NR 451 Week 4: Evaluating Quality Patient Outcomes

Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes– Step-By-Step Guide

This guide will demonstrate how to complete the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.

How to Research and Prepare for NR 451 Week 4: Evaluating Quality Patient Outcomes

Whether one passes or fails an academic assignment such as the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.

After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.

How to Write the Introduction for NR 451 Week 4: Evaluating Quality Patient Outcomes

The introduction for the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.

How to Write the Body for NR 451 Week 4: Evaluating Quality Patient Outcomes

After the introduction, move into the main part of the NR 451 Week 4: Evaluating Quality Patient Outcomes assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.

Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.

How to Write the Conclusion for NR 451 Week 4: Evaluating Quality Patient Outcomes

After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.

How to Format the References List for NR 451 Week 4: Evaluating Quality Patient Outcomes

The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.

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Sample Answer for NR 451 Week 4: Evaluating Quality Patient Outcomes

For this week’s discussion, we are discussing quality improvement and change. These improvements are not only necessary to decrease the occurrence of harm and or wrongful death but also to improve the quality of life for our patients. Data can aid in the evaluation of effectiveness, cost, and planning delivery of care. It gives insight into the allocation and utilization of resources and also assesses the accessibility of care for our patients in varied settings. These considerations allow for concerns in economic matters, ethical matters and social diversities. When discussing an example of data that reflects poor quality of care, I would like to use a personal experience with my own hospital setting. I do this, not because I feel the place I work is a poor place, but we experienced something that I believe is probably widespread and I think many could benefit. We were required to do an error prevention class for the hospital. The wrongful death and harm statistics were from our very own organization.

Our facility went to great effort years ago discussing how we should not multitask and the do not disturb zone while preparing medications. Unfortunately, as any good plan there is a lack of follow thru. Not only are we interrupted , but the phones attached to each nurse is a disruption. All alarms go to our phones and parents call expecting nurses to answer. The alarms have frequent false alarms.

The EPIC system has a great PER to review patients’ information, but many nurses continue the unsafe practice of getting report without reviewing orders, medications, and history. It is frustrating for nursing not to use tools provided that are set up for patient safety.

Our management is very young. Lacking knowledge of how to train, and fail to oversee policy and procedures that are not followed. Concerns are handed down to them to oversee budget. Decreasing overtime and disciplinary actions on attendance. I know these are the focus of upper management, but will this every change to improve care provided? Over loading nurses with increased acuities of patients leads to corners to be cut leading to unsafe practices. The impact on the nursing professional of increased workload discourages nurse from changing overall practices.

These were people, families in our community effected directly by errors within our health system……. deaths in some cases, by mistake of personnel. It is an eye opener to see charts, graphs and data that reflect errors that you yourself could have easily made. We have had a huge shift in error prevention and culture for error identification. We were shown that a 15% spike in error was seen during our go live with a new software system. This data absolutely identified areas of much needed improvement, more than that …….it identified that change was essential, our patients lives depended on it. We don’t talk about the astonishing numbers that reflect medical error and wrongful death enough. It is not easy to talk about. We are all human, but when you understand that your own life, the lives are your family members receiving care are at stake when healthcare has a “glitch”, it is a whole new perspective. In our assigned article this week it states,” today we may be doing what we can, but tomorrow we can improve”,(Hughes,2008).

Quality improvement is definitely a part of daily workflow, because every day we can make strides to perform better, be more efficient, more cost effective. As nurses, we are in actual one on one contact with patients, more than other discipline in healthcare, (ANA,2015). We spend more time, often develop the relationship aspect of healthcare and are looked to for education, intervention, avocation and support by our patients and their families. We bring the “human” to the very technical, often harsh reality of healthcare. I read an article of the influence of quality improvement and how it effects not only our patients by our own work. I feel this sums up the need to change through improvement. “As advances are made, patient’s needs and expectations of healthcare are changing as well. It is part of the dedication to the nursing profession to develop quality and safety measures, identify gaps of knowledge, share innovations of quality and performance improvement initiatives, incorporate technologies to impact workflow efficiency, safety, and cost,” (Weston&Roberts,2013).

I read that, jotted in down, and when typing it, I read it out loud about three times…….try it. WOW……. Those are some BIG shoes to fill!! I have often stated about my own self,” I am just the bedside nurse”. Class and professor, I dare say that according to the above statement, in todays’ healthcare, there is no such thing. I have taken this statement from this article, as a personal challenge. I have placed it in a sticky note in my locker. For those days, those hard ones, like I just had last night,( you know when you think as you walk to the car at the end of a shift, checking out groceries at Walmart is looking pretty promising!! LOL) to remind myself, the BIG picture is not mine to “fix”, however, if I commit to these things in the experiences and in the lives of patients I am dealing with a day to day basis, if we all do, the BIG picture will improve without a doubt!

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Weston, M., & Roberts, D. (2013). The influence of quality improvement efforts
on patient outcome and nursing work. The Online Journal of Issues in
Nursing, 18(3). https://doi.org/10.3912/ojin.vol18no3Links to an external site.

Hughes, R. G. (Ed.). (2008). Patient safety and quality: An evidence-based handbook for nurses(AHRQ Publication No. 08-0043). Agency for Healthcare Research and Quality. Retrieved from https://archive.ahrq.gov/professionals/clinicians-providers/resources/nursing/resources/nurseshdbk/ Links to an external site.

American Nurses Association. (2015). Nursing: Scope and standards of practice (3rd ed.). Silver Spring, MD: Author

NR 451 Week 4: Capstone Project: Milestone 2: Design Proposal (graded)

NR 451 Week 5: Core Competencies for Nurses

NR 451 Week 6: Capstone Project: Milestone 3: Educating Staff (graded)

NR 451 Week 6: Implementing Change Despite Resistance

NR 451 Week 7: Healthcare Policy: What You Need to Know About the Affordable Care Act

NR 451 Week 8: Your Future!

NR 451 Milestone 2 Design Proposal Outline

Sample Answer 2 for NR 451 Week 4: Evaluating Quality Patient Outcomes

Wow, that’s’ a pretty big question to answer. Honestly, I do not have any idea where it would begin. So, classmates, I would love to hear some of your ideas. And now , I will attempt to give some insight . First, the question, why are nurses leaving the bedside? I found an article discussing this topic . It states the three top reasons for leaving clinical nursing: “1. unfriendly work environment, 2. emotional distress related to patient care, 3. fatigue and exhaustion”, (AACN,2010). This was described as issues with sexual harassment, verbal and physical abuse from coworkers, managers, physicians in the workplace and consistent lack of support from other RNs. The second issues was having to do with conflict in the decision making aspect of patient care, and perception that patient and family desire was ignored. The third issue was simply a feeling on being overwhelmed with emotional and physical fatigue. I know organizations have approached all of this with education on sexual harassment, what it is, and how to report it. Our organization, and many others, have programs and encourage involvement in things like “VOICE” to allow for participation at the nurse level in policy and structure of the health system.

There is education and “support” for work life balance. However, healthcare has become, for lack of a better word, big business. In nursing we are asked to stay on top of increasing technical demands, increased acuity of patients. Suggestions to retain nursing would be mentoring program to facilitate new nurses into nursing practice, zero tolerance policy for harassment, support networks for nursing staff that are experiencing distress. We have an employee assistance program , that offers a variety of things, including free counseling for up to six sessions. However, our organization is experiencing great turnover in a lot of areas. It becomes difficult for those like myself who have no intention of leaving, despite how negative the climate becomes. We just increased our mandatory call requirements again, many are very upset. We are staffing a NICU in one of the “sister” hospitals that is a 50 minute drive for our facility. We are pulling the call people to that location first. The nurses at that hospital are not required to take call. We feel as if we are taking mandatory call shifts to be sent to the sister hospital to work as supplemental staff. Why are they a NICU unit with no call mandated?

Supposedly we are under the “same umbrella” , or this is the terminology the director has used when we have voiced our feelings, so why not the same requirements of staff from each location? This sister hospital opened over 18 months ago, we have been staffing it from day 1. So this is not a new issue, just one that we feel has only gotten worse , despite our concern for the past 18 months. Some of our nurses drive over two hours and a half to this location, one way! No travel pay, nothing, just this statement form management, “if you refuse , you will be written up for insubordination “. People have refused and were written up, and eventually have migrated to other work opportunities elsewhere. You no longer work for a “hospital”, but a healthcare “system”. We now have three “locations”. Nursing staff is expected to “cover” for all three locations in certain departments. This is the “big business” part of it , that is distasteful to me, personally. You feel like a chess piece, just waiting to be placed in a different spot as needed. So, I will have to say , there is no “one stop” solution.

American Association of Colleges of Nursing(AACN). (2010). Nursing shortage fact sheet. retrieved form http://www.aacn.nche.edu/Media/pdf.NrsgShortageLinks to an external site.

Sample Answer 3 for NR 451 Week 4: Evaluating Quality Patient Outcomes

Lametary, thank you for this week’s post. I have to agree that patient safety is the Cornerstone a providing quality care to patients. With advancing technology and informatics in healthcare it seems everything has a safety feature. Are IV pumps have medication guardrails set up within them for high-risk medications. Our Healthcare informatics system has built-in alerts that show up when we try to charge something that is without a parameter. Are medication administration software also has alerts when a medication is being given too soon or too late or the amount given does not match the amount ordered. With all of this assistance to help us be more aware you would think that era’s would be less likely. However I know in my 23 years of nursing ,that I’m finding it more and more difficult to deal with the many distractions when I’m trying to prepare doses of medication ,perform tedious procedures that require my full concentration. In our textbook it states that there’s a strong link between the professional work environment and the registered nurses ability to provide Quality Healthcare and Achieve optimal outcomes.

As nurses we do have an ethical obligation to maintain and improve health care practice environments that are conducive to providing Quality Healthcare many Studies have demonstrated that there is a relationship between effective nursing practice and the presence of a healthy work environment increasing evidence demonstrates that negative demoralizing and unsafe conditions in the workplace contribute to Medical errors and effective delivery of care and conflict and stress among the health professionals. Some things that we can do to help combat this unhealthy environment is to have proficient communication skills as well as clinical skills we must Foster a sense of team and partnership among our coworkers nurses must partner with making policy directing clinical care. Sufficient Staffing is essential so that the needs of our patients can be met. Nurses must recognize each other as an important part of an organization and make each other feel valued. And nurse leadership must recognize and embrace that a healthy work environment is crucial in achieving a quality patient care outcome, (ANA,2015).

American Nurses Association (2015).Nursing : Scope and Standards of Practice(3rd Ed.) Silver Springs,MD.

Yes I agree you as well, communication is very important, listening to the patients and families. Safety is very important, providing quality care, minimizing distractions for safe practices especially while administering medications and providing other care, such as a sterile dressing, administering blood or platelets etc. And adequate staffing is needed, having 6 patients is too much and can be dangerous. I think I heard from a coworker that California I believe, I can’t remember after approximately 8 years , i think the nursescan only have 4 patients on medical surgical unit, I was told this a few days, I am going to research further on this information. Things should also change for nursing homes, staffing is a great issue.

There is a global nursing shortage that affects the ability of healthcare organizations to recruit and retain qualified nurses. Recent projections indicate that the current nursing shortage in the United States will rise to 30% and result in a deficit of > 900,000 RNs by the year 2030(12). My organization is in constant struggle to recruit and retaining nurses. The nursing shortage is having a negative impact quality care and patient safety.

Quality of care is dependent on a healthcare facility providing appropriate nursing services, which is difficult if nursing staff numbers are reduced. A reduction in the number of nursing staff results in a high nurse-patient ratio (i.e., the number of patients that are cared for by each nurse is increased); the odds of a patient dying increases by 7% for each additional patient in a nurse’s workload.

According to the research, my organization found that retention is affected by the nurse’s dissatisfaction with his or her perceived ability to provide high-quality care. Nurses who report having moral distress and being forced to provide care that does not comply with recognized standards have increased likelihood of reporting intent to leave their employ.

Many programs and incentives are given out the nursing staff so that the nurses will want to stay and support the agency. However, those incentives do not the stop the leak but slow it down temporarily.

I am on the committee to help recruit new nurses as well as retaining them. We gain two (2) and lose one (1). It is a revolving door.

Reference

Retention of Nurses and Quality of Health Care : By: Mary Woten, RN, BSN

Cinahl Information Systems, Glendale, CA Helle Heering, RN, CRRN, Cinahl Information Systems, Glendale, CA Edited by: Diane Pravikoff, RN, PhD, FAAN, Cinahl Information Systems, Glendale, CA

NR 451 Week 4: Evaluating Quality Patient Outcomes