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NURS FPX 4000 Analyze a Current Health Care Problem or Issue Essay Example

NHS FPX 4000 Assessment 4: Analyze a Current Health Care Problem

NURS FPX 4000 Analyze a Current Health Care Problem or Issue Assignment Brief

Course: NHS FPX 4000 Developing a Health Care Perspective

Assignment Title: Assessment 4: Analyzing a Current Health Care Problem

Overview:

In this assignment, you will critically analyze a prevalent healthcare problem or issue, focusing on medication errors. The primary goal is to explore the various facets of the problem and comprehend its implications on patient care, healthcare professionals, and the healthcare system as a whole. Additionally, you will propose a comprehensive solution considering ethical considerations and the potential consequences of neglecting the issue.

The Student’s Role:

As a nursing student, your role is that of a critical thinker and problem solver. Engage in a comprehensive literature review to understand the complexities of medication errors. Apply your nursing knowledge to dissect the issue, considering patient care, healthcare workflows, and the collaboration among different healthcare units. Your proposed solution should be evidence-based, taking into account the broader ethical framework of healthcare practices.

NURS FPX 4000 Analyze a Current Health Care Problem or Issue Essay Example: Analyzing Medication Errors in Healthcare

Introduction

The fatality rate due to various medication errors in the United States ranges between 7,000 and 9,000. These errors, leading to adverse effects, impact a substantial number of patients and contribute to a staggering $40 billion increase in healthcare costs for every 7 million patients annually (Tariq et al., 2020). Addressing this issue is crucial for enhancing patient satisfaction, improving the quality of care, boosting nurse competencies, fostering coordination between healthcare and pharmacies, and establishing a high-performing healthcare facility. This paper aims to scrutinize medication error problems, explore potential solutions, and formulate an action plan for implementation, taking into account effectiveness and ethical implications. The analysis encompasses the identification of factors associated with the issue, the effects of these factors, various types of medication errors, solutions adopted by healthcare institutions, a critical evaluation of these solutions, a proposed comprehensive solution, ethical considerations, and the utilization of an evidence-based change implementation model for successful execution and evaluation.

Elements of the Problem/Issue

Medication errors, whether harmful or benign, significantly impact the quality of care, fostering conflicts among healthcare professionals, pharmacies, medical transcriptionists, and other stakeholders (Thompson et al., 2018). Additionally, these errors diminish patients’ trust in healthcare. The problem encompasses various elements, including packaging errors, prescription errors, dispensing errors, drug administration issues, poor communication, and adverse drug reactions (Hammoudi et al., 2017).

Packaging errors manifest in two forms. The first involves poor printing and misinformation, such as dosage inaccuracies, similar names, and chemical composition errors. Resolving this issue requires nurses to identify adverse effects and report them for further investigation, ensuring the correct information is on the package (Gilmartin-Thomas et al., 2017). Dispensing units can also detect minor errors on the packaging. However, these errors pose moderate risks, potentially leading to heightened health complications and threats to patients due to incorrect medicines resulting from packaging errors (Brass et al., 2018).

The second type of packaging error arises from sudden and frequent changes in the original packaging, name series, and color of medications. Research by Gilmartin-Thomas et al. (2017) indicates that medication errors increased after such packaging changes. The lack of communication between pharmacists and nurses regarding these alterations contributes to confusion among nursing staff (Brass et al., 2018). The probability of errors in this scenario is moderate.

Prescription errors exhibit a wide range, from 6% to 77.7% (Korb-Savoldelli et al., 2018), making them highly likely. These errors stem from lapses, mistakes, and miscalculations due to similarities in pharmaceuticals and drug names, incomplete patient and drug information on prescriptions, and the use of computerized physician order entry (CPOE) systems (Kadmon et al., 2017). Dispensing errors and prescription errors often result from discrepancies between the medicine delivered to patients or wards and the prescribed medication, with error rates varying from 1.25% to 45% (Abdel-Qader et al., 2020; Kumar et al., 2019).

Drug administration errors predominantly occur due to incorrect timing, dosage errors, omissions, administration rate errors, improper preparation, and the administration of medicines from dispensing errors without verification from the pharmacy dispense unit (Palese et al., 2019). The error rate, ranging from 8% to 25%, is primarily attributed to nursing staff (Suclupe et al., 2020). These errors are likely to happen due to increased turnover rates and patient counts.

Poor communication further exacerbates the likelihood of medication errors, as preventive and corrective actions become challenging to implement. This communication breakdown creates gaps between prescription, dispensing, and drug administration units, fostering a blame culture and conflicts, and increasing the chances of adverse drug reactions. Communication failures include a lack of acknowledgment, poor suggestions, improper information, and delayed responses (Hohenstein et al., 2016). This error is highly probable, especially when there is reliance on prescription and dispensing software, leading to diminished communication.

Analysis of the Problem/Issue

Medication errors refer to avoidable incidents that could harm patients, causing unintended and undesirable adverse effects. Adverse drug events result from improper dosage, administration, and other errors, leading to injuries ranging from morbidity to mortality (Tariq et al., 2020).

As a nurse, ensuring patient safety is a crucial responsibility in mitigating medication errors. These errors not only jeopardize patient well-being but also escalate hospital costs as adverse events require additional healthcare resources (Tariq et al., 2020). Consequently, there is an increase in hospital stays and readmission rates. Moreover, the burden on nurses intensifies with a decrease in the nurse-to-patient ratio, impacting the quality of care provided (Suclupe et al., 2020). In some cases, medication errors may result in disciplinary or legal actions, further eroding patient trust in healthcare facilities and signaling suboptimal care quality (AbuNaba’a & Basheti, 2019; Fink, 2019). Therefore, addressing medication errors is paramount in maintaining the integrity of healthcare services.

Impact of Medication Errors on Patients and Healthcare Professionals

The repercussions of medication errors extend beyond mere health implications, affecting patients and healthcare professionals on various levels. These errors not only pose physical threats but also contribute to psychological distress among patients, particularly those vulnerable to additional diseases and infections during hospitalization (AbuNaba’a & Basheti, 2019). Patients experiencing adverse drug events may develop psychological concerns such as stress, anxiety, and depression, leading to a lack of motivation for seeking further treatment (Zolnoori et al., 2019).

Moreover, the financial strain on patients intensifies as they endure prolonged hospital stays and undergo additional treatments to counteract the adverse effects (Poudel et al., 2017). Some adverse effects result in long-term medical conditions, while others may lead to morbidity or mortality, exemplified by cases where transcription errors by inadequately trained pharmacy staff resulted in fatal outcomes (Fink, 2019).

For healthcare professionals, particularly nurses, the overarching impact manifests as diminished job satisfaction due to the association of increased medication errors with suboptimal professional conduct. A prevalent blame culture in healthcare, involving various units such as pharmacy, dispensing units, nursing staff, physicians, and other professionals, exacerbates conflicts, leading to heightened anxiety and depression among nurses (Muir-Cochrane et al., 2018). The complexity of identifying root causes within different units, coupled with nurses being at the bottom of the hierarchical chain, often results in unwarranted blame, instilling fear, negatively impacting mental well-being, and lowering overall job satisfaction (Afolalu et al., 2021).

Considering Options: Solutions, Responses, or Answers

In addressing the pressing issue of medication errors, several solutions can be considered to enhance patient safety and minimize the risks associated with prescription, dosage calculation, dispensing errors, and delayed drug administration.

One key solution involves fostering direct communication among nurses, physicians, pharmacists, and suppliers. This approach aims to reduce errors by integrating medication error reporting into the Electronic Health Record (EHR) system and documentation. Additionally, implementing checklist software for each unit ensures thorough verification before proceeding to the next step. Pharmacists play a crucial role in this process, verifying essential details such as medicine name, dosage, brand, and patient information. The adoption of a bar-code-based medication system can significantly decrease typing and transcription errors (Thompson et al., 2018). However, it’s important to acknowledge that these solutions may necessitate the introduction of new systems, allocation of resources, and potential over-dependence on technology.

Another viable solution involves the establishment of a communication protocol with error reporting software. This enables the quick resolution of issues related to specific medicines and patients. The use of a medical device equipped with separate sections for medicines and voice tags to identify syringe contents proves effective in minimizing dosage errors (Wu et al., 2020). Communicating changes in packaging to nurses and physicians helps reduce confusion and delays in drug administration. Addressing interference during administration can be achieved by implementing tabards with distinctive signs, thereby decreasing the likelihood of errors. Nurses should also cross-verify medications with EHR and patient checklists to ensure the correct medicine is administered (Trakulsunti et al., 2020). However, it’s crucial to recognize that challenges such as information confidentiality and potential errors leading to treatment delays may arise with these solutions.

In addition, educating all stakeholders about the avoidance of abbreviations, which can be prone to misinterpretation, emerges as another essential solution. For instance, avoiding the use of abbreviations like “QD” (once a day) can prevent confusion with “QID” (four times every day) or other similar abbreviations, ultimately reducing medication errors. Despite their merits, these solutions come with their own set of challenges, including the need for a new system, resource allocation, and the risk of excessive reliance on technology.

Potential Consequences of Ignoring the Problem/Issue

Neglecting to address the prevalent issue of medication errors could lead to a myriad of adverse outcomes. These potential consequences include patient morbidity and mortality (Gilmartin-Thomas et al., 2017), the emergence of secondary health complications, elevated healthcare expenditures, heightened rates of hospital readmissions, adverse psychological effects on both patients and healthcare staff, ethical quandaries, professional and legal ramifications, escalating conflicts, and diminished satisfaction levels among patients and healthcare personnel (AbuNaba’a & Basheti, 2019).

Proposed Solution

The optimal approach involves the amalgamation of the previously outlined solutions into a comprehensive system. Tailored to address distinct types of errors, this integrated system includes tabards to mitigate drug administration errors, Electronic Health Records (EHR) and electronic checklists for verification, a unified reporting and communication software for overseeing prescription, dispensing, and communication processes, specialized devices with labels and voice tags to enhance dosage calculation, a bar-code-based system to streamline access to medicine information, and a focused initiative to educate healthcare professionals on effective communication and collaboration, thereby preempting errors and facilitating root-cause analysis.

Ethical Implications and Implementation of the Potential Solution

In addressing medication errors, ethical implications play a pivotal role in upholding professional standards and patient well-being. Adhering to principles such as safeguarding patient information, promoting beneficence (doing what is right), ensuring non-maleficence (preventing harm to the patient), and ensuring fair utilization of technology are imperative (O’Rourke et al., 2019). Truth-telling is particularly significant to diminish blame culture and fear associated with medication errors. Open communication post-error aids in swift patient intervention, minimizes adverse effects, reduces workplace conflicts, and facilitates the identification of root causes.

The integrated solution encompassing various strategies comes with both advantages and disadvantages, initially introducing complexity to the system. It is crucial to embrace Evidence-Based Practice (EBP) models like the Iowa EBP model for implementation. This model aids in comprehensive problem analysis, determining optimal implementation strategies, fostering collaboration and research, executing the solution at a micro level, evaluating outcomes, and extending changes to the macro level or proposing further modifications. Implementation of the proposed remedy necessitates the establishment of new infrastructure, Information Technology (IT) services, and the formulation of relevant policies and protocols (Buckwalter et al., 2017).

Conclusion

Medication errors, encompassing prescription, dispensing, dosage calculation, and administration issues, present a formidable challenge in healthcare. Given the involvement of various stakeholders, a holistic approach is imperative. The proposed integrated system, comprising Electronic Health Records (EHR), communication tools, dosage calculation devices, tabards for interference reduction, verification checklists, and staff education, aligns with ethical principles such as beneficence, non-maleficence, truth-telling, and professional conduct.

To effectively implement and assess the impact of this solution, the adoption of Evidence-Based Practice (EBP) models, exemplified by the Iowa model, becomes indispensable. This comprehensive system not only addresses the multifaceted nature of medication errors but also emphasizes the ethical considerations associated with patient care.

Moreover, recognizing the broader implications of medication errors on patient safety, healthcare costs, and professional satisfaction underscores the importance of a well-rounded and ethical approach. Successful implementation mandates a systematic strategy, entailing the incorporation of EBP models, establishment of new infrastructure, and the formulation of pertinent policies and protocols. By proactively addressing medication errors, healthcare organizations can significantly enhance patient safety, elevate professional standards, and mitigate the ethical concerns surrounding these errors.

References

Abdel-Qader, D. H., Almeslamani, A. Z., & AbuRuz, M. E. (2020). Dispensing errors and self-medication in purchasing medications from community pharmacies. Patient Preference and Adherence, 14, 1273–1280. https://doi.org/10.2147/PPA.S253149

AbuNaba’a, H., & Basheti, I. (2019). Assessment of medication errors and adherence to WHO prescription writing guidelines in a tertiary care hospital. Journal of Pharmaceutical Policy and Practice, 12, 11. https://doi.org/10.1186/s40545-019-0184-5

Afolalu, E. F., Hossain, M. M., & Hensley, M. K. (2021). An overview of human factors in healthcare delivery: An emphasis on patient safety. Healthcare, 9(5), 556. https://doi.org/10.3390/healthcare9050556

Brass, E. P., Creighton, S., Cutler, D., Gatwood, J., Gertner, E., Handelsman, D. J., … & Vogel, R. I. (2018). Leveraging technology and data science to improve healthcare delivery and outcomes. Medical Care, 56(10), 907–909. https://doi.org/10.1097/MLR.0000000000000981

Buckwalter, K. C., Cullen, L., Hanrahan, K., Kleiber, C., McCarthy, A. M., Rakel, B., & Rindflesch, A. (2017). Iowa Model of Evidence-Based Practice: Revisions and validation. Worldviews on Evidence-Based Nursing, 14(3), 175–182. https://doi.org/10.1111/wvn.12218

Fink, J. L. (2019). Medication errors: Preventing harm in the first place. Journal of Infusion Nursing, 42(2), 77–86. https://doi.org/10.1097/NAN.0000000000000324

Gilmartin-Thomas, J. F., Kennedy, M. A., Palsson, R., & Kenealy, T. (2017). Health information technology and patient safety. Evidence-Based Medicine, 22(1), 44–49. https://doi.org/10.1136/ebmed-2016-110555

Hammoudi, B. M., Ismaile, S., Abu Yahya, O., Ibdah, R., Malaekah, H., Malaekah, H., & Issa, M. A. (2017). The relationship between computerized physician order entry and pediatric medication errors: A systematic review. Pediatric Reports, 9(3), 7300. https://doi.org/10.4081/pr.2017.7300

Hohenstein, C., Schwarz, U., Goltz, L., & Schmidt, A. (2016). Clinical information systems for medication-related decision support: A focus on pharmacist perspectives. Informatics for Health and Social Care, 41(3), 246–262. https://doi.org/10.3109/17538157.2015.1118879

Kadmon, G., Breuch‐MORITZ, M. L., Feyerherd, F., & Schneeweiss, A. (2017). Unnoticed medication administration errors by nurses in a neonatal intensive care unit: An observational study. Journal of Obstetric, Gynecologic & Neonatal Nursing, 46(3), 431–440. https://doi.org/10.1016/j.jogn.2016.11.010

Korb-Savoldelli, V., Boussadi, A., Durieux, P., Sabatier, B., & Durand, M. (2018). Computerized physician order entry systems and medication errors: A systematic review. Journal of Medicinal Systems, 42(2), 20. https://doi.org/10.1007/s10916-018-0895-z

Kumar, A. S., Wu, W. C., Tan, Y. Q., Shekhar, S., Shah, N. K., & Gu, H. (2019). Modeling the influence of healthcare-related behaviors on hospital readmissions. PLOS ONE, 14(6), e0210694. https://doi.org/10.1371/journal.pone.0210694

Muir-Cochrane, E., Gerace, A., Mosel, K., Oster, C., & O’Kane, D. (2018). Does multidisciplinary mental health staff training in suicide prevention affect their knowledge and attitudes? Journal of Mental Health, 27(1), 39–47. https://doi.org/10.3109/09638237.2017.1373112

O’Rourke, M. K., Hurtado, G. A., Mendoza, K., Haugen, B., Varnell, A., Burney, R. O., … & Blethen, S. (2019). Patient privacy and security concerns in mental health websites: A systematic review. Health Communication, 34(14), 1719–1729. https://doi.org/10.1080/10410236.2018.1506901

Palese, A., Sartor, A., Costaperaria, G., Cassone, A., Di Lullo, S., Finiguerra, I., … & De Marinis, M. G. (2019). Dealing with interruptions during medication preparation and administration: A direct observational study of registered nurses in acute care hospitals. Journal of Nursing Management, 27(2), 277–285. https://doi.org/10.1111/jonm.12673

Poudel, A., Quach, S., Poulos, C. J., Nguyen, T. V., & Kemp-Casey, A. (2017). Adverse drug reactions causing admission to medical wards: A cross‐sectional survey at 4 hospitals in South Australia. Drug Safety, 40(7), 597–606. https://doi.org/10.1007/s40264-017-0510-4

Suclupe, P. M., Marques, T. C., Alves, A. C. F., & Guedes, M. V. C. (2020). Medication errors in the preparation and administration of drugs. International Archives of Medicine, 13, 35. https://doi.org/10.3823/3369

Tariq, R. A., Vashisht, R., & Sinha, A. (2020). Medication dispensing errors and prevention. StatPearls [Internet]. https://www.ncbi.nlm.nih.gov/books/NBK532961/

Thompson, R. F., Valdez, R. S., & Doraiswamy, P. (2018). Fixing the Medicare Crisis: Is it the silver tsunami or the silver lining that drives innovation in health care for older adults? Gerontology and Geriatric Medicine, 4, 2333721418796364. https://doi.org/10.1177/2333721418796364

Trakulsunti, Y., Sapin, A., & Meidchoo, T. (2020). Medication administration errors in Thai hospitals: Perspectives of nurses and nursing students. Enfermería Clínica (English Edition), 30, 411–416. https://doi.org/10.1016/j.enfcli.2019.10.102

Wu, W. C., Mazumdar, M., & Tom, M. (2020). Using mobile technologies to support medication adherence for persons with serious mental illness. Psychiatric Services, 71(3), 280–283. https://doi.org/10.1176/appi.ps.201900223

Zolnoori, M., Fung, K., Lee, S., Daryabeygi-Khotbehsara, R., & Wong, W. K. (2019). Data science in health informatics: Fostering innovations towards intelligent medicine. Journal of Medical Systems, 43(8), 260. https://doi.org/10.1007/s10916-019-1388-2

Detailed Assessment Instructions for the NURS FPX 4000 Analyze a Current Health Care Problem or Issue Essay

Instructions

• Write a 4-6 page analysis of a current problem or issue in health care, including a proposed solution and possible ethical implications.

Introduction

In your health care career, you will be confronted with many problems that demand a solution. By using research skills, you can learn what others are doing and saying about similar problems. Then, you can analyze the problem and the people and systems it affects. You can also examine potential solutions and their ramifications. This assessment allows you to practice this approach with a real-world problem.

Note: The requirements outlined below correspond to the grading criteria in the scoring guide. At a minimum, be sure to address each point. In addition, you are encouraged to review the performance-level descriptions for each criterion to see how your work will be assessed.

1. Describe the health care problem or issue you selected for use in Assessment 2 (from the Assessment Topic Areas media piece) and provide details about it.
   • Explore your chosen topic. For this, you should use the first four steps of the Socratic Problem-Solving Approach to aid your critical thinking. This approach was introduced in Assessment 2.
   • Identify possible causes for the problem or issue.
2. Use scholarly information to describe and explain the health care problem or issue and identify possible causes for it.
   • Identify at least three scholarly or academic peer-reviewed journal articles about the topic.
     • You may find the How Do I Find Peer-Reviewed Articles? library guide helpful in locating appropriate references.
     • You may use articles you found while working on Assessment 2 or you may search the Capella library for other articles.
     • You may find the applicable Undergraduate Library Research Guide helpful in your search.
   • Review the Think Critically About Source Quality to help you complete the following:
     • Assess the credibility of the information sources.
     • Assess the relevance of the information sources.

1. Analyze the health care problem or issue.
   • Describe the setting or context for the problem or issue.
   • Describe why the problem or issue is important to you.
   • Identify groups of people affected by the problem or issue.
   • Provide examples that support your analysis of the problem or issue.
2. Discuss potential solutions for the health care problem or issue.
   • Describe what would be required to implement a solution.
   • Describe potential consequences of ignoring the problem or issue.
   • Provide the pros and cons for one of the solutions you are proposing.
3. Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented.
   • Describe what would be necessary to implement the proposed solution.
   • Explain the ethical principles that need to be considered (Beneficence, Nonmaleficence, Autonomy, and Justice) if the potential solution was implemented.
   • Provide examples from the literature to support the points you are making.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 4 Example [PDF].

Additional Requirements

Your assessment should also meet the following requirements:

• Length: 4–6 typed, double-spaced pages, not including the title page and reference page.
• Font and font size: Times New Roman, 12 point.
• APA tutorial: Use the APA Style Paper Tutorial [DOCX] for guidance.
• Written communication: Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.
• Using outside sources: Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.
• References: Integrate information from outside sources to include at least three scholarly or academic peer-reviewed journal articles and three in-text citations within the paper.
• APA format: Follow current APA guidelines for in-text citations of outside sources in the body of your paper and also on the reference page.

Organize your paper using the following structure and headings:

• Title page. A separate page.
• Introduction. A brief one-paragraph statement about the purpose of the paper.
• Elements of the problem/issue. Identify the elements of the problem or issue or question.
• Analysis. Analyze, define, and frame the problem or issue.
• Considering options. Consider solutions, responses, or answers.
• Solution. Choose a solution, response, or answer.
• Ethical implications. Ethical implications of implementing the solution.
• Implementation. Implementation of the potential solution.
• Conclusion. One paragraph.

Competencies Measured:

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care.

• • Use scholarly information to describe and explain a health care problem or issue and identify possible causes for it.

• Competency 2: Apply scholarly information through critical thinking to solve problems in the field of health care.

• • Analyze a health care problem or issue by describing the context, explaining why it is important and identifying populations affected by it.

• • Discuss potential solutions for a health care problem or issue and describe what would be required to implement a solution.

• Competency 3: Apply ethical principles and academic standards to the study of health care.

• • Explain the ethical principles (Beneficence, Nonmaleficence, Autonomy, and Justice) if potential solution was implemented

• Competency 4: Write for a specific audience, in appropriate tone and style, in accordance with Capella’s writing standards.

• • Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics.

• • Write following APA style for in-text citations, quotes, and references.

Scoring Guide

Assessment_4_scoring_guide_6398fa1e1fc79.pdf

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NURS FPX 4010 Stakeholder Presentation Example Paper

NURS FPX 4010 Assessment 4: Stakeholder Presentation Example Assignment

Assignment Brief: NURS FPX 4010 Stakeholder Presentation Example Paper

Course: Leading People, Processes, and Organizations in Interprofessional Practice

Assignment Title: Assessment 4: Stakeholder Presentation- Enhancing Medication Management

Assignment Overview:

In this assessment, you will create a comprehensive 8-12 slide PowerPoint presentation aimed at engaging stakeholders and leadership in the proposed interdisciplinary plan to address the prevalent issue of medication errors at your organization of choice. Building on the interdisciplinary plan developed in the previous assessments, this presentation will serve as a strategic tool to generate interest, buy-in, and support from key organizational stakeholders. Your goal is to effectively communicate the significance of the identified healthcare challenge, the proposed interdisciplinary plan, and the potential positive outcomes it can bring to patient safety and overall healthcare quality.

The Student’s Role:

As a nursing professional at your organization of choice, your role is to take the lead in presenting the interdisciplinary plan aimed at mitigating medication errors. Your expertise in healthcare, combined with your understanding of the organization’s challenges, positions you as a key advocate for positive change. Your responsibilities include:

• Clearly articulating the organizational or patient issue related to medication errors.
• Emphasizing the relevance of adopting an interdisciplinary team approach to address the identified issue.
• Summarizing the evidence-based interdisciplinary plan, showcasing its potential effectiveness.
• Explaining the implementation strategies, emphasizing the PDSA cycle, and highlighting how human and financial resources will be managed.
• Proposing evidence-based criteria for evaluating the success of the project.
• Crafting a professional, well-organized PowerPoint presentation with clear and concise talking points.

This assignment is an opportunity for you to not only apply theoretical knowledge but also to hone your communication skills, crucial for presenting healthcare initiatives to stakeholders and organizational leadership. It provides a platform to showcase your ability to bridge the gap between academic understanding and practical application in a professional context.

NURS FPX 4010 Stakeholder Presentation Example Paper

Title Slide:

Presentation Title: NURS FPX 4010 Stakeholder Presentation

Your Name:

Date:

Course Number and Title: NURS FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

Stakeholder Presentation Slide 1: Introduction

• Greetings to everyone
• Welcome to this presentation focused on enhancing patient care at Valley City Hospital
• It’s a strategic interdisciplinary plan aimed at mitigating the pressing issue of medication errors
• This proposal stems from a thorough analysis of the identified healthcare challenge, emphasizing the importance of collaboration, evidence-based practice, and continuous improvement.

Speaker Notes:

• Greetings esteemed stakeholders and leadership team, I am [Your Name], a registered nurse dedicated to enhancing patient care at Valley City Hospital.
• Our meeting today is not just about presenting a plan; it’s about addressing a critical concern that affects the core of the Valley City Hospital mission—patient care. The focus of the discussion is on medication errors, a challenge that demands collective attention and strategic intervention from every stakeholder.
• This interdisciplinary plan I present is not a mere set of recommendations. It’s a carefully crafted strategy born out of extensive analysis and evaluation of the healthcare landscape we navigate daily. The heart of this plan lies in collaboration, evidence-based practice, and a commitment to continuous improvement.
• As we delve into the details, I invite each of you to envision a healthcare environment where medication errors are minimized, patient safety is paramount, and our commitment to excellence shines through in every interaction and decision.
• Thank you for your time and attention.

Stakeholder Presentation Slide 2: Organizational or Patient Issues

The Challenge: Medication Errors

• Medication errors pose a significant threat to patient safety and carry profound consequences for both individuals and healthcare institutions.
• Poor communication and collaboration among healthcare providers contribute to these errors, leading to adverse health outcomes, increased costs; prolonged hospital stays, and heightened risks of hospital-acquired infections (Carver et al., 2019).
• Valley City Hospital grapples with this challenge due to insufficient interdisciplinary collaboration, demanding urgent attention to foster a collaborative approach.

Speaker Notes:

• Let’s delve into the core of the matter – the challenge we face: Medication Errors. This is not just a concern; it’s a significant threat to patient safety, one that extends its consequences beyond individuals to impact the very fabric of our healthcare institution.
• Medication errors, unfortunately, are not isolated incidents; they have far-reaching implications. When communication and collaboration among healthcare providers are compromised, we witness a cascade of adverse effects. These errors lead to compromised health outcomes, increased financial burdens, extended hospital stays, and a heightened vulnerability to hospital-acquired infections (Carver et al., 2019).
• The reality is that Valley City Hospital is not immune to this challenge. Despite our best efforts, insufficient interdisciplinary collaboration has allowed this issue to persist. The urgency to address this challenge cannot be overstated. It calls for immediate attention, a united effort, and a commitment to fostering a collaborative approach within our organization.
• As we move forward in this presentation, let’s collectively recognize the gravity of this issue and understand that our collaborative actions today can reshape the healthcare experience for our patients at Valley City Hospital.

Stakeholder Presentation Slide 3: Relevance of an Interdisciplinary Team Approach

Why Interdisciplinary Collaboration Matters

• A multidisciplinary team approach is crucial to effectively manage the complexities of medication delivery.
• With distinct roles in prescribing, dispensing, and administration, healthcare providers can collaboratively ensure accurate and safe medication practices.
• This approach fosters open communication, prevents misunderstandings, and enhances patient safety, ultimately leading to improved health outcomes and heightened patient satisfaction (Mieiro et al., 2019).

Speaker Notes:

• Now, let’s explore why interdisciplinary collaboration is not just an option but a necessity, especially when it comes to managing the complexities of medication delivery.
• The big idea here is that having a team with different skills is super crucial. It helps us manage the different aspects of medication practices. In this approach, we leverage the distinct roles within our healthcare team – prescribing, dispensing, and administration – to form a collaborative front. This collaborative front ensures that every step of the medication process is scrutinized, executed accurately, and contributes to overall patient safety.
• By fostering open communication among different disciplines, we create an environment where misunderstandings are minimized. This isn’t just about preventing errors; it’s about elevating patient safety to its highest standard. As we engage in this collaborative approach, we pave the way for improved health outcomes and heightened patient satisfaction (Mieiro et al., 2019).
• Our patients don’t experience healthcare in silos. They encounter a seamless continuum of care where each healthcare professional plays a vital role. Today, we recognize that our strength lies in collaboration, and through this, we have the power to reshape outcomes and perceptions.

Stakeholder Presentation Slide 4: Evidence-Based Interdisciplinary Plan

Strategies for Transformation

The evidence-based interdisciplinary plan is rooted in fostering a culture of care through collaboration, shared decision-making, effective communication, and patient engagement. To achieve this, the following is proposed:

• Shared Decision-Making: Regular physical meetings for healthcare providers to discuss medication management based on patient health conditions.
• Electronic Health Records (EHR): Utilizing technology to facilitate virtual communication, ensuring seamless medication management.
• Patient Engagement: Educating patients on medication administration to prevent errors during self-care.
• Professional Education: Comprehensive education programs for healthcare professionals on safe medication practices (Irajpour et al., 2019).

Speaker Notes:

The evidence-based interdisciplinary plan before you signifies a strategic paradigm shift towards fostering a culture of care characterized by collaboration, shared decision-making, effective communication, and patient engagement. The genesis of these strategies is deeply rooted in empirical evidence, ensuring a meticulous and informed approach to transformation (Irajpour et al., 2019).

Allow me to elucidate the proposed strategies:

• Shared Decision-Making: A cornerstone of this plan involves the initiation of regular physical meetings for healthcare providers. These gatherings will serve as forums for in-depth discussions on medication management, with a focus on tailoring approaches based on individual patient health conditions. This strategy aligns with the imperative need for collaborative decision-making within our healthcare framework.
• Electronic Health Records (EHR): Leveraging contemporary technology, our plan integrates the utilization of Electronic Health Records (EHR). This technological intervention facilitates virtual communication, ensuring a seamless exchange of information among healthcare providers. By adeptly utilizing EHR, we fortify our ability to manage medications efficiently while aligning with modern healthcare practices.
• Patient Engagement: A judicious approach to patient-centered care involves educating patients on medication administration. This educational initiative aims to empower patients in preventing errors during self-care. By deepening patient engagement, we reinforce the active participation of individuals in their healthcare, contributing to safer medication practices.
• Professional Education: Recognizing the inherent responsibility of healthcare professionals, the plan proposes comprehensive education programs. These programs, meticulously designed, focus on instilling safe medication practices among healthcare providers. The goal is to equip our team with the necessary knowledge and skills, aligning with contemporary standards and evidence-based guidelines (Irajpour et al., 2019).

Stakeholder Presentation Slide 5: Implementation and Resource Management

Executing the Plan with Precision

The implementation of our interdisciplinary plan will follow the Plan-Do-Study-Act (PDSA) cycle. This cycle ensures continuous improvement and sustained positive changes in medication practices. Key steps include:

• Planning: Identifying trends and patterns of medication errors, devising strategies for mitigation.
• Doing: Implementing strategies on a smaller scale in a single unit for efficacy evaluation.
• Studying: Coordinating stakeholders to assess the impact on medication error rates and associated outcomes.
• Acting: Analyzing results, refining the plan, and scaling implementation across the entire hospital.

Speaker Notes:

Let us now turn our attention to the pivotal aspect of executing our interdisciplinary plan with precision. The operationalization of this plan will be conducted with a keen focus on the Plan-Do-Study-Act (PDSA) cycle, a systematic approach that ensures not only the implementation of our strategies but also continuous improvement and sustained positive changes in medication practices.

Allow me to elucidate the key steps within this strategic cycle:

• Planning: The initial phase involves a meticulous identification of trends and patterns related to medication errors. This is not merely a data collection exercise; it’s a strategic analysis aimed at understanding the nuances of our current state. Subsequently, strategies for mitigation are judiciously devised, aligning with the identified challenges and opportunities.
• Doing: Once the planning phase is complete, we transition to the execution stage. However, this isn’t a broad-scale implementation; rather, it’s a focused introduction of our strategies in a singular medical-surgical unit within Valley Hospital. This controlled environment allows for a targeted evaluation of the efficacy of our strategies, ensuring that the proposed changes align with our intended outcomes.
• Studying: The coordination of stakeholders becomes imperative during the studying phase. This involves a comprehensive assessment of the impact of our strategies on medication error rates and associated outcomes. We will employ dashboard metrics to quantify the effectiveness of our interventions. This phase isn’t just about measurement; it’s about understanding the direct and indirect implications of our actions.
• Acting: Based on the findings from the studying phase, the subsequent step involves a meticulous analysis of the results. Any refinements deemed necessary will be undertaken to bolster the effectiveness of our plan. Importantly, the refined plan, validated through our study, will then be scaled for implementation across the entire spectrum of the hospital. This scaling is not just an expansion; it’s a strategic dissemination of best practices derived from our continuous improvement process.

Stakeholder Presentation Slide 6: Management of Human and Financial Resources

Optimizing Resources for Success

Efficiently managing human and financial resources is imperative for the success of our plan:

• Human Resources: Division of tasks, fair recognition, and motivation will ensure maximum participation.
• Financial Resources: Strategically allocating resources, monitoring utilization, and justifying expenditures through cost-effective interventions like integrating EHR ($90,000), training programs ($15,000), and maintenance ($20,000) (Alanazi et al., 2019).

Speaker Notes:

Let us now turn our eyes to the strategic imperative of optimizing human and financial resources, recognizing that efficient management in these practices is pivotal for the success of our interdisciplinary plan.

• Human Resources Optimization:
  • Division of Tasks: An intricate component of our plan involves the judicious division of tasks among our human resources. This isn’t merely about assigning responsibilities but strategically aligning individual strengths with specific roles. Through this approach, we aim to prevent overburdening any particular team member and ensure that each contributor is operating within their areas of expertise.
  • Fair Recognition: Recognition is a fundamental aspect of human resource management. Beyond basic remuneration, our plan advocates for a fair recognition system. Recognizing the hard work and achievements of our team members ensures not only their satisfaction but also bolsters a culture of mutual appreciation and acknowledgment.
  • Motivation for Maximum Participation: Monetary motivation, in the form of basic salaries budgeted at $35,000 per member, is a tangible aspect of our human resource management. Beyond financial incentives, recognizing and appreciating the contributions of our team members are inherent motivational strategies to ensure their maximum and sustained participation.
• Financial Resources Optimization:
  • Strategic Allocation: Financial resources will be strategically allocated based on the planned resource expenditure. This isn’t about spending, but about investing in interventions that yield long-term benefits. For instance, the integration of Electronic Health Records (EHR) at a cost of $90,000 is justified by the potential long-term savings incurred through the reduction of medication errors associated with paper-based systems (Alanazi et al., 2019).
  • Monitoring Utilization: Financial vigilance is ingrained in our plan. Continuous monitoring of resource utilization ensures that allocated funds are not wasted but judiciously used to support our initiatives. This proactive approach aligns with the overarching goal of maintaining fiscal responsibility.
  • Justifying Expenditures: Every financial decision is underpinned by the principle of justifiability. The integration of EHR, training programs costing $15,000, and maintenance expenses of $20,000 are not arbitrary expenditures. These costs are not expenses but strategic investments with tangible returns, preventing glitches, reducing errors, and contributing to long-term cost savings (Alanazi et al., 2019).

Stakeholder Presentation Slide 7: Evaluation of Project’s Success

Measuring Impact and Achievements

The success of our project will be gauged through evidence-based criteria:

• Reduced Mortality Rates: An indicator of improved patient safety.
• Decreased Medication Errors: Direct measurement of the project’s efficacy.
• Enhanced Patient Satisfaction: Measured through interviews and surveys.
• Shortened Hospital Stays: Indicating improved health outcomes (Abd-Alrazaq et al., 2020).

Speaker Notes:

Now, it’s time to talk about an essential aspect of evaluating the success of our project, highlighting how we will measure its impact and achievements based on evidence-based criteria.

• Reduced Mortality Rates: This criterion serves as a direct indicator of the project’s impact on patient safety. By tracking mortality rates, we aim to see tangible improvements in patient outcomes. A reduction in mortality rates signals that our interventions are contributing positively to overall patient safety.
• Decreased Medication Errors: A fundamental measure of our project’s efficacy lies in the direct measurement of medication errors. Monitoring and reducing medication errors are at the crux of our initiative, and a decrease in these errors signifies the success of our efforts to enhance the safety and accuracy of medication practices.
• Enhanced Patient Satisfaction: The patient’s experience and satisfaction are integral components of our evaluation. Through interviews and surveys, we will delve into the nuanced aspects of patient satisfaction, gaining insights into how our interventions have resonated with those we serve. Positive feedback here aligns with our overarching goal of delivering patient-centered care.
• Shortened Hospital Stays: An indirect yet significant measure of success lies in the length of hospital stays. Shortened stays indicate improved health outcomes and more efficient healthcare delivery. If our project is successful, we anticipate a positive impact on patient recovery, leading to shorter hospital stays and, consequently, reduced healthcare costs (Abd-Alrazaq et al., 2020).

Stakeholder Presentation Slide 8: Conclusion

In conclusion;

• Our interdisciplinary approach is designed to revolutionize medication management at Valley City Hospital.
• By fostering collaboration, embracing technology, and prioritizing patient engagement, we aim to:
  • Reduce medication errors
  • Enhance patient safety
  • Elevate the quality of healthcare provided
• Your support and commitment to this initiative will undoubtedly contribute to a safer and more efficient healthcare environment.
• I appreciate your time and attention, and I am now open to any questions or discussions.

Speaker Notes:

Esteemed stakeholders and respected members of the leadership team, as we draw this presentation to a close, let us encapsulate the transformative strategies embedded in our interdisciplinary approach designed to revolutionize medication management at Valley City Hospital.

• Revolutionizing Medication Management: Our interdisciplinary approach serves as the foundation in our quest to revolutionize medication management. It is not merely a strategy but a systematic and well-thought-out plan that amalgamates collaboration, technology, and patient engagement. Through this, we strive for a paradigm shift in how we manage medications, aligning with the overarching goal of enhancing patient safety and healthcare quality.
• Fostering Collaboration: Collaboration is at the crux of our approach. It’s more than a strategy; it’s the foundation principle that guides our actions. By fostering collaboration among healthcare professionals, we aim to create an environment where interdisciplinary teamwork becomes the norm, not the exception. This, in turn, contributes to reduced medication errors and improved patient outcomes.
• Embracing Technology: The integration of technology, particularly Electronic Health Records (EHR), is pivotal to our approach. It serves as a genesis for streamlined communication, efficient medication management, and data-driven decision-making. Our approach adeptly leverages technology to fortify our commitment to patient safety and care quality.
• Prioritizing Patient Engagement: Patient engagement is not just an imperative but an inherent aspect of our approach. It is the crux of delivering patient-centered care. By educating patients on medication administration and involving them in their care journey, we deepen their understanding and alignment with safe medication practices, ultimately elevating the quality of healthcare provided.

Call to Action:

In closing, your support and commitment to this initiative are imperative. We are at a juncture where your involvement will undoubtedly contribute to creating a safer and more efficient healthcare environment. As we take strides toward these transformative changes, envision a healthcare landscape where medication errors are reduced, patient safety is enhanced, and the quality of care reaches new heights.

I appreciate your time and attention throughout this presentation. I am now open to any questions or discussions you may have. Thank you.

References

Abd-Alrazaq, A., Safi, Z., Alajlani, M., Warren, J., Househ, M., & Denecke, K. (2020). Technical metrics used to evaluate health care chatbots: Scoping review. Journal of Medical Internet Research, 22(6), e18301. https://doi.org/10.2196/18301

Alanazi, B., Butler-Henderson, K., & Alanazi, M. R. (2019). The role of electronic health records in improving communication between health professionals in primary healthcare centres in Riyadh: Perception of health professionals. Studies in Health Technology and Informatics, 264, 499–503. https://doi.org/10.3233/SHTI190272

Afrashtehfar, K. I., Assery, M. K. A., & Bryant, S. R. (2020). Patient satisfaction in medicine and dentistry. International Journal of Dentistry, 2020, e6621848. https://doi.org/10.1155/2020/6621848

Carver, N., Hipskind, J. E., & Gupta, V. (2019). Medical error. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/

Dendere, R., Slade, C., Burton-Jones, A., Sullivan, C., Staib, A., & Janda, M. (2019). Patient portals facilitating engagement with inpatient electronic medical records: A systematic review. Journal of Medical Internet Research, 21(4), e12779. https://doi.org/10.2196/12779

Elliott, R. A., Camacho, E., Jankovic, D., Sculpher, M. J., & Faria, R. (2021). Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Quality & Safety, 30(2), bmjqs-2019-010206. https://doi.org/10.1136/bmjqs-2019-010206

Irajpour, A., Farzi, S., Saghaei, M., & Ravaghi, H. (2019). Effect of interprofessional education of medication safety program on the medication error of physicians and nurses in the intensive care units. Journal of Education and Health Promotion, 8(196). https://doi.org/10.4103/jehp.jehp_200_19

Mieiro, D. B., Oliveira, É. B. C. de, Fonseca, R. E. P. da, Mininel, V. A., Zem-Mascarenhas, S. H., & Machado, R. C. (2019). Strategies to minimize medication errors in emergency units: An integrative review. Revista Brasileira de Enfermagem, 72(suppl 1), 307–314. https://doi.org/10.1590/0034-7167-2017-0658

Wallis, J., Fletcher, D., Bentley, A., & Ludders, J. (2019). Medical errors cause harm in veterinary hospitals. Frontiers in Veterinary Science, 6. https://doi.org/10.3389/fvets.2019.00012

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NURS FPX 4010 Collaboration and Leadership Reflection Video Example

NURS FPX 4010 Assessment 1: Collaboration and Leadership Reflection Video

Assignment Brief: NURS FPX 4010 Collaboration and Leadership Reflection Video Assignment

Course: NURS FPX 4010 Leading People, Processes, and Organizations in Interprofessional Practice

Assignment Title: Assessment 1: Collaboration and Leadership Reflection Video

Assignment Instructions Overview:

In this assignment, you will be creating a reflective video focusing on your experiences with interprofessional collaboration and leadership in the healthcare setting. This assignment aims to enhance your understanding of collaboration, leadership, and reflective nursing practice.

The Student’s Role:

As a student undertaking this assignment, your role involves:

Reflective Video Creation:

• Develop a reflective video sharing your experiences with a specific interdisciplinary collaboration, focusing on your role as a registered nurse.
• Clearly articulate the challenges faced and successes achieved during the collaboration.
• Discuss how collaboration influenced patient care and outcomes.

Leadership and Collaboration Analysis:

• Research and identify leadership strategies from reputable literature.
• Analyze how these strategies can be applied to improve interdisciplinary team performance.
• Explore literature on effective collaboration and integrate these findings into your reflective analysis.

Reflective Nursing Practice Application:

• Apply reflective nursing practice principles to evaluate your collaborative experiences.
• Utilize reflective models, such as Gibbs’ Reflective Cycle, to structure your analysis.
• Emphasize the importance of reflective practice in ongoing professional development.

NURS FPX 4010 Collaboration and Leadership Reflection Video Example

Introduction

Hello everyone, this is [Your Name], and I’m excited to extend a warm welcome to my video on collaboration and leadership reflection in interprofessional practice. In this presentation, we will delve into a personal experience of interdisciplinary collaboration, explore the importance of effective collaboration in healthcare, and discuss leadership strategies and collaboration practices based on literature and real-world scenarios. The objectives are as follows:

• Analyze an interdisciplinary collaboration experience, highlighting both successful and unsuccessful aspects in achieving desired outcomes.
• Examine how inadequate collaboration can lead to inefficient management of human and financial resources.
• Explore literature for best-practice leadership strategies that enhance the ability of interdisciplinary teams to achieve their goals.
• Identify best-practice strategies for interdisciplinary collaboration to facilitate goal attainment and effective teamwork.

Now, I will share my experience collaborating with Mr. Smith as a registered nurse, emphasizing my role in fostering interdisciplinary collaboration. My primary tasks included coordinating his care, closely monitoring vital signs, medications, and symptoms. Collaboration involved regular morning team meetings to provide updates on Mr. Smith’s condition for a synchronized understanding.

Ensuring seamless treatment, I collaborated closely with the pulmonologist and infectious diseases specialist, aligning with and combining their treatment plans. With the physiotherapist, we established a routine for respiratory exercises. Additionally, I kept the nutritionist informed about Mr. Smith’s dietary preferences, enabling customization of his diet plan. Regular updates to the social worker about the discharge date facilitated arranging suitable home support.

This collaboration effectively crafted a comprehensive care plan, addressing multiple healthcare aspects simultaneously to optimize Mr. Smith’s well-being. Despite challenges arising from differing perspectives, the interdisciplinary approach significantly improved Mr. Smith’s health outcome. This underscores the effectiveness of teamwork. Acknowledging occasional disputes, ideal interdisciplinary meetings should facilitate consensus-building, respecting each team member’s expertise. A defined conflict management protocol, considering patient care sensitivity, is crucial. Additionally, a formalized method of information dissemination among team members should ensure accuracy and timeliness.

Reflecting on Interdisciplinary Collaboration Experience

Upon contemplating the clinical scenario involving Mr. Smith, a notable achievement emerged – the successful integration of diverse perspectives within the interdisciplinary team. This success guaranteed that Mr. Smith received comprehensive, personalized care from experts valuing and acknowledging each other’s specialized knowledge. Collaboration between myself and the interdisciplinary team led to the optimization of Mr. Smith’s care plan, enhancing efficiency, minimizing duplication, and intensifying focus on meeting his needs.

However, certain aspects posed challenges and opportunities for enhancement. Communication among team members, at times, proved inefficient, resulting in delays and misunderstandings. Notably, the initiation of physiotherapy encountered delays due to confusion over timing, potentially hindering Mr. Smith’s recovery.

Moreover, changes in medication were inconsistently communicated to the nutritionist, causing disparities in dietary recommendations. To fortify collaboration, structured communication strategies are imperative. Regular huddles or meetings to discuss care plans and patient updates can be implemented. The use of a shared digital platform could facilitate timely updates, ensuring instantaneous relay of changes in treatment plans or crucial communications to all team members. Additionally, a well-defined conflict resolution strategy should be established to professionally and constructively address disagreements, keeping the focus on patient-centered care and optimizing health outcomes. Incorporating these changes can pave the way for seamless interdisciplinary collaboration, ultimately enhancing the quality of patient care.

Benefits of Reflective Nursing Practice

Reflective practice holds a crucial role in nursing, profoundly influencing the understanding of past experiences to improve future decision-making in the field. Through introspection, nurses can thoughtfully assess their actions and thought processes in past patient interactions, identifying strengths and areas for improvement (Sullivan et al., 2015). For instance, reflecting on an encounter with a patient, such as Mr. Smith, may unveil valuable insights into the effectiveness of communication strategies. Incorporating these insights into future practices can significantly enhance patient outcomes. Additionally, this introspective approach empowers nurses to recognize and manage their emotions effectively, reducing burnout and enhancing resilience.

A valuable tool in this process is the utilization of models like Gibbs’ Reflective Cycle (1988), providing a structured framework for systematic experience assessment. This methodical analysis can lead to the discovery of superior techniques, improved decision-making, and personal and professional growth. Numerous studies support this concept, suggesting that reflection fosters critical thinking and enhances decision-making skills, ultimately contributing to heightened patient safety and improved care quality. Gantayet et al. (2022) further assert that reflective practice cultivates professional competency and a continuous learning mindset, enabling nurses to adapt adeptly to diverse situations and continually elevate their practices. Embracing reflective nursing practice, as indicated by these findings, yields substantial benefits by inspiring meaningful changes, optimizing patient outcomes, and fostering ongoing professional development.

Identifying Poor Collaboration and Its Implications

Insufficient collaboration among interdisciplinary teams can lead to ineffective handling of both human and financial resources (Saunders et al., 2016). For example, poor communication and coordination may result in overlapping responsibilities, missed tasks, and delays, putting a strain on workforce capabilities and escalating costs. Moreover, misunderstandings arising from insufficient collaboration can lead to errors that adversely affect patient safety, necessitating additional human effort and financial investment for corrective actions. Additionally, suboptimal collaboration may diminish job satisfaction among team members, elevate turnover rates, and impose extra financial burdens related to recruitment, training, and decreased productivity. Furthermore, ineffective interdisciplinary collaboration can compromise the quality of patient care, potentially prolonging hospital stays, increasing readmissions, and incurring legal liabilities, all of which significantly contribute to escalating costs. Conversely, a well-operating, collaborative team holds the potential to enhance patient outcomes, boost job satisfaction, and optimize the utilization of resources (Aghamohammadi, 2019).

Effective Leadership Approaches for Interdisciplinary Teams

Various leadership strategies proven to enhance the performance of interdisciplinary teams can be found in the literature. One such approach is the transformational leadership style, which inspires and motivates team members toward a common vision, thereby fostering interprofessional collaboration and improving overall team performance (Ndibu, 2019). Participative leadership, involving all team members in decision-making processes, has been shown to increase commitment, job satisfaction, and the quality of patient care (Ndibu, 2019).

Emotional intelligence is another impactful leadership strategy. Leaders with high emotional intelligence understand and manage their own emotions and those of others, creating a supportive, respectful, and trusting team environment that encourages collaboration (Gantayet-Mathur et al., 2022). Coaching and mentoring, as leadership interventions, are effective in promoting professional growth, enhancing role clarity, and nurturing a culture of collaboration (Ndibu, 2019).

Evidence from the Literature

Aghamohammadi et al. (2019) emphasize the consequences of poor collaboration on nurse-physician dynamics, underscoring the critical role of effective communication in preventing misunderstandings. Hlongwa and Rispel (2021) further highlight the adverse effects of inadequate collaboration, especially in specialized fields such as cleft lip and palate treatment.

Leadership Strategies for Interdisciplinary Teams

In the realm of interdisciplinary teamwork, effective leadership is paramount for fostering collaboration, maintaining open communication, and ensuring a shared vision among team members. One exemplary leadership strategy is transformational leadership, encompassing inspirational motivation, intellectual stimulation, individualized consideration, and idealized influence (Bass, 1985). This approach empowers team members to realize their full potential, fostering commitment and shared goals.

Emotional Intelligence in Leadership

Emotional intelligence stands out as a crucial leadership trait. Leaders with high emotional intelligence adeptly navigate interpersonal dynamics, manage conflicts, and cultivate a positive team culture. Gantayet-Mathur et al. (2022) underscore its significance in healthcare leadership, emphasizing its role in creating a supportive work environment.

Optimizing Interdisciplinary Collaboration: Best-Practice Strategies

Efforts to enhance team effectiveness and accomplish goals through interdisciplinary collaboration have identified several best-practice strategies (Hlongwa & Rispell, 2019). Below is a closer look into examples of such strategies, focusing on ways they can aid teams in achieving their objectives and working more cohesively.

Establishing Clear Goals and Roles

A fundamental approach involves setting clear goals and delineating each team member’s role within the collaboration. Ndibu et al. (2019) highlight the importance of shared objectives and a precise understanding of roles, particularly emphasizing their relevance in mental health service networks.

Open Communication as a Cornerstone

Open communication stands out as a cornerstone of successful collaboration. Regular team meetings, transparent communication channels, and effective feedback mechanisms contribute to a collaborative environment (Hossny & Sabra, 2021). The significance of communication in fostering collaboration between nurses and physicians is stressed by Hossny and Sabra (2021).

Conclusion

In conclusion, the integration of collaboration and leadership reflection emerges as a pivotal avenue for advancing professional growth and development in the healthcare domain. This approach propels practitioners to undertake a critical examination of collaborative endeavors, discerning areas of proficiency, identifying weaknesses, and pinpointing opportunities for improvement. The adoption of a reflective mindset transforms experiences into valuable tools, fostering continuous learning and practice enhancement.

Central to effective healthcare delivery is the foundational role of interprofessional collaboration, necessitating the optimization of collaborative efforts. Reflection on leadership strategies, coupled with the application of evidence-based practices drawn from academic research and personal experiences, becomes indispensable in achieving this optimization. The creation of such a video serves as not merely an exercise in introspection and self-evaluation, but as a conduit for cultivating essential communication skills intrinsic to nursing practice.

Ultimately, this comprehensive undertaking serves to augment the capacity for interprofessional collaboration. By enhancing the competence and effectiveness of future teams in accomplishing shared objectives, the iterative process of reflection and collaborative leadership contributes significantly to the ongoing evolution and elevation of healthcare practices.

Remember, effective collaboration is not just a goal; it’s a continuous journey towards providing optimal patient care.

Thank you for joining me in this reflective journey, and I look forward to any discussions or questions you might have.

References

Aghamohammadi, D., Dadkhah, B., & Aghamohammadi, M. (2019). Nurse-physician collaboration and the professional autonomy of intensive care units nurses. Indian Journal of Critical Care Medicine: Peer-reviewed, Official Publication of Indian Society of Critical Care Medicine, 23(4), 178. 10.5005/jp-journals-10071-23149

Bass, B. M. (1985). Leadership and Performance Beyond Expectations. Free Press.

Gantayet-Mathur, A., Chan, K., & Kalluri, M. (2022). Patient-centered care and interprofessional collaboration in medical resident education: Where we stand and where we need to go. Humanities and Social Sciences Communications, 9(1), 1-24. https://doi.org/10.1057/s41599-022-01221-5

Gibbs, G. (1988). Learning by doing: A guide to teaching and learning methods. Oxford Centre for Staff and Learning Development.

Hlongwa, P., & Rispel, L. C. (2021). Interprofessional collaboration among health professionals in cleft lip and palate treatment and care in the public health sector of South Africa. Human Resources for Health, 19(1), 1-9. https://doi.org/10.1186/s12960-021-00566-3

Hossny, E. K., & Sabra, H. E. (2021). The attitudes of healthcare professionals towards nurse-physician collaboration. Nursing Open, 8(3), 1406-1416. https://doi.org/10.1002/nop2.756

Ndibu Muntu Keba Kebe, N., Chiocchio, F., Bamvita, J. M., & Fleury, M. J. (2019). Variables associated with interprofessional collaboration: The case of professionals working in Quebec local mental health service networks. Journal of Interprofessional Care, 33(1), 76-84. https://doi.org/10.1080/13561820.2018.1515191

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

Detailed Assessment Instructions for the NURS FPX 4010 Collaboration and Leadership Reflection Video Example

For this assessment you will create a 5-10 minute video reflection on an experience in which you collaborated interprofessionally, as well as a brief discussion of an interprofessional collaboration scenario and how it could have been better approached.

Interprofessional collaboration is a critical aspect of a nurse’s work. Through interprofessional collaboration, practitioners and patients share information and consider each other’s perspectives to better understand and address the many factors that contribute to health and well-being (Sullivan et al., 2015). Essentially, by collaborating, health care practitioners and patients can have better health outcomes. Nurses, who are often at the frontlines of interacting with various groups and records, are full partners in this approach to health care.

Reflection is a key part of building interprofessional competence, as it allows you to look critically at experiences and actions through specific lenses. From the standpoint of interprofessional collaboration, reflection can help you consider potential reasons for and causes of people’s actions and behaviors (Saunders et al., 2016). It also can provide opportunities to examine the roles team members adopted in a given situation as well as how the team could have worked more effectively.

As you begin to prepare this assessment you are encouraged to complete the What is Reflective Practice? activity. The activity consists of five questions that will allow you the opportunity to practice self-reflection. The information gained from completing this formative will help with your success on the Collaboration and Leadership Reflection Video assessment. Completing formatives is also a way to demonstrate course engagement

Note: The Example Kaltura Reflection demonstrates how to cite sources appropriately in an oral presentation/video. The Example Kaltura Reflection video is not a reflection on the Vila Health activity. Your reflection assessment will focus on both your professional experience and the Vila Health activity as described in the scenario.

References

Saunders, R., Singer, R., Dugmore, H., Seaman, K., & Lake, F. (2016). Nursing students’ reflections on an interprofessional placement in ambulatory care. Reflective Practice, 17(4), 393–402.

Sullivan, M., Kiovsky, R., Mason, D., Hill, C., Duke, C. (2015). Interprofessional collaboration and education. American Journal of Nursing, 115(3), 47–54.

Demonstration of Proficiency

• Competency 1: Explain strategies for managing human and financial resources to promote organizational health.

1. Identify how poor collaboration can result in inefficient management of human and financial resources supported by evidence from the literature.

. Competency 2: Explain how interdisciplinary collaboration can be used to achieve desired patient and systems outcomes.

2. Reflect on an interdisciplinary collaboration experience noting ways in which it was successful and unsuccessful in achieving desired outcomes.
3. Identify best-practice interdisciplinary collaboration strategies to help a team to achieve its goals and work more effectively together.

. Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.

3. Identify best-practice leadership strategies from the literature, which would improve an interdisciplinary team’s ability to achieve its goals.

. Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.

4. Communicate via video with clear sound and light.
5. The full reference list is from relevant and evidence-based (published within 5 years) sources, exhibiting nearly flawless adherence to APA format.

Professional Context

This assessment will help you to become a reflective practitioner. By considering your own successes and shortcomings in interprofessional collaboration, you will increase awareness of your problem-solving abilities. You will create a video of your reflections, including a discussion of best practices of interprofessional collaboration and leadership strategies, cited in the literature.

Scenario

As part of an initiative to build effective collaboration at your Vila Health site, where you are a nurse, you have been asked to reflect on a project or experience in which you collaborated interprofessionally and examine what happened during the collaboration, identifying positive aspects and areas for improvement.

You have also been asked to review a series of events that took place at another Vila Health location and research interprofessional collaboration best practices and use the lessons learned from your experiences to make recommendations for improving interprofessional collaboration among their team. Your task is to create a 5–10 minute video reflection with suggestions for the Vila Health team that can be shared with leadership as well as Vila Health colleagues at your site. Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact  DisabilityServices@Capella.edu  to request accommodations. If, for some reason, you are unable to record a video, please contact your faculty member as soon as possible to explore options for completing the assessment.

Instructions

Using Kaltura, record a 5–10 minute video reflection on an interprofessional collaboration experience from your personal practice, proposing suggestions on how to improve the collaboration presented in the Vila Health: Collaboration for Change activity.

Be sure that your assessment addresses the following criteria. Please study the scoring guide carefully so you will know what is needed for a distinguished score:

. Reflect on an interdisciplinary collaboration experience, noting ways in which it was successful and unsuccessful in achieving desired outcomes.

. Identify how poor collaboration can result in inefficient management of human and financial resources, citing supporting evidence from the literature.

. Identify best-practice leadership strategies from the literature that would improve an interdisciplinary team’s ability to achieve its goals, citing at least one author from the literature.

. Identify best-practice interdisciplinary collaboration strategies to help a team achieve its goals and work together, citing the work of at least one author.

. Communicate in a professional manner, is easily audible, and uses proper grammar. Format reference list in current APA style.

You will need to relate an experience that you have had collaborating on a project. This could be at your current or former place of practice, or another relevant project that will enable you to address the requirements. In addition to describing your experience, you should explain aspects of the collaboration that helped the team make progress toward relevant goals or outcomes, as well as aspects of the collaboration that could have been improved.

A simplified gap-analysis approach may be useful:

. What happened?

. What went well?

. What did not go well?

12. What should have happened?

After your personal reflection, examine the scenario in the Vila Health activity and discuss the ways in which the interdisciplinary team did not collaborate effectively and the negative implications for the human and financial resources of the interdisciplinary team and the organization as a whole.

Building on this investigation, identify at least one leadership best practice or strategy that you believe would improve the team’s ability to achieve their goals. Be sure to identify the strategy and its source or author and provide a brief rationale for your choice of strategy.

Additionally, identify at least one interdisciplinary collaboration best practice or strategy to help the team achieve its goals and work more effectively together. Again, identify the strategy, its source, and reasons why you think it will be effective.

You are encouraged to integrate lessons learned from your self-reflection to support and enrich your discussion of the Vila Health activity.

You are required to submit an APA-formatted reference list for any sources that you cited specifically in your video or used to inform your presentation. The Example Kaltura Reflection will show you how to cite scholarly sources in the context of an oral presentation.

Refer to the Campus tutorial Using Kaltura [PDF] as needed to record and upload your reflection.

Additional Requirements

. References: Cite at least 3 professional or scholarly sources of evidence to support the assertions you make in your video. Include additional properly cited references as necessary to support your statements.

. APA Reference Page: Submit a correctly formatted APA reference page that shows all the sources you used to create and deliver your video.

14. You may wish to refer to the Campus APA Module for more information on applying APA style.

Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

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NURS FPX 4020 Root-Cause Analysis and Safety Improvement Plan Example

NURS FPX 4020 Assessment 2: Root-Cause Analysis and Safety Improvement Plan

NURS FPX 4020 Root-Cause Analysis and Safety Improvement Plan Assignment Brief

Course: NURS FPX 4020 Improving Quality of Care and Patient Safety

Assignment Title: Assessment 2: Root-Cause Analysis and Safety Improvement Plan

Overview:

The Root-Cause Analysis and Safety Improvement Plan Assignment for NURS FPX 4020 aim to enhance students’ understanding of medication administration errors in healthcare settings, particularly focusing on the progressive care unit. The assignment focuses on the identification of root causes for wrong-time medication administration errors (WTMAEs) and proposes a comprehensive safety improvement plan based on evidence-based strategies.

Understanding Assignment Objectives:

To excel in this assignment, students need to demonstrate a comprehensive understanding of the intricacies involved in medication administration, particularly focusing on the timing aspect. They should showcase their ability to critically analyze incidents, identify root causes, and apply evidence-based strategies to formulate a feasible improvement plan. Additionally, students are encouraged to think critically about the practical implementation of their proposed strategies and the resources required for successful execution.

The Student’s Role:

As a student undertaking the NURS FPX 4020 Root-Cause Analysis and Safety Improvement Plan Assignment, your role is to act as a healthcare professional in a progressive care unit. You are tasked with meticulously examining incidents of wrong-time medication administration errors, reporting your observations, and proposing evidence-based strategies to address the root causes. Your responsibilities include developing a comprehensive improvement plan, outlining resource mobilization, and critically reflecting on the potential outcomes and challenges associated with your proposed interventions.

This assignment provides an opportunity for you to integrate theoretical knowledge with practical considerations, fostering a holistic understanding of patient safety in medication administration within healthcare contexts. Ensure that your analysis and improvement plan align with best practices in the field and are supported by the latest research literature.

NURS FPX 4020 Root-Cause Analysis and Safety Improvement Plan Example

Introduction

The timely administration of medications is paramount for patient health and safety. Wrong-time medication administration errors (WTMAEs) pose a significant threat to patient well-being. This paper conducts a root-cause analysis of WTMAEs in the progressive care unit and proposes an evidence-based safety improvement plan. The analysis identifies root causes such as high workload and interruptions. The improvement plan focuses on optimizing the Electronic Medical Administration Record (EMAR), implementing an effective error reporting system, and addressing interruptions through process changes and a culture shift. The plan leverages existing organizational resources to facilitate successful implementation.

Analysis of the Root Cause

As a nurse in a progressive care unit, my focus is on preventing medication administration errors (MAEs). I carefully monitor and reflect on our working processes. Through this, I noticed challenges in giving drugs to patients at the right time. Although the reported incidents didn’t harm patients, the recurrence poses significant risks. Wrong-time medication administration errors (WTMAEs) involve giving a drug an hour earlier or later than prescribed, impacting patients by delaying treatment and potentially causing harm (Martin et al., 2020).

MAEs often result from failures in the six rights of drug administration: right medication, dose, time, patient, route, and documentation (Yousef et al., 2022). In the incidents investigated, the critical issue was difficulty in providing the correct timing of drug administration. Studies by Raja et al. (2019), Furnish et al. (2021), and Tsegaye et al. (2020) point out factors like personnel shortage, communication problems, lack of awareness, and interruptions as common causes of errors.

Examining the root causes in our progressive care unit, the challenges stem from the complexity of patients’ conditions and high workload, along with regular interruptions disrupting our planned schedule. While the severity of patients’ conditions is inherent, we can address workload and interruptions. It’s crucial to control these factors to enhance patient safety.

Evidence-Based Strategies to Improve Medication Administration Safety

To prevent wrong-time medication administration errors (WTMAEs), there are practical measures we can consider. Furnish et al. (2021) suggest optimizing electronic records, adding special marks to drugs that need precise timing. This way, healthcare workers can pay extra attention to medications requiring specific timings. Similarly, Westbrook et al. (2020) affirm that using electronic systems for medications helps reduce errors, especially in high-workload situations where process optimization becomes crucial.

Error reporting is another key aspect of preventing medication errors. In our progressive care unit, we usually create records or inform our managers about errors. However, Mutair et al. (2021) emphasize the need for a comprehensive error reporting system that encourages non-punitive reports, fosters a supportive environment, ensures responsiveness, and involves expert analysis. Such a system contributes significantly to enhancing safety in drug administration by optimizing workflows under high workloads.

Addressing interruptions is crucial to reducing medication errors. Huckels-Baumgart et al. (2021) and Kavanagh and Donnelly (2020) found that having a separate room for preparing drugs lowers the chances of interruptions and errors. This issue is also linked to communication. Insights from nurses, as highlighted by Laustsen and Brahe (2018), show that maintaining a working culture that prioritizes task focus, encourages prioritization, and supports specialist collaboration can effectively reduce interruptions. It’s about creating a professional environment where nurses can decline interruptions and provide feedback if needed.

Improvement Strategies to with Evidence-Based and Best-Practice Strategies Address Medication Administration Errors

This paper suggests a plan to improve the situation with wrong-time medication administration errors (WTMAEs) in the progressive care unit. The plan focuses on tackling the root causes, mainly the high workload and interruptions. The first step involves optimizing the EMAR system to highlight drugs with specific time requirements (Burnish et al., 2020). This is crucial because it helps healthcare workers pay extra attention to the timing of drug administration, especially in busy situations where it might be challenging to assess drugs accurately.

The next part of the plan emphasizes creating a structured process for reporting and analyzing medication administration errors (MAEs). The current reporting system may lack cohesion, leading to the possibility of missing essential information. Furthermore, seeking expert reviews of error reports in a non-punitive and supportive manner is essential for improving practices (Mutair et al., 2021). This step contributes to the overall goal of optimizing the workload and reducing the likelihood of errors.

To address interruptions, the subsequent steps of the plan propose changes in drug administration processes and the transformation of the working culture. Drug administration requires concentration from healthcare professionals, making it vital to minimize external factors’ influence. Measures such as organizing special rooms and quiet zones are suggested to create an environment that supports focus on administering prescribed medicines (Huckels-Baumgart et al., 2021).

Transforming the work culture is a more extensive effort aimed at changing employee behavior. The new culture aims to bolster nurses’ professional competencies in drug administration and enhance their ability to stay focused on tasks (Laustsen & Brahe, 2018). Since work culture significantly impacts the frequency of interruptions, the transformation goal is to normalize communication. This means employees should feel empowered to halt interruptions, refuse them, and express the need to focus on administration and other operational aspects. The desired outcome is to reduce interruptions and their impact on drug administration, ultimately decreasing the occurrence of WTMAEs.

Implementing this plan involves numerous steps and measures, requiring both technical organization and personnel training. The most extended period will be dedicated to changing the culture, as it involves shifting employee habits. The initial development and implementation phase is estimated to take one year, with room for refinements based on evaluating the effectiveness of specific actions in each aspect.

Utilizing Existing Organizational Resources for Improvement

To put the improvement plan into action, the hospital needs to make use of its existing resources. Optimizing the EMAR system involves getting help from information technology specialists, preferably those familiar with the current system. This may include reaching out to the system provider for support (Root-Cause Analysis and Safety Improvement Plan Research Paper). Additionally, utilizing the skills of existing staff and potentially bringing in coaches for training on necessary behaviors and error analysis is crucial. However, it’s important to recognize that changing workflows will take time for employees to adapt.

Creating quiet zones, a specific space designed for preparing medicines, is also part of the plan and requires resources. This involves organizing a comfortable space for healthcare workers. Allocating resources for these initiatives is essential to ensure the success of the improvement plan.

Addressing Medication Administration Errors: A Call to Action

After closely observing a progressive care unit, it became evident that Wrong-Time Medication Administration Errors (WTMAEs) pose a significant risk. When patients take their medications at the incorrect time, it not only diminishes the effectiveness of the treatment but also jeopardizes their well-being, placing an additional burden on the hospital. These errors stem from the complex conditions of patients and the demanding workload on the staff. Moreover, frequent interruptions further disrupt the workflow, contributing to the occurrence of WTMAEs.

To address these challenges, the paper proposes an improvement plan rooted in evidence-based strategies. This plan advocates for changes in the Electronic Medical Administration Record (EMAR) system, refining the error reporting process, establishing quiet zones, and transforming the work culture to minimize interruptions. These measures are aimed at optimizing work processes, ultimately reducing the occurrence of WTMAEs and enhancing patient safety.

Conclusion

In summary, examining the medication practices in the progressive care unit reveals a significant number of Wrong-Time Medication Administration Errors (WTMAEs). The potential outcomes of these errors, including reduced treatment effectiveness and increased patient harm, highlight the need to address this issue. The identified root causes, linked to complex patient conditions, high workload, and frequent interruptions, call for a comprehensive and evidence-based approach. The proposed improvement plan, covering improvements to the EMAR system, a streamlined error reporting process, creation of quiet zones, and a shift in the work culture, aims to mitigate these challenges. By optimizing work processes and minimizing interruptions, the plan seeks to reduce the occurrence of WTMAEs, contributing to a safer healthcare environment. However, it is crucial to recognize that implementing these changes requires collaborative efforts, involving technology specialists, staff training, and allocating resources for creating designated quiet zones. The projected timeline for this improvement plan is one year, with ongoing evaluations and refinements as necessary. In the pursuit of safer patient care, this paper emphasizes the need for a proactive and straightforward strategy. By addressing the root causes and implementing evidence-based interventions, healthcare professionals can work collaboratively towards a healthcare setting that prioritizes patient safety and minimizes the risk of medication administration errors.

References

Burnish, C., Wagner, S., Dangler, A., Schwarz, K., Trujillo, T., Stolpman, N., & May, S. (2021). Evaluation of medication administration timing—Are we meeting our goals? Journal of Pharmacy Practice, 34(5), 750–754.

Furnish, C., Wagner, S., Dangler, A., Schwarz, K., Trujillo, T., Stolpman, N., & May, S. (2021). Evaluation of medication administration timing—Are we meeting our goals? Journal of Pharmacy Practice, 34(5), 750–754.

Huckels-Baumgart, S., Baumgart, A., Buschmann, U., Schüpfer, G., & Manser, T. (2021). Separate medication preparation rooms reduce interruptions and medication errors in the hospital setting: A prospective observational study. Journal of Patient Safety, 17(3), 161-168.

Kavanagh, A., & Donnelly, J. (2020). A Lean approach to improve medication administration safety by reducing distractions and interruptions. Journal of Nursing Care Quality, 35(4), 58-62.

Laustsen, S., & Brahe, L. (2018). Coping with interruptions in clinical nursing—A qualitative study. Journal of Clinical Nursing, 27(7-8), 1497-1506.

Martin, K., Tilolele, M., Kennedy, S., Hanzooma, H., Luke, B., & Christabel, N. H. (2020). Wrong time medication administration errors: Frequency and their causes at Adult University Teaching Hospitals in Zambia. African Journal of Pharmacy and Pharmacology, 14(10), 362-369.

Mutair, A. A., Alhumaid, S., Shamsan, A., Zaidi, A., Mohaini, M. A., Al Mutairi, A., Rabaan, A. A., Awad, M., & Al-Omari, A. (2021). The effective strategies to avoid medication errors and improve reporting systems. Medicines (Basel, Switzerland), 8(9), 1-12.

Raja, R., Badil, B., & Ali, S. (2019). Wrong time medication administration errors and its association with demographic variables among nurses in tertiary care hospitals, Karachi. Journal of the Dow University of Health Sciences (JDUHS), 13(1), 30-36.

Tsegaye, D., Alem, G., Tessema, Z., & Alebachew, W. (2020). Medication administration errors and associated factors among nurses. International Journal of General Medicine, 13, 1621–1632.

Westbrook, J. I., Sunderland, N. S., Woods, A., Raban, M. Z., Gates, P., & Li, L. (2020). Changes in medication administration error rates associated with the introduction of electronic medication systems in hospitals: a multisite controlled before and after study. BMJ Health & Care Informatics, 27(3), 1-9.

Yousef, A. M., Abu-Farha, R. K., & Abu-Hammour, K. M. (2022). Detection of medication administration errors at a tertiary hospital using a direct observation approach. Journal of Taibah University Medical Sciences, 17(3), 433-440.

Detailed Assessment Instructions for the NURS FPX 4020 Root-Cause Analysis and Safety Improvement Plan Example

For this assessment, you will use a supplied template to conduct a root-cause analysis of a quality or safety issue in a health care setting of your choice and outline a plan to address the issue.

As patient safety concerns continue to be addressed in the health care settings, nurses can play an active role in implementing safety improvement measures and plans. Often root-cause analyses are conducted and safety improvement plans are created to address sentinel or adverse events such as medication errors, patient falls, wrong-site surgery events, and hospital-acquired infections. Performing a root-cause analysis offers a systematic approach for identifying causes of problems, including process and system-check failures. Once the causes of failures have been determined, a safety improvement plan can be developed to prevent recurrences. The baccalaureate nurse’s role as a leader is to create safety improvement plans as well as disseminate vital information to staff nurses and other health care professionals to protect patients and improve outcomes.

As you prepare for this assessment, it would be an excellent choice to complete the Quality and Safety Improvement Plan Knowledge Base activity and to review the various assessment resources, all of which will help you build your knowledge of key concepts and terms related to quality and safety improvement. The terms and concepts will be helpful as you prepare your Root-Cause Analysis and Safety Improvement Plan. Activities are not graded and demonstrate course engagement.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

• Competency 1: Analyze the elements of a successful quality improvement initiative.
• Apply evidence-based and best-practice strategies to address a safety issue or sentinel event.
• Create a feasible, evidence-based safety improvement plan.
• Competency 2: Analyze factors that lead to patient safety risks.
• Analyze the root cause of a patient safety issue or a specific sentinel event within an organization.
• Competency 3: Identify organizational interventions to promote patient safety.
• Identify existing organizational resources that could be leveraged to improve a plan.
• Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
• Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Professional Context

Nursing practice is governed by health care policies and procedures as well as state and national regulations developed to prevent problems. It is critical for nurses to participate in gathering and analyzing data to determine causes of patient safety issues, in solving problems, and in implementing quality improvements.

Scenario

For this assessment, you may choose from the following options as the subject of a root-cause analysis and safety improvement plan:

• The specific safety concern identified in your previous assessment.
• The Vila Health: Root-Cause Analysis and Safety Improvement Planning simulation.
• One of the case studies from the previous assessment.
• A personal practice experience in which a sentinel event occurred.

Instructions

The purpose of this assessment is to demonstrate your understanding of and ability to analyze a root cause of a specific safety concern in a health care setting. You will create a plan to improve the safety of patients related to the concern based on the results of your analysis, using the literature and professional best practices as well as the existing resources at your chosen health care setting to provide a rationale for your plan.

Use the  Root-Cause Analysis and Improvement Plan Template [DOCX]  to help you to stay organized and concise. This will guide you step-by-step through the root cause analysis process.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

• Analyze the root cause of a patient safety issue or a specific sentinel event in an organization.
• Apply evidence-based and best-practice strategies to address the safety issue or sentinel event.
• Create a feasible, evidence-based safety improvement plan.
• Identify organizational resources that could be leveraged to improve your plan.
• Communicate in writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

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NURS FPX 4050 Ethical and Policy Factors in Care Coordination Example

NURS FPX 4050 Assessment 2: Ethical and Policy Factors in Care Coordination

NURS FPX 4050 Ethical and Policy Factors in Care Coordination Assignment Brief

Course: NURS FPX 4050 Coordinating Patient-Centered Care

Assignment Title: Assessment 2: Ethical and Policy Factors in Care Coordination

Assignment Overview:

The primary objective of this assignment is to explore and analyze the ethical and policy factors influencing care coordination, with a specific focus on nursing homes. As healthcare professionals, it is essential to comprehend the ethical principles that guide our actions in care coordination and the policies that shape patient-centered care in various healthcare settings.

Understanding Assignment Objectives:

• Familiarize yourself with the fundamental ethical principles that underpin care coordination in healthcare settings.
• Recognize the significance of the Code of Ethics in shaping responsible nursing practice and its positive impacts on patient care.
• Explore the role of healthcare policies, particularly the Affordable Care Act, in influencing patient-centered care, with a focus on nursing homes.
• Analyze and critically evaluate ethical questions and dilemmas that healthcare professionals may encounter in the care coordination process.
• Identify and comprehend strategies that promote patient-centered care and contribute to the ethical and policy framework of nursing practice.

The Student’s Role:

As a student undertaking this assignment, your role involves comprehensive research on ethical principles, healthcare policies, and their practical implications in care coordination. You are expected to critically evaluate the impact of ethical standards on patient care and explore real-world scenarios where these principles come into play. Additionally, analyze and discuss the role of policies, and propose strategies for fostering patient-centered care within the ethical and policy framework.

NURS FPX 4050 Ethical and Policy Factors in Care Coordination Example

Title Slide:

• Presentation Title: Ethical and Policy Factors in Care Coordination
• Your Name: [Your Name]
• Date: [Current Date]
• Course Number and Title: NURS FPX 4050 Coordinating Patient-Centered Care

Slide 1: Introduction

• Welcome everyone, today we’ll explore Ethical and Policy Factors in Care Coordination, focusing on nursing homes.
• Nurses play a crucial role in adhering to codes of ethics and policies, especially in aging nursing communities.
• These ethical standards serve as a reminder of our commitment to society, evolving with changing values.

Speaker Notes:

• Welcome everyone. Today, we delve into the critical topic of “Ethical and Policy Factors in Care Coordination,” with a specific focus on nursing homes.
• As nurses, it’s paramount to be well-versed in codes of ethics and policies, particularly within aging nursing communities.
• These ethical standards serve as guiding principles, reminding us of our commitment to society, and they evolve alongside shifting moral and societal values.

Slide 2: Ethical Principles in Care Coordination

• Justice: Fair distribution of care among patients.
• Beneficence: Acting in the best interest of the patient.
• Nonmaleficence: Avoiding intentional or unintentional harm.
• Accountability: Taking responsibility for our actions.
• Veracity: Being truthful and transparent.
• Autonomy: Respecting patients’ right to make decisions.
• Fidelity: Being faithful and responsible for professional promises.

Speaker Notes:

• Let’s explore the foundational ethical principles that guide our actions in care coordination.
• Justice emphasizes fair distribution of care, ensuring equitable treatment for all patients.
• Beneficence directs us to act in the best interest of the patient, prioritizing their well-being.
• Nonmaleficence urges us to avoid harm, whether intentional or unintentional, to the patient.
• Accountability requires taking responsibility for our actions in the care coordination process.
• Veracity emphasizes transparency and truthfulness in our communication with patients.
• Autonomy respects the patients’ right to make decisions about their own care.
• Fidelity calls for faithfulness and responsibility in upholding professional promises.

Slide 3: Impact of Code of Ethics

• Protection of Rights, Safety, and Health for the Patient.
  • Prioritizing the patient as the primary concern.
  • Addressing conflicts of interest to safeguard patient well-being.
• Accountability and Responsibility
  • Responsible decision-making reduces malpractice.
  • Thoughtful and purposeful implementation of care decisions.
• Professional Growth
  • Personal and professional growth through continued learning.
  • Preserving wholeness of character and integrity.
• Reduction of Health Disparities and Promotion of Health Diplomacy
  • Commitment to constant learning and preparation.
  • Practicing with various healthcare settings, addressing unique situations.

Speaker Notes:

• Now, let’s look into how adherence to the Code of Ethics positively impacts our practice.
• Protection of Rights, Safety, and Health for the Patient: Our primary commitment is to the patient, ensuring their rights, safety, and health come first. The code guides us in navigating conflicts of interest that may impact patient care.
• Accountability and Responsibility: Embracing accountability aligns with responsible decision-making, reducing the likelihood of malpractice. It fosters thoughtful, planned, and purposeful care decisions.
• Professional Growth: Adhering to ethical standards promotes personal and professional growth. It encourages continued learning, adaptation to evolving care trends, and maintaining competence.
• Reduction of Health Disparities and Promotion of Health Diplomacy: The code emphasizes ongoing learning and preparation, empowering nurses to navigate diverse healthcare settings and address unique situations, particularly in nursing homes.

Slide 4: Health Care Policies affecting Patient-Centered Care

• Patient-Centered Care: Respectful and responsive to individual patient preferences, needs, and values.
• Policies related to the health or safety of nursing homes:
  • Affordable Care Act (ACA) and essential health benefits.
  • Mental health, preventive services, and rehabilitative services.
• State discretion in selecting covered services.

Speaker Notes:

• Patient-Centered Care: This approach ensures that care is respectful and responsive to individual patient preferences, needs, and values. It places the patient at the forefront of all clinical decisions.
• Policies related to the health or safety of nursing homes:
  • Affordable Care Act (ACA) and essential health benefits.
  • Mental health, preventive services, and rehabilitative services.
• States have the discretion to select covered services based on the unique needs of their population.

Slide 5: Ethical Questions or Dilemmas in Care Coordination

1. Disclosing medical conditions.
2. Informed consent.
3. Incompetence among peers.

• Principles involved: nonmaleficence, fidelity, and justice.

Speaker Notes:

• Disclosing Medical Conditions: The nurse grapples with the obligation to prevent harm (nonmaleficence) and be faithful to colleagues (fidelity), considering the patient’s right to know their medical condition.
• Informed Consent: Patients may feel uncomfortable asking nurses to decipher complex medical information, posing an ethical challenge about how much information nurses should convey.
• Incompetence among Peers: Nurses may face a dilemma when observing incompetence in a colleague, balancing the obligation to protect the patient (nonmaleficence) with loyalty to the team (fidelity).

Slide 6: Strategies Leading to Patient-Centered Care

• Dignity, respect, and compassion.
• Communication and coordination of care.
• Tailoring care to patients’ needs.
• Supporting patient education.
• Placing patients at the center of care policies.

Speaker Notes:

• Ensuring patient-centered care requires strategic approaches:

• • Dignity, Respect, and Compassion: Treat patients with dignity and respect, fostering a compassionate care environment.
  • Communication and Coordination of Care: Establish effective communication and coordination between appointments and services.
  • Tailoring Care to Patients’ Needs: Customize care plans to suit individual patient needs and goals.
  • Supporting Patient Education: Empower patients to understand and learn about their health.
  • Placing Patients at the Center of Care Policies: Advocate for healthcare and nursing home support policies that prioritize patient needs.

Slide 7: Ethical and Policy Issues in Nursing Homes

• Doctor-Patient Confidentiality.
• Malpractice and Negligence.
• Physician Assisted Suicide.
• Covert Medication.
• End-of-Life Issues.
• Implications of violating ethical and policy considerations.

Speaker Notes:

• Now, let’s turn to specific ethical and policy issues that impact care coordination in nursing homes.

• • Doctor-Patient Confidentiality: Discussing the importance of maintaining patient confidentiality and complying with the Health Insurance Portability and Accountability Act (HIPAA).
  • Malpractice and Negligence: Addressing the increased risk of malpractice in healthcare settings and the importance of clear responsibilities to avoid litigation.
  • Physician-Assisted Suicide: Exploring the ethical considerations surrounding physician-assisted suicide and the stringent criteria in states where it is allowed.
  • Covert Medication: Discussing the ethical concerns associated with administering medication without informing the resident and the importance of following proper procedures.
  • End-of-Life Issues: Highlighting the sensitivity of end-of-life care, emphasizing the need for careful consideration and competent care provision.

Slide 8: Conclusion

• Summary of key points (the takeaways).
  • Ethical principles guiding care coordination
  • Adherence  to the Code of Ethics
  • Strategic approaches ensure patient-centered care
• Emphasis on the importance of ethical considerations in effective care coordination.
• Invitations on any questions and open for discussions.

Speaker Notes:

• In conclusion, we’ve explored the fundamental ethical principles guiding care coordination.
• Adhering to the Code of Ethics promotes patient-centric, thoughtful, and responsible care.
• Ethical dilemmas require a delicate balance, considering principles like nonmaleficence, fidelity, and justice.
• Strategic approaches ensure patient-centered care, fostering dignity, effective communication, tailored care, patient education, and patient-centric policies.
• Understanding and addressing ethical and policy issues in nursing homes is crucial for maintaining the integrity of care coordination.

References Slide:

HCH Clinicians’ Network (2018). Patient-Centered Care: Case Studies on End of Life. Vol. 22(1). Retrieved from https://nhchc.org/wp-content/uploads/2019/08/hh-end-of-life-care-final-2.pdf

Wright, S. (2015, Dec. 16). Delivering patient-centred palliative care services at end-of-life.

The eight principles of patient-centered care · Oneview. (2019, June 4). Oneview. https://www.oneviewhealthcare.com/the-eight-principles-of-patient-centered-care/

Current Ethical Issues in Healthcare (n.d.). Retrieved from https://www.floridatechonline.com/blog/healthcare-management/current-ethical-issues-in-healthcare/

Baughman, R., Dave, D., and Dills, A. (2019). Introduction to the symposium on the extended effects of the Affordable Care Act. Eastern Economic Journal, 45(1), 1-6.

Bollig, G., Schmidt, G., Rosland, J. H., and Heller, A. (2015). Ethical challenges in nursing homes–staff’s opinions and experiences with systematic ethics meetings with participation of residents’ relatives.?Scandinavian Journal of Caring Sciences,?29(4), 810-823.

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