Quality/performance improvement (QI/PI) frameworks

Develop a 4-page quality/performance improvement framework for your doctoral project.

Quality/performance improvement (QI/PI) frameworks are used to establish and evaluate processes in practice. The most common models for such a framework are Plan-Do-Study-Act (PDSA) and Six Sigma Define, Measure, Analyze, Improve, Control (DMAIC). The purpose of this assessment is to use key information from your project charter to develop a QI/PI framework from which you will begin developing a project implementation plan and logic model in the next assessment.

Demonstration of Proficiency

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

· Competency 1: Align the project charter with a continuous improvement model.

1. Describe the current practice needing improvement.

1. Explain how QI/PI data will be collected and analyzed.

1. Describe the proposed QI/PI changes and expected outcomes.

1. Explain how changes in quality or performance will be evaluated.

1. Apply APA style and formatting to scholarly writing.

Instructions

Is about reducing falls in a primary care clinic with the implementation of a fall risk management protocol, now the clinic doesn’t use any protocol.

Develop a quality/performance improvement (QI/PI) framework for your project, aligned with your project charter. Choose a model for your framework, using the PDCA or DMAIC model, a model used in your organization, or another familiar reputable model that is suitable for your project. PDCA or DMAIC model information and examples are included in Resources.

Provide a succinct, scholarly narrative that reflects the content of your model and addresses the key points outlined below:

Graded Requirements

Each of the main tasks corresponds to scoring guide criteria. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

· Describe the current practice needing improvement.

1. What is the problem and its root cause?

1. What is the gap between what is and what should be?

1. What evidence supports your assertions and conclusions?

· Describes a QI/QP framework that will support and guide the project.

2. What do you need to accomplish to meet the project objectives and outcomes?

2. What formative assessments will help you ensure that the project is on course?

2. Which framework will assist you in guiding the entire project?

· Explain how QI/PI data will be collected and analyzed.

3. What data is needed?

3. How will you record and organize collected data?

3. What are appropriate data analysis methods for the type of data you will be collecting?

· Describe proposed QI/PI changes and expected outcomes.

4. What are appropriate measures for determining actual improvement?

4. How feasible are the proposed changes and what are the relevant contextual factors that can affect expected outcomes?

· Explain how changes in quality or performance will be evaluated.

5. What evaluation tools or methods will you use?

5. What criteria will you use to evaluate outcomes?

· Write clearly and concisely in a logically coherent and appropriate form and style.

6. Write with a specific purpose and audience in mind.

6. Adhere to scholarly and disciplinary writing standards.

6. Proofread your writing to minimize errors that could distract readers and make it difficult for them to focus on the substance of your introduction.

· Apply APA style and formatting to scholarly writing.

600 w6 p1

What are the benefits of evaluating the role of outcomes in practice change through research? Discuss how you would evaluate the roles of outcomes through a change proposed from research findings.

Expectations

Initial Post:

keep all posts you win on bids in US sources

  • 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

Peer Responses:

m10 discussion

follow all directions

Global Healthcare comparison.

Resources to Use

To Prepare:

  • Review the World Health Organization’s (WHO) global health agenda and select one global health issue to focus on for this assignment.
  • Select at least one additional country to compare to the U.S. for this assignment.
  • Reflect on how the global health issue you selected is approached in the U.S. and in the additional country you selected.
  • Review and download the Global Health Comparison Matrix provided in the Resources.

 

Focusing on the country you selected and the U.S., complete the Global Health Comparison Matrix. Be sure to address the following:

  • Consider the U.S. national/federal health policies that have been adapted for the global health issue you selected from the WHO global health agenda. Compare these policies to the additional country you selected for study.
  • Explain the strengths and weaknesses of each policy.
  • Explain how the social determinants of health may impact the global health issue you selected. Be specific and provide examples.
  • Using the WHO’s Organization’s global health agenda as well as the results of your own research, analyze how each country’s government addresses cost, quality, and access to the global health issue selected.
  • Explain how the health policy you selected might impact the health of the global population. Be specific and provide examples.
  • Explain how the health policy you selected might impact the role of the nurse in each country.
  • Explain how global health issues impact local healthcare organizations and policies in both countries. Be specific and provide examples.

Part 2: A Plan for Social Change

Reflect on the global health policy comparison and analysis you conducted in Part 1 of the Assignment and the impact that global health issues may have on the world, the U.S., your community, as well as your practice as a nurse leader.

In a 1-page response, create a plan for social change that incorporates a global perspective or lens into your local practice and role as a nurse leader.

  • Explain how you would advocate for the incorporation of a global perspective or lens into your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens might impact your local practice and role as a nurse leader.
  • Explain how the incorporation of a global perspective or lens into your local practice as a nurse leader represents and contributes to social change. Be specific and provide examples

Discussion 250 words. Make sure you provide 2 references and utilize APA style.. . Discussion Rubric

 

DISCUSSION QUESTIONS

1.What are the benefits and the challenges of offering group psychotherapy services within both inpatient and outpatient clinical environments?

2.Discuss key components of group process that occur during all phases of group development, giving examples of patient-focused activity that occurs during each phase.

3.Describe how various theoretical orientations could be used when leading short-term group psychotherapy. What patient populations or clinical presentations would be best served by each theoretical framework.

4.Discuss the benefits and challenges of using one or two group therapists during a psychotherapeutic intervention.

5.Discuss the importance of identifying ground rules, especially in relation to confidentiality for group psychotherapy services.

6.Describe how group psychotherapy differs from individual psychotherapy and describe the types of patients who might be better served by group psychotherapy.

7.Identify a specific group you would like to lead in your practice and discuss the purpose, your target population, how you would screen and recruit participants, establishing a fee schedule, the time frame (open or closed), number of participants, theoretical orientation for the group, selection of a co-therapist or why you do not want a co-therapist, marketing and advertising, and length of each session.

To reflect, write one or two paragraphs with a minimum of 150 words, scholarly written, APA formatted, and referenced. A minimum of two references are required (other than your text). Refer to the Grading Rubric for Online Discussion in the Course Resource section. (For this week, a peer response is not required).

Intro to nursing reaearch

 Define evidence-based practice. Describe the difference between a nursing practice problem and a medical practice problem. Provide one example of each. Discuss why is it important to ensure your PICOT is based on a nursing practice problem. 

pn1 m 10 diss

 You have had the opportunity to review thermoregulation as is pertains to the human body. With this discussion, you will need to explain what thermoregulation is and why is it important? 

NUR 590 Evidence Based Project Proposal Evaluation Plan

In 750-1,000 words, develop an evaluation plan to be included in your final evidence-based practice project proposal. You will use the evaluation plan in the Topic 8 assignment, during which you will synthesize the various aspects of your project into a final paper detailing your evidence-based practice project proposal.

Provide the following criteria in the evaluation, making sure it is comprehensive and concise:

Review the various data collection tools associated with your selected research design and select one data collection tool that would be effective for your research design. Explain how this tool is valid, reliable, and applicable.

Select a statistical test for your project and explain why it is best suited for the tool you choose.

Describe what methods you will apply to your data collection tool and how the outcomes will be measured and evaluated based on the tool you selected.

Propose strategies that will be taken if outcomes do not provide positive or expected results.

Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Refer to the “Evidence-Based Practice Project Proposal – Assignment Overview” document for an overview of the evidence-based practice project proposal assignments.

You are required to cite a minimum of five peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Response

  

Respond using APA, at least 2 scholarly references

Leadership and a Healthy Work Environment

    Leadership involves the relationship between a leader and followers with the behaviors or attributes of the leader influencing whether employees consider a work environment to be healthy. Various theories exist about the way leaders and followers construct a social order in organizations leading to a healthy work environment (Vidman & Stromberg, 2020). My perception of a healthy work environment is one in which employees are satisfied with their work, work towards a common goal, and there is no conflict with managers or other employees. Leadership is the single most important factor influencing the employee’s work environment in an organization.

    One insight from the literature about leadership is that managers who inspire workers to do their best contribute to a healthy work environment. Transformational leadership theory proposes that the way leaders use a positive relationship with followers can inspire others to adopt a common goal and voluntarily work towards achieving the goal (Pourbarkhordari et al., 2016). An element of transformational leadership is inspirational motivation by the leader that involves encouraging and motivating employees. The concept of transformational literature gave me insight into the way a manager at a part time job where I worked was able to motivate employees. The manager was always optimistic about the future even when the job we were assigned seemed impossible to do in the time allowed. The manager helped us understand that if the staff worked together as an efficient team, we could meet the deadline even though it seemed difficult. The manager also showed us how to perform tasks more rapidly. Because of these behaviors, we felt like a team and were always focused on helping each other. Even though the work was difficult, the work environment seemed positive and friendly.

    I gained another insight about leadership from literature focusing on authentic leadership theory. The theory defines authentic leadership as altruistic and transparent behaviors, which also has an association with a healthy work environment (Giordano-Mulligan & Eckhardt, 2019). Authentic leaders consistently act on their values and beliefs and demonstrate integrity. The leadership approach also involves followers in decision-making about the best approach to perform tasks. On another part-time job that I once had, the manager was responsible for a group of employees that work her floor. A rule set by the manager was that all employees should be on time for work to avoid unfairly burdening the other employees. One of the employees, however, was always late. The manager terminated the employee and took the employees place until a replacement could be hired. The manager created a healthy work environment by fairly addressing a personnel problem consistent with stated values and beliefs while minimizing the burden of the decision on other employees.   

References

Giordano-Mulligan, M., & Eckhardt, S. (2019). Authentic nurse leadership conceptual framework. Nurse Administration, 43(2), 164-174. https://doi.org/10.1097/NAQ.0000000000000344    

Pourbarkhordari, A., Zhou, E., & Poukarimi, J. (2016). Role of transformational leadership in creating a healthy work environment in business setting. European Journal of Business and Management, 8(3), 57-70. https://core.ac.uk/download/pdf/234627054.pdf 

Vidman, A., & Stromberg, A. (2020).  Leadership for a healthy work environment- a question of who, what, and how. Leadership in health Services, 34(1), 1-15. https://doi.org/10.1108/LHS-06-2020-0041       

Discussion week 5

Week 5 Discussion: Gastrointestinal Alterations (USLOs 1, 2, 3, 4)

You are caring for 39-year-old Kali Kim-Collins who arrived for follow-up care at her primary physician's office after being discharged from the emergency department with peptic ulcer disease. Mrs. Collins went to the emergency department after experiencing severe gastric pain for three days. She reported the pain was relieved after eating.

Based on this information, your prior knowledge of this client (refer to medical card from the Collins-Kim family tree interactive), and your knowledge of the pathophysiology of peptic ulcer disease, respond to the following prompts:

1. Thoroughly explain the pathophysiology of peptic ulcer disease. Use a 
scholarly or 
authoritative source to support your answer.

2. Examine each of the following three factors related to this disease process. 
Support all three with a scholarly source.

1. cultural

2. financial

3. environmental implications

3. Identify 3-5 priority nursing interventions for the client after discharge home.

4. Describe labs and diagnostic testing you would anticipate monitoring for the client upon follow-up with her PCP. What are critical indicators? 
Support with a scholarly source.

5. What members of the interdisciplinary team need to be included for holistic patient-centered care? 
Provide a rationale and support with a scholarly source.