Instructions: Respond by extending, refuting/correcting, or adding additional nuance. Must be in current 7th edition APA format with academic references cite. Must be grammatically correct.
Measuring and Monitoring Quality of Care

Part of the job of the advanced nurses is to measure and monitor performance. The practice is essential in determining the efficacy of the approach used in caring. It provides feedback that helps in the promotion of the quality of care for the AP nurses. It is also a social responsibility to assess the impact of the care offered on the outcomes of the patients (Pantaleon, 2019). The activity promotes evidence-based practice as it leads to an improved quality of care. The discussion will suggest the various approaches of monitoring and measuring the quality of care and patient outcomes.

Most of the responsibilities and variables that nurses measure are those outlined I the definition of nursing. They include health promotion, protection, prevention, alleviation of suffering, and health optimization. The new regulations are shifting the focus towards outcome-based practice. The shift is in response to the economic and quality concerns and the reimbursement policies formulated. The fee paid is determined by the NP’s value, and measuring it helps determine the reimbursement and quality of care. Organizations also use the same model in appraising the NPs. It helps to know the NPs who are saving hospital costs and improving the outcomes of patients (Jones, 2016). It assists in retaining excellent NPs and letting go or training the others.

measuring and monitoring of patient outcomes.

There are various components that NPs can use in the measuring and monitoring of patient outcomes. One of the approaches is to focus on patient experience. Patient experience plays an essential role as it determines the quality of care. Nurses can use the parameter to assess the progress of the care and measure the outcomes (Pantaleon, 2019). Elements of patient experience include the quality of communication with the nurses, patients, and other stakeholders involved in care provision. The communication has to be clear, precise, and use the right channel. Communication improves understanding between the care provider and the nurses. Pain management is the other measurement indicator as patients whose pain gets managed well experience positive outcomes. The nurse can also ensure the patients stay in a clean and quiet environment that facilitates healing.

important parameter to measure for nurses

The other important parameter to measure for nurses includes the process. The process is critical as it examines the actual activities that promote the quality of care, such as diagnosis, screening, and surgical care. The nurse can measure it by calculating the time taken to diagnose patients and assess them. The process needs to be effective to reduce time wastage and improve the accuracy of diagnosis (Jones, 2016). Patient outcomes are another element to monitor and measure. It is the aspect that can get seen and measured by the public. Mortality is the initial variable as it measures the number of deaths that the nurses have experienced in caring for patients.

When the deaths are high, it calls for analysis to determine the reason for it. Hospital-acquired infections are another indicator of quality and safe care. Effective nurses have minimal numbers of patients who develop hospital infections (Pantaleon, 2019). Such cases lead to an increased cost of care as patients incur additional expenses in treatment, length of stay in hospitals, and quality of life. Efficiency is another way of measuring NP performance. NPs should make sure that the care provided is cost-effective. The focus on preventive care is critical as it reduces medical costs that the hospital and the patient would incur.

PICOT Question:

For hospitalized patients on a general medicine unit with Foley catheters (P), does implementation of nursing Foley bundles. Accompanied with continual education on Foley bundles (I). Compared to using no nursing Foley bundles/continual education (C), decrease the incidence of hospital-acquired catheter-associated urinary tract infections (O), over one year (T)?

Institute of Medicine has set a goal to have 90% of practice decisions to be based on Evidence by 2020 with the goal to improve care.

 The intent of the dissemination of EBP results is that the information and intervention is aimed at a specific clinical practice audience.  The main objective of dissemination is to increase and advance knowledge regarding evidence-based interventions for greater application and patient outcomes.

In determining the best mode of EBP dissemination you must answer these questions:

1. Who will benefit from receipt of this evidence?
2. Where will this evidence have the greatest impact?
3. What resources are needed?
4. Who is the most appropriate audience?
5. What are the;
6. benefits of this evidence to your selected audience?
7.  potential risks of failing to disseminate this evidence?
8.  barriers to dissemination of evidence?

Choose one of the following modes of dissemination and discuss why it was chosen.  Assure you have attended to questions 1-7 above.

1. Power point presentation

Link the theory you developed with the Metaparadigm of Nursing.  Each of the elements of the Metaparadigm should be represented in your theory. Revise your theory if necessary to include each of the components of the Metaparadigm.

Developed theory to be used

Concept

Observation is an important aspect of nursing that creates a quest for knowledge leading to the creation of theories. These theories help in ensuring patient safety and quality care. Also, they help in explaining or predicting phenomenon for observation. One important theory is the theory of beta-blockers agent. The use of beta-blockers agent has been underused because of adverse events, negative effects on short term, or complex management (Klapholz, 2009). However, there is proof that beta-blocker agent are beneficial to CHF patients leading to increased life expectancy.

Theory

My theory is significant because it has been proven effective in treating CHF patients in various stages. For example, the use of ACE inhibitors in treatment of hypertension and diabetes patients who are at high risk of developing HF. Further, blockers are used on asymptomatic patients with abnormal cardiac structure or function, and symptomatic patients with HF. My theory remains relevant because beta-blockers prevent progression, improve outcomes and reverse remodeling on patients (Klapholz, 2009). Therefore, the concept I have identified may be sued to support nurse use of this theory on CHF patients.

Empirical

There are successful practical applications of my theory. A study by the US Carvedilol Heart Failure Program with placebo on a 35% or less LVEF showed a 65% decrease in all-cause mortality, and reduced hospitalization for cardiovascular cause (Klapholz, 2009). There is also evidence that supports the use of beta-blockers in patients with mild to moderate HF. Therefore, if beta-blockers are important in treating HF patients because they reduce the likelihood of progression.

Expectations

Initial Post:

Due: Thursday, 11:59 pm PT
Length: A minimum of 250 words, not including references
Citations: At least one high-level scholarly reference in APA from within the last 5 years