DNP 835 Reflecting on the "IHI Module QI 202:

Grand Canyon University DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement-Step-By-Step Guide

This guide will demonstrate how to complete the Grand Canyon University DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement 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 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

Whether one passes or fails an academic assignment such as the Grand Canyon University DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement 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 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

The introduction for the Grand Canyon University DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement 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 DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

After the introduction, move into the main part of the DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement 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 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

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 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

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 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

Re: Topic 4 DQ 1

My direct practice improvement project aims to improve clinical outcomes by addressing small problems in the healthcare system. By identifying and addressing these issues, we can create safer and more reliable systems for patients. One way we can achieve widespread change is by using a quality improvement methodology, such as the Plan-Do-Study-Act (PDSA) cycle, to test and implement changes on a small scale before expanding to a larger population (Dittman, Maiden, Matulewicz, Beaird, Lockeman, & Dow, 2021). Additionally, my project will use data collection and analysis to monitor and evaluate progress and make necessary adjustments to improve outcomes.

If the project were implemented in a country with universal health care, the widespread change would likely be more efficient and effective due to the presence of a centralized system with greater resources and a larger patient population (Mormer & Stevans, 2019). However, cultural and logistical differences may also present challenges.

Evidence suggests that quality improvement initiatives can lead to improved health outcomes, such as increased patient safety and reduced healthcare costs. For example, a study published in the Journal of Patient Safety found that a quality improvement program reduced the incidence of adverse events by 30% and saved $2 million in healthcare costs (Mormer & Stevans, 2019). Another study published in The Lancet showed that a quality improvement program in primary care led to a significant reduction in the number of patients with uncontrolled blood pressure (Mormer & Stevans, 2019).

In conclusion, the DPI project aims to improve clinical outcomes by addressing small problems in the healthcare system, and widespread change can be achieved by using quality improvement methodologies. If implemented in a country with universal health care, the project could potentially lead to improved health outcomes with significant cost savings.

References

Dittman, J. M., Maiden, K., Matulewicz, A. T., Beaird, G., Lockeman, K., & Dow, A. (2021). A flexible customizable virtual escape room approach for interprofessional learners. Journal of Interprofessional Education & Practice, 24, 100455. https://www.sciencedirect.com/science/article/pii/S2405452621000422

Mormer, E., & Stevans, J. (2019). Clinical quality improvement and quality improvement research. Perspectives of the ASHA Special Interest Groups, 4(1), 27-37.

Sample Answer 2 for DNP 835 Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement

The IHI module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems reflects on minor problems in healthcare systems and how to overcome these small problems to build safer systems. Steve Spear used various examples to make the readers understand the concept of small loopholes and workarounds which distract the employees resulting in mistakes, and sometimes these mistakes become catastrophes (Institute for Healthcare Improvement, 2022b). The “IHI” also highlighted eight steps for systems to support quality and safety, how to support the teams and how to support the patients and families. Each of these three highlighted sections in the module demonstrates a systems approach across the continuum of care to improve patient quality and safety. The direct practice improvement project achieves clinical improvement by reducing the number of adverse events that occur in the patient population.

My DPI project addresses the relationship between adherence to fluid and diet restrictions and interdialytic weight gain among ESRD patients undergoing hemodialysis. Previous studies have shown that a positive dialysate-to-plasma sodium gradient is associated with increased thirst and interdialytic weight gain among ESRD patients (Jalalzadeh et al., 2021). However, there is a need for further studies on the effect of patient education on fluid and diet restrictions on patient adherence to the set restrictions. End-stage renal disease adults require kidney transplants or hemodialysis to help them stay alive. The primary role of maintenance hemodialysis (HD) is the extracellular fluid volume (ECV) balance, which makes sodium balance possible between interdialytic sodium intake and sodium removal during HD sessions. The problem addressed in the project is the relationship between adherence to fluid and diet restrictions and interdialytic weight gain among ESRD patients undergoing hemodialysis. Previous studies have shown that a positive dialysate-to-plasma sodium gradient is associated with increased thirst and interdialytic weight gain among ESRD patients (Jalalzadeh et al., 2021). However, there is a need for further studies on the effect of patient education on fluid and diet restrictions on patient adherence to the set restrictions. Interdialytic weight gain can lead to several adverse health outcomes for ESRD patients. Fluid overload can increase the workload on the heart and lead to heart failure, while weight gain can exacerbate other underlying health conditions such as hypertension and diabetes (Weiner et al., 2017). Additionally, maintaining an appropriate weight through adherence to fluid and diet restrictions can improve the overall quality of life for ESRD patients.

The widespread change would be affected if the project were implemented in a country with universal health care (UCH). The health outcome would be impacted because patients would have access to healthcare regardless of race, color, or creed due to the benefits of UHC. After all, universal health coverage means that all people have access to the full range of quality health services they need, when and where they need them, without financial hardship. It covers essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care. The health outcome would be impacted because patients would be less likely to experience an adverse event. After all, UHC covers essential health services, from health promotion to prevention, treatment, rehabilitation, and palliative care. According to the World Health Organization (WHO), to make health for all a reality, all people must have access to high-quality services for their health and the health of their families and communities. To do so, skilled health workers providing quality, people-centered care; and policymakers committed to investing in universal health coverage are essential. Universal health coverage requires vital, people-centered primary health care. Sound health systems are rooted in the communities they serve, and they focus not only on preventing and treating disease and illness but also on helping to improve well-being and quality of life (WHO). Hopefully, this project will also contribute to an overall improvement in healthcare quality in the United States. The project’s contribution to bettering the country’s healthcare system will have a ripple effect on society.

Institute for Healthcare Improvement. (2022b, August). QI 202: Addressing small problems to build safer, more reliable systems. IHI. https://education.ihi.org

Jalalzadeh, M., Mousavinasab, S., Villavicencio, C., Aameish, M., Chaudhari, S., & Baumstein, D. (2021). Consequences of Interdialytic Weight Gain Among Hemodialysis Patients. Cureus, 13(5), e15013. https://doi.org/10.7759/cureus.15013

Weiner, D. E., Brunelli, S. M., Hunt, A., Schiller, B., Glassock, R., Maddux, F. W., … & Nissenson, A. (2017)We are improving clinical outcomes among hemodialysis patients: a proposal for a “volume first” approach from the chief medical officers of US dialysis providers. American journal of kidney diseases, 64(5), 685-695. https://doi.org/10.1053/j.ajkd.2014.07.003

https://www.who.int/health-topics/universal-health-coverage#tab=tab_1

DNP 835 Topic 5 DQ 1 Sample Answer

Organizations do not change due to failed systems or processes. They fail because of inadequate change agents in response to issues. The Institute for Healthcare improvement acknowledges that we must set up to spread change. This set up must begin with adequate leadership and take the population into consideration.  Lewin recognized that without a theory of group dynamics, it would be difficult to understand the effects of changing forces on the behavior of groups and their members. Lewin was the first psychologist to study group dynamics and the importance of the group in shaping the behavior of its members. Lewin’s three stage theory of change is commonly referred to as Unfreeze, Change, Freeze (or Refreeze). The world has changed since the theory was originally presented in 1947, but the Kurt Lewin model is still extremely relevant. Many other modern change models are based on the 3-stage Lewin model (Burns, 2020).

According to the Rogers’s diffusion of innovation model, Knowledge is produced when an individual is exposed to an existing innovation and acquires some understanding about its mechanisms and functions. To reach the Persuasion stage, the individual must form a view toward the innovation based on its perceived attributes. For Decision to occur, the individual must be involved in an activity that would ultimately require him or her to make a choice between using or dismissing the innovation. For Adoption to occur, the individual must arrive at the decision that the innovation is the best available option for moving forward. Rogers knew that key people had to be involved for change to be effective. Once you have the right stakeholders in place worldwide change will occur.

The current culture in my organization supports the IHI suggestion to set up for the spread. We put the right leaders in place, which would be like how Rogers explains that we have to have the right stakeholders in place. We look at the intended audience and engage our internal and external partners. Perlo et al (2017), explains that with increasing demands on time, resources, and energy, in addition to poorly designed systems of daily work, it’s not surprising health care professionals are experiencing burnout at increasingly higher rates, with staff turnover rates also on the rise. To enforce widespread change you have to be strategic and have a good implementation process.

Burnes, B. (2020). The Origins of Lewin’s Three-Step Model of Change. The Journal of Applied Behavioral Science, 56(1), 32–59. https://doi.org/10.1177/0021886319892685

Mohammadi MM, Poursaberi R, Salahshoor MR. Evaluating the adoption of evidence-based practice using Rogers’s diffusion of innovation theory: a model testing study. Health Promot Perspect. 2018 Jan 7;8(1):25-32. doi: 10.15171/hpp.2018.03. PMID: 29423359; PMCID: PMC5797305.

Perlo J, Balik B, Swensen S, Kabcenell A, Landsman J, Feeley D. (2017).  IHI Framework for Improving Joy in Work. IHI White Paper. Cambridge, Massachusetts: Institute for Healthcare Improvement. 