Discuss effective processes and strategies to improve quality in nursing
NR 392 WEEK 6 COURSE PROJECT MILESTONE 3 NR 392 WEEK 6 COURSE PROJECT MILESTONE 3 NR392 NR 392 Week 6 Course Project Milestone 3-DeVry Course Project Milestone 3 Guidelines and Grading Rubric Purpose To apply lessons in quality improvement in nursing to a real world nursing issue. This Course Project will use the Six Sigma DMAIC process. Course Outcomes The Course Project enables the student to meet the following course outcomes: CO 1:?Identify the role of the BSN nurse in the quality improvement process as a member of the collaborative inter professional team (PO#2 & 7) CO 2:?Discuss effective processes and strategies to improve quality in nursing (PO#2 & 8) ORDER INSTRUCTIONS-COMPLIANT NURSING PAPERS Points The entire project is worth 600 points. Milestone 3 is worth 300 points of this total. Due Date Submit your completed NR392Milestone 3 to its Dropbox by Sunday, 11:59 p.m. MT, end of Week 6. Requirements and Guidelines 1.?Carefully review this Milestone 3 Guidelines document including the rubric, as well as the Milestone 3 Template. 2.?Download the Milestone 3 Template. Save it to your computer in Microsoft Word 2010 (or later) as a .docx file with the file name: Your Last Name NR392 Milestone 3.docx. 3.?Milestone 3 is a continuation of and builds upon Milestones 1 and 2. See Rubric in this Guidelines document for details about requirements including 3 interventions and evaluation of each. 4.?A peer-reviewed scholarly professional nursing journal article (not a website) that is appropriate to the nursing care issue must be obtained from CINAHL via the Chamberlain Online Library and must be available in full text. Use APA format to cite and reference this article. You will write a short summary of this article. 5.?Carefully review the assigned areas for Milestone 3 and type directly on your saved Milestone 3 Template. 6.?Submit your completed Milestone 3 Template to the Dropbox by Sunday at end of Week 6. Course Project Milestone 3 Template Directions: Prior to completing this template, carefully review Course Project Milestone 3 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 6 by 11:59 p.m. Mountain Time. Your Name:__________________________ Assignment Criteria??? Answers: NOTE: See Milestone 3Rubric for details required in each area. Brief Statement of Nursing Care Issue 15 points Improve: Interventions (3) to Improve Quality 120 points (40 points each for 3 interventions) Intervention #1: Intervention #2: Intervention #3: Improve: Professional Article to Support Interventions 75 points (25 points reference and citation; 50 points summary) Citation must be included with appropriate intervention above. Do NOT type in this box. Reference: Article Summary: Control: Control/ Evaluation 90 points (30 points each for 3 evaluations) Evaluation for Intervention #1: Evaluation for Intervention #2: Evaluation for Intervention #3: NR 392 WEEK 6 COURSE PROJECT MILESTONE 3
ADDITIONAL INFORMATION;
Introduction
Improving quality in nursing is a challenging task. However, it is important to understand that there are many different approaches you can use to improve the quality of patient care. One way to do this involves identifying an achievable goal that all leaders and staff members can be involved in achieving over time. For example, if you want to increase patient falls by 15%, then your goal might be as follows: “By October 1st 2018, we will reduce our patient falls by 15% from September levels.” This type of goal would allow all units across multiple facilities or regions within your organization to work together towards a common objective while being measured against one another so everyone knows where they stand relative to one another’s progress towards meeting those goals!
Improving quality in nursing
Quality improvement is a process that can be applied to any area of nursing. It is a continuous, goal-driven process that focuses on improving patient outcomes and overall quality of care provided by the nurse workforce.
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Quality improvement is systematic: The way we approach QI in our organization has been developed through years of experience, research, continuous learning and innovation. We use a variety of strategies for success including benchmarking ourselves against best practices in our industry as well as external sources such as other organizations with similar missions or missions similar to ours (such as hospitals).
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Quality improvement is focused on improving patient outcomes: Achieving this goal requires us working together at all levels – from front line staff who provide direct care services up through administrators who oversee departments within an organization; between departments within an institution or across institutions; between disciplines within disciplines like nursing education versus medicine itself; even between countries around the world where these two fields interact regularly under some circumstances (for example during medical travel abroad).
Innovative strategies for improving quality
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Improvement strategies should be based on evidence
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Improvement strategies should be specific to the unit and patient population.
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Innovative strategies for improving quality should be measurable. For example, if you want to improve the number of patients who have their labs drawn within a certain time frame, you can measure that with a standard deviation or other statistical analysis. This allows for an accurate measurement of whether or not your interventions are effective in improving quality outcomes for patients. It also helps provide information about which interventions work best at improving patient safety (e.g., reducing post-transfusion viral load).
Getting Started
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Start with a small goal.
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Find a measurable outcome.
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Find a way to measure the outcome.
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Set a time frame for your goal, and make sure it’s realistic and achievable based on your resources, budget and scope of practice. For example: if you want to improve patient satisfaction by 20%, consider setting aside two hours per week as part of your schedule so that you can focus on this initiative at least once per month (or whatever frequency works best). If it’s not feasible right now but could be down the road when funding becomes available again in October or November 2019 – so what? Just keep moving forward with plans regardless! It’s better than nothing at all!
Quality improvement efforts can be simplified by evaluating current practices and setting goals.
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Set measurable goals.
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Create a plan to reach those goals and make sure you have a way to measure your progress.
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Make sure that each goal is specific, achievable and time-bound.
-Set specific goals. -Make sure they’re achievable and time-bound.
Identify a smaller, specific goal that all leaders and staff can be involved in, for example, decreasing patient falls by 15% within three months.
There are several steps to take in order to create a realistic goal. First, start by identifying the problem you want to address. For example, if your nursing department is struggling with increasing patient falls and injuries, it would be beneficial for everyone involved—from leadership down to front-line staff—to identify their specific goal for decreasing patient falls by 15% within three months.
When creating your own goals and timelines, remember that any time frame is too long or too short for any given situation; aim for something realistic that will help move things forward toward achieving success!
Determine the specific measures that will help you achieve your goal.
This process is important to take into consideration because it determines how you are going to go about achieving your goal. If you don’t define the problem before starting on a solution, then it will be difficult for you to achieve your desired results.
When determining specific measures that will help you achieve your goal, think about what kind of person would be able to help bring about positive results in an area like nursing or fitness? For example, if there were no nurses yet working at the hospital where I live and had been looking for one for years but couldn’t find anyone who could make such requests as “I need someone who loves animals,” then this might not seem realistic enough—but if there were only one or two other people who also wanted pets around them all day long every day…then perhaps this could work!
Another important thing about setting goals before starting anything else is that sometimes we get caught up in other people’s expectations instead of focusing on ourselves first; but when it comes down right down between two things: What do I want my life/work environment look like? Then stick with those choices without worrying so much about whether they’ll fit into someone else’s plan (which probably won’t).
This might involve looking at factors such as unit safety and cleanliness, patient education, or nurse staffing.
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Patient education.
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Unit safety and cleanliness.
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Nurse staffing
The hospital’s reputation for providing quality care. For example, if you’re looking at hospitals in an area that has a high cost of living and few affordable housing options, the average wage of a nurse in that area will be higher than it would be if there were more affordable housing options available.
Collect data to help you better understand the current state of your unit.
To identify areas for improvement, you should collect data on your unit’s current state. For example, you can collect information about how often a patient falls or has an error in medication administration. You can also learn whether there are any hospital-acquired infections that have occurred recently.
If possible, use a standardized collection tool (like the one provided by [this company name]) so that all nurses see the same results and make comparisons across units within your organization. This will help them understand what kinds of issues may be affecting their work environment at different points in time before they make changes to improve quality within those areas.
This information can then be used as evidence when making decisions about which processes need improvement within the unit’s workflow; this way everyone knows exactly what needs fixing without having wasted time searching through countless documents trying not only find out where problems lie but also figure out how best fix them!
Use evidence-based strategies to address your goal.
Use evidence-based strategies to address your goal. Evidence-based strategies are practices that have been shown to work in other settings and can be used to improve quality in nursing. Examples of evidence-based strategies include:
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Implementing a nurse staffing model that includes teams with different skillsets and responsibilities. This enables nurses who specialize in care for specific conditions or populations (such as stroke victims) to take on more responsibility, allowing them to provide better care for their patients while still providing coverage for other areas of need across the hospital.* Using best practices when assessing patient acuity levels based on clinical judgment alone; instead use an intervention risk index score (IRIS) which takes into account both physical exams/tests results along with patient reports.* Using technology such as video chat services like Skype over traditional phone lines so physicians don’t have time during office visits
Improving quality in nursing starts by identifying a manageable goal and using evidence-based strategies to achieve it.
Improving quality in nursing starts by identifying a manageable goal and using evidence-based strategies to achieve it.
Before you can improve your unit’s quality, you need to set goals that are realistic, measurable and achievable. For example, if your goal is “to reduce the length of time each patient spends on an IV line” then it’s important to consider how much time each patient spends on their IV line before they’re discharged from hospital (i.e., not counting transfers between wards). The next step would be to determine how many patients have that same issue within their first three days post-discharge so that we can begin developing interventions or process improvements accordingly.
To do this effectively means collecting data about all aspects of the unit: staffing levels; equipment availability; training needs; etcetera…
Conclusion
We hope that this article has been helpful in helping you understand more about how to improve quality in nursing by setting goals and taking action on them. The key is to use evidence-based strategies and make sure that you are able to measure the effectiveness of your efforts.
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