NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion
Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion– Step-By-Step Guide
This guide will demonstrate how to complete the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion 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 Discussion
Whether one passes or fails an academic assignment such as the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion 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 Discussion
The introduction for the Chamberlain University NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion 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.
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How to Write the Body for NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion
After the introduction, move into the main part of the NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion 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 Discussion
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 Discussion
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 Discussion
For this weeks’ discussion, we are discussing quality improvement and change. These improvements are not only necessary to decrease occurrence of harm and or wrongful death, but also in improving the quality of life for our patients. Data can aid in the evaluation of effectiveness, cost, planning delivery of care. It gives insight to 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.
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!
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
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Sample Answer 2 for NR 451 Week 4: Evaluating Quality Patient Outcomes Discussion
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 Discussion
I have been in nursing for about 20 years and I have seen many changes in our practices over the years. Some things I cannot recall because the changes were so gradual and over time. I do remember that patients did not ask much questions regarding their care and whatever the doctor said was well taken without much questioning, and nursing did very little education. As technology changes, so did our nursing practices and patients’ awareness about their care and plans. Hospitals and other accrediting agencies use policies, procedures and guidelines to emphasize the importance of patient education to promote wellness, prevent diseases and provide quality of care outcome.
From Kardex’s to computers, Computer is one of the best change that is great for both patients and our healthcare system. The computer system is essential for managing data, as information is collected, stored, retrieved and used when proving care for our patients. When there is an update or upgrade to our computer systems, the more experienced nurses have difficulty in navigating through computer system changes, but with much education, time and practice they usually get it.
According to the Credentialing Resource Center, “In 2016, concerns were raised to CMS by 26 U.S. senators and multiple medical and hospital groups regarding whether linking pain management survey questions to economic rewards and penalties for hospitals had put pressure on physicians to overprescribe pain medication. In response, in November 2016, CMS temporarily removed the pain management questions from its HCAHPS survey so it could evaluate the issue.”
Not all quality measure changes for good, Pain management has been a challenge for a long time and the measures and processes used is not beneficial to both patient and the organization is “patient’s perception of pain.” There is now an opioid epidemic leading to thousands of deaths in the United States of patients who are prescribed too much narcotic by doctors because their pain was not well managed. Because pressure from our pain management survey, Doctors prescribe narcotics with the intention of meeting patients need, and as its said that pain is what the patient perceives it to be, but there must be some judgement call on providers’ part because patient safety is priority Managing pain is so complex because reporting pain is subjective, and measuring patient satisfaction with pain management makes it even worst. I am glad that something is being done about revising these measures used for pain management with patient satisfaction.
Reference:
Credentialing Resource Center. (2017). The Opioid Epidemic: Patient Satisfaction and Physician Prescribing. Retrieved fromhttp://www.healthleadersmedia.com/leadership/opioid-epidemic-patient-satisfaction-and-physician-prescribingLinks to an external site.
NR 451 Week 5: Core Competencies for Nurses Discussion
Hi Professor
As nurses, we advocate for ourselves and our patients. In today’s technology, we are aware of lab results and their availability. If we as nurse want to know our results, what are patients also considering. As stated in C. Bryant article, since Florence Nightingale time, ‘a critical role of a registered nurse (RN) has been to collect and interpret data to provide safe and effective patient care’. Also, ‘Nursing literature has been discussing informatics competency since the early 1980s as a part of nursing education (Bryant, C.,2016).
I feel fortunate that through my work and insurance provider our lab results, for the most part are available onsite. They have an internet link that allows access to email our doctor, obtaining lab results, pharmacy refills, and some appointments to be made. The technology today should make life easier for all.
As far as, a person has to wait for a doctor to give them results is outdated. Many patients google everything there is to know about test taken and not knowing a result only adds to their stress. I find it difficult in my practice to withhold information waiting for a doctor to say it is normal. My dilemma frequently comes with, if I can share information or not when it is the patient’s right to know.
References
Bryant, L. E., Whitehead, D. K., & Kleier, J. A. (2016). Development and Testing of an Instrument to Measure Informatics Knowledge, Skills, and Attitudes among Undergraduate Nursing Students. Online Journal Of Nursing Informatics, 20(2), 3.