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NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment

Assignment Brief: NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment

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

Assignment Title: Assessment 1: Assessment Enhancing Quality and Safety

Overview:

This assignment focuses on improving quality and safety in healthcare, specifically addressing patient falls as a significant safety concern. Students will explore the risk factors associated with patient falls, look into practical solutions to mitigate this issue, understand the vital role of nurses in fall prevention, and identify key stakeholders for effective collaboration.

Understanding Assignment Objectives:

The primary goals of this assignment are to:

1. Analyze Patient Fall Risk Factors: Investigate and understand both internal and external factors contributing to the safety risk of patient falls. Utilize relevant literature and resources to gain insights into these risk elements.
2. Explore Evidence-Based Solutions: Examine practical practices and solutions aimed at preventing patient falls. This includes assessing the effectiveness of interventions, such as minimizing psychoactive drug use, conducting gait and balance training, and providing vitamin D supplementation.
3. Understand the Role of Nurses in Fall Prevention: Recognize and articulate the essential role of nurses in addressing patient falls. This involves assessing their involvement in fall risk assessment, patient education, and effective communication within the healthcare team.
4. Identify Stakeholders for Collaboration: Identify and discuss stakeholders essential for collaborative efforts in fall prevention. Understand the importance of working together involving patients, doctors, pharmacists, and other healthcare professionals.

The Student’s Role:

As a student undertaking this assignment, your role involves:

• Research and Analysis: Conduct in-depth research to understand the complexities of patient fall risk factors and evidence-based solutions. Utilize academic journals, textbooks, and reputable sources to gather information.
• Critical Thinking: Apply critical thinking skills to evaluate the effectiveness of evidence-based solutions. Consider the practicality of each intervention in real-world healthcare settings.
• Nursing Perspective: Embrace the role of a nurse by exploring how they contribute to fall prevention. Analyze their responsibilities, including fall risk assessment, patient education, and communication, to comprehend the comprehensive nature of nursing involvement.
• Stakeholder Identification: Identify and discuss key stakeholders involved in collaborative efforts for fall prevention. Emphasize the importance of effective communication and teamwork among healthcare professionals.

Detailed Assessment Instructions for the NURS FPX 4020 Assessment Enhancing Quality and Safety Assignment

For This Assessment, You Will Develop A 3-5 Page Paper That Examines A Safety Quality Issue In A Health Care Setting. You Will Analyze The Issue And Examine Potential Evidence-Based And Best-Practice Solutions From The Literature As Well As The Role

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.    

Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient safety risk and reduce costs.

Competency 2: Analyze factors that lead to patient safety risks.    

Explain factors leading to a specific patient safety risk.

Competency 4: Explain the nurse’s role in coordinating care to enhance quality and reduce costs.    

Explain how nurses can help coordinate care to increase patient safety and reduce costs.

Identify stakeholders with whom nurses would need to coordinate to drive quality and safety enhancements.

Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.    

Communicate using writing that is clear, logical, and professional with correct grammar and spelling using current APA style.

References

Allen, M. (2013). How many die from medical mistakes in U.S. hospitals? Retrieved from https://www.npr.org/sections/health-shots/2013/09/20/224507654/how-many-die-from-medical-mistakes-in-u-s-hospitals.

Kohn, L. T., Corrigan, J., & Donaldson, M. S. (Eds.). (2000). To err is human: Building a safer health system. Washington, DC: National Academy Press.

Professional Context

As a baccalaureate-prepared nurse, you will be responsible for implementing quality improvement (QI) and patient safety measures in health care settings. Effective quality improvement measures result in systemic and organizational changes, ultimately leading to the development of a patient safety culture.

Scenario

Consider the hospital-acquired conditions that are not reimbursed under Medicare/Medicaid, some of which are specific safety issues such as infections, falls, medication errors, and other concerns that could have been prevented or alleviated with the use of evidence-based guidelines.

Choose a specific condition of interest and incorporate evidence-based strategies to support communication and ensure safe and effective care.

For this assessment, consider using one of the following approaches:

Expand on the scenario presented in Vila Health: Identifying Patient Safety Concerns and analyze a quality improvement (QI) initiative.

Analyze a current issue in clinical practice and identify a quality improvement (QI) initiative in the health care setting.

Instructions

The purpose of this assessment is to better understand the role of the baccalaureate-prepared nurse in enhancing quality improvement (QI) measures that address safety risk. This will be within the specific context of patient safety risks at a health care setting of your choice. You will do this by exploring the professional guidelines and best practices for improving and maintaining patient safety in health care settings from organizations such as QSEN and the IOM. Looking through the lens of these professional best practices to examine the current policies and procedures currently in place at your chosen organization and the impact on safety measures for patients, you will consider the role of the nurse in driving quality and safety improvements. You will identify stakeholders in QI improvement and safety measures as well as consider evidence-based strategies to enhance quality of care and promote safety in the context of your chosen health care setting.

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 that you know what is needed for a distinguished score.

Explain factors leading to a specific patient-safety risk.

Explain evidence-based and best-practice solutions to improve patient safety related to a specific patient-safety risk and reduce costs.

Explain how nurses can help coordinate care to increase patient safety and reduce costs.

Identify stakeholders with whom nurses would coordinate to drive safety enhancements.

Communicate using writing that is clear, logical, and professional, with correct grammar and spelling, using current APA style.

Additional Requirements

Length of submission: 3–5 pages, plus title and reference pages.

Number of references: Cite a minimum of 4 sources of scholarly or professional evidence that support your findings and considerations. Resources should be no more than 5 years old.

APA formatting: References and citations are formatted according to current APA style

NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment

Administration-related errors

Patient safety and the quality of care are paramount goals in healthcare, directly impacting treatment outcomes and patient satisfaction. Continuous quality improvement is integral to enhancing the overall efficiency of healthcare services. However, challenges persist in achieving quality enhancement, with a notable concern being medication errors, defined by the National Coordinating Council for Medication Error Reporting and Prevention (NCCMERP, n.d) as “any preventable event that may cause or lead to inappropriate medication use or patient harm.” Medication errors (M.E.s) occurring during drug administration are often attributed to nurses. Although these errors can happen throughout the healthcare system, this paper specifically addresses the gravity of the issue within acute care settings.

Acute hospitals, providing short-term yet critical treatment services, such as emergency or intensive care, are prone to distractions and require quick decision-making. This setting increases the likelihood of medication administration errors (MAEs), posing a threat to patient safety. To address this, nurses need to implement effective strategies and solutions to minimize administration-related errors and improve care quality.

Overview of Medication Errors

Medication errors (M.E.s) constitute a significant healthcare issue, resulting in both minor and severe harm to patients. According to the U.S. Food and Drug Administration (FDA, 2019), there are over 100,000 reported presumed cases of M.E.s annually. Additionally, up to 9,000 people in the U.S. die each year due to these errors (Tariq et al., 2021). The associated costs are substantial, exceeding $40 billion per year in total care costs for patients affected by M.E.s (Tariq et al., 2021). Beyond financial implications, M.E.s contribute to perceptions of negligence, carelessness, or inexperience among healthcare staff, eroding trust in healthcare services.

Factors Leading to Medication Administration Errors

While medication errors (M.E.s) can occur at any stage of medication use, they are particularly prevalent during administration, accounting for up to 25% of drug administration instances (Koyama et al., 2020). Inattention and distraction are leading causes of MAEs, often resulting in errors such as administering the wrong drug, dose, or to the wrong patient. Nursing inattentiveness is linked to factors like high workload, multitasking, and increased patient flow (Bucknall et al., 2019). Distractions, common in healthcare facilities, especially in acute care settings, contribute to the most frequent administration-related M.E.s.

Competence or skill flaws, insufficient drug knowledge, misunderstandings related to abbreviations or poor handwriting, similar drug names, packaging, incorrect routes of administration, and non-compliance with recommendations and protocols further contribute to MAEs (Tariq et al., 2021). These factors elevate the risk of patient harm. However, the majority of these factors are preventable human errors that can be mitigated through the implementation of appropriate strategies.

Strategies to Improve Patient Safety

Improving patient safety and care quality necessitates a reduction in M.E. rates. Adherence to the “five-rights” rule, ensuring the right patient receives the right drug at the right time, dose, and route, is a fundamental strategy (Martyn et al., 2019). However, recent studies suggest the need for new frameworks, emphasizing the importance of managing workflow, avoiding interruptions, and implementing patient-centered strategies to contribute to safe and prompt medication administration (Martyn et al., 2019). The introduction of new teaching strategies, such as reflection and remediation educational models, can raise awareness of proper drug administration and reduce MAEs (McCabe & Ea, 2016). Computerizing and automating the medication preparation and administration process is another strategy endorsed by research, as it significantly reduces the occurrence of medication errors (Risør et al., 2018).

Nurse Roles

Nurses play a pivotal role in healthcare, particularly in acute care settings, where they are involved in various aspects, including medication prescribing, preparation, dispensing, and administration. Educated, experienced, and attentive nurses contribute to the prevention of medication errors through their high level of competence. Nurses are crucial in the medication use process, serving as the last line of defense to prevent MAEs by double-checking the correctness of medication, dose, patient, time, and route before administration.

Nurse Coordination with Stakeholders

Interdisciplinary collaboration is crucial to preventing medication administration errors. Nurses often require additional information from clinicians, physicians, pharmacists, or other nurses to ensure safe drug administration. Effective communication with patients is also essential, as missing patient information, failure to obtain medical and allergy histories, or not being aware of side effects can lead to MAEs. Nurses act as intermediaries, connecting healthcare professionals with patients, coordinating communication, and ensuring safe medication use.

Conclusion

Medication errors related to drug administration pose significant risks to patient safety, ranging from minor harm to potential fatality. While various factors contribute to these errors, they are preventable incidents requiring diligent efforts to explore and implement effective strategies. Reducing the rate of MAEs is crucial to providing patients with safe and quality care. The skills, knowledge, and attitudes of nursing staff are instrumental and should be maintained at a high level to ensure the prevention of medication errors.

References

Bucknall, T., Fossum, M., Hutchinson, A. M., Botti, M., Considine, J., Dunning, T., Hughes, L., Weir-Phyland, J., Digby, R. & Manias, E. (2019). Nurses’ decision‐making, practices and perceptions of patient involvement in medication administration in an acute hospital setting. Journal of Advanced Nursing, 75(6), 1316-1327. Web.

Food and Drug Administration (2019). Working to reduce medication errors. Web.

Koyama, A. K., Maddox, C. S., Li, L., Bucknall, T., & Westbrook, J. I. (2020). Effectiveness of double checking to reduce medication administration errors: a systematic review. BMJ Quality & Safety, 29(7), 595–603. Web.

Martyn, J., & Paliadelis, P. (2019). Nurses’ decision-making and the Five Rights of medication administration. Contemporary Nurse, 55(1), 116–126. Web.

McCabe, B., & Ea, E. (2016). Medication administration error reduction efforts in nursing homes: A systematic review and synthesis of quantitative evidence. International Journal of Nursing Studies, 62, 92-103. Web.

Risør, B. W., Lisby, M., Sørensen, J., & Bro, L. (2018). Two strategies for introducing barcoding of drug administration to an electronic medication administration record. Journal of Patient Safety, 14(4), 459-465. Web.

Tariq, R. A., Rai, A. B., Tai, Y. H., & Raouf, M. (2021). Medication administration errors in pediatrics: A systematic review. Journal of Pediatric Nursing, 59, 25–33. Web.

NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment Two

Introduction

Patient safety is a critical aspect of healthcare delivery, and medication administration errors (MAEs) pose a significant threat to patient well-being. This paper aims to explore the factors contributing to MAEs and present evidence-based strategies to enhance the quality of patient care while minimizing costs. By analyzing a specific incident involving a medication error and employing professional guidelines, this paper elucidates the role of baccalaureate-prepared nurses in coordinating care to drive safety enhancements.

Factors Leading to Patient Safety Risks

One illustrative incident involves Nurse Ella, who inadvertently administered rapid-acting insulin instead of long-acting insulin to a diabetic patient, Mr. Wallace. Several factors contribute to such medication errors:

Lack of Knowledge and Training: Inadequate knowledge about drug doses, interactions, and contraindications is a leading factor of medication administration errors. Research indicates that 78.7% of medication errors result from poor training of nurses (Hassen et al., 2022). Nurses possessing advanced pharmaceutical knowledge and subsequent training are less likely to make medication administration errors.

Communication Gap Between Healthcare Professionals: Insufficient communication and collaboration among healthcare staff contribute to medication errors. A study suggests a higher incidence of medication administration errors in settings with communication gaps (Ghasemi et al., 2022).

Prescribing Errors: Inaccurate prescriptions leading to incorrect dosages and inappropriate instructions are another significant factor. Incompletely written prescriptions contribute to 71% of prescription-related errors (White et al., 2019).

Stress, Burnout, and Mental Health Challenges: Elevated stress levels among nurses due to excessive workloads and long shifts contribute to psychological distress, burnout, and ultimately, medication errors. Burnout is linked to a fivefold increase in patient care and medication errors (White et al., 2019).

Evidence-Based Best Practices Solutions

To address these challenges, evidence-based and best practice solutions are crucial. Some effective strategies include:

QSEN Competencies: Implementation of Quality and Safety Education for Nurses (QSEN) competencies in nursing education has been shown to improve nurses’ quality and safety education by up to 75% (Watanabe et al., 2021).

Medication Reconciliation: Implementing medication reconciliation procedures during care transitions, contrasting a patient’s present pharmaceutical regimen with prescribed medications, improves patient safety (Koprivnik et al., 2020).

Computerized Physician Order Entry (CPOE): Electronically submitting medicine orders through CPOE systems reduces the chance of adverse drug events and improves patient safety (Skalafouris et al., 2022).

Barcode Medication Administration (BCMA) Systems: Using BCMA systems for correct medication delivery enhances patient safety by preventing drug errors through patient identification and barcoded labels (Ye, 2023).

Clinical Decision Support System (CDSS): Offering suggestions based on research to healthcare practitioners at the point of care, CDSS can notify healthcare professionals about possible medication combinations, dosage mistakes, or allergies (Manias et al., 2020).

Value-Based Formulary Management: Choosing medicines based on clinical potency, cost-effectiveness, and safety helps maintain high healthcare quality while cutting expenditures related to pharmaceuticals (Weinmeyer et al., 2021).

Nurse-Led Coordination to Optimize Patient Safety

Effective coordination among healthcare professionals, especially nurses, plays a pivotal role in optimizing patient safety. In the case of medication administration errors, nurses can collaborate with various stakeholders:

Coordination with Physicians and Pharmacists: Clear communication between nurses and physicians regarding treatment regimens, along with collaborative efforts with pharmacists, can reduce prescription transcribing and filling errors (Koprivnik et al., 2020).

Collaboration with IT Personnel: Mutual collaboration with IT personnel for the effective utilization of technology tools ensures the proper functioning of systems like CPOE, BCMA, and CDSS to prevent MAEs (Ye, 2023).

Interdisciplinary Collaboration: A holistic care approach by working with interdisciplinary teams and adherence to regulatory requirements reduces the risk of errors, ensuring patient safety and cost-effectiveness (Alrabadi et al., 2021).

Nurses’ Coordination with Other Stakeholders

Nurses play a crucial role in collaborating with various stakeholders to improve medicine delivery and enhance patient safety:

Collaboration with Physicians and Pharmacists: Nurses collaborate with physicians and pharmacists to ensure accurate medication administration. Quality improvement teams and nursing staff can work together to evaluate challenges and implement suitable strategies (Manias et al., 2020).

Involvement of Patients and Families: Better adherence and patient satisfaction can be achieved by involving patients and their families actively in the medication administration process.

Involvement of Medication Safety Officers and Administrators: Organizational prioritization of patient safety through the involvement of medication safety officers and administrators is crucial. Professional associations offer tools for the continuous advancement of medical practices (Manias et al., 2020).

Conclusion

Medication administration errors pose a significant threat to patient safety and contribute to increased treatment costs. However, employing evidence-based best practices and fostering effective coordination among healthcare professionals, especially nurses, can significantly reduce the occurrence of MAEs. The integration of QSEN competencies, medication reconciliation, and advanced technological tools, along with interdisciplinary collaboration, creates a holistic approach to patient care, ensuring safety and cost-effectiveness.

NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment Three

Quality improvement initiatives are widespread across health organizations, emphasizing patient safety and quality care. Patient safety remains a top priority for interdisciplinary teams, particularly as medication errors pose common and recurring threats to healthcare, contributing to increased patient harm and mortality (Alotaibi & Federico, 2017). Medication errors are preventable and can result from various factors such as communication gaps, disturbances during medication retrieval and administration, missing patient information, poor labeling, inadequate medication reconciliation, and lack of knowledge.

Factors Leading to Patient Safety Risks

Medication errors can occur at any time and place, often during prescription and drug monitoring. Resolving this issue necessitates collective responsibility, involving interdisciplinary collaboration. Evidence-based practices play a crucial role in raising awareness among healthcare professionals. While medication errors can happen in diverse settings, home environments pose risks, especially for children due to negligent drug storage. Adherence to the five rights of medication administration — ensuring the right drug, patient, dosage, time, and route — is critical in preventing errors. Factors contributing to negligence include increased workloads, fatigue, and insufficient pharmacologic knowledge.

Evidence-based Practices

High-quality care aligns with evidence-based research, emphasizing patient-centered care and proper communication among staff. Involving patients and caregivers in medication education and ensuring clear instructions can enhance care quality. Best practices to enhance patient safety encompass double-checking procedures, using name alerts, planning medication administration to avoid disruptions, and leveraging available technologies.

The Nurse’s Role in Coordinating Care

Nurses, integral to hospital quality improvement, engage in various roles, including patient care, data collection, and medication management. Medication errors pose financial burdens, and nurses play a vital role in coordinating care to alleviate these challenges. Coordination involves assessing the work environment, implementing safety technologies, educating patients, and exercising caution with high-alert medications. Nurses share knowledge, ensure seamless care transitions, and collaborate with interdisciplinary teams to develop personalized care plans, contributing to cost efficiency.

Stakeholder Coordination for Quality and Safety Enhancements

Effective coordination involves collaboration with stakeholders such as society, administrators, patients, families, researchers, technicians, nursing educators, and physicians. Patients and families actively contribute to quality patient safety by providing essential information and seeking clarification on medications.

Conclusion

Patient safety remains paramount, necessitating a focus on preventing medication errors. Factors contributing to these errors are diverse, emphasizing the need for strict adherence to the five rights of medication administration. Coordination by nurses, evidence-based practices, and stakeholder collaboration are essential elements in enhancing quality and safety in healthcare.

NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment Four

Introduction

Ensuring patient safety and delivering quality care stand out as paramount challenges in healthcare, involving healthcare facilities, nurses, physicians, and various professionals. Suboptimal quality and compromised patient safety result in adverse outcomes such as morbidity, mortality, increased care costs, prolonged hospital stays, diminished patient and job satisfaction, among other issues. This paper aims to examine the patient safety issue of medication administration, analyze evidence-based practices, and scrutinize the coordination among nurses and stakeholders.

Patient-safety risk focusing on medication administration

Medication administration, a pivotal process predominantly managed by nurses, involves multiple stakeholders, including physicians, pharmacists, and informatics nurses. Errors at any stage of this process can lead to medication administration errors (MAEs) and subsequent adverse events. Research indicates varying rates of prescription, dispensing, and dosage errors, emphasizing the substantial contribution of human errors, particularly by nurses. Interferences during medication administration, whether from patients, families, or distractions, further elevate the risk of errors. Factors like nurse-to-patient ratio, poor communication, and inadequate training are additional contributors, with the potential consequences ranging from mortality and morbidity to adverse effects.

Evidence-based and best practice solutions

Implementing evidence-based practices (EBPs) is crucial to address medication administration challenges. Training and educating healthcare staff based on guidelines from the Institute of Medicine (IOM) and the Quality and Safety Education for Nurses (QSEN) is a primary EBP. This includes vigilant verification of medication with electronic health records (EHRs), allergy checks, pre-administration assessment, accurate dosage calculation, and the avoidance of workarounds and abbreviations. Another EBP involves the implementation of a physician order entry system with error reporting and communication capabilities, aiming to reduce prescription, dispensing, and administration errors. Technological interventions, such as bar-code-based medication administration and voice-tagged dosage calculation, prove effective in preventing errors. Strategies like using color-coded tabards and checklists, along with interprofessional collaboration, contribute to reducing interruptions and enhancing communication during medication administration.

Coordinated care among nurses to improve quality and patient safety

Nurses play a crucial role in coordinating care to address burnout and create supportive work environments. Collaborative efforts during medication administration, such as sharing responsibilities and supporting each other during interruptions, contribute to error reduction. Effective communication among nurses to identify patient allergies and educate colleagues about EHRs and technology usage enhances skills and knowledge. Nurse leaders manage resources and conflicts, ensuring a coordinated approach to resolve practice issues. Shared decision-making and coordinated care further contribute to efficient workflow and decreased medication errors.

Stakeholders and safety enhancement

Coordination among various stakeholders, including informatics nurses, pharmacists, physicians, therapists, nurse leaders, and patients, is essential for safety enhancement. Patients’ active involvement in treatment decisions and their contribution to health history and allergy information are critical. Informatics nurses play a vital role in data management, error reporting, and correction processes within EHRs. Physicians, pharmacists, and nurse leaders collaborate to prevent and correct medication errors, while therapists and specialists provide valuable insights into patient conditions. Effective communication and coordination among stakeholders help in resolving conflicts and ensuring patient safety.

References

Abukhader, I., & Abukhader, K. (2020). Effect of medication safety education program on intensive care nurses’ knowledge regarding medication errors. Journal Of Biosciences And Medicines, 08(06), 135-147.

Armstrong, G. (2019). QSEN safety competency: the key ingredient is just culture. The Journal Of Continuing Education In Nursing, 50(10), 444-447.

Bradley, C., Luder, H., Beck, A., Bowen, R., Heaton, P., & Kahn, R. et al. (2016). Pediatric asthma medication therapy management through community pharmacy and primary care collaboration. Journal Of The American Pharmacists Association, 56(4), 455-460.

Hammoudi, B., Ismaile, S., & Abu Yahya, O. (2017). Factors associated with medication administration errors and why nurses fail to report them. Scandinavian Journal Of Caring Sciences, 32(3), 1038-1046.

Huckels-Baumgart, S., Niederberger, M., Manser, T., Meier, C., & Meyer-Massetti, C. (2017). A combined intervention to reduce interruptions during medication preparation and double-checking: a pilot-study evaluating the impact of staff training and safety vests. Journal Of Nursing Management, 25(7), 539-548.

Korb-Savoldelli, V., Boussadi, A., Durieux, P., & Sabatier, B. (2018). Prevalence of computerized physician order entry systems–related medication prescription errors: A systematic review. International Journal Of Medical Informatics, 111, 112-122.

Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opinion On Drug Safety, 17(3), 259-275.

Montgomery, A., Azuero, A., Baernholdt, M., Loan, L., Miltner, R., & Qu, H. et al. (2020). Nurse burnout predicts self-reported medication administration errors in acute care hospitals. Journal For Healthcare Quality, Publish Ahead of Print.

Palese, A., Ferro, M., Pascolo, M., Dante, A., & Vecchiato, S. (2019). “I am administering medication—please do not interrupt me”: red tabards preventing interruptions as perceived by surgical patients. Journal Of Patient Safety, 15(1), 30-36.

Pop, M., & Finocchi, M. (2016). Medication errors: a case-based review. AACN Advanced Critical Care, 27(1), 5-11.

Tariq, R., Vashisht, V., Sinha, A., & Scherbak, y. (2021). Medication dispensing errors and prevention. Retrieved 17 March 2021, from https://www.ncbi.nlm.nih.gov/books/NBK519065/.

Thomas, L., Donohue-Porter, P., & Stein Fishbein, J. (2017). Impact of interruptions, distractions, and cognitive load on procedure failures and medication administration errors. Journal Of Nursing Care Quality, 32(4), 309-317.

Thompson, K., Swanson, K., Cox, D., Kirchner, R., Russell, J., & Wermers, R. et al. (2018). Implementation of bar-code medication administration to reduce patient harm. Mayo Clinic Proceedings: Innovations, Quality & Outcomes, 2(4), 342-351.

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

Verweij, L., Smeulers, M., Maaskant, J., & Vermeulen, H. (2016). Quiet please! drug round tabards: are they effective and accepted? A Mixed-Method Study. Journal Of Nursing Scholarship, 46(5), 340-348.

NURS FPX 4020 Assessment Enhancing Quality and Safety Example Assignment Five

Introduction

Patient safety is a major concern in healthcare, with patient falls being a significant safety issue. A fall is described as “an unplanned descent to the floor (or extension of the floor [e.g., trash can or other equipment]) with or without injury to the patient and with or without assistance” (Tucker et al., 2019, p. 113). Falls can lead to various injuries, including fractures, functional decline, traumatic brain injury, and nursing home placement, making them the “leading cause of accidental death in people over 65 years old” (Lasater et al., 2016, p. 545). In addition to the human cost, falls increase healthcare expenses due to the need to treat preventable injuries. Healthcare organizations are thus focused on falls prevention to enhance patient safety and reduce healthcare costs. This paper examines the risk factors of patient falls and evidence-based solutions. It also explores the role of nurses in falls prevention and identifies stakeholders with whom nurses should collaborate to address this safety concern.

Factors Leading to Patient-Safety Risk

Patient fall risk factors can be categorized as intrinsic and extrinsic. Intrinsic factors include patient characteristics such as age, sex, previous falls, balance impairment, gait, activities of daily living (ADL) disabilities, stroke, cognitive impairments, Parkinson’s disease, and incontinence (Kwan et al., 2016). The risk of falls increases with age, with those aged 65-74 years having a 32% probability and those over 80 years having a 37% probability (Kwan et al., 2016). Extrinsic factors related to the environment include home hazards, use of assistive devices, and inappropriate footwear (Morone et al., 2018; Kwan et al., 2016). The Morse scale assesses risk factors such as history of falls, secondary diagnosis, walk assistance, parenteral therapy, mental status, and gait to determine an individual’s risk of falls (Nadia & Permanasari, 2018).

Evidence-Based Solutions

Addressing patient falls begins with identifying at-risk patients and conducting a multifactorial fall risk assessment for older patients (Morone et al., 2018). Assessment should include factors like gait, balance, mental status, reflexes, and various functions (Morone et al., 2018). Analyzing the type of fall is crucial for selecting preventive strategies, categorizing falls as accidental, unanticipated physiological, anticipated physiological, or intentional (Morone et al., 2018). Evidence-based practices include minimizing psychoactive drug use, engaging in gait and balance training, and providing vitamin D supplementation (Morone et al., 2018). Managing conditions identified during risk assessment, such as visual impairment or a hazardous home environment, is also critical. Effective fall prevention involves interventions addressing both clinical assessment findings and individual risk assessment outcomes (Morone et al., 2018).

The Role of Nurses in Addressing Patient-Safety Risk

Nurses play a central role in addressing the safety issue of patient falls due to their extensive patient interaction and involvement in the care team (Nadia & Permanasari, 2018). Nurses contribute to fall risk assessment using tools like the Morse scale, inform patients about fall risks, and provide necessary assistance. Effective communication among nurses is vital for ensuring patient safety, as poor communication can jeopardize care coordination (Tucker et al., 2019).

Stakeholders

Collaboration with various stakeholders is essential for implementing evidence-based solutions for patient falls. Nurses should educate patients and families on fall risks and prevention strategies. Cooperation with doctors and pharmacists is crucial for adjusting medications and administering vitamin D. Nurses should also work with social workers and doctors to implement strategies like exercise programs, motivational interviewing, and environmental assessment. Effective communication among nurses is necessary for sharing information about safety issues and addressing them (Lasater et al., 2016; Tucker et al., 2019).

References

Kwan, E., Straus, S., & Holroyd-Leduc, J. (2016). Risk factors for falls in the elderly. In A. Huang & L. Mallet (Eds.), Medication-related falls in older people (pp. 91-101). Adis.

Lasater, K., Cotrell, V., McKenzie, G., Simonson, W., Morgove, M. W., Long, E. E., & Eckstrom, E. (2016). Collaborative falls prevention: Interprofessional team formation, implementation, and evaluation. The Journal of Continuing Education in Nursing, 47(12), 545-550.

Morone, G., Federici, A., Tramontano, M., Annicchiarico, R., & Salvia, A. (2018). Strategies to prevent falls. In G. Sandrini, V. Homberg, L. Saltuari, N. Smania, & A. Pedrocchi (Eds.), Advanced technologies for the rehabilitation of gait and balance disorders (pp. 149-158). Springer.

Nadia, P., & Permanasari, V. Y. (2018). Compliance of the nurse for fall risk assessment as a procedure of patient safety: A systematic review. KnE Life Sciences, 4(9), 207-219.

Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., Evans, R., Gould, R., Bohlken, D., Comried, L., Petrulevich, K., Perkhounkova, E., & Cullen, L. (2019). Patient, nurse, and organizational factors that influence evidence‐based fall prevention for hospitalized oncology patients: An exploratory study. Worldviews on Evidence-Based Nursing, 16(2), 111-120.

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NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example

NURS FPX 4010 Assessment 2: Interview and Interdisciplinary Issue Identification

Assignment Brief: NURS FPX 4010 Interview and Interdisciplinary Issue Identification

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

Assignment Title: Assessment 2: Interview and Interdisciplinary Issue Identification

Assignment Overview:

This assignment aims to enhance students’ understanding of healthcare challenges, particularly understaffing, through an interview with a nurse manager, and to explore interdisciplinary solutions using change theories, leadership strategies, and collaboration approaches. By looking into real-world scenarios and theoretical frameworks, students will gain insights into the complexities of healthcare management and develop critical thinking skills.

Understanding Assignment Objectives:

This assignment is designed to:

1. Enhance your interviewing skills and ability to extract relevant information from a healthcare professional.
2. Develop critical thinking regarding the identified healthcare challenge (understaffing) and its multifaceted impact.
3. Apply theoretical frameworks, specifically Kurt Lewin’s change model and democratic leadership, to propose interdisciplinary solutions.
4. Explore collaboration approaches that contribute to effective interdisciplinary teams in healthcare settings.

The Student’s Role:

As a student, your role involves:

• Planning and executing a semi-structured interview with a nurse manager, ensuring thoughtful and relevant questions.
• Analyzing the identified healthcare challenge, emphasizing interdisciplinary aspects.
• Applying change theories and leadership concepts to propose viable solutions.
• Engaging in critical thinking to explore collaboration approaches that contribute to the overall effectiveness of interdisciplinary healthcare teams.

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example

Interview Summary

I conducted an interview with a registered nurse working in the intensive care unit (ICU) of a local hospital. The nurse, a female in her late twenties, has accumulated five years of experience in the mentioned hospital. Her responsibilities include administering medications, evaluating vital signs, performing diagnostic and therapeutic procedures, and monitoring medical equipment.

The nurse highlighted a critical issue in the hospital’s safety culture, emphasizing its inadequacies. Despite existing safety protocols, medical errors are prevalent, and there is a pervasive culture of concealing mistakes rather than reporting them. Recent management changes triggered an investigation into medical errors, but the results are pending.

The nurse attributed the prevalence of medical errors to a lack of collaboration. While interdisciplinary teams exist, there is a tendency for blame-shifting between physicians and nurses. The nurse acknowledges the potential benefits of interdisciplinary teamwork but notes issues such as a lack of trust, physicians’ dominance, and inadequate nurse participation in decision-making.

Issue Identification

The identified issue is the deficient safety culture in the hospital, leading to a high incidence of medical errors. The lack of a collaborative environment exacerbates the problem, hindering effective communication and cooperation among healthcare professionals. An interdisciplinary approach is essential to address these challenges, fostering a culture of safety and improving collaboration.

Change Theories for an Interdisciplinary Solution

To address the issue, the Five As Behavior Change Model can be applied. This model involves assessing the situation, advising on the benefits of change, agreeing on specific goals, assisting in overcoming barriers, and arranging a comprehensive plan. The interdisciplinary team, following this model, would assess current behaviors and beliefs related to safety, advise on the benefits of a safety culture, agree on specific safety goals, assist in overcoming barriers, and arrange a comprehensive plan for implementation.

This model has demonstrated effectiveness in various settings and is supported by the study conducted by Lopez-Jeng and Eberth (2019). Their research, published in a peer-reviewed journal, provides a current and credible foundation for implementing the Five As Behavior Change Model.

Leadership Strategies for an Interdisciplinary Solution

Transformational leadership is identified as the most suitable strategy to address the safety culture issue. Healthcare professionals need support, encouragement, and guidance rather than a punitive approach. Transformational leaders inspire and motivate teams toward a shared vision, promoting collaboration and fostering a positive work environment.

Research by Kagan, Porat, and Barnoy (2019) supports the effectiveness of transformational leadership in shaping the quality and safety culture in hospitals. Published in a peer-reviewed journal, this study provides credible insights into the impact of leadership strategies on patient satisfaction and safety culture.

Collaboration Approaches for Interdisciplinary Teams

For effective collaboration within interdisciplinary teams, a transformational leadership approach is recommended. Each team should have a leader who acknowledges the need for change and values input from all members. Additionally, involving patients in the creation of a safety culture, as suggested by Kagan et al. (2019), can enhance the interdisciplinary approach.

The hospital’s prior research on medical errors provides an opportunity to evaluate the current safety culture based on the perspectives of healthcare professionals, administrators, and patients. This approach helps identify weaknesses and barriers to establishing a robust safety culture.

Conclusion

In conclusion, the interview with the ICU nurse highlighted a critical issue in the hospital’s safety culture, leading to a high incidence of medical errors. An interdisciplinary approach, guided by the Five As Behavior Change Model and supported by transformational leadership, is recommended to address the identified issue. Collaboration within interdisciplinary teams, incorporating the perspectives of healthcare professionals and patients, is crucial for the successful implementation of a safety culture. This foundation will inform the development of a comprehensive plan in the subsequent phases of the project.

References

Kagan, I., Porat, N., & Barnoy, S. (2019). The quality and safety culture in general hospitals: Patients’, physicians’, and nurses’ evaluation of its effect on patient satisfaction. International Journal for Quality in Health Care, 31(4), 261-268.

Lopez-Jeng, C., & Eberth, S. D. (2019). Improving hospital safety culture for falls prevention through interdisciplinary health education. Health Promotion Practice.

Tetuan, T., Ohm, R., Kinzie, L., McMaster, S., Moffitt, B., & Mosier, M. (2017). Does systems thinking improve the perception of safety culture and patient safety? Journal of Nursing Regulation, 8(2), 31-39.

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Two

Summary

The interviewee for Assessment Two is an Advanced Certified Oncology Nurse Practitioner at a major cancer center. Due to the prevailing COVID-19 situation, the interview was conducted telephonically, utilizing a set of questions provided for the assessment as a basic guide. The interview, conducted in a semi-structured manner, was recorded. The cancer center comprises various disciplines, including surgical, radiation, and medical oncologists, pain management specialists, social workers, psychologists, nurse practitioners, and discipline-specific nursing staff. Notably, the cancer center recently transitioned from an independent medical oncology practice to becoming part of the Christian Care Health System, signifying a significant cultural shift. The nurse practitioner’s primary responsibilities include coordinating between disciplines, writing referrals and orders, managing chemotherapy, pain management, education, and follow-up calls.

A pertinent issue highlighted by the nurse practitioner is the encroachment of disciplines beyond their defined scope of practice, leading to interference in the responsibilities of other disciplines. This issue is exacerbated by a perceived lack of strong motivational leadership to aid the oncology practice in adapting to its new role within the larger corporation. Additionally, while the organization emphasizes teamwork, true interprofessional collaboration is limited, and a silo mentality prevails. The interviewee’s attempt to contribute to a collaborative team was met with resistance, reflecting a need for effective leadership and a shift in organizational culture.

Issue Identification

The primary issue identified during the interview is the infringement of one discipline into the scope of practice of another, resulting in a disruption of patient care. Examples include the medical oncology group managing a patient’s pain until it is deemed uncontrolled, at which point the patient is referred to the pain management group. Challenges arise when patients experience uncontrolled pain and communicate this to their medical oncologist, raising questions about the appropriate course of action. The multidisciplinary approach is deemed suitable for addressing this issue, with evidence supporting interprofessional practice for improved patient care, safety, and prevention of medical errors (Bosch & Mansel, 2015).

Change Theory

Change theory, as applied to the organization, involves understanding the existing culture, beliefs, and values that influence the organization’s openness to change. Kurt Lewin’s Field Theory is considered relevant in this context, offering a framework for analyzing group behavior and environmental factors. The goal is to identify and modify forces that hinder or promote change. The application of Lewin’s theory is crucial for targeting the cultural shift needed within the organization, encouraging collaboration as the norm.

Leadership Strategy

Effective leadership is identified as a crucial component for driving organizational change and fostering interprofessional collaboration. The transformational leadership style, characterized by charisma, inspiration, effective communication, and empowerment, is deemed suitable for the current situation. The existing leadership is perceived as weak, lacking communication and transparency. A transformational leader is seen as instrumental in guiding the cancer center toward an interdisciplinary approach.

Collaborative Approach

The literature emphasizes a collaborative approach centered on putting the patient first. This patient-centric focus serves as an equalizer, aligning individual team members’ interests with patient interests. Active and respectful communication is highlighted as a tool for building interprofessional collaboration, emphasizing the importance of a common language and standardized communication methods. Interprofessional rounding is suggested as a beneficial practice to prevent disciplines from infringing on each other’s practices and gain insights into preventing future issues.

Conclusion

In conclusion, change theory, leadership, and collaborative practice are identified as essential tools for improving healthcare. Change theory provides a mechanism for understanding and altering organizational culture, but effective leadership is required to drive and motivate the workforce toward interdisciplinary practice. Patient-centric collaboration and open communication are proposed as fundamental principles for fostering a collaborative approach. The integration of these tools can lead to a positive shift in organizational culture, promoting true interprofessional collaboration for enhanced patient care and safety.

References

Batras, D., Duff, C., & Smith, B. J. (2015). Organizational change theory: Implications for health promotion practice. Health Promotion International, 31(2), 231-241.

Bergstedt, K., & Wei, H. (2020). Leadership strategies to promote frontline nursing staff engagement. Nursing Management, 48-53.

Bosch, B., & Mansel, H. (2015). Interprofessional collaboration in healthcare: Lessons to be learned from competitive sports. CPJRPC, 176-179.

Hussain, S. T., Lei, S., Akram, T., Haider, M. J., & Hussain, S. H. (2016). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3, 125-127.

Tomasik, J., & Flemming, C. (2015). Lessons from the field: Promising interprofessional collaboration practices. Retrieved from www.rwjf.org/en/library/research/2015/03/lessons-from-the-field.html

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Three

Summary of the Interview

The interview followed a semi-structured approach to gain insights from a nursing colleague regarding her organization, its past and current challenges, her role and responsibilities, the effectiveness of interventions, impacts on diverse populations, the role of nurse leaders, leadership strategies, and interdisciplinary collaboration within the organization (McIntosh & Morse, 2015). The colleague works in a profit-based acute healthcare facility with 75 beds, utilizing advanced technologies such as automated EHRs, patient monitoring systems, telemedicine, error reporting software, and data analytics for nursing informatics to enhance care quality. As an ICU nurse, her duties encompass monitoring, recording patient data, ordering diagnostics tests, coordinating with healthcare professionals, administering medication, treating wounds, and educating patients and families.

The interview, conducted in a flexible style, allowed the interviewee ample opportunity to express perspectives. Open-ended questions were utilized to delve deeper into healthcare issues, with a focus on statistics and benchmarks to gauge issue severity. Past challenges such as resistance to implementing technology were addressed through nurse training, transformational leadership, and the hiring of specialized nurses.

Identified Issue from the Interview

While various issues require interdisciplinary collaboration, the significant concern is medication errors, demanding a collaborative approach involving nurses, physicians, lab technicians, pharmacists, informatics nurses, and pain management nurses (Srinivasamurthy et al., 2021). Collaboration is essential due to the involvement of multiple healthcare professionals, making it challenging to detect errors and identify root causes. Delays in patient care due to communication gaps can threaten patient safety. A blame culture further complicates the issue, involving different stakeholders and potentially compromising patient care (Tena et al., 2018).

Analysis of Potential Change Theories

Lewin’s change theory, with stages of unfreezing, moving, and refreezing, is deemed suitable for addressing the issue. While driving forces include quality of care and patient safety, resistance forces center around a blame culture. This theory facilitates unfreezing the current process, implementing change, and refreezing to establish the change, fostering collaboration and shared decision-making (Smith & Gullett, 2019). Rogers’ theory, with stages of awareness, interest, evaluation, implementation, and adoption, complements Lewin’s model, focusing on motivating professionals to adopt change and evaluating outcomes (Smith & Gullett, 2019). Spradley’s eight-step change theory emphasizes evaluation and stabilization, supporting change implementation through collaborative efforts.

Leadership Strategies

To address potential resistance, transformational and servant leadership styles are recommended, involving strategies like group discussions, understanding stakeholders’ perspectives, motivation, action plans for collaboration, support provision, fostering an inclusive work environment, root-cause analysis to reduce blame culture, and establishing direct communication channels. Sharing the workload during medication administration through effective staffing and scheduling can further enhance collaboration (Jember et al., 2018).

Collaborative Approaches from the Literature

Various collaborative models have been proposed in the literature. Manias (2018) suggests a multimodal interdisciplinary collaboration model, encompassing communication tools, logs, collaborative medication review, adherence to protocols, direct involvement of pharmacists, and collaborative conferences and workshops. Tena et al. (2018) propose root-cause analysis with a safety checklist to identify discrepancies in patient information. Jember et al. (2018) and Srinivasamurthy et al. (2021) highlight the positive impact of a medication error system integrated with computerized physician entry, involving all stakeholders to reduce medication errors.

References

Ahrq.gov. (2020). How do you measure fall rates and fall prevention practices? [URL].

Hunitie, M. (2016). A cross-sectional study of the impact of transformational leadership on integrative conflict management. Asian Social Science, 12(5), 47. [DOI]

Jember, A., Hailu, M., Messele, A., Demeke, T., & Hassen, M. (2018). Proportion of medication error reporting and associated factors among nurses: a cross-sectional study. BMC Nursing, 17(1). [DOI]

Manias, E. (2018). Effects of interdisciplinary collaboration in hospitals on medication errors: an integrative review. Expert Opinion On Drug Safety, 17(3), 259-275. [DOI]

McIntosh, M., & Morse, J. (2015). Situating and constructing diversity in semi-structured interviews. Global Qualitative Nursing Research, 2, 233339361559767. [DOI]

Smith, M., & Gullett, D. (2019). Nursing theories and nursing practice (5th ed.). F A Davis.

Srinivasamurthy, S., Ashokkumar, R., Kodidela, S., Howard, S., Samer, C., & Chakradhara Rao, U. (2021). Impact of computerized physician order entry (CPOE) on the incidence of chemotherapy-related medication errors: a systematic review. European Journal Of Clinical Pharmacology. [DOI]

Tena, R., League, S., & Brennan, J. (2018). Preventing wrong site, wrong procedure, wrong patient errors. Nursing Made Incredibly Easy!, 16(3), 10-13. [DOI]

Weller, S., Vickers, B., Bernard, H., Blackburn, A., Borgatti, S., Gravlee, C., & Johnson, J. (2018). Open-ended interview questions and saturation. PLOS ONE, 13(6), e0198606. [DOI]

NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment Example Four

Interview Summary

I conducted a telephonic interview with Mr. Kelly (pseudonym), the nurse manager at Sanford Medical Center, Bismarck. The facility, comprising a team of specialists, emphasizes healthcare excellence through a combination of compassionate patient care, expertise, and advanced technology. Mr. Kelly oversees financial and human resources, maintains care standards and quality, ensures staff and patient satisfaction, and fosters a safe environment. In the interview, I posed the following questions:

1. What is the main challenge facing your organization?
2. How does this problem affect the ability to complete your duties?
3. How have you or your organization tried to address this problem?
4. Does your organization have a culture of collaboration?

Mr. Kelly acknowledged understaffing, particularly in the nursing department, as the primary challenge. Shortages in the emergency department compromise patient care quality, leading to nurses working extended hours. The resultant stress contributes to physical, mental, and emotional health issues among nurses, affecting patient satisfaction. Sanford Medical Center addresses understaffing by retaining nurses through a supportive work environment, flexible staffing schedules, and initiatives to prevent burnout. The organization also emphasizes interdisciplinary collaboration, exemplified by a situation where teamwork proved effective during a patient influx.

Issue Identification

The issue of understaffing necessitates discussions on teamwork and interdisciplinary communication to enhance nursing unit efficiency, patient safety, and care quality (Hensel et al., 2017). Teamwork skills improvement and interdisciplinary communication integration from psychology, management, and social studies can address this challenge (Tuaminen et al., 2016).

Change Theories for Interdisciplinary Solution

Kurt Lewin’s three-step model offers an interdisciplinary solution to understaffing. The model involves unfreezing, moving, and refreezing. Nursing education serves as a solution, with awareness creation, sustained efforts for change, and post-implementation evaluations (Sutherland, 2013).

Leadership Strategies for Interdisciplinary Solution

Democratic leadership, involving participative decision-making, fosters collaboration in addressing understaffing. This approach encourages engagement, values collaboration, and leverages individual strengths and talents (Smith et al., 2018).

Collaboration Approaches for Interdisciplinary Teams

Creating trusting communication, implementing team-building activities, and recognizing achievements contribute to efficient interdisciplinary teams (Tappen, 2016). Open-plan offices, team-building workshops, and recognition initiatives foster collaboration and positive interaction among nursing staff.

References

Hensel, K. O., van den Bruck, R., Klare, I., Heldmann, M., Ghebremedhin, B., & Jenke, A. C. (2017). Nursing staff fluctuation and pathogenic burden in the NICU-effective outbreak management and the underestimated relevance of non-resistant strains. Scientific Reports, 7(1), 1-7.

Tuominen, O. A., Lundgren-Laine, H., Kauppila, W., Hupli, M., & Salanterä, S. (2016). A real-time Excel-based scheduling solution for nursing staff reallocation. Nursing Management, 23(6).

Morley, L., & Cashell, A. (2017). Collaboration in health care. Journal of Medical Imaging and Radiation Sciences, 48(2), 207-216.

Tappen, R. M. (2016). They know me here: Patients’ perspectives on their nursing home experiences. Online Journal of Issues in Nursing, 21(1).

Detailed Assessment Instructions for the NURS FPX 4010 Interview and Interdisciplinary Issue Identification Assignment

Assessment 2 Instructions: Interview and Interdisciplinary Issue Identification

Top of Form

Bottom of Form

• PRINT
• For this assessment, you will create a 2-4 page report on an interview you have conducted with a health care professional. You will identify an issue from the interview that could be improved with an interdisciplinary approach, and review best practices and evidence to address the issue.

As a baccalaureate-prepared nurse, your participation and leadership in interdisciplinary teams will be vital to the health outcomes for your patients and organization. One way to approach designing an improvement project is to use the Plan-Do-Study-Act (PDSA) cycle. The Institute for Healthcare Improvement describes it thus:

The Plan-Do-Study-Act (PDSA) cycle is shorthand for testing a change in the real work setting—by planning it, trying it, observing the results, and acting on what is learned. This is the scientific method adapted for action-oriented learning…Essentially, the PDSA cycle helps you test out change ideas on a smaller scale before evaluating the results and making adjustments before potentially launching into a somewhat larger scale project (n.d.).   

You might also recognize that the PDSA cycle resembles the nursing process. The benefit of gaining experience with this model of project design is that it provides nurses with an opportunity to ideate and lead improvements. For this assessment, you will not be implementing all of the PDSA cycle. Instead, you are being asked to interview a health care professional of your choice to determine what kind of interdisciplinary problem he or she is experiencing or has experienced in the workplace. This interview, in Assessment 2, will inform the research that you will conduct to propose a plan for interdisciplinary collaboration in Assessment 3.

It would be an excellent choice to complete the PDSA Cycle activity prior to developing the report. The activity consists of four questions that create the opportunity to check your understanding of best-practices related to each stage of the PDSA cycle. The information gained from completing this formative will promote your success with the Interview and Interdisciplinary Issue Identification report. This will take just a few minutes of your time and is not graded.

Reference

Institute for Healthcare Improvement. (n.d.). How to improve. Retrieved from https://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Demonstration of Proficiency

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

• Summarize an interview focused on past or current issues at a health care organization.
• Describe collaboration approaches from the literature that could be relevant in establishing or improving an interdisciplinary team to address an organizational issue.

• Competency 3: Describe ways to incorporate evidence-based practice within an interdisciplinary team.
  • Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
• Competency 4: Explain how change management theories and leadership strategies can enable interdisciplinary teams to achieve specific organizational goals.
  • Describe change theories and a leadership strategy that could help develop an interdisciplinary solution to an organizational issue.
• Competency 5: Apply professional, scholarly, evidence-based communication strategies to impact patient, interdisciplinary team, and systems outcomes.
  • Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, using current APA style.

Professional Context

This assessment will introduce the Plan-Do-Study-Act (PDSA) Model to create change in an organization. By interviewing a colleague of your choice, you will begin gathering information about an interprofessional collaboration problem that your colleague is experiencing or has experienced. You will identify a change theory and leadership strategies to help solve this problem.

Scenario

This assessment is the first of three related assessments in which you will gather interview information (Assessment 2);  design a proposal for interdisciplinary problem-solving, (Assessment 3); and report on how an interdisciplinary improvement plan could be implemented in a place of practice (Assessment 4). At the end of the course, your interviewee will have a proposal plan based on the PDSA cycle that he or she could present to stakeholders to address an interdisciplinary problem in the workplace.

For this assessment, you will need to interview a health care professional such as a fellow learner, nursing colleague, administrator, business partner, or another appropriate person who could provide you with sufficient information regarding an organizational problem that he or she is experiencing or has experienced, or an area where they are seeking improvements. Consult the Interview Guide [DOCX] for an outline of how to prepare and the types of information you will need to complete this project successfully.

Remember: this is just the first in a series of three assessments.

Instructions

For this assessment, you will report on the information that you collected in your interview, analyzing the interview data and identifying a past or current issue that would benefit from an interdisciplinary approach. This could be an issue that has not been addressed by an interdisciplinary approach or one that could benefit from improvements related to the interdisciplinary approach currently being used. You will discuss the interview strategy that you used to collect information. Your interview strategy should be supported by citations from the literature. Additionally, you will start laying the foundation for your Interdisciplinary Plan Proposal (Assessment 3) by researching potential change theories, leadership strategies, and collaboration approaches that could be relevant to issue you have identified. Please be certain to review the scoring guide to confirm specific required elements of this assessment. Note that there are differences between basic, proficient and distinguished scores.

When submitting your plan, use the Interview and Issue Identification Template [DOCX], which will help you to stay organized and concise. As you complete the template, make sure you use APA format for in-text citations for the evidence and best practices that are informing your plan, as well as for the reference list at the end.

Additionally, be sure to address 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.

• Summarize an interview focused on past or current issues at a health care organization.
• Identify an issue from an interview for which an evidence-based interdisciplinary approach would be appropriate.
• Describe potential change theories and a leadership strategies that could inform an interdisciplinary solution to an organizational issue.
• Describe collaboration approaches from the literature that could facilitate establishing or improving an interdisciplinary team to address an organizational issue.
• Communicate with writing that is clear, logically organized, and professional, with correct grammar and spelling, and using current APA style.

Additional Requirements

• Length of submission: Use the provided template. Most submissions will be 2 to 4 pages in length. Be sure to include a reference page at the end of the plan.
• Number of references: Cite a minimum of 3 sources of scholarly or professional evidence that support your central ideas. Resources should be no more than 5 years old. 
• APA formatting: Make sure that in-text citations and reference list follow current 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.

Interview and Interdisciplinary Issue Identification Scoring Guide

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NHS FPX 4000 Applying Ethical Principles Capella Essay Example

NHS FPX 4000 Assessment 1: Applying Ethical Principles

Assignment Brief: NHS FPX 4000 Applying Ethical Principles Capella Essay

Course: NHS FPX 4000 Developing a Health Care Perspective

Assignment Title: Assessment 1: Applying Ethical Principles

Assignment Objectives:

The primary objective of this assignment is to evaluate the application of ethical principles in healthcare decision-making. Students are tasked with analyzing a case study involving ethical dilemmas, utilizing the ethical decision-making model, and demonstrating effective communication approaches. The focus is on understanding and resolving ethical challenges by applying key ethical principles in healthcare.

Overview of the Case Study:

The case study involves Dr. Angela Kerr, a pediatrician, and the parents of a 5-day-old baby, Ana. The parents, Jenna and Chris Smith, refuse to vaccinate Ana based on their beliefs associating vaccines with autism. Dr. Kerr faces an ethical dilemma as she navigates the tension between respecting parental autonomy and advocating for the well-being of the child and the community through vaccination.

Breakdown of the Assignment Instructions:

• Analysis of Ethical Issues: Evaluate the ethical issues presented in the case study, considering the principles of autonomy, beneficence, nonmaleficence, and justice. Discuss the conflicts between parental autonomy and public health concerns.
• Ethical Decision-Making Model: Apply the ethical decision-making model, comprising moral awareness, moral judgment, and ethical behavior, to analyze Dr. Kerr’s actions. Assess how Dr. Kerr navigates the ethical dilemma and maintains a balance between respecting autonomy and promoting beneficence.
• Effectiveness of Communication Approach: Examine Dr. Kerr’s communication approach. Evaluate the effectiveness of her communication in addressing the concerns of the parents and conveying the importance of vaccination. Discuss how communication contributes to ethical decision-making.
• Resolving the Ethical Dilemma: Propose strategies for resolving the ethical dilemma presented in the case study. Consider additional sources and approaches Dr. Kerr could use to reinforce the importance of vaccination and address parental concerns while respecting autonomy.
• The Student’s Role: Assume the role of a healthcare ethics analyst tasked with providing insights and recommendations to Dr. Kerr. Demonstrate a comprehensive understanding of ethical principles and their practical application in healthcare scenarios.
• Conclusion: Summarize the key findings and recommendations based on the analysis. Emphasize the significance of applying ethical principles in healthcare decision-making and resolving ethical dilemmas effectively.

Detailed Assessment Instructions for the NHS FPX 4000 Assignment: Applying Ethical Principles Capella Essay

Assessment 1 Instructions: Applying Ethical Principles Develop a solution to a specific ethical dilemma faced by a health care professional by applying ethical principles. Describe the issues and a possible solution in a 3-5-page paper. Introduction Whether you are a nurse, a public health professional, a health care administrator, or in another role in the health care field, you must base your decisions on a set of ethical principles and values. Your decisions must be fair, equitable, and defensible. Each discipline has established a professional code of ethics to guide ethical behavior. In this assessment, you will practice working through an ethical dilemma as described in a case study. Your practice will help you develop a method for formulating ethical decisions. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria: • Competency 1: Apply information literacy and library research skills to obtain scholarly information in the field of health care. • Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case. • Competency 3: Apply ethical principles and academic standards to the study of health care. • Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it. • Discuss the effectiveness of the communication approaches present in a case study. • Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study. • Apply ethical principles to a possible solution to an ethical problem or issue described in a case study. • 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. Instructions 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. For this assessment, develop a solution to a specific ethical dilemma faced by a health care professional. In your assessment: 1. Access the Ethical Case Studies media piece to review the case studies you may use for this assessment. • Select the case most closely related to your area of interest and use it to complete the assessment. ▪ Note: The case study may not supply all of the information you need. In such cases, you should consider a variety of possibilities and infer potential conclusions. However, please be sure to identify any assumptions or speculations you make. • Include the selected case study in your reference list, using proper APA Style and Format. 2. Summarize the facts in a case study and use the three components of an ethical decision-making model to analyze an ethical problem or issue and the factors that contributed to it. • Identify which case study you selected and briefly summarize the facts surrounding it. Identify the problem or issue that presents an ethical dilemma or challenge and describe that dilemma or challenge. • Identify who is involved or affected by the ethical problem or issue. • Access the Ethical Decision-Making Model media piece and use the three components of the ethical decision-making model (moral awareness, moral judgment, and ethical behavior) to analyze the ethical issues. ▪ Apply the three components outlined in the Ethical Decision-Making Model media. • Analyze the factors that contributed to the ethical problem or issue identified in the case study. ▪ Describe the factors that contributed to the problem or issue and explain how they contributed. 3. Apply academic peer-reviewed journal articles relevant to an ethical problem or issue as evidence to support an analysis of the case. • In addition to the readings provided, use the Capella library to locate at least one academic peer-reviewed journal article relevant to the problem or issue that you can use to support your analysis of the situation. The How Do I Find Peer-Reviewed Articles? library guide will help you locate appropriate references. (https://capellauniversity.libguides.com/peerreview) ▪ Cite and apply key principles from the journal article as evidence to support your critical thinking and analysis of the ethical problem or issue. ▪ Review the Think Critically About Source Quality resource. • Assess the credibility of the information source. • Assess the relevance of the information source. 4. Discuss the effectiveness of the communication approaches present in a case study. • Describe how the health care professional in the case study communicated with others. • Assess instances where the professional communicated effectively or ineffectively. • Explain which communication approaches should be used and which ones should be avoided. • Describe the consequences of using effective and non-effective communication approaches. 5. Discuss the effectiveness of the approach used by a professional to deal with problems or issues involving ethical practice in a case study. • Describe the actions taken in response to the ethical dilemma or issue presented in the case study. • Summarize how well the professional managed professional responsibilities and priorities to resolve the problem or issue in the case. • Discuss the key lessons this case provides for health care professionals. 6. Apply ethical principles to a possible solution to an ethical problem or issue described in a case study. • Describe the proposed solution. • Discuss how the approach makes this professional more effective or less effective in building relationships across disciplines within his or her organization. • Discuss how likely it is the proposed solution will foster professional collaboration. 7. Write clearly and logically, with correct use of spelling, grammar, punctuation, and mechanics. • Apply the principles of effective composition. • Determine the proper application of the rules of grammar and mechanics. 8. Write using APA style for in-text citations, quotes, and references. • Determine the proper application of APA formatting requirements and scholarly writing standards. • Integrate information from outside sources into academic writing by appropriately quoting, paraphrasing, and summarizing, following APA style.

NHS FPX 4000 Assignment: Applying Ethical Principles Capella Essay Example

Healthcare professionals often find themselves entangled in ethical dilemmas that demand careful consideration of ethical principles. In the case study “Incident 10: To vaccinate or not,” the Smith family, parents of a five-day-old newborn named Ana, expressed their decision to abstain from vaccinating their child due to perceived risks. Dr. Angela Kerr, the pediatrician, faced the ethical dilemma of balancing parental autonomy with the well-being of the child. This essay explores the ethical issues, analyzes the case using the Ethical Decision-Making Model, assesses communication effectiveness, and proposes a solution grounded in ethical principles.

Case Study Overview

The case study, “Incident 10: To vaccinate or not” (Capella, 2022), scrutinizes the decision-making process of the Smith family regarding their five-day-old newborn, Ana. Ana was born without complications in a community hospital, and her parents, Jenna and Chris Smith, expressed their intention to raise her naturally. This included exclusive breastfeeding for the first six months, preparing organic baby food, and abstaining from vaccinating Ana. Despite Dr. Kerr, the pediatrician, explaining the importance of vaccination, addressing myths, and providing information on safety, the Smiths remained firm in their decision, posing an ethical dilemma for Dr. Kerr.

Case Analysis Using Ethical Decision-Making Model

• Moral Awareness: Moral awareness involves recognizing the presence of an ethical dilemma. In this case, the dilemma revolves around the Smiths’ decision not to vaccinate Ana. Dr. Kerr identifies the potential risks associated with their choice.
• Moral Judgment: Dr. Kerr employs moral judgment by presenting facts and evidence to the Smiths. She highlights the benefits of vaccination, debunking myths and addressing concerns about autism. This step is crucial for informed decision-making.
• Ethical Behavior: Dr. Kerr exhibits ethical behavior by respecting the autonomy of the Smiths while fulfilling her duty to advocate for Ana’s health. She provides reliable information, ensuring transparency and fostering shared decision-making.

Communication Effectiveness:

Dr. Kerr’s communication approach is characterized by active listening and informative dialogue. She acknowledges the Smiths’ concerns, discusses the benefits of vaccination, and introduces the Vaccine Adverse Event Reporting System. While her communication is clear and non-judgmental, the Smiths remain firm in their decision.

Proposed Solution Applying Ethical Principles:

1. Autonomy: Respecting the principle of autonomy, Dr. Kerr should acknowledge the Smiths’ right to make decisions for Ana. She can express understanding and validate their concerns, fostering a collaborative decision-making process.
2. Beneficence: Considering beneficence, Dr. Kerr should continue providing information on the benefits of vaccination. Emphasizing the positive impact on Ana’s health and the community aligns with the principle of acting in the patient’s best interest.
3. Non-Maleficence: To adhere to non-maleficence, Dr. Kerr must ensure that Ana is not intentionally harmed. By emphasizing the safety of vaccines and debunking misinformation, she safeguards Ana’s well-being.
4. Justice: Justice demands fairness and equality. Dr. Kerr should underscore the role vaccination plays in protecting vulnerable individuals, contributing to community health. This aligns with the principle of justice in healthcare distribution.

Conclusion:

In conclusion, the case study highlights the ethical dilemma surrounding parental decision-making on vaccination. Dr. Kerr’s approach incorporates ethical principles, emphasizing autonomy, beneficence, non-maleficence, and justice. The proposed solution encourages ongoing dialogue, education, and collaboration to address the Smiths’ concerns while safeguarding Ana’s health. Health care professionals must navigate such ethical challenges with sensitivity, effective communication, and a commitment to ethical principles.

References

Baumgaertner, B., Carlisle, J. E., Justwan, F. (2018). The influence of political ideology and trust on willingness to vaccinate. PLOS ONE, 13(1), e0191728. https://doi.org/10.1371/journal.pone.0191728

Capella University (2022). Incident 10: To vaccinate or not? https://media.capella.edu/CourseMedia/nhs4000element18655/wrapper.asp

Cole, J., Teegala, Y. (March 15, 2022). Motivational interviewing and vaccine acceptance in children: The MOTIVE study. https://doi.org/10.1016/j.vaccine.2022.01.058

NHS FPX 4000 Assignment: Applying Ethical Principles Capella Essay Example Two

Applying Ethical Principles

At some point in life, individuals encounter ethical dilemmas that challenge their moral principles or code of ethics. Healthcare professionals face ethical issues across diverse settings, and to fulfill their responsibilities, they can rely on the four basic ethical principles: autonomy, beneficence, maleficence, and justice (Vermont Ethics Network, 2011).

Case Study Overview

In response to an Ethical Case Study report at Capella University, Corey Davidson is appointed as the Emergency Department (ED) director at Crosby Community Hospital. Despite having a strong reputation, concerns about Corey’s age and declining health affecting his medical performance arise. Margaret Truman, the Director of Nursing, discusses Corey’s worries, highlighting his non-compliance with evidence-based protocols. Corey is now faced with an ethical dilemma: whether to revoke Dr. Lacy’s ED privileges or respect the clinical judgment of the community’s experienced physician.

Analysis of Ethical Issues

The primary issue in Corey’s ethical dilemma is Dr. Lacy’s resistance to adapting to new hospital rules and refusal to follow evidence-based protocols, potentially harming patient outcomes. Dr. Lacy’s practices, such as prescribing Lasix without a definitive diagnosis, raise concerns about patient safety and effective treatment.

Using the Ethical Decision-making Model

The ethical decision-making paradigm involves three phases: moral awareness, moral judgment, and ethical behavior (Capella, 2018a). Corey becomes ethically aware of Dr. Lacy’s performance issues when Margaret brings them to his attention. Corey’s moral judgment is clear when faced with the possibility of revoking Dr. Lacy’s ED credentials, guiding his subsequent ethical actions.

Effectiveness of Communication and Approach

Open communication is crucial, and Corey’s availability for staff communication allows him to be informed about hospital concerns. However, closed-loop communication and clarification could improve the situation. Miscommunication arises as Corey doesn’t question Dr. Lacy’s awareness of new rules, affecting the overall understanding of the issue.

Resolving the Ethical Dilemma by Applying Ethical Principles

Corey’s ethical dilemma can be addressed by considering the principles of autonomy, beneficence, nonmaleficence, and fairness. Beneficence and nonmaleficence guide Corey’s duty to act in the patient’s best interest, and Dr. Lacy’s non-compliance may warrant revocation of ED privileges. Consultation with Dr. Lacy and exploring alternative diagnostic methods, like POCUS, can enhance communication and collaboration.

Conclusion

The ethical decision-making model, influenced by the four ethical principles, aids healthcare professionals like Corey in navigating ethical dilemmas. In this case, Corey’s dilemma regarding Dr. Lacy’s performance is resolved through a comprehensive approach that considers autonomy, beneficence, nonmaleficence, and fairness.

References

American Medical Association. (2001). AMA principles of medical ethics. Retrieved from AMA Principles of Medical Ethics

Capella University (2018a). Ethical Decision-Making Model. Retrieved from Capella University Website: NHS-FP4000 course room.

Capella University (2018b). Old School or Out of Touch? Ethical Case Studies. Retrieved from Capella University Website: NHS-FP4000 course room.

Long, B., Koyfman, A., & Chin, E. J. (2018). Misconceptions in acute heart failure diagnosis and Management in the Emergency Department. The American journal of emergency medicine, 36(9), 1666-1673.

Vermont Ethics Network. (2021). Medical Ethics / Health Care Ethics. Vermont Ethics Network

NHS FPX 4000 Assignment: Applying Ethical Principles Capella Essay Example Three

In healthcare settings, ethical challenges frequently arise, creating a pivotal moment for healthcare professionals and patients where decision-making becomes intricate. To guide medical practitioners in navigating ethical scenarios, four ethical standards were established—autonomy, emphasizing each individual’s right to make their own choices; beneficence, dedicated to prioritizing the patient’s best interests; non-maleficence, focusing on healthcare professionals’ responsibility to protect patients from harm; and justice, promoting fairness and equality for all individuals. These principles serve as a framework for addressing ethical dilemmas in the healthcare environment (Levitt, 2014). While they may not always offer definitive solutions, these principles assist healthcare workers in making the most informed clinical judgments and decisions possible amid challenging situations.

Overview of the Case Study

The case study titled “To Vaccinate, or Not” presents a scenario involving two parents, Jenna and Chris, who opt not to vaccinate their 5-day-old child, Ana. Their preference is to nurture their daughter naturally, encompassing exclusive breastfeeding for the initial six months, utilizing organic baby food, and refraining from immunization. Their decision is informed by researched information associating vaccines with autism, leading them to believe that the potential risks outweigh the benefits of vaccination for their daughter. In contrast, Ana’s pediatrician, Dr. Kerr, counters this information, strongly advocating for Ana to receive full vaccination. Dr. Kerr underscores the significant reduction in fatal infections achieved through vaccinations and highlights the role of vaccines in eradicating diseases like measles in the United States. She also elaborates on the regular updates maintained by government databases such as the Vaccination Adverse Event Reporting System (VAERS), funded by the CDC and FDA, which track vaccine safety data. Additionally, Dr. Kerr emphasizes the importance of vaccinations in protecting children who cannot receive them due to medical reasons. Despite Dr. Kerr’s evidence-based explanations, the Smiths persist in their decision, creating an ethical dilemma for the pediatrician.

Analysis of Ethical Issues in the Case Study

Dr. Kerr faces a significant ethical challenge as the Smiths decline to vaccinate Ana, potentially jeopardizing her health. As a healthcare provider, Dr. Kerr is required to possess extensive knowledge and confidence in advocating for the undeniable benefits and safety of immunizations on behalf of Ana (De St. Maurice & Edwards, 2016). Upon hearing the Smiths’ reasons and the comprehensive research that led to their decision, Dr. Kerr finds herself compelled to advocate for the health of her patient by providing education to the parents. This situation gives rise to an ethical dilemma centered around the principles of autonomy, beneficence, and non-maleficence.

Autonomy, the concept that individuals have the right to make decisions for themselves, is a foundational principle. However, in this specific scenario involving a baby like Ana, the responsibility for decision-making lies with her parents. Beneficence reflects the physician’s commitment to act in the patient’s best interest, upholding various moral principles to prevent harm. Simultaneously, non-maleficence underscores the physician’s obligation to refrain from causing harm to others. In this case, Dr. Kerr unequivocally believes that vaccinating Ana is the optimal decision, as the benefits of vaccination far outweigh the associated risks. This ethical dilemma emerges from the clash between the parents’ autonomy in decision-making and Dr. Kerr’s commitment to beneficence and non-maleficence in safeguarding Ana’s well-being.

Ethical Decision-Making Model to Analyze the Case Study

The Ethical Decision-Making Model involves three integral components: moral awareness, moral judgment, and ethical behavior. Of these, moral awareness, signifying the identification and acknowledgment of ethical considerations, stands out as the most crucial element. Dr. Kerr’s moral awareness is palpable in this case, evident when she openly acknowledges her disagreement with Ana’s parents’ decision not to immunize her. The sensitivity to one’s values and morality plays a pivotal role in shaping moral understanding.

Moral judgment, the process of deciding between right and wrong, is influenced by individual differences, cognitive biases, and organizational culture. Dr. Kerr’s righteous judgment is evident as she provides Ana’s parents with accurate and well-informed information, aiming to assist them in making an informed decision. This reflects her commitment to navigating the ethical complexities surrounding vaccination decisions.

Finally, ethical behavior encompasses taking the appropriate actions to address the identified issues. Dr. Kerr’s ethical behavior is manifest in her recommendation to Ana’s parents that the child be vaccinated because it is in her best interest. In this way, Dr. Kerr translates her moral awareness and judgment into ethical actions, aligning with her duty to advocate for the well-being of her patient.

Effectiveness of Communication Approaches in the Case Study

The effectiveness of communication approaches in the case study is notable in Dr. Kerr’s conscientious efforts to engage with Ana’s parents. Her communication strategies are characterized by attentiveness, non-judgmental demeanor, and a commitment to understanding the parents’ perspectives. Dr. Kerr’s ability to listen sensitively to their reasoning fosters an open and respectful dialogue, creating an environment conducive to effective communication.

Maintaining a non-judgmental attitude is identified as a crucial element in the communication process. Dr. Kerr’s approach reflects this principle, ensuring that Ana’s parents feel comfortable expressing their thoughts and preferences without the fear of being judged. This open-mindedness contributes to building trust, a fundamental component in delivering high-quality patient care.

Recognizing the importance of parental consent in the decision-making process, Dr. Kerr employs informative data to convey facts about the effectiveness of immunization. Specifically, she addresses the parents’ concerns about a perceived link between vaccines and autism, debunking this notion with evidence-based information. Dr. Kerr’s responses are grounded in research findings, such as the lack of evidence supporting thimerosal’s role in causing autism.

Overall, Dr. Kerr’s communication approach is characterized by respect for parental opinions and decisions. By combining attentiveness, non-judgmental communication, and evidence-based information, she strives to encourage Ana’s parents to reconsider their beliefs while respecting their autonomy in the decision-making process.

Resolving the Ethical Dilemma by Applying Ethical Principles

In resolving the ethical dilemma presented in this case study, Dr. Kerr grapples with considerations related to autonomy, beneficence, and non-maleficence. Although Ana is her patient, being under the age of 18 means that her parents hold the authority to make decisions regarding her health. Dr. Kerr demonstrates respect for autonomy by actively listening to Ana’s parents and refraining from pressuring them to vaccinate her. However, she also upholds the principle of beneficence by advocating for Ana’s health and recommending immunization as a beneficial course of action.

Furthermore, Dr. Kerr exhibits non-maleficence by imparting information to Ana’s parents about the positive aspects of vaccination, emphasizing that immunization is the healthiest choice for their child. To enhance the effectiveness of her communication, it may be advantageous to provide Ana’s parents with additional resourceful data regarding the benefits of immunizations and dispelling any misconceptions, such as the alleged link to autism. Dr. Kerr’s suggestion to use credible sources aligns with evidence-based practices, potentially influencing the parents’ perspectives and motivating them to reconsider their decision.

In conclusion, this case underscores the critical role of ethical concepts in guiding healthcare workers to make sound clinical judgments and decisions in challenging situations. Dr. Kerr’s approach reflects a commitment to ethical principles and a consideration of the well-being of the patient, highlighting the importance of navigating such dilemmas with respect, informed communication, and a focus on promoting health.

References

De St. Maurice, A., & Edwards, K. (2016). Vaccine Hesitancy in Children—A Call for Action. Children, 3(2), 7. https://doi.org/10.3390/children3020007

Esernio-Jenssen, D., & Offit, P. (2020). Don’t hesitate–vaccinate! Journal of Child & Adolescent Trauma, 13(3), 337-341. https://doi.org/10.1007/s40653-020-00324-y

Levitt, D. (2014). Ethical Decision-Making in a Caring Environment: The Four Principles and LEADS. Healthcare Management Forum, 27(2), 105–107. https://doi.org/10.1016/j.hcmf.2014.03.013

NHS FPX 4000 Application of Ethical Principles: Capella Essay Example Four

Applying Ethical Principles

In a healthcare setting, ethical decision-making principles are crucial to navigate diverse situations. The primary ethical principles in healthcare encompass justice, autonomy, nonmaleficence, and beneficence (Jill Day et al., 2018). Autonomy involves informed consent, sharing accurate information, and maintaining confidentiality. These principles serve as a framework for guiding health practitioners in ethical decision-making across various scenarios, including assisting patients in making informed decisions about their health.

Overview of the Case Study

L. Straight, the director of Hopewell Hospital, is considering reducing Dr. Cutrite’s privileges due to his deteriorating physical and mental state owing to age. Despite the decline in Dr. Cutrite’s capabilities, Straight, influenced by his political standing, continues to recommend him for various procedures. A significant incident arises when a plastic syringe needle protector is left in a patient’s belly after surgery, leading to an ethical dilemma. The operating room supervisor reports the issue without expressing concern, and the surgical team, including Dr. Cutrite, downplays the mistake. Straight plans to recall the patient without disclosing the truth, adding an unethical dimension to the situation (Capella, 2022).

Analysis of Ethical Issues

This case unfolds multiple ethical dilemmas within healthcare. Firstly, Straight fails to fulfill his role by not reducing Dr. Cutrite’s responsibilities, disregarding the doctor’s declining physical and mental condition. Secondly, the surgical team’s response to the mistake, especially Dr. Cutrite’s directive against taking action and Straight’s intention to conceal the error from the patient, raises ethical concerns. Leaving a plastic syringe protector in a patient’s body is a serious mistake with potential health risks, and the lack of urgency and transparency in addressing it is unethical. Dr. Cutrite’s use of influence to dissuade action further compounds the ethical issues.

Applying the Ethical Decision-Making Model

The ethical decision-making model consists of three components: moral awareness, moral judgment, and ethical behavior. Straight demonstrates moral awareness by recognizing the ethical dilemma and considering recalling the patient. However, his judgment is flawed as his intention is to conceal the details, resulting in unethical behavior. In contrast, the health practitioners, including Dr. Cutrite and the supervisor, lack moral awareness, and their judgment leads to a course of action that neglects ethical considerations.

Effectiveness of Communication Approaches

Effective communication is pivotal in healthcare to ensure quality outcomes (Buljac-Samardzic et al., 2020). In this case, communication breakdowns contribute to ethical lapses. The failure to report the mistake in a timely manner, the nonchalant reporting by the supervisor, and the lack of reprimand for Dr. Cutrite’s actions all indicate ineffective communication. Timely and accurate information sharing, coupled with a focus on patient safety, could have averted the potential harm caused by the oversight.

Solution

Resolving ethical concerns within healthcare requires adherence to principles such as justice, autonomy, nonmaleficence, and beneficence. Beneficence dictates acting in the best interest of patients, while nonmaleficence prohibits causing harm. In this case, failure to adhere to these principles resulted in harm to the patient. The ethical dilemma involves autonomy, beneficence, and nonmaleficence. The practitioners’ intention to hide the truth and Dr. Cutrite’s influence on clinical decisions placed the patient at risk. Adhering to these principles would guide the practitioners toward ethical behavior, ensuring patient well-being.

Conclusion

Patient health should be the paramount concern in healthcare, guided by the application of ethical principles. These principles offer a framework for health practitioners to make ethically sound decisions. In the presented case study, Straight faces the decision of recalling the patient and informing them of the mistake, as well as demoting Dr. Cutrite—both actions aligning with ethical behavior. The resolution to such cases lies in promoting principles of beneficence, nonmaleficence, and autonomy to address ethical dilemmas effectively.

References

Buljac-Samardzic, M., Doekhie, K. D., & van Wijngaarden, J. D. (2020). Interventions to improve team effectiveness within health care: a systematic review of the past decade. Human resources for health, 18(1), 1-42.

Capella. (2022). Ethical Case Studies. Retrieved from https://media.capella.edu/CourseMedia/nhs4000element18655/wrapper.asp

Capella.edu. (2022). Ethical Decision-Making Model. Retrieved from https://media.capella.edu/CourseMedia/nhs4000element18816/wrapper.asp

Jill Day, B. G. S., LDA, R., CDA, C., & Sarah Stream, B. A. (2018). Ethics in the Dental Office: Autonomy, beneficence, non-maleficence, and justice should guide your decisions. Dental Assistant, 87(4), 8-9.

Spoljar, D., Curkovic, M., Gastmans, C., Gordijn, B., Vrkic, D., Jozepovic, A., … & Borovecki, A. (2020). Ethical content of expert recommendations for end-of-life decision-making in intensive care units: A systematic review. Journal of critical care, 58, 10-19.

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NURS 6053 IO001 Analysis of a Pertinent Healthcare Issue Example

NURS 6053 IO001 Analysis of a Pertinent Healthcare Issue Assignment

NURS 6053 IO001 Analysis of a Pertinent Healthcare Issue Assignment Brief

Course: NURS 6053 – Interprofessional Organizational and Systems Leadership

Assignment Title: NURS 6053 IO001 Analysis of a Pertinent Healthcare Issue Assignment

Assignment Instructions Overview

In this assignment, you will undertake an analysis of a significant healthcare issue, focusing on how national trends impact organizational leadership practices. This assignment will involve a detailed examination of a selected healthcare stressor and its implications within your work setting. The objective is to understand the broader context of healthcare issues and propose actionable strategies based on scholarly research and practical insights.

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Understanding Assignment Objectives

The primary objective of this assignment is to develop a comprehensive understanding of a national healthcare issue or stressor and its specific impact on your organization. This includes:

• Analyzing the Issue: Identify and describe a relevant healthcare issue or stressor, providing detailed context and data to illustrate its significance.
• Reviewing Literature: Summarize and synthesize findings from scholarly articles that address strategies to manage the identified issue.
• Proposing Solutions: Suggest evidence-based strategies that could be implemented in your organization, discussing potential positive and negative outcomes.

The Student’s Role

As a student, your role is to act as an analyst and advisor to your organization’s leadership team. You are expected to:

• Conduct thorough research on the selected healthcare issue or stressor.
• Gather and analyze relevant organizational data to illustrate the impact of the issue.
• Critically evaluate scholarly resources to identify effective strategies used by other organizations.
• Develop a well-structured white paper that presents your findings and recommendations in a clear and concise manner.

Competencies Measured

This assignment is designed to measure several key competencies:

• Critical Thinking and Analysis: Evaluate complex healthcare issues and stressors using data and scholarly research.
• Research Skills: Identify, review, and synthesize relevant scholarly articles and organizational data.
• Communication: Effectively communicate your findings and recommendations to a leadership audience.
• Problem-Solving: Propose actionable strategies that address organizational challenges related to national healthcare trends.
• Leadership Insight: Understand the implications of healthcare trends on leadership practices and organizational performance.

You Can Also Check Other Related Assessments for the NURS 6053 – Interprofessional Organizational and Systems Leadership Course:

NURS 6053 IO001 Healthcare Environment Review of Current Healthcare Issues Discussion Assignment Example

NURS 6053 IO002 Professionalism Organizational Policies and Practices to Support Healthcare Issues Assignment Example

NURS 6053 IO002 Developing Organizational Policies and Practices Example

NURS 6053 IO003 Assignment: Personal Leadership Philosophies Example

NURS 6053 IO004 Workplace Environment Assessment Assignment Example

NURS 6053 IO005 Change Implementation and Management Plan Assignment Example

NURS 6053 IO001 Analysis of a Pertinent Healthcare Issue Example

Introduction

The healthcare landscape in the United States is fraught with complex challenges. One of the most pressing issues is nurse burnout, which significantly impacts the healthcare system’s ability to deliver high-quality care. This paper analyzes nurse burnout, its effects on our organization, and strategies employed by other organizations to mitigate this issue. It also explores potential strategies for our organization to address nurse burnout effectively.

Description of Nurse Burnout and Its Impact on the Organization

Nurse burnout is characterized by emotional exhaustion, depersonalization, and a reduced sense of personal accomplishment, leading to decreased job performance and increased turnover rates. According to data from our organization, there has been a noticeable increase in absenteeism and turnover rates among nurses over the past two years, correlating with an increase in patient complaints about care quality.

Quantitatively, our turnover rate for nurses has increased by 15% in the last year, leading to significant recruitment and training costs. Additionally, our patient satisfaction scores have dropped by 10%, and we have seen a 20% increase in medication errors, which are often attributed to overworked and stressed nursing staff.

Review of Articles Addressing Nurse Burnout

Article Summaries

Kelly, L., Gee, P. M., & Butler, R. J. (2021). The article “Impact of nurse burnout on organizational and patient outcomes” explores how nurse burnout negatively affects patient care quality, increases healthcare costs, and reduces nurse retention rates. The authors highlight interventions such as mindfulness training, adequate staffing, and supportive leadership as effective strategies to combat burnout.

Dolan, E. D., et al. (2022). In “Strategies to reduce nurse burnout: Evidence from healthcare organizations,” the authors analyze various organizational strategies to reduce burnout. These strategies include implementing flexible work schedules, promoting a positive work environment, and offering professional development opportunities. The study found that these interventions significantly reduced burnout rates and improved job satisfaction among nurses.

Addressing Nurse Burnout in Other Organizations

Other healthcare organizations have successfully implemented change strategies to address nurse burnout. For instance, some hospitals have introduced mindfulness and stress management programs, resulting in a 25% reduction in burnout rates and a 15% improvement in job satisfaction. Additionally, organizations that have increased nurse-to-patient ratios and provided better managerial support have reported lower turnover rates and improved patient care outcomes.

Strategies to Address Organizational Impact of Nurse Burnout

Strategy 1: Mindfulness Training and Stress Management Programs

Mindfulness training and stress management programs help nurses manage stress and improve their emotional resilience. Implementing such programs in our organization can provide nurses with tools to cope with job-related stress, potentially reducing burnout rates. For example, a mindfulness program can be integrated into the existing wellness initiatives, offering regular sessions and resources for stress management.

Strategy 2: Improving Nurse-to-Patient Ratios

Increasing the nurse-to-patient ratio can significantly reduce workload and burnout. By hiring additional staff or redistributing workloads, our organization can ensure that nurses are not overwhelmed, allowing them to provide better patient care and reduce errors. This strategy, however, requires a substantial investment in recruitment and training.

Strategy 3: Enhancing Supportive Leadership

Supportive leadership involves creating a positive work environment where nurses feel valued and supported. Training for managers on recognizing signs of burnout and providing emotional and professional support can foster a healthier workplace culture. Regular check-ins and open communication channels can help identify issues early and provide necessary interventions.

Potential Positive and Negative Impacts

Implementing these strategies can lead to several positive outcomes, such as improved job satisfaction, reduced turnover rates, and better patient care quality. For instance, mindfulness training has been shown to improve focus and reduce stress, leading to fewer errors and higher job satisfaction. However, these initiatives also come with potential challenges. Increasing the nurse-to-patient ratio requires financial resources, and there might be resistance to change among staff.

Conclusion

Nurse burnout is a significant issue that impacts both organizational performance and patient outcomes. By learning from successful strategies implemented by other organizations, such as mindfulness training, improving nurse-to-patient ratios, and enhancing supportive leadership, our organization can address this issue effectively. These strategies can lead to a healthier work environment, improved job satisfaction, and better patient care, aligning with the broader goals of the Quadruple Aim in healthcare.

References

Dolan, E. D., et al. (2022). Strategies to reduce nurse burnout: Evidence from healthcare organizations. Journal of Nursing Management, 30(2), 145-157.

Kelly, L., Gee, P. M., & Butler, R. J. (2021). Impact of nurse burnout on organizational and patient outcomes. Journal of Health Organization and Management, 35(3), 301-316.

Detailed Assessment Instructions for the NURS 6050/6053: Analysis of a Pertinent Healthcare Issue Assignment

• IO001 Healthcare Environment
  • Analyze the impact of national healthcare trends on organizational leadership practice.

Assignment: Analysis of a Pertinent Healthcare Issue

The Quadruple Aim provides broad categories of goals to pursue to maintain and improve healthcare. Within each goal are many issues that, if addressed successfully, may have a positive impact on outcomes. For example, healthcare leaders are being tasked to shift from an emphasis on disease management often provided in an acute care setting to health promotion and disease prevention delivered in primary care settings. Efforts in this area can have significant positive impacts by reducing the need for primar

y healthcare and by reducing the stress on the healthcare system.

Changes in the industry only serve to stress what has always been true; namely, that the healthcare field has always faced significant challenges, and that goals to improve healthcare will always involve multiple stakeholders. This should not seem surprising given the circumstances. Indeed, when a growing population needs care, there are factors involved such as the demands of providing that care and the rising costs associated with healthcare. Generally, it is not surprising that the field of healthcare is an

 industry facing multifaceted issues that evolve over time.

In this module’s Discussion, you reviewed some healthcare issues/stressors and selected one for further review. For this Assignment, you will consider in more detail the healthcare issue/stressor you selected. You will also review research that addresses the issue/stressor and write a white paper to your organization’s leadership that addresses the issue/stressor you selected.

To Prepare:

• Review the national healthcare issues/stressors presented in the Resources and reflect on the national healthcare issue/stressor you selected for study.
• Reflect on the feedback you received from your colleagues on your Discussion post for the national healthcare issue/stressor you selected. Quadruple Aim Nurse Burnout Assignment: Analysis of a Pertinent Healthcare Issue
• Identify and review two additional scholarly resources (not included in the Resources for this module) that focus on change strategies implemented by healthcare organizations to address your selected national healthcare issue/stressor.

The Assignment (3-4 Pages):

Analysis of a Pertinent Healthcare Issue

Develop a 3- to 4-page paper, written to your organization’s leadership team, addressing your selected national healthcare issue/stressor and how it is impacting your work setting. Be sure to address the following:

• Describe the national healthcare issue/stressor you selected and its impact on your organization. Use organizational data to quantify the impact (if necessary, seek assistance from leadership or appropriate stakeholders in your organization).
• Provide a brief summary of the two articles you reviewed from outside resources on the national healthcare issue/stressor. Explain how the healthcare issue/stressor is being addressed in other organizations.
• Summarize the strategies used to address the organizational impact of national healthcare issues/stressors presented in the scholarly resources you selected. Explain how they may impact your organization both positively and negatively. Be specific and provide examples.

Looking Ahead

The paper you develop in Module 1 will be revisited and revised in Module 2. Review the Assignment instructions for Module 2 to prepare for your revised paper.

Rubric Detail

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NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example

NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Brief

Course: NURS 5052 – Essentials of Evidence-Based Practice

Assignment Title: NURS 6052/5052 EB001 Module01 Quadruple Aim and Evidence-Based Practice Assignment

Assignment Overview:

In this assignment, you will explore the interconnectedness of the Quadruple Aim in healthcare and Evidence-Based Practice (EBP). The Quadruple Aim, an extension of the Triple Aim, emphasizes four key goals: improving patient experience, enhancing population health, reducing healthcare costs, and promoting healthcare team well-being. EBP, on the other hand, is a systematic approach that integrates the best available evidence into healthcare decision-making. Your task is to analyze how EBP contributes to achieving the Quadruple Aim and understand its impact on patient care, population health, cost management, and healthcare provider well-being.

Understanding Assignment Objectives:

The primary objectives of this assignment are to:

• Explore the Relationship: Investigate the connection between the Quadruple Aim and EBP. Understand how EBP can serve as a strategic tool to achieve the goals outlined in the Quadruple Aim.
• Analyze Impact on Patient Experience: Examine the role of EBP in enhancing patient experience. Provide examples and evidence supporting the idea that EBP positively influences the first goal of the Quadruple Aim.
• Evaluate Contribution to Population Health: Assess how EBP aligns with evidence-based public health and explore how it directly impacts population health. Provide insights into how EBP can be a driver for success in achieving the second goal of the Quadruple Aim.
• Investigate Cost Implications: Analyze the impact of EBP on healthcare costs. Evaluate the Return on Investment (ROI) of EBP and discuss how it can contribute to the cost-related goal of the Quadruple Aim.
• Examine Healthcare Team Well-being: Explore how EBP empowers healthcare professionals and its role in mitigating burnout and stress. Discuss strategies within EBP that contribute to achieving the fourth goal of the Quadruple Aim.

The Student’s Role:

As a student, your role is to critically engage with the literature and scholarly articles related to the Quadruple Aim and EBP. Analyze the information to draw connections between the two concepts and support your arguments with evidence. You are encouraged to provide real-world examples and practical applications to illustrate the impact of EBP on each dimension of the Quadruple Aim. Additionally, consider potential challenges and barriers to implementing EBP in healthcare settings and propose strategies to overcome them.

Ensure that your analysis is thorough, well-organized, and supported by reputable sources. Utilize the provided references, and supplement them with additional scholarly articles and research to strengthen your arguments. This assignment aims to deepen your understanding of the practical implications of EBP in achieving the Quadruple Aim in healthcare.

You Can Also Check Other Related Assessments for the NURS 5052 – Essentials of Evidence-Based Practice Course:

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NURS 6052/5052 EB003 Module03 Advanced Levels of Clinical Inquiry and Systematic Reviews Evidence-Based Project Assignment Example

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NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example

In the pursuit of optimal healthcare performance, organizations have evolved from the traditional Triple Aim—focused on improved population health, enhanced patient experience, and lower healthcare costs—to the more comprehensive Quadruple Aim. The Quadruple Aim introduces a crucial fourth dimension: the improvement of the work life of healthcare providers. Evidence-based practice (EBP) emerges as a strategic tool in this evolving landscape, guiding healthcare decisions based on the integration of clinical expertise, the best available research evidence, patient values, and best practices. This analysis explores the intricate connection between EBP and the Quadruple Aim, specifically addressing their impact on patient experience, population health, costs, and the work-life of healthcare providers.

Patient Experience

Patient experience is a cornerstone of quality healthcare, emphasizing the need for personalized, patient-centric care that minimizes errors and enhances overall satisfaction. EBP plays a pivotal role in improving patient experience by aligning clinical decisions with the latest research findings. For instance, the implementation of evidence-based strategies, such as hourly rounding and effective communication protocols, has been shown to significantly elevate patient satisfaction (Skaggs et al., 2018). EBP encourages healthcare providers to tailor interventions based on scientific evidence, fostering a proactive role for patients in their treatment plans and increasing overall engagement.

Population Health

Improving population health involves addressing the diverse needs of communities, understanding prevalent conditions, and promoting equitable distribution of resources. EBP provides a systematic approach to achieving these goals by empowering healthcare professionals to utilize research effectively. By identifying prevailing health issues, such as obesity, through evidence-based methodologies, healthcare organizations can implement targeted interventions to enhance population health (Lhachimi, Bala, & Vanagas, 2016). EBP not only offers access to high-quality information but also serves as a catalyst for successful quality improvement programs.

Costs

The rising cost of healthcare is a global concern, and organizations strive to provide quality services while maintaining financial viability. EBP contributes to cost reduction by eliminating unnecessary medical procedures and enhancing the efficiency of care delivery. Implementation of evidence-based recommendations has demonstrated substantial decreases in adverse events and healthcare costs, with simultaneous improvements in patient satisfaction (Walewska-Zielecka et al., 2021). While initial investments in modern healthcare technologies may increase capital costs, the long-term impact includes reduced treatment costs and enhanced quality of care.

Work-Life of Healthcare Providers

A positive work environment is essential for healthcare providers to deliver optimal care. EBP practices promote inter-professional collaboration, patient-provider engagement, and overall staff well-being. The implementation of EBP is associated with reduced burnout, increased job satisfaction, and enhanced productivity among healthcare providers (Kim et al., 2016). The integration of electronic health records, facilitated by EBP, has streamlined administrative tasks, replacing tedious paperwork and contributing to a more conducive work environment.

Conclusion

In conclusion, the synergy between EBP and the Quadruple Aim is evident in their collective impact on patient experience, population health, costs, and the work-life of healthcare providers. EBP serves as the guiding force that aligns organizational decisions with the latest scientific evidence, promoting a culture of continuous improvement and patient-centered care. As healthcare organizations navigate the complexities of the modern healthcare landscape, the strategic integration of EBP emerges as a fundamental approach to achieving the Quadruple Aim. By enhancing the quality of care, promoting efficient resource utilization, and fostering a supportive work environment, EBP becomes the cornerstone of healthcare excellence in the pursuit of the Quadruple Aim.

References

Skaggs, M. K. D., Daniels, J. F., Hodge, A. J., & DeCamp, V. L. (2018). Using the Evidence-Based Practice Service Nursing Bundle to Increase Patient Satisfaction. Journal of Emergency Nursing, 44(1), 37–45. https://doi.org/10.1016/j.jen.2017.10.011

Lhachimi, S. K., Bala, M. M., & Vanagas, G. (2016). Evidence-Based Public Health. BioMed Research International, 2016, 5681409. https://doi.org/10.1155/2016/5681409

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A., & Davidson, J. E. (2016). Predictors of Evidence-Based Practice Implementation, Job Satisfaction, and Group Cohesion Among Regional Fellowship Program Participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348. https://doi.org/10.1111/wvn.12171

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Two

Introduction

The amalgamation of Evidence-Based Practice (EBP) and the Quadruple Aim in healthcare signifies a transformative approach to decision-making, policy formulation, and the delivery of patient-centered care. EBP, rooted in scientific evidence and shaped by patient preferences and clinician expertise, aligns seamlessly with the Quadruple Aim’s pursuit of improving patient experience, population health, reducing costs, and enhancing the work-life of healthcare providers. This analysis explores the profound relation between EBP and the Quadruple Aim, shedding light on how EBP influences the four key elements of this transformative framework.

Evidence-Based Practice

EBP, a cornerstone of contemporary healthcare, is driven by the imperative to provide high-quality and safe healthcare services. With its roots in well-designed scientific studies, EBP integrates patient values and clinician expertise, fostering a holistic approach to decision-making (Crabtree et al., 2016). The interprofessional model embraced by EBP promotes shared decision-making, highlighting the collaboration among healthcare providers and the active involvement of patients in their care plans.

The Quadruple Aim

The Quadruple Aim expands the traditional Triple Aim by introducing the crucial fourth dimension—improving the work-life of healthcare providers. This addition recognizes the essential role of a productive and satisfied healthcare workforce in achieving overall healthcare excellence (Bodenheimer & Sinsky, 2014). The Quadruple Aim’s goals encompass enhancing patient experience, improving population health, reducing healthcare costs, and fostering a positive work environment for healthcare providers.

Influence of EBP on the Quadruple Aim Elements

Patient Experience

EBP’s impact on patient experience is profound, emphasizing the translation of research findings into clinical practice. Through efficient literature searching and evidence evaluation, healthcare providers can tailor care plans based on individual patient needs, leading to improved quality and safety of healthcare services (Jacobs et al., 2018). The integration of EBP in clinical problem-solving contributes directly to enhancing the overall patient experience.

Population Health

EBP serves as a linchpin for promoting population health by educating communities on health determinants, treatment benefits and limitations, and cultural practices. The equitable distribution of resources is facilitated by identifying and addressing prevailing health issues within specific populations (Sakallaris et al., 2016). EBP’s emphasis on individual patient needs ensures that healthcare interventions are tailored to diverse population segments, fostering efficiency in health promotion strategies.

Costs

While the upfront costs of implementing EBP, such as adopting modern technologies, may initially increase capital costs, the long-term impact is cost reduction. EBP contributes to the elimination of unnecessary medical procedures, enhancing the efficiency and quality of care. The adoption of evidence-based recommendations has been associated with decreased adverse events, lower healthcare costs, and improved patient satisfaction (Crabtree et al., 2016; Walewska-Zielecka et al., 2021).

Work-Life of Healthcare Providers

A positive work environment is vital for healthcare providers, and EBP practices contribute significantly to fostering such an environment. Interprofessional collaboration, patient-provider engagement, and shared decision-making promoted by EBP reduce burnout, increase job satisfaction, and enhance staff productivity (William Jackson Epperson Md et al., 2016). The integration of evidence-based processes, such as electronic health records, streamlines administrative tasks, creating a conducive atmosphere for healthcare providers.

Conclusion

In the symbiotic relationship between EBP and the Quadruple Aim, healthcare organizations find a transformative path toward excellence. The influence of EBP on patient experience, population health, costs, and the work-life of healthcare providers underscores its pivotal role in achieving the Quadruple Aim. As healthcare continues to evolve, the strategic integration of EBP emerges as a linchpin for organizations aspiring to enhance quality, efficiency, and overall healthcare outcomes.

References

Bodenheimer, T., & Sinsky, C. (2014). From triple to quadruple aim: care of the patient requires care of the provider. The Annals of Family Medicine, 12(6), 573-576.

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving Patient Care Through Nursing Engagement in Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 13(2), 172-175.

Jacobs, B., McGovern, J., Heinmiller, J., & Drenkard, K. (2018). Engaging employees in well-being: moving from the triple aim to the quadruple aim. Nursing Administration Quarterly, 42(3), 231-245.

Sakallaris, B. R., Miller, W. L., Saper, R., Jo Kreitzer, M., & Jonas, W. (2016). Meeting the challenge of a more person-centered future for US healthcare. Global Advances in Health and Medicine, 5(1), 51-60.

William Jackson Epperson Md, M. B. A., Facmpe, S. F. C., & Wilhoit, G. (2016). Provider burnout and patient engagement: the quadruple and quintuple aims. The Journal of Medical Practice Management: MPM, 31(6), 359.

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-Based Care Reduces Unnecessary Medical Procedures and Healthcare Costs in the Outpatient Setting. Value in Health Regional Issues, 25, 23–28. https://doi.org/10.1016/j.vhri.2020.07.577.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Three

Introduction

The evolution of healthcare has witnessed the integration of Evidence-Based Practice (EBP) as a cornerstone for informed decision-making and improved patient care. As healthcare strives to achieve the Quadruple Aim—enhancing patient experience, improving population health, reducing costs, and nurturing the work life of healthcare providers—the connection between EBP and these aims becomes increasingly apparent. This analysis explores how EBP serves as a catalyst in reaching the Quadruple Aim, addressing each of the four measures.

Patient Experience

Patient experience flourishes when informed decisions and patient-centered care converge. EBP, exemplified by practices like bedside shift reports, not only promotes transparency in communication but actively involves patients in their care (Dorvil, 2018). This patient engagement enhances the overall experience, fostering a sense of empowerment and satisfaction. The implementation of EBP strategies, rooted in research evidence, elevates the quality of care, aligning seamlessly with the Quadruple Aim’s patient-centric focus.

Population Health

In the pursuit of improving population health, EBP emerges as a guiding light. Evidence-Based Public Health (EBPH) practices, grounded in data-driven decision-making and intervention evidence, empower healthcare systems to address population risk factors and disease burden (Allen et al., 2018). The systematic use of evidence in public health planning and interventions becomes instrumental in achieving the Quadruple Aim’s goal of enhancing overall community health.

Costs

The financial landscape of healthcare is intricately tied to the effectiveness and efficiency of care. EBP interventions, notably those targeting healthcare-associated infections and inappropriate care, directly contribute to cost reduction (Lavenberg et al., 2019). The integration of best available evidence into decision-making not only strengthens the safety and quality of care but optimizes the value of care delivered. EBP, thus, becomes a strategic tool in aligning with the Quadruple Aim’s imperative of cost-effectiveness.

Work-Life of Healthcare Providers

A satisfied and engaged healthcare workforce is pivotal to achieving the Quadruple Aim. EBP interventions, such as communication skills training, psychiatric interventions, and mindfulness practices, emerge as evidence-based strategies to combat burnout and enhance the well-being of healthcare providers (Aryankhesal et al., 2019). By recognizing and addressing burnout, organizations create an environment conducive to productivity and job satisfaction, contributing to the Quadruple Aim’s fourth element.

Conclusion

The connection between Evidence-Based Practice and the Quadruple Aim is symbiotic, each reinforcing the other in the pursuit of healthcare excellence. EBP, with its emphasis on informed decision-making, quality care, and workforce well-being, acts as a linchpin in realizing the Quadruple Aim. As healthcare organizations embrace this synergy, the trajectory towards patient-centered, cost-effective, and provider-supportive care is illuminated, heralding a new era of healthcare excellence.

References

Allen, P., Jacob, R. R., Lakshman, M., Best, L. A., Bass, K., & Brownson, R. C. (2018). Lessons Learned in Promoting Evidence-Based Public Health: Perspectives from Managers in State Public Health Departments. Journal of Community Health, 43(4), 856-863.

Aryankhesal, A., Mohammadibakhsh, R., Hamidi, Y., Alidoost, S., Bahzadifar, M., Sohrabi, R., … & Farhadi, Z. (2019). Interventions on reducing burnout in physicians and nurses: A systematic review. Medical Journal of the Islamic Republic of Iran, 33, 77.

Dorvil, B. (2018). The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20-25.

Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a Hospital Evidence-Based Practice Center (EPC) on Nursing policy and Practice. Worldviews on Evidence Based Nursing, 16(1), 4-11.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Four

The Quadruple Aim has recently gained prominence, underscoring the significance of the healthcare system and its workforce. The primary objective is to enhance job satisfaction among healthcare employees. Despite the widespread acceptance of evidence-based practice (EBP), its implementation has been inconsistent. This essay looaks at the connection between EBP and the Quadruple Aim, scrutinizing whether the link is direct or indirect.

The Quadruple Aim prioritizes acknowledging the healthcare system’s efforts in population health, enhancing patient experience, and lowering healthcare service costs. It addresses the dissatisfaction among healthcare workers due to workplace challenges like incivility, work overload, neglect, and disrespect (Sikka et al., 2015). While EBP may not directly address these issues, some connections emerge, primarily because the Quadruple Aim closely ties the healthcare system to all aspects of the Triple Aim.

Addressing the first Quadruple Aim point, patient experience, EBP significantly contributes. Although EBP’s goal is to enhance healthcare service quality and patient outcomes, Kim et al. (2016) find no direct correlation between EBP implementation and improved patient outcomes. However, Crabtree et al. (2016) argue that EBP implementation increases nurses’ confidence, enhancing their ability to search literature and evaluate evidence. While these skills may not directly impact patient experience, they signify professional development, ultimately elevating healthcare service quality.

In terms of the second key point, population health, EBP positively influences healthcare service quality by mitigating excessive workforce turnover. Sikka et al. (2015) highlight alarming statistics – 60% of physicians contemplate leaving practice, and at least 70% know a colleague who left due to poor morale. EBP’s widespread implementation could address turnover, alleviating the incivility issue. Enhanced communication and relationships in working groups fostered by EBP would prevent workplace incivility, potentially retaining more employees and attracting more people to healthcare services.

These arguments extend to healthcare service costs. Resolving turnover problems through EBP could decrease healthcare service costs (Kim et al., 2016). Although evidence for a direct correlation between job satisfaction and EBP use is lacking, a connection exists between job satisfaction and the confidence gained from EBP implementation.

In conclusion, EBP’s use in the Triple Aim approach may be described as indirect. However, in the Quadruple Aim approach, it is directly linked to the healthcare system, significantly influencing other aspects. While EBP primarily targets patient safety and healthcare system improvement, its widespread implementation could address workforce turnover issues. This, in turn, would benefit the overall healthcare system and population health.

References

Crabtree, E., Brennan, E., Davis, A., & Coyle, A. (2016). Improving patient care through nursing engagement in evidence-based practice. Worldviews on Evidence-Based Nursing, 13(2), 172–175.

Kim, S. C., Stichler, J. F., Ecoff, L., Brown, C. E., Gallo, A.-M., & Davidson, J. E. (2016). Predictors of evidence-based practice implementation, job satisfaction, and group cohesion among regional fellowship program participants. Worldviews on Evidence-Based Nursing, 13(5), 340–348.

Sikka, R., Morath, J. M., & Leape, L. (2015). The Quadruple Aim: Care, health, cost and meaning in work. BMJ Quality & Safety, 24, 608–610.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Five

The Triple Aim aimed to enhance healthcare organizations by improving patient care quality, population health, and reducing costs, but it overlooked the well-being of healthcare workers. The Quadruple Aim added the improvement of the work-life of healthcare workers to address this gap. Evidence-based practices (EBP) play a significant role in the Quadruple Aim, enhancing efficiency and effectiveness by incorporating scientifically tested methodologies (Lavenberg et al., 2019).

EBP impacts patient experience by emphasizing practices like proper hand hygiene and equipment changes to prevent hospital-acquired infections. Updated treatment protocols through EBP contribute to positive patient outcomes and reduce medical errors, especially with interprofessional collaboration (IPC), which involves patients in their management, enhancing their experiences (Reeves et al., 2017).

In population health, EBP allows public health workers to promote best practices, such as targeted vaccinations, efficiently using scarce resources to prevent diseases. Adequate resources and time are crucial for optimal EBP utilization in population health (Lhachimi et al., 2016).

EBP influences the cost of care by providing estimations and analyses that guide crucial actions, eliminating redundant laboratory tests, and promoting cost-effective use. Practices like interprofessional collaboration empower clinicians, boosting morale and job satisfaction. However, successful implementation requires training healthcare professionals in EBP, and there is a need to expedite the development of evidence-based practices to reduce the time between research and implementation (Eaton et al., 2017).

In conclusion, evidence-based practices contribute to achieving the Quadruple Aim by improving patient care, healthcare worker satisfaction, reducing costs, and promoting population health. However, barriers need addressing to facilitate the effective implementation of evidence-based practices.

References

Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a Hospital Evidence-Based Practice Center (EPC) on Nursing policy and Practice. Worldviews on Evidence-Based Nursing, 16(1), 4-11.

Reeves, S., Pelone, F., Harrison, R., Goldman, J., & Zwarenstein, M. (2017). Interprofessional collaboration to improve professional practice and healthcare outcomes. Cochrane Database of Systematic Reviews, 2017(6), CD000072.

Lhachimi, S. K., Nusselder, W. J., Smit, H. A., Baili, P., Bennett, K., Fernandez, E., … & Mackenbach, J. P. (2016). Potential health gains and health losses in eleven EU countries attainable through feasible prevalences of the life-style related risk factors alcohol, BMI, and smoking: a quantitative health impact assessment. BMC Public Health, 16(1), 734.

Eaton, S. L., Day, L. E., & Hutchinson, M. (2017). Evidence-based practice in nursing education: Assisting future nurses to facilitate evidence-based practice among students. Nurse Education in Practice, 22, 39-44.

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Six

Evidence-Based Practice (EBP) and the Quadruple Aim play crucial roles in enhancing healthcare equality, improving patient outcomes, reducing hospital costs, and enhancing the work life of clinicians (Malnyk, Gallagher-Ford, & Fineout-Overholt, 2016). EBP is an approach that utilizes the best evidence to inform nursing practice, aiming to achieve optimal patient outcomes (Melnyk & Fine-Overhold, 2018). The Quadruple Aim focuses on improving patient care experience, population health, reducing healthcare costs, and enhancing the well-being of healthcare workers (Sikka, Morath, & Leape, 2015). Both EBP and the Quadruple Aim are interdependent, with the successful implementation of one requiring the support of the other.

EBP significantly contributes to the achievement of the Quadruple Aim across its four measures: patient experience, population health, cost, and the work life of healthcare providers. Patient experience is positively impacted by incorporating EBP into care delivery, such as implementing evidence-based practices like hourly rounding, which is proven to enhance patient satisfaction (Lavenberg et al., 2019).

Population health benefits from EBP by addressing population characteristics, needs, values, and preferences. EBP supports the development of accessible tools and interventions to improve population health, particularly in managing prevalent comorbidities like heart failure, diabetes, and obesity (Jacobs et al., 2012). Efficient utilization of EBP in population health promotes cost-effective practices by reducing hospitalizations, tests, and doctor visits, thus aligning with the cost measure of the Quadruple Aim (Lhachimi et al., 2016).

EBP contributes to cost reduction by providing estimations and analyses guiding cost-effective care. It eliminates redundant laboratory tests, allowing for optimal resource utilization. Additionally, EBP, including interprofessional collaboration, empowers clinicians, leading to higher job satisfaction and morale, ultimately impacting healthcare costs positively (Eaton et al., 2017).

The fourth goal of the Quadruple Aim, the work life of healthcare providers, is foundational for achieving the other three aims. Burnout and stress among healthcare providers can negatively impact patient outcomes. EBP interventions, such as workload reduction and stress management, enhance the work life of healthcare providers, resulting in improved patient care (Bodenheimer & Sinsky, 2014).

In conclusion, the successful implementation of the Quadruple Aim requires prioritizing EBP in healthcare organizations. Achieving the fourth aim is integral to realizing the other three goals, emphasizing the importance of a healthy and engaged healthcare workforce (Sikka et al., 2015).

References

Bodenheimer, T., & Sinsky, C., (2014). From triple to quadruple aim: Care of the patient requires care of the provider. Annual Family Medicine, 12(6), 573-576. https://doi.org/10.1370/afm.1713

Eaton, S. L., Day, L. E., & Hutchinson, M. (2017). Evidence-based practice in nursing education: Assisting future nurses to facilitate evidence-based practice among students. Nurse Education in Practice, 22, 39-44. https://doi.org/10.1016/j.nepr.2016.11.001

Jacobs, J. A., Jones, E., Gabella, B. A., Springs, B., & Brownson, R. C. (2012). Tools for implementing an evidence-based approach in public health practice. Preventing Chronic Disease, 9(1). https://doi.org/10.5888/pcd9.110324

Lavenberg, J. G., Cacchione, P. Z., Jayakumar, K. L., Leas, B. F., Mitchell, M. D., Mull, N. K., & Umscheid, C. A. (2019). Impact of a hospital evidence-based center on nursing policy and practice. Worldviews on Evidence-Based Nursing, 16(1). https://doi.org/10.1111/wvn.12346

Malnyk, B. M., Gallagher-Ford, L., & Fineout-Overholt, E. (2016). Improving healthcare quality, patient outcomes, and costs with evidence-based practice. Reflections on Nursing Leadership, 43(3), 1-8. Retrieved from

Melnyk, B. M., & Fine-Overhold, E. (2018). Making the case for evidence-based practice and cultivating a spirit of inquiry. In B. M. Melnyk & E. Fine-Overhold (Eds.), Evidence-based practice in nursing & healthcare: A guide to best practice (4th ed., p. 7-32). Philadelphia, PA: Wolters Kluwer.

Sikka, R., Morath, J. M., & Leape, L. (2015). The quadruple aim: Care, health, cost, and meaning in work. BMJ Quality & Safety, 24(), 608-610. https://doi.org/10.1136/bmjqs-2015-004160

NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment Example Seven

The Quadruple Aim, an extension of the Triple Aim, was developed by the Institute for Healthcare Improvement to enhance healthcare delivery efficiency. Comprising reducing costs, improving population health and patient experience, and healthcare team well-being, it is closely intertwined with evidence-based practice (EBP) as a strategy for achieving its goals (Arnetz et al., 2020).

EBP significantly influences the first goal of the Quadruple Aim, improving patient experience. It serves as the foundation for quality patient care, incorporating validated research evidence, clinical expertise, and patient preferences. EBP ensures nurses are updated on the latest research and medical protocols, allowing for informed decision-making and increased patient involvement in care plans, ultimately enhancing the patient experience (Kim et al., 2019).

The second goal, improving population health, is directly impacted by EBP. EBP aligns with evidence-based public health, facilitating informed decisions based on researched methods and data collection tools. This approach improves the quality of services provided to the population, optimizes the use of public health resources, and enhances prevention programs and policies (Brownson et al., 2018).

Addressing the third goal, EBP influences cost in healthcare by analyzing its Return on Investment (ROI). Although initial implementation may incur expenses, the long-term benefits, such as optimized drug use leading to cost reduction and improved patient outcomes, outweigh the initial costs. EBP’s focus on cost-effective care and reducing hospital visits contributes to achieving the Quadruple Aim’s cost-related goal (Walewska-Zielecka et al., 2021).

The fourth goal, healthcare team well-being, is an area where EBP plays a crucial role. EBP empowers healthcare professionals, mitigating stress, burnout, and depression. Empowered professionals lead to increased job satisfaction, better performance, and improved patient outcomes. EBP includes strategies like flexible schedules and participation in health and wellness programs, fostering a positive work environment (Chen et al., 2021; Armstrong, 2019).

In conclusion, EBP is integral to achieving the Quadruple Aim. It enhances patient experience, improves population health, optimizes healthcare costs, and positively impacts the well-being of healthcare providers. Prioritizing EBP is essential for a holistic and successful approach to healthcare delivery.

References

Arnetz, B. B., Goetz, C. M., Arnetz, J. E., Sudan, S., VanSchagen, J., Piersma, K., & Reyelts, F. (2020). Enhancing healthcare efficiency to achieve the quadruple aim: An exploratory study. BMC Research Notes, 13(1), 362.

Brownson, R. C., Fielding, J. E., & Green, L. W. (2018). Building capacity for evidence-based public health: Reconciling the pulls of practice and the push of research. Annual Review of Public Health, 39(1), 27-53.

Chen, M., Ran, B., Gao, X., Yu, G., Wang, J., & Jagannathan, J. (2021). Evaluation of occupational stress management for improving performance and productivity at workplaces by monitoring the health, well-being of workers. Aggression and Violent Behavior, 12(2), 101713.

Kim, J. S., Gu, M. O., & Chang, H. (2019). Effects of an evidence-based practice education program using multifaceted interventions: A quasi-experimental study with undergraduate nursing students. BMC Medical Education, 19(1), 71.

Walewska-Zielecka, B., Religioni, U., Soszyński, P., & Wojtkowski, K. (2021). Evidence-based care reduces unnecessary medical procedures and healthcare costs in the outpatient setting. Value in Health Regional Issues, 25(2), 23-28.

Cullen, L., & Hanrahan, K. (2018). Evidence-based practice and the bottom line: An issue of cost. Healthcare Financial Management Association.

Armstrong, G. (2019). Quality and Safety Education for Nurses teamwork and collaboration competency: Empowering nurses. The Journal of Continuing Education in Nursing, 50(6), 252-255.

Detailed Assessment Description of the NURS 6052/5052 EB001 Quadruple Aim and Evidence-Based Practice Assignment

Evidence-Based Practice and the Quadruple Aim

Assignment: Evidence-Based Practice and the Quadruple Aim

Healthcare organizations continually seek to optimize healthcare performance. For years, this approach was a three-pronged one known as the Triple Aim, with efforts focused on improved population health, enhanced patient experience, and lower healthcare costs.

More recently, this approach has evolved to a Quadruple Aim by including a focus on improving the work life of healthcare providers. Each of these measures are impacted by decisions made at the organizational level, and organizations have increasingly turned to EBP to inform and justify these decisions.

To Prepare:

• Read the articles by Sikka, Morath, & Leape (2015); Crabtree, Brennan, Davis, & Coyle (2016); and Kim et al. (2016) provided in the Resources.
• Reflect on how EBP might impact (or not impact) the Quadruple Aim in healthcare.
• Consider the impact that EBP may have on factors impacting these quadruple aim elements, such as preventable medical errors or healthcare delivery.

To Complete:

Write a brief analysis (no longer than 2 pages) of the connection between EBP and the Quadruple Aim NURS 5052/NURS 6052/NURS 6052N/NRSE 6052C/NURS 6052C/NURS 5052C/NURS 6052A/NRSE 6052A: Essentials of Evidence-Based Practice.

Your analysis should address how EBP might (or might not) help reach the Quadruple Aim, including each of the four measures of:

• Patient experience
• Population health
• Costs
• Work life of healthcare providers

By Day 7 of Week 1

Submit your anaylsis.

Submission and Grading Information

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

• Please save your Assignment using the naming convention “WK1Assgn+last name+first initial.(extension)” as the name.
• Click the Week 1 Assignment Rubric to review the Grading Criteria for the Assignment.
• Click the Week 1 Assignment link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK1Assgn+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

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