NURS FPX 6004 Assessment 4 Training Session for Policy Implementation

Capella University NURS FPX 6004 Assessment 4 Training Session for Policy Implementation– Step-By-Step Guide

This guide will demonstrate how to complete the Capella University  NURS FPX 6004 Assessment 4 Training Session for Policy Implementation 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 6004 Assessment 4 Training Session for Policy Implementation

Whether one passes or fails an academic assignment such as the Capella University  NURS FPX 6004 Assessment 4 Training Session for Policy Implementation  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 6004 Assessment 4 Training Session for Policy Implementation 

The introduction for the Capella University  NURS FPX 6004 Assessment 4 Training Session for Policy Implementation  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 6004 Assessment 4 Training Session for Policy Implementation

After the introduction, move into the main part of the  NURS FPX 6004 Assessment 4 Training Session for Policy Implementation  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 6004 Assessment 4 Training Session for Policy Implementation 

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 6004 Assessment 4 Training Session for Policy Implementation 

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 6004 Assessment 4 Training Session for Policy Implementation

Health organizations largely depend on successful implementation of their policies and guidelines for them to achieve their desired outcomes. An analysis of the benchmark data showed that Mercy Hospital has been underperforming against the state and national benchmark in HbA1c screening for its patients. The low provision of screening services for HbA1c for diabetes patients affects their treatment outcomes. Therefore, this paper explores training that should be provided to the staff to increase hospital’s performance in this aspect.

Evidence-Based Strategies

Evidence-based strategies will be adopted when working with the staff during the training. One of them will be open communication. Open communication between the staff and trainers will be encouraged to ensure the prioritization of the needs, concerns, and views of the practice guideline implementors. The other strategy will be active participation. Active staff participation will be embraced to ensure they develop the competencies needed to successfully implement the practice guideline (Werner, 2021). The other strategy will be seeking feedback from the staff. Feedback will inform the strategies adopted to ensure the optimum outcomes from the training session.

Impact of the Training Session

The training session will help the group succeed in implementing the proposed policy and practice guideline in some ways. First, it will increase their awareness levels on their role in increasing the provision of HbA1c screening services for diabetic patients in the institution. The training will also equip them with the essential skills for providing the required screening services for optimum outcomes for diabetic patients (Aungsuroch et al., 2021). The training session will also address any misconceptions that affect timely provision of HbA1c screening services for diabetic patients. Nurses were chosen for the training since they are directly involved in screening and treatment of diabetic patients.

Impact/Importance of the New Policy and Practice Guideline

The new policy and practice guideline on mandatory HbA1c screening for diabetic patients will improve the screening rates in the hospital and the state. It will provide an accurate picture of the treatment adherence levels by diabetic patients. It will also inform about the effectiveness of lifestyle and behavioral modifications that patients utilize to achieve the desired glycemic control. The new policy and practice guideline will be implemented in all the departments involved in the care of diabetic patients. Physicians and nurses will be expected to screen patients for HbA1c and report the data for accurate follow-up and determination of treatment effectiveness.

Effect on Daily Work Routines

The new policy and practice guideline will not disrupt the daily work routines for nurses and physicians. Instead, it will be considered part of the routine management and monitoring of diabetes in the affected populations. Nurses and physicians will be expected to requested for HbA1c tests for all diabetic patients and schedule them for follow-up visits after every three months to assess the effectiveness of the adopted glycemic control measures.

Effect on Quality Care or Outcomes

The new policy and practice guideline will improve quality care and outcomes. It will enhance the treatment outcomes for diabetic patients. Nurses and physicians will be able to revise patients’ treatment plans based on the screening results for optimum outcomes. The policy and practice guideline will also strengthen patient-centeredness since providers will focus on developing treatment plans that address the prioritized needs of their patients. The policy and practice guideline will also strengthen teamwork among healthcare providers. For example, nurses and physicians will collaborate in assessing, planning, implementing, monitoring, and evaluating the effectiveness of the different approaches adopted in diabetes management. Therefore, nurses and physicians will comprise an important group that will ensure the successful implementation of the policy and practice guideline in the institution.

Importance of Work and Buy-In

Work and buy-in are important in implementing the new policy. Work and buy-in will ensure policy and practice guideline sustainability. It will ensure the realization of the proposal’s long-term objectives. Work and buy-in also eliminates resistance to change from the adopters. It promotes their psychological preparedness to implement the policy and practice guideline for clinical use in diabetes management (Werner, 2021).

Empowering the Group

Group empowerment is important for the realization of the desired outcomes of the policy and practice guideline. Strategies such as active involvement of the group members, aligning training aims with their expectations, and open communication will be adopted. In addition, group members will be mentored and coached during the implementation to ensure they develop the required competencies in policy and practice guideline implementation (Oermann, 2022). The activities on the agenda will be varied. They will include orientation, presentation, role playing, demonstrations, question-answer sessions, and reflection. Activities such as role playing will be used to determine skill development by the staff. Question-answer sessions will gauge the knowledge acquisition by the staff. Therefore, the activities will be used to evaluate the effectiveness of the adopted training strategies.

Conclusion

In summary, the new policy and practice guideline on mandatory screening of diabetic patients for HbA1c will improve quality and care outcomes in the organization. Training will adopt evidence-based strategies to achieve its outcomes. Staff will be empowered through methods such as their active participation for the success of the policy and practice guideline. A mix of activities will be incorporated into the training to ensure its effectiveness.

Annotated Agenda

References

Aungsuroch, Y., Gunawan, J., & Fisher, M. L. (2021). Redesigning the Nursing and Human Resource Partnership: A Model for the New Normal Era. Springer Nature.

Oermann, M. (2022). A Systematic Approach to Evaluation of Nursing Programs. Lippincott Williams & Wilkins.

Werner, J. M. (2021). Human Resource Development: Talent Development. Cengage Learning.

Sample Answer 2 for NURS FPX 6004 Assessment 4 Training Session for Policy Implementation

A dashboard refers to a display tool used to alert, monitor trends, plan, and compare key performance indicators, mostly observed in a professional simplified user interface.  It employs data visualization approaches to support health providers, and facility managers visualize and explore health data on processes and outcomes (Randell et al., 2020). This paper seeks to discuss the evaluation of the current organizational performance with regard to prescribed benchmarks laid down by government laws and policies at the federal level. I will also advocate for an ethical action to solve benchmark underperformance in the organization and a potential solution for enhancing the quality of care and performance.

Dashboard Metrics Associated with Benchmarks Set Forth by Federal Health Care Laws or Policies

A dashboard metric in healthcare refers to a distinct performance measurement applied to monitor, analyze and optimize all pertinent healthcare processes to improve patient satisfaction. Dashboard metrics connected with benchmarks set by federal healthcare laws include the Average Hospital Stay, which evaluates the duration patients are spending in the inpatient, and the Treatment Costs metric, which estimates how much a patient costs to the hospital (AHRQ, 2020). Additionally, the Hospital Readmission Rates metric monitors the number of patients returning. The Patient Wait Time metric tracks waiting times to enhance patient satisfaction, and the Patient Satisfaction metric examines patient satisfaction in detail. Furthermore, the metric on Staff-to-Patient Ratio makes sure that a facility has adequate staff to attend to patients, whereas the Canceled/missed appointments metric monitors patients’ appointments (AHRQ, 2020). Patient Safety metric prevents incidents in the hospital while ER Wait Time tracks rush hours in a hospital’s emergency room. Lastly, the Costs by Payer metric identifies the health insurance type of patients.

The metrics are established by the U.S. Department of Health & Human Services (HHS) through the Network of Patient Safety Databases (NPSD). NPSD was created to present an interactive, evidence-based management resource for health providers, Patient Safety Organizations, and others (AHRQ, 2020). The NPSD is implemented by the AHRQ, the lead agency for patient safety.

Shortfalls identified in our organizational performance with respect to the dashboard metrics include treatment costs, wherein patient’s inpatient and outpatient costs have been increasingly on the high end for the past three years. Patients with chronic illnesses have the highest treatment costs. There is also a shortfall in the hospital readmission rates, with about 18% of patients being readmitted within six months. Patients with high readmission rates include those aged 65 and older with chronic conditions such as cancers, cardiovascular diseases, and diabetes. Furthermore, the metric on staff-to-patient ratio was not met primarily on the nurse-to-patient ratio, with most of the nursing units not meeting the recommended ratio.

Gaps were identified in the organization’s information on patient satisfaction, canceled/missed appointments, and ER wait times. The organization has not been keen on evaluating patients’ satisfaction with care which affected the evaluation process. Besides, missed appointments are not recorded, and the ER wait times have not been assessed. Availability of information on the three metrics could have significantly improved my evaluation of dashboard metrics.  

Challenges That Meeting Prescribed Benchmarks Can Pose for a Health Care Organization

Healthcare organizations experience increasing challenges in providing high-quality services at reasonable costs. One major challenge encountered by organizations includes a lack of information technology (IT) resources. IT resources are required to identify data sources and processes to employ in data generation, crucial in dashboard development (Karami et al., 2017).  IT resources are a challenge because data is often stored in many incompatible source systems such as information, accounting, and human resource systems (Karami et al., 2017). Consequently, a health organization must resolve incompatibilities in the meaning and definition of data elements to facilitate consistent reporting.

Another challenge for health organizations is a lack of a suitable and well-organized IT infrastructure founded on performance measurement principles. A lack of a proper IT infrastructure makes it challenging for hospital managers to assess, track, and manage performance effectively since the performance dashboard displays crucial information about attaining strategic objectives (Randell et al., 2020). Consequently, hospital managers encounter challenges in recognizing problem areas requiring corrective interventions, evaluating the basis of poor performance, predicting trends, and establishing benchmarks.

The challenge in data sources can result in poor data quality due to huge amounts of irrelevant data and unreliability. As a result, a healthcare organization may not use the dashboards to the maximum level and produce unreliable results. Besides, the challenge on IT infrastructure can result in an organization designing inefficient dashboards, thus not meeting prescribed benchmarks (Randell et al., 2020). I assume that a healthcare organization must invest in healthcare technology to meet its prescribed benchmarks. The lack of a strong IT foundation is likely to result in inconsistent, time-consuming, incomparable, and static performance reports that do not transparently replicate the real picture of an organization’s performance.

A Benchmark Underperformance in a Health Care Organization That Has the Potential for Greatly Improving Overall Quality or Performance

            Benchmarking involves comparing and measuring an organization’s services versus other national organizations. An example of a benchmark underperformance in our organization with the potential for significantly improving overall quality and performance is improving patient safety. Patient safety affects the greatest number of patients since reduced safety results in increased hospital stays, complications, comorbidities, readmission rates, and increased healthcare costs (Weggelaar-Jansen et al., 2018). Additionally, reduced safety affects the greatest number of staff due to a high workload which causes burnout and poor health outcomes.

If a healthcare organization focused on improving patient safety, it would significantly reduce staff workload, and reduce patient and operational costs. Tracking this benchmark can help an organization identify which part of the care process the safety incidents occur and adjust its standards appropriately (Weggelaar-Jansen et al., 2018). Furthermore, improving patient safety can help reduce the incidents that compromise patient safety, such as medical errors, patient falls, and hospital-acquired infections. Improving patient safety can help meet metrics such as reduced hospital stays, readmission rates, and ultimately reduced hospital costs (Weggelaar-Jansen et al., 2018). Besides, it can improve overall health outcomes and patient satisfaction, thus increasing profits for the organization

Ethical Action to Address a Benchmark Underperformance

My recommended action to improve patient safety in the organization will be directed to the hospital’s management to improve working conditions by increasing nurse-to-patient ratios. Nursing ratios can be increased by hiring more nurses and motivating staff to reduce high turnover that further worsens the understaffing situation (Bridges et al., 2019). Increasing nursing ratios will significantly reduce burnout and eventually lower turnover rates, which are the major cause of understaffing. When staffing nurses in various units, the nursing manager should consider factors, such as patient acuity, admission numbers, staff skill-mix and expertise, discharges, transfers, physical layout of the unit, and available technology (Bridges et al., 2019). Considering these factors will ensure that a unit is staffed based on the patient care workload and fair staffing.

The management should increase nursing staffing because nurses play a vital role in promoting patient safety while providing direct patient care.  Nurses assess patients for deterioration in clinical status, track errors and near misses, and perform numerous tasks to make sure that a patient is provided high-quality care (Bridges et al., 2019). Besides, they understand care processes and shortcomings in systems that may compromise patient safety and communicate changes in patients’ health status. Missed nursing care incidents are strongly connected with a high patient workload and cause undesirable consequences for patients and nurses (Bridges et al., 2019). Consequently, increasing nursing ratios can ensure that a nurse is not overwhelmed and lower incidences of medication errors, falls, pressure ulcers, infections, and readmissions.

Increasing nursing ratios is an ethical action since it upholds the principle of beneficence and nonmaleficence since it promotes better health outcomes and prevents harm to the patient.  It also promotes the welfare of nurses since they have reduced burnout levels and promote better physical and mental wellbeing (Bridges et al., 2019). Besides, increased staffing promotes justice because more nurses are available to take care of patients who require their services.

Conclusion

A dashboard contains goals set by users and constantly meets their expectations since the end-user experience is a major feature of dashboard software. Benchmarks laid down by the Federal are set by the U.S HHS under the Network of Patient Safety Databases, which the AHRQ runs.  Shortfalls identified in the evaluation of dashboard metrics include high treatment costs, high readmission rates, and an unhealthy staff-to-patient ratio.  A healthcare organization can face challenges such as a lack of IT resources and unsuitable IT infrastructure when meeting the Prescribed Benchmarks resulting in unreliable results. My proposed solution to address the benchmark underperformance on patient safety is increasing nursing ratios. The action will reduce incidences of missed nursing care, reduce incidences of compromised patient safety, and improve nurses’ wellbeing. 

References

Agency for Health Research and Quality. (2020, August). NPSD Dashboards. https://www.ahrq.gov/npsd/data/dashboard/index.html

Bridges, J., Griffiths, P., Oliver, E., & Pickering, R. M. (2019). Hospital nurse staffing and staff-patient interactions: an observational study. BMJ quality & safety, 28(9), 706-713. https://dx.doi.org/10.1136/bmjqs-2018-008948

Karami, M., Langarizadeh, M., & Fatehi, M. (2017). Evaluation of Effective Dashboards: Key Concepts and Criteria. The open medical informatics journal, 11, 52–57. https://doi.org/10.2174/1874431101711010052

Randell, R., Alvarado, N., McVey, L., Ruddle, R. A., Doherty, P., Gale, C., Mamas, M., & Dowding, D. (2020). Requirements for a quality dashboard: Lessons from National Clinical Audits. AMIA … Annual Symposium proceedings. AMIA Symposium, 2019, 735–744.

Weggelaar-Jansen, A., Broekharst, D., & de Bruijne, M. (2018). Developing a hospital-wide quality and safety dashboard: a qualitative research study. BMJ quality & safety, 27(12), 1000–1007. https://doi.org/10.1136/bmjqs-2018-007784