DNP 835 Topic 2 Assignment: Innovative Approaches to Health Care, Change Theories, and Sustainable Change
DNP 835 Topic 2 Assignment: Innovative Approaches to Health Care, Change Theories, and Sustainable Change
Topic 2: Innovative Approaches to Health Care, Change Theories, and Sustainable Change
Objectives:
1. Describe the role of the DNP-prepared nurse in managing costs.
2. Discuss barriers to cost management in health care.
3. Apply a change theory to ensure care delivery sustainability.
4. Evaluate a quality and/or safety issue in a health care setting.
May 12, 2022 – May 18, 2022 Max Points: 160
Resources
Building a Culture of Safety and Quality: The Paradox of Measurement
Read:
Bliss, K., Chambers, M., & Rambur, B. (2020). Building a culture of safety and quality: The paradox of measurement. Nursing Economic$, 38(4), 178-184.
Perspectives in Ambulatory Care. Return on Investment of a Centralized Telephonic Case Management Program in a Commercial Population
Read:
Russell Rodriguez, S. (2021). Perspectives in ambulatory care. Return on investment of a centralized telephonic case management program in a commercial population. Nursing Economic$, 39(1).
https://lopes.idm.oclc.org/login?url=https://search.ebscohost.com/login.aspx? direct=true&db=ccm&AN=148820889&site=eds-live&scope=site
Understanding Change Theory
View:
NDSUExtension. (2020, October 26). Understanding change theory [Video]. YouTube. https://www.youtube.com/watch?v=-F9tegnmiTo
The Business of Healthcare Podcast, Episode 38: Aligning Financial Incentives With Quality Incentives
View:
Kaiser, B. (Host) (2019, June 11). Aligning financial incentives with quality incentives (No. 38) [Audio podcast episode]. In The business of healthcare podcast. Center for Healthcare Leadership and Management.
https://businessofhealthcarepodcast.com/the-business-of-healthcare-podcast-episode-38-aligning-financial- incentives-with-quality-incentives#
Decreased Pediatric Trauma Length of Stay and Improved Disposition With Implementation of Lewin’s Change Model
Read:
Abd El-Shafy, I., Zapke, J., Sargeant, D., Prince, J. M., & Christopherson, N. A. (2019). Decreased pediatric trauma length of stay and
improved disposition with implementation of Lewin’s change model. Journal of Trauma Nursing, 26(2), 84-88. https://doi.org/10.1097/JTN.0000000000000426
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi? T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00043860-201903000-00008&LSLINK=80&D=ovft
Implementing and Sustaining Bedside Shift Report for Quality Patient-Centered Care
Read Also:NU 629- Week 6 Assignment Population-Specific Health Promotion and Disease Prevention Paper
The first strength of the leadership theory is that there is follower inclusivity whereby, once the employees see the leader’s dedication, they will follow them. There is the discouragement of unproductive behavior (Burkus, 2020). When the leader serves the employees well, they, in turn, offer customer satisfaction. Secondly, there is a positive work environment as the leader supports and builds a shared goal (Whitney, 2018). Another strength is that servant leadership helps boost morale in an organization. Contrarily, there are weaknesses to the theory; the first weakness is that it is challenging to explain and communicate the concept of servant leadership (Burkus, 2020). The next one is that retaining servant leaders in the healthcare system is challenging and time-consuming. Another weakness is that followers view servant leaders as weak; therefore, it may be hard to heed their rules (Burkus, 2020). Servant leadership is hard to achieve as it requires an individual with high authenticity levels.
Becker, S., Hagle, M., Amrhein, A., Bispo, J., Hopkins, S., Kogelmann, M., Porras, E., & Smith, M. M. (2021). Implementing and sustaining bedside shift report for quality patient-centered care. Journal of Nursing Care Quality, 36(2), 125-131. https://doi.org/10.1097/NCQ.0000000000000509
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi?
Outcome Assessment in Advanced Practice Nursing
Read Chapters 2 and 8 in Outcome Assessment in Advanced Practice Nursing.
ADKAR: A Framework for Successful Change
View:
Massey, K. (2019, July 3). ADKAR: A framework for successful change [Video]. YouTube. https://www.youtube.com/watch?v=zXwJTZ2EA2Q
Implementation Science and Nursing Leadership: Improving the Adoption and Sustainability of Evidence-Based Practice
Read:
Nelson-Brantley, H. V., & Chipps, E. (2021). Implementation science and nursing leadership: Improving the adoption and sustainability of evidence-based practice. JONA: The Journal of Nursing Administration, 51(5), 237-239. https://doi.org/10.1097/NNA.0000000000001006
https://lopes.idm.oclc.org/login?url=http://ovidsp.ovid.com.lopes.idm.oclc.org/ovidweb.cgi? T=JS&CSC=Y&NEWS=N&PAGE=fulltext&AN=00005110-202105000-00003&LSLINK=80&D=ovft
COVID-19: Why the Economics of Healthcare Will Never Be the Same
View:
Glenn, L. (2020, August 11). COVID-19: Why the economics of healthcare will never be the same [Video]. YouTube. https://www.youtube.com/watch?v=HRboT_SsxP8
Assessments
IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care
This module examines value in health care. The concepts include cost, value, and their relationship to quality,
health care spending, the practitioners’ role in managing costs, and identifying and overcoming barriers to provide high-value and cost-effective care.
General Requirements:
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 TA 103: Increasing Value and Reducing Waste at the Point of Care” module before day 4 of this week. You will use the information learned in this module to answer the Topic 2 discussion question due day 5.
The estimated time for completing this module is 45 minutes, but for some learners it may take longer
Quality and Sustainability Paper: Part 1
This assignment will be completed in two parts, which will be synthesized into a final paper.
The purpose of this assignment is to investigate a quality and/or safety issue in a health care entity. You will use the issue and health care entity that you select in this assignment for Part 2 of the paper and for the sustainability assignments. You may use an issue identified at the practice site in your DPI Project.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
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 requires that you support your position by referencing six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings. You are required to submit this assignment to Lopes Write. A link to the Lopes Write technical support articles is located in Class Resources if you need assistance.
Directions:
Describe the importance of quality or safety in the profession of nursing. Be sure to include:
1. Define quality and safety measures in your own words, and explain their link and importance in today’s nursing practice.
To better understand the current state of health care in the United States, identify three hurdles and three facilitators or techniques for overcoming the barriers. Provide answers for how health care organizations can deal with two of the obstacles. List two approaches or facilitators and explain how they can aid in the reduction or removal of obstacles. As an appendix, include the table.
Find a healthcare provider. Describe this thing in general terms without using its real name (e.g., location, size, profit or nonprofit, years in operation). Do not use the name of the healthcare organization or any of the individuals mentioned.
Explain how the health care entity measures a contemporary quality and/or safety issue and how that metric is implemented in nursing practice. All quality and sustainability assignments will be based on this topic.
Discuss the health care organization’s existing quality and/or safety program in relation to the quality and/or safety issue you selected. Identify the most important quality measurements or components currently utilized to evaluate the health care program’s results. Discuss what works and what doesn’t.
Include a list of the specific variables that were utilized to measure progress toward the program’s quality and/or safety goals.