Grand Canyon University DNP 835 Sustainability Plan Presentation  – Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 835 Sustainability Plan Presentation 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 DNP 835 Sustainability Plan Presentation        

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 835 Sustainability Plan Presentation    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 DNP 835 Sustainability Plan Presentation        

The introduction for the Grand Canyon University DNP 835 Sustainability Plan Presentation  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 DNP 835 Sustainability Plan Presentation        

After the introduction, move into the main part of the DNP 835 Sustainability Plan Presentation   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 DNP 835 Sustainability Plan Presentation        

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 DNP 835 Sustainability Plan Presentation        

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 DNP 835 Sustainability Plan Presentation 

Introduction

Health organizations exist to deliver quality, safe, and efficient outcomes to their populations. In this view, they have the obligation of using all possible means to ensure that patients outcomes becomes positive. Thus, various evidence-based interventions are adopted by various stakeholders in healthcare institutions to achieve these outcomes (Tucker & Gallagher-Ford, 2019). In doing so, healthcare providers should be able to propose, implement, monitor, and evaluate measures to inform the effectiveness of quality improvement initiatives adopted in their organizations. Therefore, the purpose of this presentation is to present a sustainability plan for the identified health issue of CAUTI rates within healthcare setting.

Identified Issue

CAUTI is a common healthcare issue that many healthcare providers have been fighting in the past. They form part of the nosocomial infections in healthcare settings which have been associated with various adverse impacts, such as enhanced rates of mortality and morbidity in the US. The majority of urinary tract infections are related to catheter use which further increases in case of prolonged use of urinary catheters (Lavallée et al. 2019). CAUTIs have been connected with higher healthcare costs and prolonged hospitalizations, hence a need to control them. Reduction of CAUTI rates are important in reducing cost of treatment and meeting the desired patient outcome. It is from this argument that this presentation would focus on the ways of reducing CAUTI rates in healthcare setting.

Also Read

DNP-835 Summary of Current Course Content Knowledge

DNP 835 Topic 8 Reflective Journal 

DNP 835 DNP Reflective Journal

DNP 835 Patient Outcomes and Sustainable Change Syllabus

Measures

The adverse outcomes of CAUTI have led to sustained research on finding strategies that can be implemented to improve quality. One of the current EBP-based strategies is the use of nurse-driven protocols for removing indwelling urinary catheters. Such interventions involve data collection regarding catheter use, which then informs the nurses to immediately remove the urinary catheters when they are no longer needed by the patients (Lavallée et al. 2019). Therefore, the use of pressure ulcers in determining the extent of success of the intervention will be significant supporting or stopping the intervention. A reduction in pressure ulcers among patients is a positive outcome.

Measures to Eliminate

One of the aspects of the project I will stop measuring is the rate of acceptability of the proposed plan of action.  This is because by then, their buy-in shall have been achieved, and probably every nurse will be applying the intervention on admitted patients.  The willingness to apply the intervention after the intervention is already incorporated in the healthcare system would be insignificant because the nurses are already using the system to dispense their roles (Carrigan & Livesay, 2018). The measure would not also be important because then nurses will have already interacted the system and any barrier that could have affected the system in then implementation stage.

Measurement Threshold that Trigger Investigation

An increasing rate of the pressure ulcers after the implementation of the intervention the system is an adverse outcome. Negative effects can sometimes be observed when implementing a quality improvement project. Therefore, it is important to have plans for such unexpected negative effects (Marć et al., 2019). If the aspects are adversely affecting the patients, then the project can be stopped. Otherwise, other approaches will be used to eliminate the negative impacts.  Such measures would imply that the pressure ulcers rate is not significant in reducing CAUTI rates in an organization. In such cases, the implementation process could be stopped and more reviews to be done on the intervention.

Ownership

The new process will be implemented at the facility. As such, while the project is owned by the investigator, it will be owned by the facility upon implementation. The organization’s leaders will see to it that the project’s aspects are accurately used to ensure that the benefits are optimized. Onboarding and engagement with the project are key to the project’s chances of success (Carrigan et al.,2018). As such, it is important to explore if individuals are engaged and on board with the improvement process. Therefore, the people’s commitment and willingness to participate in every step of implementation will be observed.

Communication

Communicating the change intentions is important to enhance the chances of buy-in and project success. Therefore, various strategies will be used to communicate about the change, including official channels of communication such as email. Another aspect will be face-to-face meetings. The emails will be sent through the organization’s official communication channels. While the first communication will take place at the begging of the project, it is important to ensure that there is constant communication throughout the project to ensure that people remain focused on the project’s aim, objectives, and focus (Palinkas et al.,2018). Support to individuals is key to ensuring focus and commitment to the project’s goals and objectives. Individuals will be supported through training, especially the aspects of the new bundle care.

Training Plan

Offering training is key. Hence, it will also be offered even after the project’s completion. One such training will take the form of refreshing the memory and knowledge of the nursing team regarding the use of the new bundle. Training will also be offered to new nurses who will join the facility after implementation. This will ensure that they have a grasp of how to use the new pressure ulcer bundle. The training will also be offered by the senior nursing staff who have experience with pressure ulcer control as well as skills in training and educating staff (Palinkas et al., 2018).

Change Management

Resistance to change management can derail the chances of the project succeeding. Therefore, it is important to put in place appropriate measures for responding to such resistance or barriers (Tucker & Gallagher-Ford, 2019). One aspect is to use timeous communication to let individuals know of the planned change, which will reduce the chances of resistance. The other strategy is to offer training and increase the individual’s knowledge regarding the use of pressure bundles. The next strategy is to approach the individuals and discuss with them why they are resisting the proposed change and help them understand the project’s intention. Evidence-based change models are key in ensuring adoption and sustainability. Lewin’s change stages will be key. The third phase will particularly be used to enhance adoption and sustainability, where the staff will be supported to use the new system and rewarded for excellent execution (Hussain et al.,2018).

Staff workload

The proposed change will not increase the workload since it will just involve the use of a bundle care approach to reduce the rates and incidences of pressure ulcers. The approach would ensure that nurses have reduced roes in terms of observing the patients. This approach is less strenuous and would allow many nurses to reduce cases of fatigue at work (Marć et al., 2019). In case the plan fails, such an aspect will be communicated officially to the nursing staff. Apart from paper documentation, such communication will also be accomplished through emails so that the individuals know what is changing and what is not changing.

References

™Carrigan, T. M., & Livesay, S. (2018). Mapping a Strategy for Success: A Case Study in Nursing Engagement as a Strategic Imperative at a Comprehensive Stroke Center. Nurse Leader, 16(2), 112-117. https://doi.org/10.1016/j.mnl.2017.12.010

™Hussain, S. T., Lei, S., Akram, T., Haider, M. J., Hussain, S. H., & Ali, M. (2018). Kurt Lewin’s change model: A critical review of the role of leadership and employee involvement in organizational change. Journal of Innovation & Knowledge, 3(3), 123-127. https://doi.org/10.1016/j.jik.2016.07.002

™Lavallée, J. F., Gray, T. A., Dumville, J., & Cullum, N. (2019). Preventing pressure ulcers in nursing homes using a care bundle: a feasibility study. Health & Social Care In the Community, 27(4), e417-e427. https://doi.org/10.1111/hsc.12742

™McShane, B. B., Gal, D., Gelman, A., Robert, C., & Tackett, J. L. (2019). Abandon statistical significance. The American Statistician, 73(sup1), 235-245. https://doi.org/10.1080/00031305.2018.1527253

™Palinkas, L. A., Garcia, A., Aarons, G., Finno-Velasquez, M., Fuentes, D., Holloway, I., & Chamberlain, P. (2018). Measuring collaboration and communication to increase implementation of evidence-based practices: the cultural exchange inventory. Evidence & Policy, 14(1), 35-61. https://doi.org/10.1332/174426417X15034893021530

™Tucker, S. J., & Gallagher-Ford, L. (2019). EBP 2.0: From strategy to implementation. AJN The American Journal of Nursing, 119(4), 50-52. 10.1097/01.NAJ.0000554549.01028.af

™Marć, M., Bartosiewicz, A., Burzyńska, J., Chmiel, Z., & Januszewicz, P. (2019). A nursing shortage – a prospect of global and local policies. International Nursing Review, 66(1), 9–16. https://doi.org/10.1111/inr.12473

DNP-835 Quality and Sustainability Paper Part 1 Sample

Quality and Sustainability Paper Part I 

Healthcare entities strive to achieve various patient care goals. Central among them are patient safety and offering quality services. Therefore, stakeholders apply or use strategies that ensure safety and quality are achieved. However, there are different events and situations which threaten patient safety and compromise the quality of healthcare delivered to patients. For example, patient care settings usually experience various adverse events such as medication administration errors, patient falls, healthcare-acquired infections, and other non-intentional errors (Simsekler et al.,2019). Therefore, such events call for the formulation of sustainable quality improvement initiatives. As such, the purpose of this assignment is to explore a quality and safety issue in a healthcare entity. This purpose will be accomplished by discussing various aspects such as barriers and facilitators, identification of a healthcare entity, the specific contemporary safety issue, the current safety program in place, and a summary of variables to track. 

Definition of Quality and Safety Measures and Role in Nursing Practice 

Quality can be defined as the achievement of established standards and requirements; therefore, if an organization has the ability to achieve such standards, then the organization achieves quality. On the other hand, safety measures involve approaches put in place by the organization to protect patients from harm. Quality is related to nursing practice today in that it is used as a measure of how well nursing practice related to patient outcomes in a particular organization is performed. Therefore, by exploring quality, it is possible to evaluate the level of nursing practice and make appropriate adjustments, such as improvement initiatives depending on the assessment (Rosen et al.,2018). Safety measures are also at the center of nursing practice today as various strategies have to be used to enhance the safety measures and ensure that the patients are protected from potential harm while in the care environment. 

Barriers and Facilitators that Impact Patient Outcomes and Organizational Outcomes 

The healthcare industry has evolved over the years and has become more complex and difficult to understand. However, the major focus remains to be improved patient and organizational outcomes. In most cases, there are both facilitators and barriers that impact patient and organizational outcomes. Among the barriers is insufficient to support by the management (Etchegaray et al.,2020). Positive patient outcomes need the contribution and support of every stakeholder, especially the management. However, in the event that the leadership and management do not offer adequate support towards patient outcomes improvement initiatives, then the outcomes are expected to dwindle. As such, it is important to address such a barrier as it is central to positive patient outcomes. One of the ways to address this barrier is by formulating quality improvement objectives that align with the goals, aims, and vision of the organization so that leaders can embrace the such project. It is also important to enhance the levels of participation of every employee for them to support such projects. 

In most cases, enhanced patient and organizational outcomes may require a change process within the organization. However, such a change processes are usually not smooth since people are resistant. Therefore, another barrier is potential resistance to such change initiatives. The resistance to change by the employees can be due to fear of the unknown and the need to change their ways of operation (Nilsen et al.,2019). Therefore, such resistance may negatively impact the level of commitment of the employees hence acting as a barrier to better patient outcomes. Such a barrier can be solved by bringing the employees on board and using open communication. This will make them feel appreciated and part of the process hence supporting the change initiatives. 

Collaboration is one of the facilitators that can impact patient outcomes, and organizational outcomes are a collaboration. Collaboration is key in every sector, healthcare organizations included. In most cases, solving patient problems may need an integration of various healthcare professionals to bring their expertise on board. For example, in solving a patient health problem, nurses may need to collaborate with other healthcare professionals such as physicians and pharmacists. Such collaboration efforts can effectively help in improving patient outcomes and solving problems that may come due to the feelings of being left out. 

The Description of the Health Care Entity 

The chosen healthcare entity is a medium-sized non-profit hospital that was established in the year 1920 based on Christian principles. While the hospital started as a small entity serving the local community, it has grown into a big hospital offering disease treatment, management, and rehabilitation patient care. The entity is also involved in education research and community outreach. The healthcare organization has various departments serving various patients, as well as a cancer referral center. Recently it expanded its pediatric department to serve more children as well as expanding the psychiatric department. 

The Selected Safety Issue 

As discussed earlier, the hospital has grown in size, infrastructure, and the number of people it serves. However, the growth has not been without challenges and obstacles. As such, one of the challenges the organization has been trying to measure is the rate of medication errors. While the organization had been fairing well in previous years, there was a time that they noticed that medication errors were on the rise, and therefore, the leaders came up with various strategies that could be used to curb the problem. Medication errors have been shown to lead to various negative impacts, such as illnesses, longer hospital stays, or even death (Hammoudi et al.,2018). In addition, medication errors can lead to negative impacts on the organization, such as litigations that end up tarnishing the organization’s reputation.  

As the first step, the organization decided to measure the rates of medication errors and compare them with the benchmark values, such as state and federal averages for medication errors. This measure is also applied or implemented in nursing practice. For example, the rates of medication errors occurring in a healthcare entity can be used as a measure of quality. For instance, the rates of medication errors observed or recorded can be compared to the established benchmark to find out how well the organization is keeping its patients safe. Higher rates of medication errors would coincide with lower quality, while reduced rates of medication errors would be a measure of better patient care services (Hammoudi et al.,2018). In the case where the medication error rates are higher than those of the set benchmarks, then it means that the organization has to use appropriate strategies to reduce such rates. 

The Current Programs for Safety 

The tremendous growth of the organization has seen it serving an increased number of patients, which has also coincided with the problem of enhanced medication errors. Therefore, the organization has been embarking on various strategies to reduce medication errors and positively impact patient outcomes. Therefore, the organization has been leaning towards using emerging technology to address the situation. While the organization has been using electronic health records, the organization has recently embarked on the use of barcoding and automated dispensing machines to help curb the medication errors associated with medication administration. The barcoding approach is used to scan both the medication name and the patient’s identity. Consequently, the process avoids administering medications to the wrong patients or administering the wrong medication to patients (Zheng et al.,2021). Automated dispensing machines also help in preventing errors related to medication administration. 

Various quality measures are currently being used to analyze the healthcare program’s outcome. One of the measures is the rate of use of automated dispensing machines and barcode system by the nurses to administer medications. The rate of use is a measure of acceptance of the technology use and, therefore, a measure of quality improvement.  The other component currently being used is the changes in the rates of medication errors related to medication administration. Reduced rates of errors are an indication that the intervention has had positive impacts (Assiri et al.,2018). Currently, things are working well, except that some nurses have been showing resistance to using the technology. However, their concerns are being addressed, such as some technicalities with the software user interface, which they, at times, claim to be hard to interact with. 

The Specific Variable for Tracking the Improvement 

It is important to track an implemented quality improvement program. Therefore, various variables are currently being used in the organization to track the quality improvement project. One of the variables is the number of adverse events in the patient care setting caused by medication errors. The adverse events include serious illness or death resulting from medication administration errors such as administering the wrong medication, administering the wrong medication dosage, or drug interactions caused by taking the wrong medications. Another variable used in tracking the quality improvement program is the total number of medication errors (Wheeler et al.,2018). As earlier indicated, medication errors have resulted in various undesirable outcomes; therefore, one of the major aims of implementing the solution was to reduce the number of medication errors. Therefore, this is a central variable in the tracking of the quality improvement project. Therefore, higher rates of medication errors mean that the project is not on the right path. On the other hand, if reduced cases of medication errors have been observed, then it is evident that the safety improvement initiative is working well and, therefore, should be supported. 

Conclusion 

Quality services to patients and patient safety is among the major focuses of healthcare entities. Therefore, they use various strategies to fulfill quality and safety goals. The chosen organization has been experiencing rising rates of medication errors which prompted the leaders to resort to technology to help curb the problem. It is important to monitor the progress of such initiatives using particular variables. Therefore, adverse events and the rates of medication errors have been applied. 

References 

Assiri, G. A., Shebl, N. A., Mahmoud, M. A., Aloudah, N., Grant, E., Aljadhey, H., & Sheikh, A. (2018). What is the epidemiology of medication errors, error-related adverse events, and risk factors for errors in adults managed in community care contexts? A systematic review of the international literature. BMJ Open, 8(5), e019101. http://dx.doi.org/10.1136/bmjopen-2017-019101 

Etchegaray, J. M., Ottosen, M. J., Dancsak, T., & Thomas, E. J. (2020). Barriers to speaking up about patient safety concerns. Journal of Patient Safety, 16(4), e230-e234. 10.1097/PTS.0000000000000334 

Hammoudi, B. M., Ismaile, S., & Abu Yahya, O. (2018). Factors associated with medication administration errors and why nurses fail to report them. Scandinavian Journal of Caring Sciences, 32(3), 1038–1046. https://doi.org/10.1111/scs.12546 

Nilsen, P., Schildmeijer, K., Ericsson, C., Seing, I., & Birken, S. (2019). Implementation of change in health care in Sweden: a qualitative study of professionals’ change responses. Implementation Science, 14(1), 1-11. https://doi.org/10.1186/s13012-019-0902-6 

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J., & Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433. https://psycnet.apa.org/doi/10.1037/amp0000298 

Simsekler, M. E., Gurses, A. P., Smith, B. E., & Ozonoff, A. (2019). Integration of multiple methods in identifying patient safety risks. Safety Science, 118, 530-537. https://doi.org/10.1016/j.ssci.2019.05.057 

Wheeler, A. J., Scahill, S., Hopcroft, D., & Stapleton, H. (2018). Reducing medication errors at transitions of care is everyone’s business. Australian Prescriber, 41(3), 73. https://doi.org/10.18773%2Faustprescr.2018.021 

Zheng, W. Y., Lichtner, V., Van Dort, B. A., & Baysari, M. T. (2021). The impact of introducing automated dispensing cabinets, barcode medication administration, and closed-loop electronic medication management systems on work processes and safety of controlled medications in hospitals: A systematic review. Research in Social and Administrative Pharmacy, 17(5), 832-841. https://doi.org/10.1016/j.sapharm.2020.08.001 

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