: NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment

Assignment Instructions Overview

This assignment focuses on understanding and applying evidence-based practices in public health nursing. The objective is to enable students to integrate scientific research into the design and implementation of public health interventions. The assignment consists of two main parts: short answer responses to questions about the importance and application of evidence-based practices, and a systematic review of five scholarly sources related to a specific public health problem.

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Understanding Assignment Objectives

The primary objective of this assignment is to develop the ability to use evidence-based research to inform public health nursing interventions. Students will learn to:

  • Utilize scientific research to make informed decisions.
  • Apply updated medical protocols for improved patient care.
  • Design and evaluate interventions that are both effective and appropriate for specific patient populations.

The Student’s Role

Students are expected to engage in thorough research and critical analysis. They will:

  • Answer specific questions about the role and importance of evidence-based practice in public health nursing.
  • Conduct a systematic review of scholarly articles and reputable sources to identify and evaluate interventions for a public health issue.
  • Synthesize the findings to propose effective public health interventions, considering social determinants of health and cultural factors.

Competencies Measured

This assignment will assess the following competencies:

  • Ability to critically appraise and synthesize scientific research.
  • Skill in designing public health interventions based on evidence.
  • Understanding the differences between public health nursing and acute care nursing.
  • Proficiency in applying evidence-based practices to improve patient outcomes in public health settings.

You Can Also Check Other Related Assessments for the NURS 4210 – Role of the Nurse Leader in Population Health Course:

NURS 4210 PH4001 Module 2 Pre-Assessment The Role of the Nurse Leader in Population Health Pre-Assessment Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment Example

NURS 4210 PH4003 Community Assessment Practicum Assignment Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Example

Part 1: Evidence-Based Practice in Public Health Short Answer

Why should evidence be used when designing interventions in public health nursing?

Using evidence when designing interventions in public health nursing is crucial for several reasons:

  • Scientific Basis for Decisions: Evidence provides a scientific foundation for making well-founded decisions, ensuring that interventions are based on the best available research rather than anecdotal experiences.
  • Updated Protocols: Incorporating the latest research ensures that medical protocols and patient care strategies are current, improving patient outcomes.
  • Tailored Interventions: Documented evidence helps create interventions that are specifically tailored to patient profiles, increasing the likelihood of successful recovery and better health outcomes.

Evidence-based practice also involves evaluating research to understand the risks and effectiveness of different interventions. This process allows nurses to engage patients in their care by considering their concerns, values, and preferences, leading to more effective and personalized healthcare.

How does evidence-based practice in public health nursing differ from evidence-based practice in acute care?

Public Health Nursing Acute Care
Focuses on community-wide prevention and health promotion. Focuses on immediate, individual patient care.
Utilizes the best available evidence for decision-making to improve community health. Often relies on critical thinking and rapid decision-making based on the immediate needs of patients.
Involves health assessments, planning, and interventions that target populations. Primarily concerned with diagnosing and treating individual patients quickly.
Aims to provide efficient and effective care based on scientific research to prevent disease and promote health. Utilizes evidence-based practice to improve the quality of care and patient outcomes in a clinical setting.

                            

          In public health nursing, the emphasis is on preventing disease and promoting health within the community using scientific evidence. In contrast, acute care focuses on treating patients who are currently experiencing health issues, often using immediate clinical judgment and up-to-date research to restore patients to their normal health status.

Why is it important to use evidence when designing interventions in public health nursing?

Evidence-based practice is vital in public health nursing because it:

  • Ensures Quality Care: It helps provide high-quality care to all patients by using proven interventions.
  • Improves Outcomes: Utilizes the best available evidence to make informed decisions, improving health outcomes for individuals and communities.
  • Supports Decision Making: Allows public health professionals to make appropriate decisions based on scientific research, enhancing the effectiveness of public health services.

How does evidence-based practice in public health nursing differ from evidence-based practice in acute care?

Evidence-based practice in public health involves using scientific methods and community-based research to make informed decisions. This approach benefits the community by providing access to quality care and data-driven interventions. In acute care, evidence-based practice focuses on improving the quality of healthcare provided to individual patients, evaluating performance, and enhancing health outcomes through the application of the latest research in clinical settings.

Part 2: Evaluating and Selecting Appropriate Evidence

Source 1

Nishi, A., et al. (2020). Network interventions for managing the COVID-19 pandemic and sustaining economy. Proceedings of the National Academy of Sciences117(48), 30285-30294.

Summary

This study explores the economic impact of COVID-19 lockdowns and proposes network interventions to mitigate these effects while minimizing disease transmission. The interventions aim to balance the need for social and economic activities with public health safety.

Strategies Used

Dividing Groups: This involves splitting groups of people engaging in the same activity at the same location into smaller subgroups to reduce potential transmission. For example, a shopping mall could allow 60 people to visit between 9 AM and 3 PM, and another 40 between 3 PM and 8 PM.

Balancing Groups: This strategy involves directing different groups to separate locations to avoid overcrowding. For example, ambulances could be redirected to less crowded hospitals to ensure more prompt emergency treatment.

Effectiveness of the Strategies

Dividing Groups: If there is no interaction between subgroups, this strategy effectively reduces transmission risk by minimizing contact. It is particularly beneficial for vulnerable populations, such as the elderly and immunocompromised.

Balancing Groups: This approach maintains the same number of service recipients (e.g., patients or customers) but reduces the risk of transmission by preventing overcrowding.

Application to Population and Health Problem

These strategies are useful for primary prevention by restricting exposure in public places. For example, hospitals could limit the number of appointments with certain specialists and distribute patients evenly among available doctors. This approach helps protect healthcare providers and non-infected, immunocompromised patients from excessive exposure.

Source 2

Imai, N., et al. (2020). Adoption and impact of non-pharmaceutical interventions for COVID-19. Wellcome open research5.

Summary

The research focuses on non-pharmaceutical interventions (NPIs) such as social distancing and isolation to control the spread of infectious diseases. It examines the effectiveness of these strategies in reducing transmission rates during an outbreak.

Strategies Used

Isolation: Implementing isolation protocols to prevent the spread of infection by separating infected individuals from healthy ones.

Effectiveness of the Strategies

Isolation: Isolation is highly effective in controlling the spread of infectious diseases, particularly in the early stages of an outbreak. It helps reduce transmission rates significantly by minimizing contact between infected and healthy individuals.

Application to Population and Health Problem

Isolation is crucial for managing infectious diseases in densely populated areas. It protects high-risk groups, such as the elderly and those with underlying health conditions, from exposure. Implementing strict isolation protocols can prevent healthcare systems from being overwhelmed and ensure that resources are available for those in need.

Source 3

CDC. (2023, December 20). COVID-19 vaccine confidence | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence.html

Summary

The CDC provides guidelines on various public health interventions, emphasizing the importance of vaccination campaigns as a primary preventive measure. These campaigns aim to achieve herd immunity and reduce the spread of infectious diseases.

Strategies Used

Vaccination Campaigns: Annual vaccination programs target prevalent strains of diseases like the flu, significantly lowering incidence and severity.

Effectiveness of the Strategies

Vaccination Campaigns: These campaigns are highly effective in creating herd immunity, reducing the spread of disease, and protecting vulnerable populations, such as children and the elderly. The CDC’s evidence-based guidelines ensure that vaccination strategies are updated regularly to reflect the latest research and epidemiological data.

Application to Population and Health Problem

Vaccination campaigns are critical in preventing infectious diseases within communities. By achieving high vaccination coverage, the spread of disease is minimized, and vulnerable populations are safeguarded. This strategy is particularly important for populations with limited access to healthcare.

Source 4

The Community Guide. (2023, June 5). Tobacco: Quitline interventions | The community guide. The Guide to Community Preventive Services (The Community Guide). https://www.thecommunityguide.org/findings/tobacco-use-quitline-interventions.html

Summary

The Community Guide offers evidence-based recommendations for public health interventions, including tobacco cessation programs. One successful intervention is the implementation of quitlines, which provide telephone-based counseling and support for individuals trying to quit smoking.

Strategies Used

Quitlines: These programs offer personalized counseling, nicotine replacement therapy, and follow-up support to help individuals quit smoking.

Effectiveness of the Strategies

Quitlines: Quitlines significantly increase the likelihood of successful smoking cessation compared to attempting to quit without support. They are accessible, cost-effective, and can reach a wide audience, including rural or underserved areas.

Application to Population and Health Problem

Tobacco cessation programs, such as quitlines, are effective tools for reducing smoking rates and preventing related health issues. These interventions should be tailored to meet the needs of diverse populations by providing multilingual support and addressing cultural factors that influence smoking behavior.

References

Imai, N., et al. (2020). Adoption and impact of non-pharmaceutical interventions for COVID-19. Wellcome open research5.

Nishi, A., et al. (2020). Network interventions for managing the COVID-19 pandemic and sustaining economy. Proceedings of the National Academy of Sciences117(48), 30285-30294.

The Community Guide. (2023, June 5). Tobacco: Quitline interventions | The community guide. The Guide to Community Preventive Services (The Community Guide). https://www.thecommunityguide.org/findings/tobacco-use-quitline-interventions.html

CDC. (2023, December 20). COVID-19 vaccine confidence | CDC. Centers for Disease Control and Prevention. https://www.cdc.gov/vaccines/covid-19/vaccinate-with-confidence.html

Detailed Assessment Instructions for the NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment

PH4004: Evidence-Based Practice in Public Health Nursing

Part 1: Evidence-Based Practice in Public Health Short Answer

Respond to the following questions in the table provided.

Why should evidence be used when designing interventions in public health nursing?

How does evidence-based practice in public health nursing differ from evidence-based practice in acute care?

Public health nursing Acute care

 

Why is it important to use evidence when designing interventions in public health nursing?

How does evidence-based practice in public health nursing differ from evidence-based practice in acute care?

Part 2: Evaluating and Selecting Appropriate Evidence

Locate five sources of evidence that discuss interventions for the public health problem you identified in PH4002. You can find scholarly articles in the Walden Library and find evidence housed within the Community Guide as a starting point for your search. You can also use one scholarly resource from the Centers for Disease Control and Prevention, National Institutes of Health, or other reputable health websites.

  • Use APA style for your citations.
  • For each of your sources, perform a systematic review: summarize the information, and describe the interventions and strategies used and the effectiveness of each strategy.  
  • Comment on the key characteristics of the evidence that would be appropriate for the population identified in your public health problem. Be sure to consider the social determinants of health, the cultural factors that apply, and any other specific observations regarding your population and community.
    • The following website can serve as a guide in selecting and evaluating resources:
    • National Institutes of Health. (2016, April). Introduction to evidence-based public health information resources
    • https://www.nihlibrary.nih.gov/sites/default/files/evidencebasedpublichealthslides.pdf

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NURS 4210 PH4003 Community Assessment Practicum Paper Example

NURS 4210 PH4003 Community Assessment Practicum AssignmentNURS 4210 PH4003 Community Assessment Practicum Assignment

NURS 4210 PH4003 Community Assessment Practicum Assignment Brief

Course: Role of the Nurse Leader in Population Health

Assignment Title: NURS 4210 PH4003 Community Assessment Practicum Assignment

Assignment Instructions Overview

In this assignment, you will conduct a comprehensive community assessment focusing on a specific public health problem. This assessment will involve a windshield survey to gather data through observation, interviews, and research. You will analyze the resources available within the community, identify barriers to health, and evaluate the social determinants of health affecting the community. The final deliverable will be a detailed report using the provided Community Assessment Report Template.

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Understanding Assignment Objectives

The primary objective of this assignment is to develop a deeper understanding of a selected population’s health challenges within a community. By conducting a windshield survey and analyzing various factors, you will identify strengths, weaknesses, resources, and barriers to health within the community. This process will enable you to propose targeted interventions to address the identified public health problem effectively.

The Student’s Role

As a student, your role in this practicum assignment includes:

  • Preparation: Familiarize yourself with the Community Assessment Report Template and relevant readings, such as Chapter 17 of the Stanhope and Lancaster textbook. This preparation will ensure you understand the expectations and components of a community assessment.
  • Data Collection: Conduct a windshield survey by driving or walking through the selected community area. Observe and document the physical environment, available resources, and any evident barriers to health.
  • Analysis: Analyze the data collected from your observations, interviews, and research. Consider the social determinants of health, cultural factors, and specific characteristics of the population.
  • Reporting: Compile your findings into a comprehensive report. This report should include an introduction, detailed observations from the windshield survey, and an analysis of the community’s strengths and weaknesses. Conclude with inferences about the factors contributing to the health problem and propose potential interventions.
  • Submission: Ensure your report adheres to scholarly writing conventions, includes properly formatted APA citations, and meets the required length. Use the Turnitin Draft Check for authenticity before final submission via the Assessment tab.

Competencies Measured

This assignment measures several competencies critical to public health and nursing practice:

  • Community Health Assessment: Demonstrate the ability to conduct a thorough community health assessment, identifying key health issues and contributing factors within a community.
  • Data Analysis: Exhibit skills in analyzing qualitative and quantitative data to draw meaningful conclusions about community health.
  • Critical Thinking: Apply critical thinking to assess the impact of social determinants of health and propose effective interventions.
  • Scholarly Writing: Showcase your ability to write a well-structured, evidence-based report that adheres to academic standards and proper citation practices.

You Can Also Check Other Related Assessments for the NURS 4210 – Role of the Nurse Leader in Population Health Course:

NURS 4210 PH4001 Module 2 Pre-Assessment The Role of the Nurse Leader in Population Health Pre-Assessment Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment Example

NURS 4210 PH4003 Community Assessment Practicum Paper Example

Section 1: Introduction

Purpose of the Community Assessment

The purpose of this community assessment is to analyze the health problem of diabetes management and prevention within the selected community. This assessment aims to identify existing resources, barriers to health, and social determinants impacting the community’s health. By performing this community assessment, we can develop targeted interventions to improve diabetes outcomes (Stanhope & Lancaster, 2020).

Social Determinants Impacting Health

Several social determinants within the community impact overall health, including socioeconomic status, education levels, access to healthcare services, and environmental factors. These determinants play a crucial role in influencing the prevalence and management of diabetes (World Health Organization [WHO], 2019). Lower socioeconomic status often correlates with limited access to nutritious food, safe recreational areas, and healthcare facilities, all of which can negatively affect diabetes management and prevention (Centers for Disease Control and Prevention [CDC], 2021).

Background of the Health Problem

Diabetes is a growing public health concern within this community. In PH4002, it was identified that there is a high prevalence of diabetes, particularly among adults aged 45-65. Previous data gathered indicates that many residents lack access to regular medical check-ups and education on diabetes management, contributing to poor health outcomes. The focus will be on understanding the barriers to effective diabetes management and identifying resources that can support better health practices (American Diabetes Association, 2020).

Description of the Community Section

The community assessment focuses on the North Park neighborhood, bounded by Main Street to the north, Oak Avenue to the south, 5th Street to the east, and 12th Street to the west. This area includes a mix of residential homes, small businesses, and public spaces. The population density is moderate, with a significant portion of the population being middle-aged adults. Demographically, the community is diverse, with significant Hispanic and African American populations (U.S. Census Bureau, 2020).

Section 2: Perform a Windshield Survey

Observations During the Windshield Survey

  • Housing and Zoning: The neighborhood has a mix of single-family homes and apartment complexes. Most homes are well-maintained, though some areas show signs of neglect with overgrown lawns and dilapidated structures.
  • Open Spaces and Recreational Areas: There are several parks and recreational areas, but many appear underutilized. Playgrounds and walking trails are present, but some facilities are in need of repair.
  • Healthcare Facilities: The community has a few clinics and a small hospital. However, there are no specialized diabetes care centers. Pharmacy services are available, but residents may face long waits for appointments.
  • Food Access: There are several grocery stores, but the availability of fresh produce is limited. Fast food restaurants are more prevalent, which could contribute to unhealthy dietary habits (Brown et al., 2018).
  • Transportation: Public transportation is available but infrequent, making it challenging for residents without personal vehicles to access healthcare services and other essential resources.
  • Community Safety: The area has a visible police presence, but some residents expressed concerns about crime, particularly at night. Street lighting in certain areas is inadequate (Smith, 2019).
  • Education and Employment: The neighborhood has several schools, including an elementary and a high school. Employment opportunities are mostly in retail and service industries, with a few small manufacturing businesses.

Photographs

Photographs of notable observations such as healthcare facilities, parks, grocery stores, and housing conditions:

[] [] [] [] [] []

Section 3: Findings and Conclusions

Overall Impression of the Community and Population

The North Park neighborhood shows both strengths and weaknesses in terms of health resources and community well-being. The presence of parks and schools indicates potential for a supportive environment, but there are significant gaps in healthcare access and food availability.

Strengths and Weaknesses of the Community and Population

  • Strengths: Availability of public parks, presence of schools, diverse population, and existing healthcare facilities.
  • Weaknesses: Limited access to fresh produce, inadequate public transportation, underutilized recreational areas, and insufficient specialized healthcare services (Brown et al., 2018).

Evaluation of Overall Healthiness

The overall healthiness of the community is moderate. While there are resources available, their accessibility and utilization are suboptimal. The prevalence of fast food options over fresh produce is a concern for diabetes management (Stanhope & Lancaster, 2020).

Safety Analysis

Safety concerns, particularly related to crime and inadequate street lighting, affect the community’s overall sense of security. These issues may deter residents from utilizing outdoor spaces for physical activity, which is essential for diabetes management (Smith, 2019).

Inferences on Health Problem Contributions

Elements such as limited access to fresh produce, inadequate public transportation, and safety concerns likely contribute to the high prevalence of diabetes. These factors hinder residents’ ability to maintain a healthy diet and engage in regular physical activity, both crucial for diabetes management (CDC, 2021).

Consideration of Social Determinants and Cultural Factors

Social determinants such as income, education, and access to healthcare services significantly impact the community’s health. Cultural factors, including dietary habits and health beliefs, also play a role in diabetes prevalence and management. Addressing these determinants and cultural factors is essential for effective intervention (WHO, 2019).

Supporting Evidence

  • Health data indicating high diabetes prevalence (source: local health department reports)
  • Observations from the windshield survey
  • Literature on the impact of social determinants on diabetes outcomes (American Diabetes Association, 2020)

References

American Diabetes Association. (2020). Statistics about diabetes. Retrieved from https://www.diabetes.org/resources/statistics/statistics-about-diabetes

Brown, D., Smith, J., & Lee, R. (2018). Food deserts and diabetes risk in urban areas. Journal of Public Health, 39(4), 234-245.

Centers for Disease Control and Prevention. (2021). Social determinants of health. Retrieved from https://www.cdc.gov/socialdeterminants

Smith, A. (2019). Community safety and public health: The role of environmental factors. Public Health Journal, 44(2), 123-130.

Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community. Elsevier.

U.S. Census Bureau. (2020). North Park neighborhood demographics. Retrieved from https://www.census.gov/quickfacts/fact/table/northparkcity

World Health Organization. (2019). The social determinants of health. Retrieved from https://www.who.int/social_determinants/en/

Detailed Assessment Instructions for the NURS 4210 PH4003 Community Assessment Practicum Paper Assignment

PH4003 Community Assessment (Practicum)

Overview

For this Performance Task Assessment, you will take a deeper look into your selected population through a community assessment windshield survey. You will gather data through observation, interview, and research and determine what resources are available and what barriers to health exist.

Submission Length: Completed report template

Instructions

To complete this Assessment, do the following:

Before submitting your Assessment, carefully review the rubric. This is the same rubric the SME will use to evaluate your submission and it provides detailed criteria describing how to achieve or master the Competency. Many students find that understanding the requirements of the Assessment and the rubric criteria help them direct their focus and use their time most productively.

Rubric

All submissions must follow the conventions of scholarly writing. Properly formatted APA citations and references must be provided where appropriate. Submissions that do not meet these expectations will be returned without scoring.

Your response to this Performance Task should reflect the criteria provided in the Rubric and adhere to the required length. This Assessment requires submission of one (1) file. Save your file as follows: PH4003_firstinitial_lastname (for example, PH4003_J_Smith).

You may submit a draft of your assignment to the Turnitin Draft Check area to check for authenticity. When you are ready to upload your completed Assessment, use the Assessment tab on the top navigation menu.

Important Note: As a student taking this Competency, you agree that you may be required to submit your Assessment for textual similarity review to Turnitin.com for the detection of plagiarism. All submitted Assessment materials will be included as source documents in the Turnitin.com reference database solely for the purpose of detecting plagiarism of such materials. Use of the Turnitin.com service is subject to the Usage Policy posted on the Turnitin.com site.

Community Assessment Report

In PH4002, you identified a public health problem that is occurring in your community, which you will use as the subject of your practicum project. In addition to conferring with public health professionals and synthesizing data surrounding your public health problem, you also need to gain a clearer picture of the community and population involved. To do this, you will analyze the community firsthand by driving or walking around within it, noting the resources that are available in the community, and identifying possible contributing factors present in the community. Before embarking on your community assessment, read through the Community Assessment Report Template and Chapter 17 of the Stanhope and Lancaster textbook to ensure that you understand what is expected. You may also choose to search for examples of windshield surveys and community assessments on the Internet to gather ideas for your assessment.

After completing your community assessment, you will prepare a report that itemizes each of your observations and offers findings and conclusions. The Report Template can aid you in developing this report. However, this template is just a basic tool. You may need to add, delete, or modify the topics included based on your individual public health problem and community.
The Community Assessment Report Template includes the following sections and topics:

Click each of the items below for more information on this Assessment.

Section 1: Introduction:

  • Explain the purpose of a community assessment and why you are performing this one.
  • Explain how specific social determinants within the community might impact the overall health of the community.
  • Give a background of the health problem that you identified in PH4002 and describe any information that you have already gathered on the topic.
  • Define the section of the community that you are assessing:
    • The section of the community should correspond to the population selected for the practicum problem in PH4002.
      • Example 1: A lack of vaccination among elderly could focus on senior housing projects in a specific area.
      • Example 2: A lack of vaccination among low-income children might focus on low-income housing situations in a specific area.
    • It is preferred that the selected area has specific boundaries if possible.
      • It is not feasible to perform the windshield survey of large areas such as the City of Chicago or Atlanta or the State of Wisconsin; you must select bounded areas such as from 99th Street North to 108th Street West, since you must either walk or drive around. Selecting a ZIP code is a common way of setting boundaries.
      • Note: It is not advisable to perform your windshield survey in an area that is unsafe. Also, perform your survey in daylight hours, and take any and all precautions to keep yourself safe.
    • If a specific target area cannot be identified because the problem is widespread throughout the area, then you may use a section of the community that is new to you or a section that is home to a specific population (e.g. Chinatown, Manhattan, or the Fillmore District of San Francisco).
  • Give a description of the size and density of the population with which you are concerned. Include any appropriate demographics (e.g., race, ethnic groups, gender, age) both current and historically.

Section 2: Perform a Windshield Survey

  • The windshield survey should reflect that which is described in the Community Assessment Report Template and as noted in your readings. As each community is different, topics on the Community Assessment Report Template may need to be tailored to fit the needs of the selected population. It is critical for this part of the project that you actually drive or walk around the community that you are investigating.
  • Be sure to capture pictures of some observations to include in your report.

Section 3: Findings and Conclusions

  • Based on the information that you have gathered:
    • Explain your overall impression of the community and population.
    • Analyze the strengths and weaknesses of the community and population.
    • Evaluate the overall healthiness of the community and population.
    • Analyze the safety of the community.
    • Make inferences about which elements that you observed may contribute to the health problem with which you are concerned.
    • Be sure to consider the social determinants of health, the cultural factors that apply, and any other specific observations regarding your population and community.
  • Support your responses with evidence from health data, literature, and observations.
  • Include a reference page at the end of your report.

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NURS 4210 PH4002 Identifying Health Problems Within Your Community Paper Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Paper ExampleNURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment

NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment Brief

Course: Role of the Nurse Leader in Population Health

Assignment Title: NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment

Assignment Instructions Overview

This assignment focuses on identifying and justifying a public health problem within your community. It involves collaborating with local or state public health officials, gathering and analyzing relevant health data, and understanding the impact of social determinants on health outcomes. The ultimate goal is to develop a well-supported paper that addresses a primary prevention health issue in a specific population within your community.

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Understanding Assignment Objectives

The primary objectives of this assignment are to:

  • Identify a Public Health Problem: Select a health issue that is critical and interesting within your community.
  • Collaborate with Public Health Officials: Engage with professionals from local or state health departments to understand their priorities and past interventions.
  • Analyze Health Data: Use reputable sources to gather local and national data supporting your selected health priority.
  • Understand Social Determinants: Explore how social determinants of health affect the chosen population.
  • Develop a Comprehensive Paper: Compile your findings into a detailed paper that justifies the health problem and suggests primary prevention strategies.

The Student’s Role

As a student, your role involves several key tasks:

  • Community Observation: Begin by observing and considering the health problems present in your community. Identify the one that stands out as most critical and relevant.
  • Professional Collaboration: Contact a local or state public health official to discuss health priorities, past interventions, and the influence of social determinants. Use the provided Interaction Template to guide and document your discussions.
  • Data Collection: Gather and analyze health data from multiple sources, ensuring to include both local and national perspectives. This data will support the justification of your chosen health problem.
  • Critical Analysis: Examine the social determinants and health behaviors affecting the specific population related to your health issue.
  • Writing the Paper: Synthesize the information from your collaboration and data analysis into a well-organized paper. Ensure that you clearly articulate the health problem, affected population, social determinants, and how the collaboration informed your selection.

Competencies Measured

This assignment measures the following competencies:

  • Public Health Knowledge: Demonstrate an understanding of public health issues and priorities within your community.
  • Collaboration Skills: Effectively engage with public health professionals to gain insights into local health challenges and interventions.
  • Data Analysis: Ability to locate, interpret, and compare health data from various sources to support the identification of a public health problem.
  • Understanding of Social Determinants: Analyze how social factors influence health outcomes in the chosen population.
  • Communication and Writing: Develop a coherent and comprehensive paper that integrates collaboration insights and data analysis to justify a public health problem and propose primary prevention strategies.

You Can Also Check Other Related Assessments for the NURS 4210 – Role of the Nurse Leader in Population Health Course:

NURS 4210 PH4001 Module 2 Pre-Assessment The Role of the Nurse Leader in Population Health Pre-Assessment Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment Example

NURS 4210 PH4003 Community Assessment Practicum Assignment Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Paper Example

Introduction

The purpose of this paper is to identify and justify a significant public health problem within Cobb County, Georgia, through collaboration with local public health officials and analysis of multiple sources of health data. This study focuses on the issue of obesity in middle-aged Hispanic men, a critical health priority identified through community collaboration and data analysis.

Step 1: Collaboration with a Public Health Official

To understand the priorities and challenges in Cobb County, I collaborated with a local public health official, Ms. Jane Doe, who serves as the Director of Public Health at the Cobb County Health Department. The details of the interaction are documented below.

Interaction Form

  • Name: John Smith
  • Date: May 10, 2024
  • Health Professional Name: Jane Doe
  • Health Professional Position: Director of Public Health, Cobb County Health Department

Discussion Topics and Responses

Topic 1: Priorities and Problems

Response: The health department’s primary priorities include reducing obesity rates, managing chronic diseases, and improving mental health services. Obesity, particularly in minority populations such as Hispanic men, is a significant concern due to its prevalence and associated health risks (Cobb County Health Department, 2023).

Topic 2: Interventions

Response: Over the past 5 to 10 years, the health department has implemented several interventions to combat obesity. These include community-based fitness programs, nutritional education workshops, and partnerships with local schools to promote healthier eating habits among students and their families (Georgia Department of Public Health, 2022).

Topic 3: Social Determinants of Health

Response: The health department addresses social determinants of health by targeting socioeconomic factors that contribute to obesity. This includes improving access to affordable healthy foods, providing resources for physical activity, and enhancing health literacy through community outreach programs (CDC, 2022).

Summary

Through this collaboration, it was evident that obesity in middle-aged Hispanic men is a pressing health issue in Cobb County. The health department has recognized this problem and has taken proactive steps to address it through various community-based interventions and by tackling the social determinants of health.

Step 2: Locating Health Data

To further justify the selection of obesity in middle-aged Hispanic men as a critical health issue, data from multiple reputable sources were analyzed.

Local Data

Cobb County Health Department Report (2023): The report indicates that the obesity rate among Hispanic men aged 35-50 in Cobb County is 35%, significantly higher than the county’s overall obesity rate of 25% (Cobb County Health Department, 2023).

Georgia Department of Public Health Statistics (2022): Data shows a rising trend in obesity rates among Hispanic communities, with a notable increase in middle-aged men over the past decade (Georgia Department of Public Health, 2022).

National Data

Centers for Disease Control and Prevention (CDC) National Health Statistics (2022): Nationally, the obesity rate among Hispanic men aged 35-50 is approximately 28%, which, while lower than the local rate in Cobb County, still represents a significant public health concern (CDC, 2022).

National Institute of Diabetes and Digestive and Kidney Diseases (NIDDK) Report (2021): This report highlights that Hispanic men are disproportionately affected by obesity and related chronic conditions such as diabetes and hypertension (NIDDK, 2021).

Verifying a Health Problem Within the Community

Health Problem

The primary health problem addressed is obesity in middle-aged Hispanic men, with a focus on primary prevention efforts.

Affected Population

The specific population affected includes Hispanic men aged 35-50 residing in Cobb County. This demographic is particularly impacted by obesity due to a combination of cultural, socioeconomic, and behavioral factors.

Social Determinants and Health Behaviors

The social determinants affecting this population include limited access to affordable healthy foods, lower socioeconomic status, cultural dietary preferences, and lower levels of physical activity. Health behaviors contributing to obesity include poor diet, sedentary lifestyle, and lack of regular health screenings.

Role of Collaboration

The collaboration with the Cobb County Health Department informed the selection of obesity as a critical health issue by highlighting its prevalence, the department’s existing interventions, and the need for targeted prevention strategies in the Hispanic community.

Sources of Data

  • Cobb County Health Department Report (2023): Provided local obesity rates and demographic-specific data.
  • Georgia Department of Public Health Statistics (2022): Offered insights into state-wide trends in obesity among Hispanic populations.
  • CDC National Health Statistics (2022): Offered national context and comparative data on obesity rates.
  • NIDDK Report (2021): Provided detailed analysis on obesity’s impact on Hispanic men and associated health risks.

Conclusion

Obesity in middle-aged Hispanic men in Cobb County is a significant public health problem, as evidenced by local and national data. Collaboration with the Cobb County Health Department has highlighted the urgency of addressing this issue through targeted interventions and addressing social determinants of health. Continued efforts are necessary to reduce obesity rates and improve health outcomes for this vulnerable population.

References

Cobb County Health Department. (2023). Annual Health Report. Cobb County Health Department.

Georgia Department of Public Health. (2022). Obesity Trends in Georgia. Georgia Department of Public Health.

Centers for Disease Control and Prevention. (2022). National Health Statistics Report. CDC.

National Institute of Diabetes and Digestive and Kidney Diseases. (2021). Obesity in Hispanic Men: A Detailed Analysis. NIDDK.

Detailed Assessment Instructions for the NURS 4210 PH4002 Identifying Health Problems Within Your Community Paper Assignment

PH4002 Identifying Health Problems Within Your Community

Description

Complete the following steps:

STEP 1: COLLABORATE WITH A PUBLIC HEALTH OFFICIAL (COBB COUNTY )

Consider the health problems that you see in the community in which you live. Choose one that is most critical and interesting to you. Then, collaborate with a local public health department or state public health department professional to determine what their priorities are. For example, if your health priority is related to teen obesity, contact a school nurse. Use the interaction template to guide your conversations.

The purpose of the collaboration is to determine what the priorities are with regard to health problems, the actions that the health professionals have already taken to mitigate these priorities in the past 5 to 10 years, and the role that social determinants play. If the officials you talk to have differing critical health issues from the one you identified, you may choose the problem you had previously identified or a health priority that was identified as a priority by your local public health official and state public health official during your conversations.

Use the Interaction Template to record the names of the people you collaborated with, their positions, responses to your questions, and a summary of what you learned. The Interaction Template will also help to guide your conversation.

STEP 2: LOCATE HEALTH DATA

Using the sources of data listed in the resource grid or other reputable and applicable sources of health data, locate data from multiple sources to support your selected health priority. Be sure to locate data both locally (within the community, county, or state) and from the national perspective. If your selected health priority does not have ample data to support it, consider focusing on a different health priority.

Verifying a Health Problem Within the Community

WRITE A PAPER THAT INCLUDES THE FOLLOWING:

The health problem being addressed by primary prevention that will be the focus of your practicum project (i.e.., an issue that is being actively prevented before it occurs)

The specific population within your community that is particularly affected by the problem and the multiple demographics that help to focus your population (e.g., vaccination compliance in 3-year-olds who attend preschool or obesity in middle-aged Hispanic men)

A description of the population’s social determinants and health behaviors that may be affecting health outcomes

  • How the collaboration informed your selection of the public health problem

A list of the sources of data that you consulted regarding your health priorities, along with a summary of each source and the data gleaned from it. Include a comparison between local and national data

PH4001

Interaction Form

Local or State Health Department

Name:   Date:

Health Professional Name:

Health Professional Position:

Use the following topics to guide your discussion with a local or state public health official.

Topic 1:

Priorities and problems: What are the priorities of the health department?

 

Topic 2:

Interventions: What interventions has the health department implemented in the past 5 to 10 years?

 

Topic 3:

Social determinants of health: How has the health department addressed issues of social determinants of health?

 

Summary:

 

PH4001

Interaction Form

Health Worker

Name:   Date:

Health Professional Name:

Health Professional Position:

Use the following topics to guide your discussion with a public health official.

Topic 1:

Priorities and problems: What are the priorities of the health department?

 

Topic 2:

Interventions: What interventions has the health department implemented in the past 5 to 10 years?

 

Topic 3:

Social determinants of health: How has the health department addressed issues of social determinants of health?

 

Summary:

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NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Paper Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion AssignmentNURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Paper Assignment Brief

Course: Role of the Nurse Leader in Population Health

Assignment Title: NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment

Assignment Instructions Overview

This assignment is designed to provide an in-depth understanding of the role of the nurse leader in addressing population health. You will explore various public health concepts, engage with local health departments, and analyze community health data. The focus will be on identifying major health concerns within your community and developing effective intervention strategies using the Intervention Wheel framework. This assignment will also involve a critical review of expert insights through TED Talks and an application of theoretical knowledge to real-world scenarios.

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Understanding Assignment Objectives

The objectives of this assignment are to:

  • Identify and Analyze Community Health Issues: You will learn how to identify the top health concerns in your community by engaging with local health departments and understanding the data they provide.
  • Apply Public Health Nursing Tools: Utilize the Intervention Wheel and other tools to develop and implement interventions at the population level.
  • Critically Evaluate Expert Insights: Gain new perspectives by listening to TED Talks and applying innovative ideas to community health problems.
  • Develop Comprehensive Interventions: Create multi-level intervention strategies addressing health issues at both system and community levels.
  • Compare and Collaborate: Engage in discussions with peers to compare health issues across different communities and collaboratively develop intervention strategies.

The Student’s Role

As a student, you will take an active role in learning and applying public health nursing principles. Your responsibilities include:

  • Engaging with Course Materials: Thoroughly read the assigned chapters from Stanhope and Lancaster to understand the foundational concepts of public health nursing.
  • Interacting with Local Health Departments: Contact your local Department of Health to gather information on the top health concerns in your community, focusing on the tools and strategies used by community nurses.
  • Utilizing the Intervention Wheel: Apply the Intervention Wheel to develop strategies for addressing the identified health concerns.
  • Listening to Expert Talks: Watch Dr. Peter Attia’s TED Talk and reflect on the innovative approaches discussed, incorporating these insights into your intervention strategies.
  • Analyzing Community Health Data: Investigate local health data on tuberculosis (TB) or other prevalent issues using resources like CDC Wonder to compare incidence and prevalence with broader trends.
  • Developing and Discussing Interventions: Propose primary, secondary, and tertiary interventions to manage health issues, considering economic and social factors, and discuss these with your peers to refine your strategies.

Competencies Measured

This assignment is designed to assess the following competencies:

  • Analytical Skills: Evaluate community health data and compare it with county, state, and national data to understand health trends and disparities.
  • Communication Skills: Effectively communicate health concerns and intervention strategies to peers and public health professionals.
  • Critical Thinking: Critically assess health issues and develop innovative, evidence-based interventions to address them.
  • Application of Knowledge: Apply theoretical knowledge from course readings to real-world public health scenarios and interventions.
  • Cultural Competency: Understand and incorporate cultural and social factors in the development of health interventions, ensuring they are culturally sensitive and appropriate.

You Can Also Check Other Related Assessments for the NURS 4210 – Role of the Nurse Leader in Population Health Course:

NURS 4210 PH4001 Module 2 Pre-Assessment The Role of the Nurse Leader in Population Health Pre-Assessment Example

NURS 4210 PH4002 Identifying Health Problems Within Your Community Assignment Example

NURS 4210 PH4003 Community Assessment Practicum Assignment Example

NURS 4210 PH4004 Evidence-Based Practice in Public Health Nursing Paper Assignment Example

NURS 4210 PH4005 Evidence-Based Intervention Plan Practicum Presentation Assignment Example

NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Paper Example

Part 1 – Community Health Issues

Top Health Issue: Whooping Cough in Immigrant Children

In our community, whooping cough (pertussis) has emerged as a significant health concern, particularly impacting children in immigrant families. These families often reside in overcrowded conditions and exhibit hesitancy in seeking medical care, primarily due to cultural and language barriers, as well as concerns about immigration status. Addressing this issue at the population level necessitates a multifaceted approach by nurse leaders, who must utilize both individual and community-based strategies.

One effective strategy is community education and outreach. Nurse leaders can conduct educational sessions at community centers, schools, and places of worship to raise awareness about whooping cough, its symptoms, and the critical importance of vaccination. These sessions should employ culturally appropriate materials and translators to ensure that the message reaches non-English-speaking populations effectively. For instance, in neighborhoods with a high concentration of Spanish-speaking families, materials should be available in Spanish, and sessions should be led by bilingual healthcare workers (Stanhope & Lancaster, 2020).

Another crucial approach involves vaccination campaigns. Organizing mobile vaccination clinics in neighborhoods with high concentrations of immigrant families can make vaccines more accessible. This is particularly important in areas where transportation barriers exist. Partnering with local organizations to provide free or low-cost vaccinations can also help to reduce financial barriers that prevent families from seeking preventive care. For example, nurse leaders might collaborate with local schools and churches to set up vaccination clinics during community events, ensuring high visibility and participation.

Collaboration with community leaders is another essential component. Engaging community leaders and influencers to advocate for vaccination and regular health check-ups can significantly enhance trust and compliance within the community. By working with individuals who are respected within the community, such as religious leaders or local business owners, nurse leaders can disseminate health messages more effectively and foster a supportive environment for health interventions (Stanhope & Lancaster, 2020).

Utilizing the Intervention Wheel also provides a structured approach to addressing whooping cough at multiple levels. The Intervention Wheel highlights strategies such as policy development, community organizing, and individual case management. For instance, nurse leaders can advocate for policies that mandate vaccination for school entry or provide funding for public health initiatives targeting immigrant populations (Stanhope & Lancaster, 2020).

Comparison with Colleagues’ Observations

While some colleagues report similar issues related to infectious diseases in immigrant populations, others identify different health concerns such as diabetes, obesity, or substance abuse. These variations highlight the diverse health challenges faced by different communities, underscoring the need for tailored interventions. For example, in a neighboring community, a colleague might observe a high prevalence of childhood obesity and implement nutrition education programs and physical activity initiatives in schools.

System and Community Level Interventions

To address whooping cough and other health problems, it is crucial to implement interventions at both the system and community levels. System-level interventions might include advocating for improved healthcare access and vaccination programs, such as policies that ensure all children, regardless of immigration status, have access to free vaccinations. Community-level interventions involve direct engagement with the affected populations to promote healthy behaviors and increase vaccination rates. For instance, nurse leaders might work with local media to broadcast public service announcements in multiple languages about the importance of vaccination.

Dr. Peter Attia’s message on rethinking our approach to chronic diseases encourages us to consider innovative and proactive measures. For instance, using technology to track vaccination coverage and identify gaps in the community can enhance our intervention efforts. Implementing electronic health records (EHRs) that can flag children who are behind on their vaccinations and send reminders to parents is an example of such innovation (Attia, 2013).

References

Attia, P. (2013, March). What if we’re wrong about diabetes? [Video]. TED Conferences. https://www.ted.com/talks/peter_attia_what_if_we_re_wrong_about_diabetes

Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier.

Healthy People 2020. (2020). Foundation health measures: Disparities. https://www.healthypeople.gov/2020/about/foundation-health-measures/Disparities

Part 2 – An Epidemic in the Community

Analysis of Tuberculosis (TB) in the Community

Local TB Data Analysis

Using the CDC Wonder site, I investigated the incidence and prevalence of tuberculosis in our community. The data revealed a higher-than-expected prevalence of TB among migrant workers compared to county, state, and national averages. Specifically, the data indicated that the prevalence of TB in our community is 20% higher than the state average and 15% higher than the national average. This disparity underscores the urgent need for targeted public health interventions.

Scenario Analysis: Debbie’s Role

Steps for the BSN-Prepared Community Health Nurse

Debbie, a BSN-prepared community health nurse, should begin by conducting a comprehensive community health assessment. This assessment should gather detailed information about the affected population, including living conditions, access to healthcare, and cultural factors. For example, she should investigate the housing conditions of the migrant workers, which often include overcrowded living spaces that facilitate the spread of TB. Additionally, she should assess the workers’ access to healthcare services, which may be limited due to financial constraints and lack of health insurance (Stanhope & Lancaster, 2020).

Following the assessment, Debbie should develop a targeted intervention plan. This plan should include implementing TB screening programs in areas with high concentrations of migrant workers. Mobile health clinics can be deployed to conduct these screenings, ensuring that even those without transportation can access the service. Moreover, providing education on TB prevention and symptoms to both the affected community and the general public is crucial. Educational sessions should be conducted in multiple languages and culturally appropriate formats to ensure comprehension and compliance.

Enhancing access to healthcare is another critical step. Debbie should establish partnerships with local clinics and hospitals to ensure prompt diagnosis and treatment of TB cases. She should advocate for resources to support TB treatment, including medications and follow-up care. For instance, collaborating with local pharmacies to provide free or discounted TB medications can remove financial barriers for patients (Stanhope & Lancaster, 2020).

Economic and Social Considerations

Primary Interventions

Primary interventions focus on preventing TB infection through vaccination programs and public awareness campaigns. For example, initiating a community-wide campaign that promotes the BCG vaccine, particularly in high-risk areas, can significantly reduce the incidence of TB. Public awareness campaigns can utilize local media, social media, and community events to disseminate information about TB prevention and the importance of vaccination.

Secondary Interventions

Secondary interventions involve routine TB screening for high-risk populations, early diagnosis, and prompt treatment. Debbie can organize regular screening events at community centers and workplaces frequented by migrant workers. Early diagnosis can be facilitated by providing rapid TB testing kits and ensuring that positive cases receive immediate medical attention.

Tertiary Interventions

Tertiary interventions focus on comprehensive care and support for individuals diagnosed with TB to prevent complications and reduce the spread of the disease. This includes providing access to long-term treatment plans, nutritional support, and mental health services. For instance, Debbie can set up support groups for TB patients to address the psychological impact of the disease and promote adherence to treatment regimens (Stanhope & Lancaster, 2020).

Applicability to My Community

Similar interventions can be applied to my community, focusing on accessible healthcare services and robust public health education. Differences might include addressing language barriers more intensively and developing trust within diverse cultural groups. For example, in our community, where multiple languages are spoken, it might be necessary to employ a larger team of translators and cultural liaisons to effectively communicate with the population.

Unique Considerations

In my community, unique challenges such as higher population density and greater diversity in languages spoken may require additional resources for translators and culturally sensitive health materials. Additionally, addressing stigma associated with TB and ensuring confidentiality in healthcare settings will be crucial to encourage affected individuals to seek care. For example, implementing anonymous TB screening and treatment services can help reduce the fear of discrimination and social ostracism.

References

Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier.

CDC Wonder. (2020). Tuberculosis data. http://wonder.cdc.gov/

McKenna, M. (2015, March). What do we do when antibiotics don’t work anymore? [Video]. TED Conferences. https://www.ted.com/talks/maryn_mckenna_what_do_we_do_when_antibiotics_don_t_work_anymore

Detailed Assessment Instructions for the NURS 4210 PH4001 The Role of the Nurse Leader in Population Health Discussion Assignment

Description

Part 1 – Community Health Issues

To prepare for this assignment, the requirement includes reading the assigned chapters in your Stanhope and Lancaster text. Then, call the Department of Health or your local Public Health Department and speak to a nurse. Find out the top health concern(s) for your community. Please focus your attention on the unique tools that nurses who work in the community utilize to care for populations, including the Intervention Wheel.

Please listen to Dr. Attia’s Ted Talk in the resources for this week and then respond to the following questions:

  • Pick a top health issue in your community and describe some ways in which a nurse might improve this issue at the population level.
  • Are the problems that your colleagues are sharing the same as you are seeing in your communities, or are they different?
  • Help each other consider different aspects of intervention(s) at the system and community levels of care to address health problems in their own communities. Consider Dr. Attia’s profound message as you respond to your peers and think outside the box.

Resources Includes:

Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier.

  • Chapter 1, “Public Health Foundation and Population Health” (pp. 1-21)
  • Chapter 11, “Population-Based Public Health Nursing Practice: The Intervention Wheel” (pp. 231-254)
  • Chapter 31, “Health Equity and Care of Vulnerable Populations” (pp. 697-715)

http://wonder.cdc.gov/http://www.who.int/publicati…

https://www.ted.com/talks/larry_brilliant_wants_to…

https://www.ted.com/talks/peter_attia_what_if_we_r…

https://www.healthypeople.gov/2020/about/foundatio…

** On a side note, there has been an increase in whooping cough especially with minor children of immigrants within the community, who are reluctant to go to the doctor for check up or with illnesses. Most of these immigrants also tends to stay in overcrowded houses with sometimes over 4 families with kids living in a 2 bedrooms apartment.

Part 2 – An epidemic in the community

To prepare for this Assignment, visit the CDC Wonder site in this week’s resources. Investigate the incidence and prevalence of TB in your community. What information did you find? Analyze how your community compares to county, state, or national data for the same topic. Was the incidence and prevalence of each higher or lower than you expected?

Consider the following scenario: This is Debbie’s first year working as a nurse at the local health department in a rural county. Most of her days are spent in the clinic seeing clients who often do not have health insurance.

Over the past month, Debbie has noticed that several young Hispanic men have come to the health department, each diagnosed with tuberculosis. Debbie is concerned about what the outbreak of tuberculosis among the migrant workers could mean for the community. Through a community health profile, Debbie identifies the group of migrant farm workers as being at highest risk for contracting tuberculosis.

Using the Epidemiologic Triangle concept, consider the relationship among causal agents, susceptible persons, and environmental factors. Then, respond to the following:

  • As a BSN-prepared community health nurse, what steps should Debbie take next?
  • Considering economic and social considerations within the community, what are the primary, secondary, and tertiary interventions that Debbie might use in managing this outbreak?
  • Can similar interventions be applied to your community and its TB prevalence?
  • What considerations need to be addressed within your community that are different form Debbie’s community?

Resources:

Stanhope, M., & Lancaster, J. (2020). Public health nursing: Population-centered health care in the community (10th ed.). St. Louis, MO: Elsevier.

  • Chapter 6, “Environmental Health” (pp. 121-148)
  • Chapter 13, “Epidemiology” (pp. 269-298)
  • Chapter 14, “Infectious Disease Prevention and Control” (pp. 299-332)
  • Chapter 15, “Communicable and Infectious Disease Risks” (pp. 333-355)
  • Chapter 17, “Community as Client: Assessment and Analysis” (pp. 370-394)

https://ezp.waldenulibrary.org/login?qurl=https%3A…

http://wonder.cdc.gov/

https://www.ted.com/talks/maryn_mckenna_what_do_we…

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