NURS 8300 Week 10: The Application of Process Improvement Models in Organizations and Systems – Part II Recommendation

NURS 8300 Week 10: The Application of Process Improvement Models in Organizations and Systems – Part II Recommendation

NURS 8300 Week 10: The Application of Process Improvement Models in Organizations and Systems – Part II Recommendation

NURS 8300 Week 10 – What separates a successful quality improvement initiative from those that fail to meet their goals? Frequently, it is the application of the process improvement model and development of a well thought-out plan of action.

This week continues the examination of how process improvement models are applied to create and sustain change at the organizational and policy level. You also consider how evidence-based practice models can be used for these same purposes.

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Learning Objectives for NURS 8300 Week 10: The Application of Process Improvement Models in Organizations and Systems – Part II Recommendation

By the end of this week, you will be able to:

• Apply evidence-based practice models to an identified clinical practice problem
• Formulate recommendations and an action plan for a quality improvement initiative

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Learning Resources OF NURS 8300 Week 10

Note: To access this week’s required library resources, please click on the link to the Course Readings List, found in the Course Materials section of your Syllabus.

Required Readings OF NURS 8300 Week 10

Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Adminisration Press.

• Chapter 14: “Leadership for Quality”
• Chapter 16: “Implementing Quality as the Core Organizational Strategy”

Baur, C. (2011). Calling the nation to act: Implementing the national action plan to improve health literacy. Nursing Outlook, 59(2), 63–69.

Note: You will access this article from the Walden Library databases.

This article describes the aspects of the National Action Plan to Improve Health Literacy. It starts by covering the background and objectives of the plan and then moves to its vision and goals.

Ferrara, L. R. (2010). Integrating evidence-based practice with educational theory in clinical practice for nurse practitioners: Bridging the theory practice gap. Research & Theory for Nursing Practice, 24(4), 213–216.

Note: You will access this article from the Walden Library databases.

The author of this article discusses using constructivist theory to teach nurse practitioner students to use evidenced-based practice. She focuses on introducing the student’s theoretical knowledge into real-life practice.

Grant, B., Colello, S., Riehle, M., & Dende, D. (2010). An evaluation of the nursing practice environment and successful change management using the new generation Magnet Model. Journal of Nursing Management, 18(3), 326–331. doi:10.1111/j.1365-2834.2010.01076.x

Note: You will access this article from the Walden Library databases.

Health care organizations have implemented the Magnet Model as a way to successfully implement practice change. This article examines the aspects of this process.

Lavoie-Tremblay, M., Bonin, J.-P., Lesage, A., Farand, L., Lavigne, G. L., & Trudel, J. (2011). Implementation of diagnosis-related mental health problems: Impact on health care providers. Health Care Manager, 30(1), 30(1): 4-14 (50 ref). doi:10.1097/HCM.0b013e3182078a95

Note: You will access this article from the Walden Library databases.

The study within this article analyzes two cases related to the implementation of diagnosis-related mental health programs.

Mark, D. D., Latimer, R. W., & Hardy, M. D. (2010). “Stars” aligned for evidence-based practice: a TriService initiative in the Pacific. Nursing Research, 59(1), S48–S57. doi:10.1097/01.NNR.0000313506.22722.53

Note: You will access this article from the Walden Library databases.

Nurses from a military health care system in Hawaii established ways to use and evaluate evidence-based practices. This article details the process and results of this collaborative effort between the Army, Air Force, and Navy.

Scobbie, L., Dixon, D., & Wyke, S. (2011). Goal setting and action planning in the rehabilitation setting: Development of a theoretically informed practice framework. Clinical Rehabilitation, 25(5), 468–482. doi:10.1177/0269215510389198

Note: You will access this article from the Walden Library databases.

In order to develop a theory-based framework for setting goals, the authors of this article use casual modeling to determine effective patient outcomes. They identifies four major components of the framework that can be used to set effective goals.

Optional Resources FOR NURS 8300 Week 10

Schifalacqua, M. M., Mamula, J., & Mason, A. R. (2011). Return on investment imperative: the cost of care calculator for an evidence-based practice program. Nursing Administration Quarterly, 35(1), 15–20.

NURS 8300 Week 10 Discussion: Welcome to the Week 10 Small Group Discussion Area!

Note: Week 10 is a group assignment. Last week, you explored key factors that contribute to patient safety challenges using root cause analysis. This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

Week 10 is a group assignment. Last week, you explored key factors that contribute to patient safety challenges using root cause analysis. This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

To prepare:

Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535

Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15.

We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. As a group: FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to the group, and which would ultimately contribute to an evidence based practice.

The discussion assignment:

ANSWER the following discussion questions as a group: (as a team, post your responses by Sunday at midnight). Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.

Each member of the team must participate (weekly rules for discussion) on the group discussion board in order to get full credit.

Discussion questions:

• What was the purpose of the research?
• Identify the independent and dependent variables in the study.
• Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.
• Briefly summarize study findings, conclusions and recommendations. Do you agree with these?
• As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?

By Day 3

Post your team’s answers in the form of a main post on your group discussion board. Each member of the group must participate in week 10 in order to receive the grade.

Submission and Grading Information

Grading Criteria

To access your rubric:

Week 10 Discussion Rubric

Post by Day 3 and Respond by Day 7

To participate in this Discussion:

Groups Area

Assignment: IHI School Modules

By Week 9 you should have completed 13 IHI Open School Modules.

There is nothing to submit this week.

Week in Review

This week you applied evidence-based practice models to an identified clinical practice problem and formulated recommendations and an action plan for a quality improvement initiative. In the final week you will appraise measurement mechanisms to evaluate change in organizations and systems, and evaluate the success of quality improvement initiatives in terms of sustainability. Additionally, you will engage in self-assessment and reflection to evaluate your own leadership skills and preferences.