Quality In Health Care

Overview Of Quality In Health Care

The purpose of this assignment is to apply the concepts you have learned in this course to a situation you have encountered. Choose one quality or patient safety concern with which you are familiar and that you have not yet discussed in this course (Pressure Injuries). In a 1,250-1,500-word essay, reflect on what you have learned in this course by applying the concepts to the quality or patient safety concern you have selected. Include the following in your essay:

1. Briefly describe the issue and associated challenges.

2. Explain how EBP, research, and PI would be utilized to address the issue.

3. Explain the PI or QI process you would apply and discuss why you chose it.

4. Describe your data sources, including outcome and process data.

5. Explain how the data will be captured and disseminated.

6. Discuss which organizational culture considerations will be essential to the success of your work. This assignment uses a rubric.

Use a minimum of four peer-reviewed, scholarly sources as evidence.

APA Style Guidelines. This assignment uses a rubric.

 

Annotated Bibliography

Annotated Bibliography

Goal: Compile an annotated bibliography. Your bibliography should be based on the Weekly Article Summary related to clinical practice from week 1 through week 6 and should include the following:

1. a template to document useful data.
2. a brief overview of each article, including the research type, major findings, and conclusions.
3. a description of relevance of each article for clinical practice.

Submission Instructions:

  • The bibliography should be original and logically organized.
  • The bibliography should follow current APA format for citing and documenting references.
  • The bibliography should be clear and concise and students will lose points for improper grammar, punctuation and misspelling.
  • Incorporate a minimum of 3 current (published within last five years) references from peer-reviewed journals.

Article summary1

The article focuses on the use of evidence-based practice service as a way of increasing patient satisfaction. The purpose of the research conducted was conducted to determine the impact of using evidence-based practice in emergency department and the resultant impact it has on patient satisfaction. In determining the link between evidence-based practice and patient satisfaction, a service nursing bundle as a quality improvement (QI) initiative was implemented. With the bundle, it was easier to determine the change in overall quality of care in terms of ratings and rankings (Skaggs et al, 2018).

The article is based on a quantitative study in that it focuses on the use of quantitative data and collection methods in collecting information used in making decisions. Quantitative research is distinguished by logic, data, and an objective viewpoint. The focus of quantitative research is on numerical and static data, as well as detailed, converging reasoning, as opposed to divergent thinking, which is the spontaneous, free-flowing generation of numerous ideas about a research issue (Guetterman & Fetters, 2018). In collecting data, random sampling was used in selecting samples from which data was collected. Observation audits were conducted on quality improvement initiative where all the nursing services were evaluated. Also, phone surveys were conducted to determine patients; feedbacks from the services offered.

The research question used in the study includes: Does implementation of quality improvement initiative yield to increased patient satisfaction? The quality improvement (QI) represented the evidence-based nursing practice while offering services within the emergency department. From the organization of the research study, a conclusion can be made that validity and reliability were attained. The principles of validity and reliability are often employed to gauge the effectiveness of a study. They give an indication of how accurate a method, approach, or test is. Reliability refers to the measure’s consistency, and validity refers to the measure’s correctness (Peeters & Harpe, 2020).

Reference Guetterman, T. C., & Fetters, M. D. (2018). Two methodological approaches to the integration of mixed methods and case study designs: A systematic review. American Behavioral Scientist, 62(7), 900-918. Peeters, M. J., & Harpe, S. E. (2020). Updating conceptions of validity and reliability. Research in Social and Administrative Pharmacy, 16(8), 1127-1130. 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://www.sciencedirect.com/science/article/abs/pii/S0099176717305470

Weekly Article Summary 4

The article Barriers and facilitators of following perioperative internal medicine recommendations by surgical teams: a sequential, explanatory mixed-methods study is a write-up that examines the impact of patients undergoing perioperative consultation on treatment outcomes in patients preparing for surgical procedures. The study was a mixed-method study comprised of qualitative and quantitative research models. The purpose of the investigative study was to deduce the kinds of recommendations that healthcare providers usually fail to adhere to, to determine the intervention that will enhance the quality of care that patients receive postoperatively (Flemons et al., 2022). It aimed to answer an important research question: What types of recommendations are not followed during postoperative care, and what are the barriers and facilitators of this trend?

The method that the author used in the investigative study was a mixed model that examined the chart audits of over 250 patients and carried out semi-structured interviews on eighteen healthcare professionals. The authors incorporated an equal number of male and female participants and a substantially large number of participants. The purpose of encapsulating these measures was to ensure that the research was dependable (Damasceno, 2020). The result of the study showed that the healthcare providers fail to follow protocols recommended during the preoperative period, such as the prescribed anticoagulation management and cardiac biomarker surveillance process (Flemons et al., 2022). Further, the study results also indicated that failure to adhere to the recommended protocols was due to individual-level reasons such as the failure to examine notes made during preoperative consultations and system-level reasons such as failure to define the individuals tasked with implementing different roles in the clinical setting.

The study results caused the authors to conclude that only half of the recommendations made are usually followed, causing a significant gap in the quality of care that the patients received. Therefore, it is necessary to address the factors that contributed to the failure to follow the recommendation to increase healthcare providers’ adherence.

References

Damasceno, B. (2020). Research Methods and Designs. In Research on Cognition Disorders (pp. 123-137). Springer, Cham.

Flemons, K., Bosch, M., Coakeley, S., Muzammal, B., Kachra, R., & Ruzycki, S. M. (2022). Barriers and facilitators of following perioperative internal medicine recommendations by surgical teams: a sequential, explanatory mixed-methods study. Perioperative Medicine11(1), 1-12

Weekly Article Summary 5

The article named Patients’ and healthcare workers’ recommendations for a surgical patient safety checklist – a qualitative study articulates the essentiality of healthcare professionals using surgical checklists to ensure patients’ safety. It is a qualitative study aiming to pinpoint the views of ailing individuals and medical practitioners on the most significant components that should be encapsulated in the safety checklist (Harris et al., 2020). The primary research question that the study seeks to answer is: What risk factors and essential components should be included in a safety checklist designed for use before and after a surgical procedure?

The methodology that Harris et al. (2020) used in the study is a qualitative research design based on an exploratory model. Subsequently, it used a set of focus groups to compile the information needed to answer the research question. The use of focus groups in the study was significant because it ensured in-depth exploration of the issue to unearth meaningful content (O. Nyumba et al., 2018). The groups used informal interviews to compile the data, which was later documented and analyzed to find the critical elements identified in the study that answer the research question.

The themes that emerged from the study included the fact that the vital elements components that should be encapsulated in the checklist for use before surgical procedures should include availing the number of an individual who should be contacted in case an emergency arises and documenting the health status of the patients. On the other hand, the proposed information on postoperative checklists includes any complications that the surgical procedure may precipitate and any activities that the patient should avoid (Harris et al., 2020). Subsequently, it consists of the proposed strategy for ensuring medication safety and adequate pain relief. The patients and healthcare professionals also emphasized the need to make sufficient preparations before and after the surgery.

The information compiled from the study led the authors to conclude that creating a surgical checklist is a significant factor determining the outcomes of the surgical procedures. The list should incorporate all the vital components to help remember all the essential processes that should be performed to reduce cases of complication or unprecedented errors that undermine the quality of care that patients receive.

References

Harris, K., Søfteland, E., Moi, A. L., Harthug, S., Storesund, A., Jesuthasan, S., … & Haugen, A. S. (2020). Patients’ and healthcare workers’ recommendations for a surgical patient safety checklist–a qualitative study. BMC health services research20(1), 1-10.

O. Nyumba, T., Wilson, K., Derrick, C. J., & Mukherjee, N. (2018). The use of focus group discussion methodology: Insights from two decades of application in conservation. Methods in Ecology and evolution9(1), 20-32.

Weekly Article Summary 6

The article Environmental Needs, Barriers, and Facilitators for Optimal Healing in the Postoperative Process: A Qualitative Study of Patients’ Lived Experiences and Perceptions is investigative research whose purpose is to determine the needs of environmental needs of ailing individuals who have undergone surgical procedures, and the factors that bar or facilitate their chances of experiencing optimal healing (Hesselink et al., 2020). The query that the article aims to answer is: What are the environmental requirements of ailing individuals during post-operative care and what barriers and facilitators impact these needs?

Hesselink et al. (2020) use a qualitative research design to determine the impact of patients’ environment during the post-operative period on the speed with which they recuperate. They used the purposive sampling model to select a total of twenty-one patients. The purpose of using the sampling design was to ensure that the selected participants could provide the factual data needed to answer the research question. Subsequently, the diversity present in the population was also considered to ensure that the outcomes of the study did not have any biases that limit its credibility (Tracy, 2019). With adequate consent, the authors collected data by interviewing the patients to get their views on the aspects that impacted their healing process.

The outcomes compiled from the investigative research presented several noteworthy themes. Firstly, they perceived the ability to have adequate control over different aspects of the treatment process such as privacy as a significant aspect that determined the treatment outcomes (Hesselink et al., 2020). Subsequently, the presence of positive distracting features was identified as a significant aspect that hastened the healing process. A therapeutic healing environment further enhanced the healing process. On the other hand, barriers such as monotony and lack of control over the systems disrupted the healing process, while aspects such as involvement in the treatment process and adequate accommodations enhance the healing process.

The outcomes of the article lead the authors to conclude that the environment that patients stay in during the post-operative period has a significant impact on their healing. Therefore, healthcare providers should provide a positive environment to elicit positive outcomes in the treatment process.

References

Hesselink, G., Smits, M., Doedens, M., Nijenhuis, S. M., van Bavel, D., van Goor, H., & van de Belt, T. H. (2020). Environmental needs, barriers, and facilitators for optimal healing in the postoperative process: A qualitative study of patients’ lived experiences and perceptions. HERD: Health Environments Research & Design Journal13(3), 125-139.

Tracy, S. J. (2019). Qualitative research methods: Collecting evidence, crafting analysis, communicating impact. John Wiley & Sons.

Findings for a stroke

Findings for a stroke

Discuss characteristic findings for a stroke and how it affects the lives of patients and their families. Discuss the nurse’s role in supporting the patient’s psychological and emotional needs. Provide an example.

The COVID 19 Pandemic

The COVID 19 Pandemic

The COVID 19 Pandemic has affected everyone in the world on so many levels. We know the pain, sorrow, and grief that has taken place in the last 2 plus years. This discussion relates to how COVID 19 has effected you, your friends,  your family, and loved ones.

Here is the assignment:

To start. What is COVID 19?? What is the Delta and Omicron Variant.  Then answer the following.   1. How has COVID effected you personally. This can be answered in various ways. Answer this however you like.  2. How has your “thoughts/beliefs” changed regarding COVID during the last year?  3. Did you know anyone who died of COVID?  4. Did you have to quarantine in the last year? 5. What do you see happening in the next year regarding COVID’s .  6. How have you handled the STRESS that has come along with COVID 19 and the other variants Delta and Omicron? Answer all 6 questions for full credit.

Self-Care Deficit Theory of Nursing

Self-Care Deficit Theory of Nursing

Dorotea Orem’s Theory: “Self-Care Deficit Theory of Nursing” and look for at least one article online about her theory. Give your own opinion about her theory, provide your own definitions for Self-Care, Dependent-Care, Self-care deficit, and Dependent-Care deficit. Use APA7 format in your Word document. Provide at least two references, one of them must be your textbook. Minimum 300 words, no maximum.

Epidemiology in Community

Epidemiology in Community Health Care

Case Study

Chapter 7

Epidemiology in Community Health Care The community health nurse is reviewing several epidemiologic research studies with student nurses that are beginning a 6-month community health rotation. Epidemiology offers community health nurses a specific methodology for assessing the health of aggregates. The nurse has requested that the student participate in a semester long epidemiologic research study

1. Why is it important that community health nurses review epidemiologic research?

2. What are the seven steps that student nurses must consider when participating with the community health nurse in the epidemiologic research study?

3. The goals of epidemiologic investigation are to identify the causal mechanisms of health and illness states and to develop measures for preventing illness and promoting health. Epidemiologists employ an investigative process that involves a sequence of three approaches that build on one another. What are the three investigate approaches?

4. The community health nurse has been requested to figure out the prevalence rate and the incidence rate of influenza for a 1-month period of time. There were 1,000 students who reported flu-like symptoms during 1 month in a population of 5,000 students at the local community college, and during the same month, 500 individuals developed influenza. What is the prevalence rate and incidence rate?

Structure and Economics

Structure and Economics of Community Health Services

Case Study

Chapter 6

Structure and Economics of Community Health Services Many factors and events have influenced the current structure, function, and financing of community health services. Understanding this background gives the community health nurse a stronger base for planning for the health of the population. A group of student nurses have been requested to present a 1 hour in service to the local health department on the structure and economics of community health services as part of the community health nursing course requirements. The presentation has to include information about a variety of topics.

1. What are the key historical events and philosophical developments that have led to today’s health services delivery systems?

2. What are the differences between the functions of public versus private sector health care agencies?

3. What are the three core functions of public health as they apply to health service delivery?

4. There are several trends and issues that have influenced community health care financing and delivery that are important in understanding health care economics and helping to improve community health. What are some of these trends and issues?

5. In what important ways has the changing nature of health care financing adversely affected community health nursing and its practice?

Global Public Health Nursing

Population Health Around the Globe Community health nurses

Case Study

Chapter 16

Global Public Health Nursing: Population Health Around the Globe Community health nurses work with populations that vary from country to country, and to serve them appropriately requires an understanding of the ways in which the context in which they are located interacts with their health status and health histories. Student nurses are spending a month in Africa reviewing global health and international community health nursing.

1. The student nurses are required to examine the population in Africa to asse the kinds of health conditions the population experiences. What is the context and framework for delivering community-based nursing within the context of international community health nursing?

2. The student nurses are examining the population to assess the kinds of health conditions the African population experience. The international community health nurses suggest using the three eras and the three P’s as helpful guides in this assessment. What are the three eras and the three P’s that the student nurses need to consider?

3. What major international, national, regional, and local organizational structures and organizations affect the ways in which community health nursing is practiced?

Community health nurse rotation

Community health nurse rotation

Case Study

Chapter 23

Adult Women and Men The school nurse is preparing for a week long community health nurse rotation. The preparation includes reviewing and preparing a brief summary about common issues affecting adult women and men. The community health nurse is going to ask the student key questions to ensure that proper preparation for the rotation has been completed.

1. The 20th century saw a shift in the leading causes of death from communicable diseases to noncommunicable diseases. Currently, what are the five leading causes of death in adults?

2. Chronic illness is an issue of increasing concern for both men and women as life expectancies increase. What are the three levels of prevention and activities that community health nurses should consider in order to promote health across the adult women and men life span?

3. The student nurse visits a woman’s home with the community health nurse.What are some important facts that the community health nurse and student nurse can share with this woman to help raise awareness regarding heart disease?

4. The community health nurse has to do a short program in the local senior center on mortality from unintentional injuries in the United States. The student nurse shares some key facts about mortality from unintentional injuries in the United States based on age. What is the top unintentional injuries mortality among adult groups?