NURS 8310 Week 6 Discussion Quality Improvement Initiative
Walden University NURS 8310 Week 6 Discussion Quality Improvement Initiative-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8310 Week 6 Discussion Quality Improvement Initiative 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 8310 Week 6 Discussion Quality Improvement Initiative
Whether one passes or fails an academic assignment such as the Walden University NURS 8310 Week 6 Discussion Quality Improvement Initiative 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 8310 Week 6 Discussion Quality Improvement Initiative
The introduction for the Walden University NURS 8310 Week 6 Discussion Quality Improvement Initiative 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 NURS 8310 Week 6 Discussion Quality Improvement Initiative
After the introduction, move into the main part of the NURS 8310 Week 6 Discussion Quality Improvement Initiative 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 8310 Week 6 Discussion Quality Improvement Initiative
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 8310 Week 6 Discussion Quality Improvement Initiative
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 NURS 8310 Week 6 Discussion Quality Improvement Initiative
What is quality improvement?
Quality improvement is a structure that is employed to regularly improve the ways care is delivered to patients (Agency for healthcare, research and quality (AHRQ), n.d.)
QI initiative in my institution
“Prevention of hospital acquired pressure injuries in the medical ICU”. Hospital acquired pressure injuries (HAPIs) negatively impact the quality of life in patients in that it is painful, costly and is associated with other risks including death. Development of stage 3 and stage 4 pressure ulcers denotes poor patient care by the Centers for Medicare and Medicaid Services (CMS) and institutions get to cover the costs of such ulcers and its complications (AHRQ, n.d.). The financial burden on institutions and public report of poor patient outcomes in institutions have led to measures put in place to prevent the occurrences of HAPIs.
Management of adverse events in my organization
Organizations have different channels of commands when adverse events occur. My organization handles hospital acquired pressure injuries (HAPIs) as follows: When HAPIs happen on a unit, data on the patient is sent by the nurse to PIRC which is data collection platform. Such data is reviewed every Tuesday by the Unit Manager, Quality Controls personnel and the Manager of the Inpatient Wound care nurses. They look at patient’s comorbidities and preventive measures that were in place prior to HAPI occurring. They look for any gaps that would have led to the development of HAPIs. An educational tool is done from the collection of data and followed weekly. However, if this problem persists in a unit despite education, and changes in processes as deemed necessary, the CMO, Quality Controls personnel and other members of leadership are notified so that jointly they would come up with a sustainable plan.
Impact of HAPIs
The development of HAPIs, specifically stages 3 and 4 pressure ulcers is considered a “never event” according to Rondinelli et al. (2018). When this happens, such event is report to the Centers for Medicare and Medicaid Services and this result in decrease in reimbursement (Rondinelli et al. 2018). Also, this data is made public and the reputation of the organization in providing safe care is at risk. Thus, institutions are working hard to prevent these from occurring to avoid financial losses and also gain the confidence of the public in providing safe and quality care to patients entrusted in their care.
Literature review
Da Silva et al. (2016) provided a case study on a medication error and recommendations of how this can be avoided in healthcare settings. This case involves a 71y/o female with a medical history that includes hypertension and was prescribed Norvasc 10mg to be taken twice a day. The pharmacist accidentally filled Navane, an antipsychotic medication instead of Norvasc. This patient took this medication for 3 months unnoticed, until the development of adverse effects including abnormal movements and a fall. During her 3 months of being on this medication, she was seen by multiple providers but this was not traced until her 3rd presentation to the hospital in which her medication bottles were reviewed. Then, it was noted that she was actually taking Navane, not Norvasc for hypertension (da Silva et al. 2016). This patient was failed by multiple providers including pharmacists, hospitalist and nurses, subsequently leading to an adverse event (da Silva et al, 2016). Recommendations to avoid such medication errors in the future include reviewing of pill bottles during medication reconciliation, having electronic health records in the institutions with software that allows for detailed information on prescribed medications, having two step medication review by providers upon admission and discharge, recommendations against providing refills on discharge prescriptions unless where absolutely necessary and promoting a system where pharmacists and physicians work closely together to review patient medications, among others (da Silva et al, 2016). Many institutions now have electronic health records but this does not take the place of providers carefully reviewing patient’s home medications, including looking at their pill bottles if available. Providers should educate patients to always carry their medications with them to every appointment to ease the process of medication review and reconciliation so that such errors could be caught in a timely manner.
References
Agency for Healthcare, Research and Quality (AHRQ), (n.d.) Practice Facilitation Handbook. Module 4. Approaches to Quality Improvement. https://www.ahrq.gov/ncepcr/tools/pf-handbook/mod4.html
da Silva, B. A., & Krishnamurthy, M. (2016). The alarming reality of medication error: a patient case and review of Pennsylvania and National data. Journal of community hospital internal medicine perspectives, 6(4), 31758. https://doi.org/10.3402/jchimp.v6.31758
Rondinelli, J., Zuniga, S., Kipnis, P., Kawar, L. N., Liu, V., & Escobar, G. J. (2018). Hospital-Acquired Pressure Injury: Risk-Adjusted Comparisons in an Integrated Healthcare Delivery System. Nursing research, 67(1), 16–25. https://doi.org/10.1097/NNR.0000000000000258
Sample Answer 2 for NURS 8310 Week 6 Discussion Quality Improvement Initiative
I agree with you that quality improvement is a structured protocol aimed at improve the state of healthcare services. Therefore, quality improvement identifies areas of weaknesses that require attention. QI initiative in any institution examine healthcare services before strategies are incorporated to improve the services (Maphumulo & Bhengu, 2019). Interviewing patients and healthcare providers will generate reliable first-hand information that guides the implementation of QI programs. Organizations have different criteria to obtain information about organizational and individual performance (Mannion & Davies, 2018). Therefore, facilities use the most suitable approach to obtain information to be used in QI initiatives. For instance, the data generated from hospital acquired pressure injuries (HAPIs) assist hospitals to obtain details that will facilitates successful implementation of QI programs (Niñerola et al., 2020). Frequently, QI programs are expected to improve the current performance. Hence, institutions ensure that the right strategies are taken in every step of the program.
References
Mannion, R., & Davies, H. (2018). Understanding organisational culture for healthcare quality improvement. Bmj, 363. doi: https://doi.org/10.1136/bmj.k4907
Maphumulo, W. T., & Bhengu, B. R. (2019). Challenges of quality improvement in the healthcare of South Africa post-apartheid: A critical review. Curationis, 42(1), 1-9. https://hdl.handle.net/10520/EJC-170ff325f8
Niñerola, A., Sánchez-Rebull, M. V., & Hernández-Lara, A. B. (2020). Quality improvement in healthcare: Six Sigma systematic review. Health Policy, 124(4), 438-445. https://doi.org/10.1016/j.healthpol.2020.01.002