NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Capella University NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation– Step-By-Step Guide

This guide will demonstrate how to complete the Capella University  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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 NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Whether one passes or fails an academic assignment such as the Capella University  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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  NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation 

The introduction for the Capella University  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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  NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

After the introduction, move into the main part of the  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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  NURS FPX 4020 Assessment 3 Improvement Plan In-Service 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 NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Agenda and Outcomes

During this presentation, I will discuss a current problem concerning medication administration in our healthcare setting. I will also propose an improvement plan to address the medication administration problem and discuss what the improvement plan seeks to address. In addition, I will explain why our healthcare organization must address this current problem in medication administration.

By the end of the presentation, you will learn about your role in implementing and driving the improvement plan. You will also acknowledge why your role is vital to the success of the improvement plan and how your practice can benefit from embracing the role in the plan. Therefore, you will be expected to understand your role and importance in the improvement plan. Furthermore, you will be expected to understand the new skills needed to implement the medication administration improvement plan.

Overview of the Current Problem

The current medication administration problem in the care home facility is Medication errors. Elderly patients in the care home encounter distinct issues associated with medication errors. There have been various reports of medication errors in the care home caused by nurses failing to uphold the five rights of drug administration: right patient, right medication, right dose, right time, and right route. This has increased the incidence of adverse drug reactions (ADEs). 

Medication errors have also led to poor health outcomes due to drug-drug interactions, adverse drug reactions, and drug allergic reactions, which lead to prolonged patient stays. Besides, medication errors lower patients’ quality of life due to adverse outcomes and lead to a negative patient experience with care in the facility.

They have also led to increased healthcare costs due to prolonged hospitalization, increased use of health services, and preventable hospital admissions.

The Proposed Plan

The proposed safety improvement plan is computerized medication reconciliation to reduce medication errors in the care home. Medication reconciliation entails comparing a patient’s medication list with the prescribing physician’s to ensure accuracy of drug type, frequency, dose, and route of medication during hospital admission, transfer, and discharge and reduce medication errors (Tamblyn et al., 2019). Healthcare organizations must maintain and transmit accurate drug information and compare the drug information a patient brings into the hospital with the drugs ordered for the patient by the physician to identify and address discrepancies (Kreckman et al., 2018). Since most medication errors occur at care transition points, we will have a computerized medication reconciliation to reconcile medication lists during admission, transfer, and discharge of patients, which is a major step in improving patient safety.

What the Improvement Plan is Trying To Address

The computerized medication reconciliation plan seeks to involve a transition of the care team to reduce the number of patients’ medications with errors during hospital admission, discharge, and follow-up visits. This is an electronic system created to correct medication discrepancies at transitions of care for patients (Marien et al., 2018). It will address the medication error problem by reviewing patients’ medication history, resolving medication discrepancies, and identifying the appropriate list of medications for a patient. It will decrease the number of unintentional medication discrepancies at transfers of care. Using information technology will increase the accuracy of documentation used for medication reconciliation and facilitate the reconciliation process.

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Why the Organization Needs to Address the Current problem

The organization must address medication errors to improve patients’ health outcomes by preventing adverse outcomes like adverse drug reactions, drug-drug interactions, and allergic reactions (Tamblyn et al., 2019). The organization’s goal is to provide high-quality healthcare that prioritizes patient safety. Thus, addressing the medication error issue will improve the facility’s quality of care and patient safety.

Besides, this will lower health costs for the organization and patients by reducing the length of patient stays and medication error-related hospital admissions. Addressing the issue will also save the care home and health providers from legal costs when the facility is sued for causing harm to the patient due to adverse patient outcomes related to medication errors (Tamblyn et al., 2019). In addition, it will improve patient satisfaction with care given and providers’ satisfaction. 

Staff Expectations

Nurses will be crucial in implementing and driving the computerized medication reconciliation plan. Their main roles will be: Assessment of patients’ medication history, Identification of medication discrepancies, and Joint role in medication reconciliation. In this regard, nurses will carry out a two-step verification of prescribed medications, update the EMR, and inform the physician to sign off on the list during the admission of every patient. At discharge, nurses will reconcile the drugs prescribed in the care home and forward ambulatory records to the patient’s provider.

During follow-up visits, a nurse and physician will verify the medication list (Kreckman et al., 2018). Nurses will kick off the ambulatory medication reconciliation at admission, review the list within 24 hours of discharge, and attend the follow-up visit to ensure continuity of care. Therefore, they have a major role in improving the medication reconciliation process and reducing medication errors.

Why the Staff Are Critical To the Success

Nurses will be important to the success of the computerized medication reconciliation plan since they play a vital role in the safety of medicines management during transitional care. They will be significant members of the transitional care team. They are critical to the improvement plan’s success since they are well-versed in evaluating transitional care plans, identifying potential problems, and addressing them appropriately to improve patient safety (Mardani et al., 2020).

Furthermore, involving nurses in medication management of transitional care helps provide access to care for patients with fragmented care or those at risk of readmission. Nurses are critical because they will improve the workflow for referring physicians and support care navigation back to community healthcare providers through patient education and medication self-management (Mardani et al., 2020).

How Their Work Could Benefit

Nurses’ work can significantly benefit from embracing their role in the improvement plan since they will participate in interdisciplinary collaboration to promote patient safety. Besides, nurses will be able to take more responsibility and get more involved in patient safety initiatives (Mardani et al., 2020). They will also be able to act proactively to protect and maintain the safety of medication management by disclosing and reporting errors. Furthermore, nurses will be involved in decreasing medication side effects and ADRs by monitoring medication and providing informational support to physicians, pharmacists, patients, and their families (Mardani et al., 2020). Lastly, they can apply fundamental nursing interventions to reduce potentially adverse consequences on patients’ wellbeing.

New Process and Skills Practice

The staff will need skills in using the admission electronic medication reconciliation tool. Thus, they will be trained on the medication reconciliation tool and provided electronic documents with step-by-step instructions. Providers will need skills in determining the accuracy of the discharge medication lists made with the Discharge Instruction element in the tool and given to the patient by comparing this list with the list provided in the discharge summary (Marien et al., 2018). They will also need to learn techniques for presenting a medication list to a patient and for updates to the medication list.

Simulation training will be conducted whereby providers will use a medication reconciliation tool to model the real-clinical scenario. During the simulation-based training, the providers will be taught how to perform various medication reconciliation tasks in different clinical scenarios. They will also ask questions about the implementation of the tool.

Likely questions and responses include:

1.How do we gather the best possible medication history: Use information from various sources and obtain this information electronically by linking the tool to medication lists of other systems like EMR, CPOE, and pharmacy claims.

2.How will the tool help in the identification of discrepancies? The tool uses animations and has different filters for classification. This will help providers to recognize, contextualize, and manage medication discrepancies (Marien et al., 2018).

3.How will the medication discrepancies be resolved? We will explore and develop decision support algorithms to help providers identify clinically meaningful discrepancies.

Soliciting Feedback

I would ask for feedback from the audience on the electronic medication reconciliation by brainstorming with them to give their views on the benefits and potential challenges of implementing the plan. For the challenges given, I will ask them to give possible strategies that can be used to mitigate the plan’s drawbacks. In addition, I will ask them about the tasks or activities that would improve the improvement plan and help meet the intended goals more effectively.  

I would also solicit feedback by administering questionnaires to obtain information on the audiences’ perception of the plan, including benefits, challenges that will be addressed, potential drawbacks, and measures to mitigate them.

I will integrate the audience’s feedback by evaluating the practicability of the proposed strategies to mitigate the drawbacks. The practical strategies will be included in the plan, while for the impractical ones, I will identify alternatives.

References

Kreckman, J., Wasey, W., Wise, S., Stevens, T., Millburg, L., & Jaeger, C. (2018). Improving medication reconciliation at hospital admission, discharge and ambulatory care through a transition of care team. BMJ open quality, 7(2), e000281. https://doi.org/10.1136/bmjoq-2017-000281

Mardani, A., Griffiths, P., & Vaismoradi, M. (2020). The Role of the Nurse in the Management of Medicines During Transitional Care: A Systematic Review. Journal of Multidisciplinary Healthcare, p. 13, 1347–1361. https://doi.org/10.2147/JMDH.S276061

Marien, S., Krug, B., & Spinewine, A. (2018). Electronic tools to support medication reconciliation: a systematic review. Journal of the American Medical Informatics Association: JAMIA, 24(1), 227–240. https://doi.org/10.1093/jamia/ocw068

Tamblyn, R., Abrahamowicz, M., Buckeridge, D. L., Bustillo, M., Forster, A. J., Girard, N., … & Winslade, N. (2019). Effect of an electronic medication reconciliation intervention on adverse drug events: a cluster randomized trial. JAMA Network Open, 2(9), e1910756-e1910756. https://doi.org/10.1001/jamanetworkopen.2019.10756

Sample Answer 2 for NURS FPX 4020 Assessment 3 Improvement Plan In-Service Presentation

Presentation’s Outline

Welcome to this presentation on a safety improvement plan in the organization. In everyday practice, health professionals encounter diverse issues hampering patient safety. Effective response to these issues requires a comprehensive understanding of their causes, manifestations, and potential interventions. Therefore, the purpose of this presentation is to explore a common safety concern that affects nurses’ ability to meet the desired outcomes. It will further describe a safety improvement plan and the targeted outcomes in terms of better safety and care quality. Other vital parts include your role and importance in the implementation process, as well as new processes and skills acquired by implementing the safety improvement plan.

Agenda and Outcomes

Before engaging in any education session, instructors and learners should be guided by a common agenda. Herein, the main agenda is exploring healthcare-associated infections (HAIs) as a significant patient safety concern requiring evidence-based, sustainable intervention. As a result, a comprehensive safety plan is necessary, which will be outlined while discussing stakeholders’ role in accomplishing the targeted goals. The primary outcome is improving health professionals’ knowledge of safety improvement in terms of implementation strategies and tools. Importantly, safety improvement prepares nurses for an advanced role in care coordination since it demonstrates organizing patient care activities to achieve the best health care delivery outcomes.

Safety Improvement Plan

The current problem necessitating a safety improvement plan is healthcare-associated infections (HAIs). Also called nosocomial infections, HAIs are infections not present at the time of admission to a care facility (Cristina et al., 2021). They are a significant threat to patient safety and care quality, hence the need for practical interventions to improve health outcomes. As health professionals work in multiple settings, knowledge of the causes of HAIs is crucial for effective control. Leading causes include inappropriate hand hygiene practices, dependence on excessive antibiotics, and the conditions of the care environments, particularly infected and polluted hospital surfaces (Mouajou et al., 2022; Haque et al., 2020). An intervention may be designed to address one or multiple risk factors.

The adverse effects of HAIs underline the need for care providers, hospital managers, program analysts, and other professionals to collaborate and implement safety improvement programs. According to Peters et al. (2022), HAIs increase the risk of other infections besides prolonging hospitalizations. Prolonged hospitalizations imply increased dependence on costly care and the use of health care resources. This increases illness management costs for patients, families, and care facilities. HAIs also demonstrate a hospital’s inability to provide care that meets the desired patient outcomes. Consequently, they ruin patient-provider relationships due to decreased trust in the care process. A robust safety improvement plan would help the organization prevent these risks and others related to HAIs.

The Proposed Plan

The multifaceted nature of HAIs necessitates a multimodal safety improvement plan. The most appropriate is infection prevention and control (ICP) policy and planning for ensuring HAI risks are identified and effectively addressed (Haque et al., 2020). The plan has three components essential for improvement outcomes. Its first component is a risk assessment to identify at-risk patients and cohort them into a contact precautions group. The second component is environmental hygiene to reduce the risk of transmission significantly. In this case, porous and non-porous surfaces that increase the risk of infection should be routinely cleaned and disinfected. The third component is the plan’s sustainability through policy adoption and continuous health education.

Importance of Addressing the Current Situation

Addressing HAIs denotes a commitment to providing care that meets the desired outcomes. As a result, it is a strategy for reducing performance gaps and aligning care with the organization’s strategic goals. Peters et al. (2022) found that safety improvement through infection control is essential for reduced hospitalizations, morbidity, and health management costs. The infection control and prevention program is crucial for ensuring compliance with government regulations. Through the Hospital Readmissions Reduction Program (HRRP), the Centers for Medicare & Medicaid Services (CMS) obliges health care providers to coordinate care and adopt other interventions to reduce avoidable readmissions (CMS.gov, 2023). Infection control reduces readmissions by preventing HAIs. Above all, the program is critical in improving patient-provider relationships that are usually ruined when care quality fails to meet patients’ expectations.

Audience’s Role and Importance

The current plan’s success depends on your valuable contribution to the implementation process and other critical phases. Your first role is to embrace a new workplace culture characterized by new roles, perspectives, and work approaches. Secondly, nursing staff directly involved in patient care should actively participate in change implementation. Driving the safety improvement plan further requires the entire health care staff to liaise with colleagues to enhance safety by identifying risks and offering effective responses as the plan recommends. Other valuable roles include educating patients and care providers on infection control and guiding new nurses on safety protocols for the plan to achieve long-term success.

It is also important to understand how you are critical to the success of the safety improvement plan for HAIs. Firstly, its success depends on how you collaborate to implement clinical knowledge. For instance, effective risk assessment of vulnerable patients combines clinical knowledge, analytical judgment, and risk assessment skills. Secondly, successful HAI prevention requires an interdisciplinary approach. Therefore, your presence and commitment to implement the plan are needed at all phases. A key benefit associated with your participation is promoting a safety culture in the organization. This implies working in environments with minimal health risks to patients and care providers. Safety improvement also denotes improved outcomes, hence high job satisfaction.

New Process and Skills Practice

Implementing safety improvement programs should allow nursing staff to introduce new clinical processes or develop new skills. Implementing the safety improvement plan denotes a proactive response to HAIs. In nursing, proactive initiatives bring together patients and health professionals to address practice problems before they advance to unmanageable levels (Waldman & Terzic, 2019). The collaboration to achieve a shared goal demonstrates interdisciplinary care. Infection control to achieve safe workplaces typifies outcome-driven health care delivery while seeking to reduce admissions and optimize patient satisfaction demonstrates value-based procedures. Overall, these skills are valuable for delivering patient-centered care and fostering a culture that prioritizes patients’ concerns.

An opportunity for participants to practice and ask appropriate questions is essential for effective learning. A suitable practice is role-playing on infection prevention and control. Dorri et al. (2019) demonstrated role-playing as a suitable learning strategy, allowing learners to simulate real-life scenarios and apply skills and knowledge. It also promotes interactive learning and critical thinking. A typical question in this part is how nurses assess at-risk patients and cohort them into contact precautions groups. In response, they will be advised on using various risk assessment tools. Nurses can also ask about how to ensure thorough cleaning and disinfection of surfaces. An appropriate response is to advise them on regular disinfection depending on the severity of HAIs.

Soliciting Feedback

Feedback helps to stimulate learning sessions and ensure active communication. I would use various strategies to get feedback from the audience. One of these strategies is random questions to the audience about their experiences with HAIs and other patient safety concerns. The other strategy is a question-answer session, whether the audience would seek clarification on any part of the presentation. The presentation can also be evaluated at the end of the session through evaluation forms. This feedback can be used to address emerging concerns related to the effectiveness of infection control and prevention programs. It can also be used in the future to improve teaching and engagement methods used in the presentation.

Conclusion/Summary

In conclusion, it is crucial to highlight the presentation’s major points. As discussed in the beginning, the safety concern necessitating the improvement plan is HAIs. Irrespective of the magnitude, HAIs hamper patient safety and overall organizational performance. A multimodal infection control and prevention plan can help the organization identify and respond to HAIs and related risks. The plan will help the organization to prevent infection transmission, hence securing patients and care providers. Doing so will help to create a safe workplace for patients and other health care stakeholders. The positive outcomes underscore the need for the entire staff to support the plan’s implementation and evaluation to improve as situations obligate.

References

• Centers for Disease Control and Prevention. (2023). Core elements of antibiotic stewardship. https://www.cdc.gov/antibiotic-use/core-elements/index.html
• CMS.gov. (2023). Hospital Readmissions Reduction Program. https://www.cms.gov/medicare/quality/value-based-programs/hospital-readmissions
• Cristina, M. L., Spagnolo, A. M., Giribone, L., Demartini, A., & Sartini, M. (2021). Epidemiology and prevention of healthcare-associated infections in geriatric patients: a narrative review. International Journal of Environmental Research and Public Health, 18(10), 5333. https://doi.org/10.3390/ijerph18105333
• Dorri, S., Farahani, M. A., Maserat, E., & Haghani, H. (2019). Effect of role-playing on learning outcome of nursing students based on the Kirkpatrick evaluation model. Journal of Education and Health Promotion, 8, 197. https://doi.org/10.4103/jehp.jehp_138_19
• 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, 1765-1780. https://doi.org/10.2147/RMHP.S269315
• Mouajou, V., Adams, K., DeLisle, G., & Quach, C. (2022). Hand hygiene compliance in the prevention of hospital-acquired infections: a systematic review. The Journal of Hospital Infection, 119, 33–48. https://doi.org/10.1016/j.jhin.2021.09.016
• Peters, A., Schmid, M. N., Parneix, P., Lebowitz, D., de Kraker, M., Sauser, J., … & Pittet, D. (2022). Impact of environmental hygiene interventions on healthcare-associated infections and patient colonization: a systematic review. Antimicrobial Resistance & Infection Control, 11(1), 38. https://doi.org/10.1186/s13756-022-01075-1
• Waldman, S. A., & Terzic, A. (2019). Health care evolves from reactive to proactive. Clinical Pharmacology And Therapeutics, 105(1), 10–13. https://doi.org/10.1002/cpt.1295