NUR 630 CLC Quality Models
Grand Canyon University NUR 630 CLC Quality Models – Step-By-Step Guide
This guide will demonstrate how to complete the Grand Canyon University NUR 630 CLC Quality Models 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 NUR 630 CLC Quality Models
Whether one passes or fails an academic assignment such as the Grand Canyon University NUR 630 CLC Quality Models 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 NUR 630 CLC Quality Models
The introduction for the Grand Canyon University NUR 630 CLC Quality Models 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 NUR 630 CLC Quality Models
After the introduction, move into the main part of the NUR 630 CLC Quality Models 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 NUR 630 CLC Quality Models
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 NUR 630 CLC Quality Models
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 NUR 630 CLC Quality Models
Lean and Six Sigma Examples
Lean Model Examples
Applying lean ideas in health practice involves minimizing waste in processes and tasks through continuous quality improvement. As a result, healthcare professionals continually identify waste areas and eliminate anything that does not add value to patients (Ojo et al., 2022). A suitable intervention is collecting patients’ data in advance to reduce waiting time when they visit healthcare facilities. Reducing waiting time increases the efficiency of processes and reduces the probability of acquiring hospital-associated infections (Haque et al., 2018). Waste can also be reduced by decreasing the movement of patients by bringing rooms close to each other. Resources such as bathrooms can also be brought closer to patients to reduce movement and possible falls. Streamlining procedures to prevent repetition also aligns with the principles of the lean model since it prevents process delays.
Six Sigma Model Examples
The Six Sigma model is another valuable quality improvement approach in nursing. The model centrally focuses on identifying and eliminating the causes of defects (Peate, 2022). In healthcare, Six Sigma emphasizes commitment to reducing process variation and reducing errors to improve care quality. Typical application of Six Sigma includes identifying the root cause of medication errors and responding to them by implementing barcode technology. Mulac et al. (2021) identified barcode technology as a reliable intervention for preventing medication errors by improving administration via accurate drug verification. Identifying the causes of surgical complications, such as hemorrhage and fatigue, and eliminating them also aligns with the principles of the Six Sigma model. Diagnostic errors can be minimized by improving team communication, leading to high patient satisfaction. The implication is that interventions centered on identifying the cause of defects and implementing appropriate changes to reduce such defects typify Six Sigma application.
References
Haque, M., Sartelli, M., McKimm, J., & Abu Bakar, M. (2018). Health care-associated infections – an overview. Infection and Drug Resistance, 11, 2321–2333. https://doi.org/10.2147/IDR.S177247
Mulac, A., Mathiesen, L., Taxis, K., & Gerd Granås, A. (2021). Barcode medication administration technology use in hospital practice: a mixed-methods observational study of policy deviations. BMJ Quality & Safety, 30(12), 1021–1030. https://doi.org/10.1136/bmjqs-2021-013223
Ojo, B., Feldman, R., & Rampersad, S. (2022). Lean methodology in quality improvement. Paediatric Anaesthesia, 32(11), 1209–1215. https://doi.org/10.1111/pan.14439
Peate, I. (2022). Advanced clinical practice at a glance. John Wiley & Sons.
Sample Answer 2 for NUR 630 CLC Quality Models
The Quality model I would use for an increase in complication from my group is the 5S model. As defined by the American Society for Quality, the five S’s are: Sort (separate items in the space, eliminating whatever is not needed); Set in order (organize remaining tools, equipment, and supplies, arranging and identifying them for easier use); Shine (keep the workplace clean); Standardize (schedule regular cleaning and maintenance so the workplace looks the same each day and overtime); and Sustain (Make the five S’s a way of life and a habit for employees) (Same Day Surgery, 2020). I would use this model as a reference to my OR in order to keep things orderly and neat. First I would assess the room and see what things need to be put in order. Next I would ensure that my workplace is clean upon entering, opening, and during the case.
Sometimes cases may go over-schedule however, to standardize cleaning, the same group of environmental staff to clean and sanitize the room. I would come back in the room in order to set up my room and sustain this cycle until I have it packed. “All of the rooms are the same, with the same experience and expectation in every space,” Selig says. “It’s one of the foundational things of Lean that is really important because it makes sure there is no waste or expired products or items that are not used” (Same Day Surgery, 2020). This is an example of how I actually work in the night shift.
There are certain components to the room that they all must have such as: ring stand, mayo stand, table, DVT and flow-tron booties, foam, arm board covers, a bed with belt and two arm boards with covers, sponge counter, and a bovie complete with bovie pad. I subconsciously have used the 5S model in my nightly rounds when in charge and not. I would use this model to ensure that everyone on the team is on the same page and that we all agree on the expectations and perform as a routine. With this tactic in place, I feel that this would help the team reduce incidences and near miss events.
References
Following Lean and the 5S Philosophy Can Make Quality Improvement Sustainable. (2020). Same – Day Surgery, 44(3) https://lopes.idm.oclc.org/login?url=https://www.proquest.com/trade-journals/following-lean-5s-philosophy-can-make-quality/docview/2507126753/se-2
Sample Answer 3 for NUR 630 CLC Quality Models
Introduction/Objectives
In everyday health care delivery, health care professionals collect massive data. They should use such data to analyze trends, understand performance, and apply the necessary interventions to enhance outcomes. The purpose of this presentation is to present and analyze quality measures over five-year period. The focus is the common hospital-associated infections including SSI: colon, CLABSI, CAUTI, and abdominal hysterectomy. It will further compare organizational performance to the national benchmark to evaluate how the organizational performance varies compared to the national performance. A priority quality measure will also be selected based on the performance and a metric to guide performance improvement identified. The final part includes strategies to monitor the metric and how to use the collected data for improvement.
Data from Each Quality Measure- Conclusions
Hospital’s management, staff, and stakeholders make decisions based on organizational performance. Quality measures’ scores over five years is a practical reflection point to guide decision-making. As illustrated in this table, SSI: colon rates were on a gradual increase from 2012 to 2015. As a result, it is correct to deduce that SSI: Colon’s rates at the facility are a threat to patient care and health care costs and need control. The same case applies to CLABSI. However, CAUTI is a different case since it has been on a gradual decline, albeit 2013 scores missing. SSI: abdominal hysterectomy can only be considered as a significant threat since the rates have been increasing at a tremendous rate.
HAIs’ Observable Trends 2011-2015
The most effective way to analyze trends over five years is to compare infection rates and make an inference. Regarding SSI: Colon, the hospital score was 0.273 in 2011, 0.174 in 2012, 2.219 in 2013, 2.487 in 2014 and 3.555 in 2015. As demonstrated graphically, the infection rates have been rising since 2012. The same case applies to CLABSI (2.845, 2.203, 3.062, 3.063,and 3.422). However, the scenario is different for CAUTI (2.814, 0.827, NA, 0.567, and 0.466). Although 2013’s data is missing, there is a gradual decline in infection rates, which is encouraging given the implications of HAIs on patient care. SSI: abdominal hysterectomy’s trend is worrying. The rise is significant (1.148, 2.132, 2.094, 3.697, and 4.608). Interventions in this areas should be intensified.
Performance vs. the National Benchmark- SSI: Colon
Health care organizations need a lot of motivation to improve their performance. Comparing performance with the national benchmark motivates organizations to work harder to achieve better outcomes. On average, the organization’s performance on SSI: colon is worse than the national benchmark. Apart from 2011 and 2012, the facility did not perform better than the national benchmark in any other year. The gap compared with the national benchmark also widened in 2014 and 2015. Since such performance predicts increased risk on care quality, patient safety, and overall satisfaction, practical interventions are necessary.
Performance vs. the National Benchmark- CLABSI
CLABSI’s rates can be considered no different from the national benchmark over time. Data shows that the organization’s score was 2.845 (2011), 2.203 (2012), 3.062 (2013), 3.063 (2014), and 3.422 (2015). On the other hand, the national benchmark was 2.234 (2011), 2.089 (2012), 3.128 (2013), 3.063 (2014), and 3.422 (2015). As graphically illustrated, there is no significant difference between the organizational score and the national benchmark in 2012 and 2013. The performance matched each other in 2014 and 2015. However, the goal should always be minimizing the rates as much as possible hence the need for improvement in this area as well.
Performance vs. the National Benchmark- CAUTI
Always, health care organizations should strive performing better than the benchmark. Although that should not be the primary goal, it is a reliable indicator of safe and quality practices for optimizing health outcomes. CAUTI’s score over the five years is better than the national benchmark. Overall, the organizational performance is characterized by a gradual decline in CAUTI rates since 2011. As a result, it is correct to infer that the organization has been using effective approaches in preventing and managing CAUTI that should be applied to reduce rates for other HAIs.
Performance vs. the National Benchmark- SSI: Abdominal hysterectomy
Generally, the rates for SSI: abdominal hysterectomy increase as the national benchmark increases. The graphical representation shows that the average performance is worse than the national benchmark. As a result, the organization must intensify efforts to reduce SSI: abdominal hysterectomy rates. They should gradually reduce over time like in CAUTI.
Quality Measures to Prioritize
As earlier mentioned, data is the most reliable reference when making critical decisions regarding patient care and quality improvement. Prioritizing quality measures implies identifying areas where resources, human efforts, and technologies should be intensified to improve outcomes. From the presentation, it is only CAUTI’s scores that have been gradually declining. As a result, the other quality measures are a priority since their scores are not below the national benchmark. In this case, performance improvement is critical. In agreement with Stewart et al. (2021), hospital-associated infections are a risk to care quality and patient safety and can extend hospital stays. Reducing their rates improves overall performance and patient satisfaction. Reducing HAIs and associated extended hospital stay reduce health care costs (Benenson et al., 2020).
Quality Improvement Metric
Quality improvement involves the effort to achieve better outcomes through evidence-based interventions. To achieve this goal, health care providers should identify a quality metric to guide quality improvement efforts. Based on the analyzed data, reducing the HAIs’ score to be below the national benchmark is a rational decision. It is also crucial to work towards a quantifiable, realistic, and objective target that can be achieved within a given time. Six months would be adequate to identify strategies, resources, and teams to reduce HAIs below the national benchmark. Achieving this goal would improve organizational reputation and improve patients’ trust in the organization and health care professionals.
Measures to Improve Processes, Outcomes, and Experience
Reducing HAIs’ below the national benchmark will improve care processes, patient outcomes, and overall care experience. However, it is a challenging objective to achieve hence the need for multifaceted interventions. Most of the strategies to apply are recommended by the CDC and include maintaining a safe, clean, hygienic hospital environment. Other measures include intensifying hand hygiene, screening patients, and categorizing patients into cohorts depending on the intensity of care required. The primary role of antimicrobial stewardship is minimizing the impacts of HAIs by conserving the available antimicrobials (Haque et al., 2020). Health education on safety is also crucial to enhance knowledge regarding HAIs and how to help different patients.
Monitoring the Metric and Data Use
Health outcomes cannot be improved without continuous quality performance. The best way to monitor whether the set performance targets are being achieved is through comparative data analysis. This can be done monthly since the set period for changing the current situation is 6 months. A comparative analysis helps to identify performance gaps. For instance, continued rise in CLABSI or other HAI would indicate failure and the need to change strategies used for quality enhancement. Referring to data is also effective in assessing whether it is necessary to supplement quality improvement strategies.
Conclusion
In conclusion, it is crucial to reflect on the main points of this presentation. Irrespective of the score, HAIs pose a significant threat to care quality and patient safety. From the data given, only CAUTI’s score is below the national benchmark. CLABSI, SSI: colon, and SSI: abdominal hysterectomy are above the national benchmark on average. As a result, measures should be intensified to control HAIs whose score are above the national benchmark. CAUTI cannot be ignored too. Therefore, measures to improve processes and outcomes should be centered around preventing and reducing HAIs to enhance performance and patient satisfaction.
References
- Benenson, S., Cohen, M. J., Schwartz, C., Revva, M., Moses, A. E., & Levin, P. D. (2020). Is it financially beneficial for hospitals to prevent nosocomial infections?. BMC Health Services Research, 20(1), 1-9. https://doi.org/10.1186/s12913-020-05428-7
- Haque, M., McKimm, J., Sartelli, M., Dhingra, S., Labricciosa, F. M., Islam, S., …. & Charan, J. (2020). Strategies to Prevent Healthcare-Associated Infections: A Narrative Overview. Risk management and healthcare policy, 13, 1765–1780. https://doi.org/10.2147/RMHP.S269315
- Stewart, S., Robertson, C., Pan, J., Kennedy, S., Haahr, L., Manoukian, S., … & Reilly, J. (2021). Impact of healthcare-associated infection on length of stay. Journal of Hospital Infection, 114, 23-31. https://doi.org/10.1016/j.jhin.2021.02.026