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DNP 835 Topic 1 Assignment: Strategies to Ensure Safety and Quality Health Care

DNP 835 Topic 1 Assignment: Strategies to Ensure Safety and Quality Health Care

DNP 835 Topic 1 Assignment: Strategies to Ensure Safety and Quality Health Care

Topic 1: Strategies to Ensure Safety and Quality Health Care

Objectives:
1. Discuss the importance of improving patient safety in health care.
2. Describe a framework or theory used to improve patient outcomes.

3. Explain the significance of error and unintended consequences in improving patient safety.

Patient safety is the avoidance of mistakes and unfavorable consequences to patients connected to health care (World Health Organization, 2019). The aim of most facilities is to enhance patient-oriented hospital care. It is important to improve patient safety to reduce morbidity and mortality, reduce the financial effect of patient harm, and loss of income, and minimize problems related to unsafe practices. This can be accomplished by enhancing methods to reduce risks using risk management teams, infection control guidelines, medication regime, supervision and management, secure setting and equipment, patient-centered care and education, nutrition replacement, effective leadership, teamwork, feeling of responsibility and accountability, and reporting practice errors which were all represented throughout the IHI Module PS 101– Introduction To Patient Safety module and the examples provided (Frankel et al., 2017: Leape, 2021). The framework that was used to improve patient outcomes is the Framework for Safe, Reliable, and Effective Care which engages patients and their families (Leape, 2021). The framework can use as a manual to steer healthcare professionals in using the principles of patient safety in all spheres of care provided to patients and their families. In addition, it can be used as an analytic tool to ascertain how healthcare professionals are complying with different areas of the framework and its continuous application contributes to enhancing safety, consistency, and successful approaches to the care that is provided through organization culture and learning system. In addition, Frankel et al. (2017) mentioned three outcome measures namely process measure, outcome measure and balancing measure which can be implemented and evaluated using Model for Improvement such as  Plan-Do-Study-Act (PDSA)

In addition, Ortiz (2021) mentioned the University of North Carolina Hospital (UNCH) guiding framework (patient-centered care policy) that was developed using Swanson’s caring theory and the Johns Hopkins’ Armstrong Institute for Patient Safety evaluation of patient-centered care in hospitals using a best practice tool known as the Hospital Consumer Assessment of Healthcare Providers and Systems (HCAHPS) survey to evaluate the patient outcome. HCAHPS measures the overall hospital encounter which includes three broad areas namely excellence in a way of life – responsiveness, the patient-centered transition of care, and improving quality and providing a superior patient experience (Ortiz, 2021). This feat was accomplished using organized teams that concentrated on communication, commitment, and data that address performance and were aligned to the aim of improving patient-centered care by implementing best practices.

The article further mentioned the use of Watson’s theory of human caring and the attending nurse caring model (ANCM) developed and used at Massachusetts General Hospital to initiate patient-centered care policies (Ortiz, 2021)  This model provided and supervised plans of mutual, all-inclusive, constant caring–healing techniques for patients and their families to participate in.  The model is vital because it includes Watson’s theory of caring as the foundation of caring theory as a philosophical-ethical base that supports nurses as they embrace a shared worldview and culture to influence thus generating a new approach and construct for care delivery. Hence, theories should be used to formulate policies of care and best practice guidelines to direct how healthcare practitioners provide care for patients and their families thus enhancing patient safety.

References

Frankel, A., Haraden, C., Federico, F., & Lenoci-Edwards, J. (2017). A Framework for Safe, Reliable, and Effective Care [white paper]. Cambridge, Massachusetts: Institute for Healthcare Improvement and Safe & Reliable Healthcare. https://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Safe-Reliable-Effective-Care.aspx

Leape, L. L. (2021).  Making Healthcare Safe. The Story of the Patient Safety Movement. Springer. https://library.oapen.org/bitstream/id/86b16e7d-3780-4b75-bb06-2a9f6e36893c/9783030711238.pdf

Ortiz, M. R. (2021). Best practices in patient-centered care: Nursing theory reflections. Nursing Science Quarterly,34(3). https://doi-org/10.1177/08943184211010432

World Health Organization. (2019, September 13). Patient Safety. https://www.who.int/news-room/fact-sheets/detail/patient-safety

Resources

DNP Virtual Nurse Residency – Attestation if Not Registering

Complete the “DNP-835A-Residency Attestation” for each required exempt assignment if you are not registering for the DNP Virtual Residency (VNR) during this course. Submit the attestation for each assignment in lieu of the required document.

Dr. Mike Evans: An Illustrated Look at Quality Improvement in Health Care

View:

Institute for Healthcare Improvement – IHI. (2016, May 12). Dr. Mike Evans: An illustrated look at quality improvement in health care [Video]. YouTube.
https://www.youtube.com/watch?v=nPysNaF1oMw

Best Practices in Patient-Centered Care: Nursing Theory Reflections

Read:

Ortiz, M. R. (2021). Best practices in patient-centered care: Nursing theory reflections. Nursing Science Quarterly, 34(3). https://doiorg/10.1177/08943184211010432
https://journals-sagepub-com.lopes.idm.oclc.org/doi/full/10.1177/08943184211010432

Treat the Resident, Not the Urine: Using Patient Safety to Reduce Urinary Tract Infections and Overuse of Urine Culture in Long Term Care

Read:

Haley, T., & Fritz, S. (2019). Treat the resident, not the urine: Using patient safety to reduce urinary tract infections and overuse of urine culture in long term care. AJIC: American Journal of Infection Control, 47(6), S8. https://doi.org/10.1016/j.ajic.2019.04.148
https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0196655319303761

Implementing Sleep Apnea Screening Prior to Conscious Sedation Procedures in a Rural Hospital: A Quality Improvement Project

Read:

Booms, E., Dabeny, B. W., & Cooper, D. (2020). Implementing sleep apnea screening prior to conscious sedation procedures in a rural hospital: A quality improvement project. Journal of Doctoral Nursing Practice, 13(3), 243-248. https://doi-org/10.1891/JD-19-00078
https://connect-springerpub-com.lopes.idm.oclc.org/content/sgrjdnp/13/3/243

Outcome Assessment in Advanced Practice Nursing

Read Chapters 1 and 11 in Outcome Assessment in Advanced Practice Nursing.

 

Establishing Measures

View:

Institute for Healthcare Improvement – IHI. (2019, February 19). Establishing measures [Video]. YouTube. https://www.youtube.com/watch?v=oCuaROuvetE

The Six Dimensions of HealthCare Quality

View:

Clinical Excellence Commission. (2020, September 17). The six dimensions of healthcare quality [Video]. YouTube. https://www.youtube.com/watch?v=I8Y962VTiBY

Assessments

Class Introductions
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 7, 2022, 11:59 PM 0

Take a moment to explore your new classroom and introduce yourself to your fellow classmates. What are you excited about learning? What do you think will be most challenging?

IHI Module PS 101– Introduction to Patient Safety Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 10

This module examines the importance of patient safety in health care and teaches learners a how to build a

framework for safer and more reliable systems of care.

General Requirements:
Complete your IHI registration using the information located in the Class Resources.
Log into your IHI Portal using the link located in the Class Resources to access and complete the assigned module.
You are not required to submit this assignment to LopesWrite.
Upon completion of the module, submit your certificate to the assignment dropbox.
Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.
Directions:

Complete the “IHI Module PS 101: Introduction to Patient Safety” module before day 4 of this week. You will use the information learned in this module to answer the Topic 1 discussion question due day 5.

The estimated time for completing this module is 75 minutes, but for some learners it may take longer.

Preconference Evaluation: Individual Success Plan (ISP)
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 30

The Individual Success Plan (ISP) assignment in this course requires your collaboration with the course faculty early on to establish a plan for successful completion of mutually identified and agreed-upon specific deliverables for your programmatic requirements. Programmatic requirements are: (1) completion of required practice immersion hours, (2) completion of work associated with program competencies, and (3) work associated with completion of your Direct Practice Improvement (DPI) Project.

A preconference meeting is intended for the learner and preceptor/mentor to review course- and learner- specific learning objectives: the roles, responsibilities, and expectations of the learner and preceptor/mentor during this practice immersion experience. All faculty and preceptor/mentor information will be given to each party by the learner. Any course or program information requested by the preceptor/mentor will be provided by the learner. During this meeting, the learner and preceptor/mentor will discuss the course and practice immersion goals, including any projects that are to take place. The faculty will review the submitted document and must approve proposed projects at this time. The faculty will also send an introductory email to the preceptor/mentor.

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General Requirements:

Use the following information to ensure successful completion of the assignment as it pertains to deliverables due in this course.

Check Out Also: NU 606- Week 1 Assignment Case Study Putting it all Together
Locate and download Individual Success Plan (ISP) and Direct Practice Improvement (DPI) timeline documents in the DNP PI Workspace.
Review the DNP Program Milestones document in the DNP PI Workspace and identify which domains, competencies, and milestones apply to this course. Note: Not all courses have milestones.
Determine what practice immersion experiences you plan to seek in order to address each competency. Include how many hours you plan to set aside to meet your goals. Learners will apply concepts from each of their core courses to reflect upon, critically examine, and improve current practice and are required to integrate scholarly readings to develop case reports that demonstrate increasingly complex and proficient practice.

Use the ISP to develop a personal plan for completing your practice immersion hours and how competencies will be met. Show all of the major milestones and deliverables in the timeline.
Within the ISP, ensure you identify specific deliverables which can include the following: individualized DNP practice immersion contracts; comprehensive log of practice immersion hours applied to doctoral-level learning outcomes; learner evaluations; preceptor/mentor evaluations; current and updated CV; scholarly activities; GCU DNP competency self-assessment; reflective journal; course goals and plan for how competencies and practice immersion hours will be met; faculty and preceptor/mentor approvals of course goals and documented practice immersion hours; and DPI Project milestones.
A preconference and a postconference/evaluation between learners and preceptors/mentors are mandatory for all learners enrolled in all DNP courses (from DNP-805 and DNP-815A on). Conferences may be conducted face-to-face or via technology. A copy of the wet-ink or digitally (digital identifier) signed document must be uploaded into the digital classroom no later than the end of Topic 1.
Overall course- and learner-specific objectives: These objectives should be discussed during each conference, as learners are responsible for completing all experiences as mandated for the program. Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are not required to submit this assignment to LopesWrite.
Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.
Directions:
1. Identify the specific deliverables you will complete throughout this course from those defined above with your faculty. Update your faculty/chair with any revisions or changes to the ISP.
2. List the challenges you expect to encounter as you continue the practice immersion hour and competency requirements throughout this course. How might you overcome these challenges?
3. Complete the Contact Information table at the beginning of the ISP resource, and type in your signature (learner only) and the date on which you completed the table. Read the information in the ISP document, including the following: Learner Expectations, Derivation of the ISP, and Instructions for Completing the ISP.
4. Follow the instructions and complete the ISP.

Approved PICOT
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 0

This is an exempt assignment, worth 0.00 points; however, it is a required submission that must be completed to pass the course.

If you have registered to complete the DNP Virtual Nurse Residency (VNR) in this course, submit your approved PICOT-D. Learners who fail to submit their approved PICOT-D cannot attend the VNR.

If you are not attending the VNR in this course, compete the attestation located in the topic Resources and submit to the dropbox.

10 Strategic Points
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 0

This is an exempt assignment, worth 0.00 points; however, it is a required submission that must be completed

to pass the course.

If you have registered to complete the DNP Virtual Nurse Residency (VNR) in this course, submit your final 10 Strategic Points assignment. Learners who fail to submit their final 10 Strategic Points assignment cannot attend the VNR.

If you are not attending the VNR in this course, compete the attestation located in the topic Resources and submit to the dropbox.

Literature Evaluation Table
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 0

This is an exempt assignment, worth 0.00 points; however, it is a required submission that must be completed to pass the course.

If you have registered to complete the DNP Virtual Nurse Residency (VNR) in this course, submit your final Literature Evaluation Table. Learners who fail to submit their Literature Evaluation Table cannot attend the VNR.

If you are not attending the VNR in this course, compete the attestation located in the topic Resources and submit to the dropbox.

Mentors/Content Expert CV
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 0

This is an exempt assignment, worth 0.00 points; however, it is a required submission that must be completed to pass the course.

If you have registered to complete the DNP Virtual Nurse Residency (VNR) in this course, submit CVs for all mentors and context experts. Refer to the Guidelines for Graduate Field Handbook for required qualifications for mentors and content experts. Learners who fail to submit CVs for qualified mentors and content experts cannot attend the VNR.

If you are not attending the VNR in this course, compete the attestation located in the topic Resources and submit to the dropbox.

Learner CV
Start Date & Time Due Date & Time Points May 5, 2022, 12:00 AM May 11, 2022, 11:59 PM 0

This is an exempt assignment, worth 0.00 points; however, it is a required submission that must be completed to pass the course.

If you have registered to complete the DNP Virtual Nurse Residency (VNR) in this course, submit your updated CV. Learners who fail to submit their updated CV cannot attend the VNR.

If you are not attending the VNR in this course, compete the attestation located in the topic Resources and submit to the dropbox.

Rubric Criteria

Total20 points

Criterion

1. Unsatisfactory

2. Less Than Satisfactory

3. Satisfactory

4. Good

5. Excellent

Self-Assessed Domains and Competencies

Self-Assessed Domains and Competencies

0 points

Description of self-assessed domains and competencies is not included.

1.6 points

Description of self-assessed domains and competencies is incomplete or incorrect.

1.76 points

Description of self-assessed domains and competencies is included but lacks sufficient detail.

1.84 points

Description of self-assessed domains and competencies is complete and includes sufficient detail.

2 points

Description of self-assessed domains and competencies is thorough and includes sufficient detail.

Deliverables

Deliverables

0 points

Description of specific deliverables to be completed in the course is not included.

2.4 points

Description of specific deliverables to be completed in the course is incomplete or incorrect.

2.64 points

Description of specific deliverables to be completed in the course is included but lacks sufficient detail.

2.76 points

Description of specific deliverables to be completed in the course is complete and includes sufficient detail.

3 points

Description of specific deliverables to be completed in the course is thorough and includes sufficient detail.

Remaining Deliverables

Remaining Deliverables

0 points

Description of remaining deliverables to complete is not included.

2.4 points

Description of remaining deliverables to complete is incomplete or incorrect.

2.64 points

Description of remaining deliverables is included but lacks sufficient detail.

2.76 points

Description of remaining deliverables to complete is complete and includes sufficient detail.

3 points

Description of remaining deliverables to complete is thorough and includes sufficient detail.

DPI Project Milestones

DPI Project Milestones

0 points

Description of DPI Project milestones to be achieved in the course is not included.

1.6 points

Description of DPI Project milestones to be achieved in the course is incomplete or incorrect.

1.76 points

Description of DPI Project milestones to be achieved in the course is included but lacks sufficient detail.

1.84 points

Description of DPI Project milestones to be achieved in the course is complete and includes sufficient detail.

2 points

Description of DPI Project milestones to be achieved in the course is thorough and includes sufficient detail.

Plan for Practice Experiences

Plan for Practice Experiences

0 points

Plan for practice experiences to be completed in the course is not included.

1.6 points

Plan for practice experiences to be completed in the course is incomplete or incorrect.

1.76 points

Plan for practice experiences to be completed in the course is included but lacks sufficient detail.

1.84 points

Plan for practice experiences to be completed in the course is complete and includes sufficient detail.

2 points

Plan for practice experiences to be completed in the course is thorough and includes sufficient detail.

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

0 points

Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.

0.8 points

Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.

0.88 points

Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.

0.92 points

Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.

1 points

Writer is clearly in command of standard, written, academic English.

Paper Format (use of appropriate style for the major and assignment)

Paper Format (use of appropriate style for the major and assignment)

0 points

Template is not used appropriately, or documentation format is rarely followed correctly.

0.8 points

Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.

0.88 points

Appropriate template is used. Formatting is correct, although some minor errors may be present.

0.92 points

Appropriate template is fully used. There are virtually no errors in formatting style.

1 points

All format elements are correct.

Practice Immersion Hours

Practice Immersion Hours

0 points

No practice immersion hours are indicated.

1.6 points

Practice immersion hours do not reflect described assignment or project.

1.76 points

N/A

1.84 points

N/A

2 points

Practice immersion hours reflect described assignment or project.

Mentor Signature

Mentor Signature

0 points

No wet or digital signature is present.

1.6 points

N/A

1.76 points

N/A

1.84 points

N/A

2 points

Wet or digital signature is present.

Challenges

Challenges

0 points

Description of challenges and how to overcome them is not included.

1.6 points

Description of challenges and how to overcome them is incomplete or incorrect.

1.76 points

Description of challenges and how to overcome them is included but lacks sufficient detail.

1.84 points

Description of challenges and how to overcome them is complete and includes sufficient detail.

2 points

Description of challenges and how to overcome them is thorough and includes sufficient detail.