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NURS 8302 Discussion: Quality Indicators ANSWER

NURS 8302 Discussion: Quality Indicators ANSWER

Walden University NURS 8302 Discussion: Quality Indicators ANSWER-Step-By-Step Guide

 

This guide will demonstrate how to complete the Walden University NURS 8302 Discussion: Quality Indicators ANSWER 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 NURS 8302 Discussion: Quality Indicators ANSWER

 

Whether one passes or fails an academic assignment such as the Walden University NURS 8302 Discussion: Quality Indicators ANSWER 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 NURS 8302 Discussion: Quality Indicators ANSWER

The introduction for the Walden University NURS 8302 Discussion: Quality Indicators ANSWER 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 NURS 8302 Discussion: Quality Indicators ANSWER

 

After the introduction, move into the main part of the NURS 8302 Discussion: Quality Indicators ANSWER 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 NURS 8302 Discussion: Quality Indicators ANSWER

 

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 NURS 8302 Discussion: Quality Indicators ANSWER

 

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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By Day 3 of Week 2

Post a brief description of the two nurse-sensitive indicators of quality that you selected. Analyze the influence of early quality improvement theories and philosophies on the development of the quality indicators you selected. Be specific. Then, cite the two (2) nursing research articles you selected, and explain how these indicators may influence your practice setting. Be specific and provide examples.

Discussion Week 2: Quality Indicators

Nurse-sensitive Indicators of Quality Selected

In 1996 a team of researchers coined the phrase “nursing-sensitive indicators.” to reflect elements of patient care directly affected by the nursing practice, and it has become a bit of a buzzword in health care today (Afaneh et al., 2021). Nursing Sensitive Indicators are said to reflect three aspects of nursing care: structure, process, and outcomes (Afaneh et al., 2021).

Depression assessment and the assessment, management, and follow-up of falls are the two nurse-sensitive indicators of quality that are selected. One NDNQI is depression assessment, as nurses play a vital role in caring for the assessment and management of depression (Montalvo, 2017). Per Petrosyan et al. (2017), depression is a widespread mental health problem for adults. It is associated with decreased quality of life, loss of productivity, increased family stress, utilization, and cost of healthcare, and all-cause mortality. A large percentage of the patients I provide primary care services to have been diagnosed with chronic illnesses such as Headaches, Obesity, Diabetes Mellitus, and Hypertension. According to Petrosyan et al. (2017), it has been well established that depression in combination with a wide range of chronic conditions (i.e., cardiovascular disorders, Diabetes) can harm the outcomes of these

NURS 8302 Discussion Quality Indicators ANSWER
NURS 8302 Discussion Quality Indicators ANSWER

chronic illnesses. Bearing this in mind, appropriate assessment, identification, and monitoring of care quality related to depression is critical to improving the health outcomes of patients who are clinically depressed. (Montalvo, 2017).

Another NDNQI is patient falls, as increased patient falls in any healthcare Compared to the average, an organization is usually associated with poor nursing quality or lack of assessment.

Influence of Early Quality Improvement Theories and Philosophies on the Development of the Quality Indicators

The National Database of Nursing Quality Indicators sensitive outcomes measures for quality patient care (Montalvo, 2017). From the days of (NDNQI) has established nursing Florence Nightingale measuring patient outcomes and care given by nurses, improving quality has been at the forefront of nursing research (Montalvo, 2017). Other factors that have contributed to the evolution of quality measurement has been the American Nurses Association (ANA), the use of Quality Assurance (QA) model, and Donabedian’s model (Montalvo, 2017).

Regarding the influence of early quality improvement theories and philosophies in the development of quality indicators as they relate to my chosen NSIs, my thought process is that the Donabedian Model is relevant for both as it provided a comprehensive tool to help measure and assess quality patient care and has also heavily influenced the process for making changes within organizations to help ensure patients receive quality care (Moore et al., 2016). The Donabedian Model also directly bridges the influence of system structures on patient care processes and then serves as a connector as it relates to the direct influence of those patient care process to patient outcomes (Howell & Stevens, 2019). The Donabedian Model is also beneficial because it assists organizations with the identification of adverse patient outcomes as well as processes that need adjustments to ensure quality patient care (Howell & Stevens, 2019).

Nursing Research Articles Selected–How these Indicators May Influence My Practice Setting

The purpose of the first article selected is to explore the health-related quality of life (HRQOL) of youth attending a tertiary obesity treatment center compared to healthy population reference data; compare the congruence between the HRQOL of youth self-reports and caregiver proxy reports, and examine the associations between youth HRQOL and teen and caregiver depression. The sample included 267 youth and caregiver dyads. A cross-sectional descriptive design was used. Analyses included paired t-tests, analyses of variance, correlations, and Chi-square cross-tabulations (Pratt et al., 2018).

The authors of another research article discuss their findings on fall prevention while improving the quality of care to patients (Lisa & Julie, 2016). After many various interventions were implemented to identify those patients who were fall-risks, the authors discuss that it was the direct patient supervision by nurses that was the main factor in fall prevention and reduction (Lisa & Julie, 2016). The authors report that by giving time for nurses to perform their duties in an efficient manner, such as through the use of electronic charting and reducing patient to nurse ratio, quality of care can be improved while reducing patient falls (Lisa & Julie, 2016)

References

Afaneh, T., Abu-Moghli, F., Ahmad, M. (2021). Nursing-sensitive indicators: a concept analysis. Nurs Manag (Harrow), 28(3), 28-33. DOI: 10.7748/nm.2021.e1982. Lisa, G., & Julie, M. (2016). Making time for nurses to reduce patient falls. Nursing Times, 37, 21

Montalvo, I. (2017). The national database of nursing quality indicators. OJIN: The Online Journal of Issues in Nursing, 12(3). http://ojin.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/

Pratt, K., Lamson, A., Swanson, M., Lazorick, S., & Collier, D. (2018). The importance of assessing for depression with HRQOL in treatment-seeking obese youth and their caregivers. Quality of Life Research, 21(8), 1367–1377. https://doi-org.ezp.waldenulibrary.org/10.1007/s11136-011-0042-1

Quality of care is measured by the degree in which services rendered achieve desired health outcomes (Quality of Care, 2021).  Nursing has been at the forefront of health care quality and patient safety for many years.  Nurse-sensitive indicators (NSI) are measurable patient related outcomes that are directly affected by nursing care (Burston, Chaboyer, & Gillespie, 2014).  When considering which NSI’s to measure to be effective the DNP-prepared nurse must carefully select NSI’s relative to the clinical context, identify how the NSI data will be reported and used, and consider how the NSI will be embedded into clinical practice (Burston et al., 2014).  Two specific NSI’s are patient falls and pressure ulcer prevention (Montalvo, 2007).

According to Burston, et al. (2014), studies show patient outcomes are affected by both nursing structural and process variables.  Structural variable include nurse-to-patient ratios, nursing hours per patient day, nursing education level, and nursing experience (Burston, et al., 2014).  Process variables include specific nursing interventions provided and process care delivery (Burston, et al., 2014).  Burston, et al., (2014) cautioned that data collection and analyzation approaches can cause inconsistencies.  For example, analysis at the hospital level does not allow for shift-to-shift variations that would be better identified at the unit level (Burston, et al., 2014).  The DNP-prepared nurse must analyze data and consider both structural and process variables to develop process changes at the unit level and organization level to improve quality.

Pressure injuries (PIs) are defined as an insult to the skin and underlying soft tissue usually over a bony prominence that may cause and open wound and cause pain (Hoedl, Eglseer, & Lohrmann, 2019).  Hospital acquired PI prevalence rates in the United States range from 1.4% to as high as 49% (Hoedl, et al., 2019). One quality model utilized to evaluate PI prevention is the Donabedian Model of Healthcare Organizations. It is composed of three quality indicators: structure, process, and outcomes. According to Hoedl, et al. (2019), a systematic mapping review using the Donabedian Model identified 146 quality indicators for PI prevention and care, noting 17.6% were structural-level indicators, 48.6% process-level indicators, and 33.6% were outcome-level indicators.  The researchers utilized the Nursing Quality Measurement 2.0 Survey to further identify specific structure, process, and outcome indicators that could be addressed in the quality improvement project to improve PI injury prevention and care (Hoedl, et al., 2019).  These measures could be utilized by the DNP-prepared nurse to address local quality improvement initiatives for PI prevention and care.

Patient falls are a common cause of patient injury during hospitalizations. Morgan, Flynn, Robertson, New, Forde-Johnston, & McCulloch (2017), discussed a staff-led quality improvement intervention which consisted of engagement and communication activities, teamwork and systems improvement training, support and coaching and iterative Plan-Do-Check-Act cycles in an effort to decrease falls.  Intentional rounding was implemented and evaluated using process (hourly rounding by staff) and outcome (patient falls).  There was 50% reduction in falls noted on the units and researchers concluded that integrating teamwork training and staff-led systems redesign resulted in effective change and improvement (Morgan, et al., 2017).  The DNP-prepared nurse is uniquely aligned as a nurse leader and educator to foster staff-led quality improvement initiatives in the clinical setting.

 

References

Burston, S., Chaboyer, W., & Gillespie, B. (2014). Nurse sensitive indicators suitable to reflect nursing care quality: a review and discussion of issues. Journal of Clinical Nursing23(13-14), 1785–1795. https://doi.org/ezp.waldenulibrary.org/10.1111/jocn.12337

Hoedl, M., Eglseer, D., & Lohrmann, C. (2019). Structure, process, and quality indicators for pressure injury prevention and care in Austrian hospitals: A quality improvement project. Journal of Wound, Ostomy, and Continence Nursing46(6), 479–484. https://doi.org/10.1097/WON.0000000000000586

Montalvo, I. (2007). The National Database of Nursing Quality Indicators. The Online Journal of Issues in Nursing12(3), Article 2. https://doi.org/10.3912/OJIN.Vol12No03Man02

Morgan, L., Flynn, L., Robertson, E., New, S., Forde-Johnston, C., & McCulloch, P. (2017). Intentional rounding: a staff-led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing26(1-2), 115–124. https://doi.org/ezp.waldenulibrary.org/10.1111/jocn.13401

Quality of care. (2021). World Health Organization. Retrieved September 5, 2021, from https://www.who.int/health-topics/quality-of-care#tab=tab_1

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For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

Important information for writing discussion questions and participation

Welcome to class

Hello class and welcome to the class and I will be your instructor for this course. This is a -week course and requires a lot of time commitment, organization, and a high level of dedication. Please use the class syllabus to guide you through all the assignments required for the course. I have also attached the classroom policies to this announcement to know your expectations for this course. Please review this document carefully and ask me any questions if you do. You could email me at any time or send me a message via the “message” icon in halo if you need to contact me. I check my email regularly, so you should get a response within 24 hours. If you have not heard from me within 24 hours and need to contact me urgently, please send a follow up text to

I strongly encourage that you do not wait until the very last minute to complete your assignments. Your assignments in weeks 4 and 5 require early planning as you would need to present a teaching plan and interview a community health provider. I advise you look at the requirements for these assignments at the beginning of the course and plan accordingly. I have posted the YouTube link that explains all the class assignments in detail. It is required that you watch this 32-minute video as the assignments from week 3 through 5 require that you follow the instructions to the letter to succeed. Failure to complete these assignments according to instructions might lead to a zero. After watching the video, please schedule a one-on-one with me to discuss your topic for your project by the second week of class. Use this link to schedule a 15-minute session. Please, call me at the time of your appointment on my number. Please note that I will NOT call you.

Please, be advised I do NOT accept any assignments by email. If you are having technical issues with uploading an assignment, contact the technical department and inform me of the issue. If you have any issues that would prevent you from getting your assignments to me by the deadline, please inform me to request a possible extension. Note that working fulltime or overtime is no excuse for late assignments. There is a 5%-point deduction for every day your assignment is late. This only applies to approved extensions. Late assignments will not be accepted.

If you think you would be needing accommodations due to any reasons, please contact the appropriate department to request accommodations.

Plagiarism is highly prohibited. Please ensure you are citing your sources correctly using APA 7th edition. All assignments including discussion posts should be formatted in APA with the appropriate spacing, font, margin, and indents. Any papers not well formatted would be returned back to you, hence, I advise you review APA formatting style. I have attached a sample paper in APA format and will also post sample discussion responses in subsequent announcements.

Your initial discussion post should be a minimum of 200 words and response posts should be a minimum of 150 words. Be advised that I grade based on quality and not necessarily the number of words you post. A minimum of TWO references should be used for your initial post. For your response post, you do not need references as personal experiences would count as response posts. If you however cite anything from the literature for your response post, it is required that you cite your reference. You should include a minimum of THREE references for papers in this course. Please note that references should be no more than 5 years old except recommended as a resource for the class. Furthermore, for each discussion board question, you need ONE initial substantive response and TWO substantive responses to either your classmates or your instructor for a total of THREE responses. There are TWO discussion questions each week, hence, you need a total minimum of SIX discussion posts for each week. I usually post a discussion question each week. You could also respond to these as it would count towards your required SIX discussion posts for the week.

I understand this is a lot of information to cover in 5 weeks, however, the Bible says in Philippians 4:13 that we can do all things through Christ that strengthens us. Even in times like this, we are encouraged by God’s word that we have that ability in us to succeed with His strength. I pray that each and every one of you receives strength for this course and life generally as we navigate through this pandemic that is shaking our world today. Relax and enjoy the course!

Hi Class,

Please read through the following information on writing a Discussion question response and participation posts.

Contact me if you have any questions.

Important information on Writing a Discussion Question

  • Your response needs to be a minimum of 150 words (not including your list of references)
  • There needs to be at least TWO references with ONE being a peer reviewed professional journal article.
  • Include in-text citations in your response
  • Do not include quotes—instead summarize and paraphrase the information
  • Follow APA-7th edition
  • Points will be deducted if the above is not followed

Participation –replies to your classmates or instructor

  • A minimum of 6 responses per week, on at least 3 days of the week.
  • Each response needs at least ONE reference with citations—best if it is a peer reviewed journal article
  • Each response needs to be at least 75 words in length (does not include your list of references)
  • Responses need to be substantive by bringing information to the discussion or further enhance the discussion. Responses of “I agree” or “great post” does not count for the word count.
  • Follow APA 7th edition
  • Points will be deducted if the above is not followed
  • Remember to use and follow APA-7th edition for all weekly assignments, discussion questions, and participation points.
  • Here are some helpful links
  • Student paper example
  • Citing Sources
  • The Writing Center is a great resource