This assignment should be preparatory work for your practice improvement paper and class presentation (it must be submitted to faculty for approval).

nursing

Constant change in the health care delivery system requires nurses to be flexible in their role. Flexibility is the key to success during periods of change. Professional nurses need to open themselves up to a variety of ideas in order to arrive at a perspective of health care that enhances the practice of nursing. Fundamental to this concept is the ability to work in teams. No single individual can know everything that is required for practice today, and so the team becomes the focus. The Institute of Medicine emphasizes that teams improve skills, communication, participation, and effectiveness and includes use of inter-professional teams as one of the key five core health care professions competencies. Teams play a critical role in ensuring integration and coordination of care for patients.

Part 1: To begin the EBP quality improvement project group members will select a problem within the group that is common to all students. This one-page topic proposal should include the problem that you are working on, what are you trying to improve? Why did your group select this problem? The goal for the practice improvement project should be to “tell the story” of your improvement project. This is the first page of your group final presentation paper. This assignment should be preparatory work for your practice improvement paper and class presentation (it must be submitted to faculty for approval).

Part 2: This is a formal 10-12 page paper on your EBP practice improvement project. This assignment requires the use of evidence based references. Proper APA format and citation is expected for this assignment (See directions and rubrics).

Part 3: The group presentation will cover the topic of interest chosen for the practice improvement paper. Each group will prepare and present a PowerPoint poster. See the following video for directions “How to Create a Scientific Poster in PowerPoint”

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The definition of “health” includesabsence of illness.physical fitness.mental and social well-being.

Question 12 points Save The definition of “health” includesabsence of illness.physical fitness.mental and social well-being.all of theseQuestion 22 points Save In the early 1900s, the leading causes of death in the United States wereaccidents.infectious diseases.chronic diseases.natural disasters.Question 32 points Save In 1947, the ________ clarified that “health is the state of complete physical, mental and social well being, not just the absence of disease or infirmity.”U.S. Department of Health ServicesInternational Health, Education, and Welfare AssociationWorld Health OrganizationUnited NationsQuestion 42 points Save Wellness is best defined asa static process.a dynamic process.one dimensional.unrelated to one’s environment.Question 52 points Save Life expectancy in the United States has increased significantly since the early 1900s because ofless war and violence.better advances in sanitation and medical care.a more diverse population.globalization issues.Question 62 points Save Today’s major health issues and leading causes of death are primarily influenced bythe physical environment.access to health care.genetics and family history.behavior and lifestyles.Question 72 points Save The dimensions of physical health include all of the following except:activities of daily living.ability to think clearly.body shape and size.sensory acuity.Question 82 points Save Mortality statistics describeillness rates.accident rates.chronic disease rates.death rates.Question 92 points Save Jill has many friends, is respected by her co-workers, and maintains a great relationship with her boyfriend. Her ability to interact with others is an example of this dimension of health.socialintellectualemotionalphysicalQuestion 102 points Save Efficacy, trust, love, self-esteem, and self confidence are all part of which dimension of health?socialintellectualphysicalemotionalQuestion 112 points Save Spiritual health could best be described asexclusive to religiosity.optional for achieving wellness.related to one’s purpose in life.finding fulfilling relationships.Question 122 points Save Emotional health can best be described asbeing able to be self-sufficient and self confident.being able to problem solve emotional problems.being able to express as well as control feelings.being able to adapt to various social situations.Question 132 points Save In 1990, the U.S. Surgeon General proposed a plan for promoting the health status of individuals and groups. Today, the plan has evolved intoHealthy People 2010.The Nation’s Health Report.U.S. News & World Report.Morbidity and Mortality Report.Question 142 points Save Health promotioninvolves social justice aimed at health care for all Americans.refers to informational campaigns about health.includes organizational and financial supports to promote health.focuses on curing illness and disease.Question 152 points Save Behaviors that increase susceptibility to negative health outcomes arecues to action.risk behaviors.precipitating behavioral factors.reinforcing positive behaviors.Question 162 points Save Effective health promotion programsonly look to change negative behaviors.are primarily educational.encourage those with sound health habits to maintain them.can’t do much to change health related individual attitudes.Question 172 points Save Taking positive action now to avoid becoming sick later is known ashealth intervention.prevention.tertiary care.attitude adjustment.Question 182 points Save An example of secondary prevention isreceiving the flu vaccine.flossing your teeth.practicing safe sex.joining a smoking cessation program.Question 192 points Save Health education for elementary school students is best described as which of the following levels of prevention?primarysecondarytertiaryinitialQuestion 202 points Save An exercise and healthy eating plan to recover from coronary bypass surgery is an example ofhealth promotion.secondary prevention.tertiary prevention.primary prevention.Question 212 points Save Recognition of tobacco as a health hazard isnot yet established by science.only true for people who smoke.one of the ten greatest public health achievements of the twentieth century.only important for young people.Question 222 points Save Clean, safe, water and improved sanitation have contributed tocontrol of infectious disease.better governmental social control.better studies of the population’s drinking habits.cancer causing microorganisms.Question 232 points Save The number of new cases of an illness each year is referred to asprevalence.incidence.mortality.morbidity.Question 242 points Save The usual number of cases of an illness occurring in the United States would be reported as theprevalence.incidence.mortality.morbidity.Question 252 points Save One reason women have not been included in clinical drug trials isbecause two separate trials for men and women would be needed.concern about how a medication would affect a fetus or childbearing capabilities.problems with recruiting women to be involved with the studies.women tend to drop out of studies.Question 262 points Save The Women’s Health Initiative is a study focusing onthe health of women of all ages.the leading causes of death for young women.the leading causes of death for postmenopausal women.the disease rates in women of all ages.Question 272 points Save The first leading cause of death for young adults (ages 15-24) in the United States isunintentional injuries.homicide.suicide.cancer.Question 282 points Save The leading cause of death for Americans isaccidents.cancer.heart disease.suicide.Question 292 points Save Factors that may add “life to your years” includecontrolling stress.viewing mistakes as an opportunity to grow.maintaining relationships with family and friends.all of theseQuestion 302 points Save Life experiences, knowledge, family background, beliefs, and values are examples ofenabling factors.reinforcing factors.motivational factors.predisposing factors.Question 312 points Save Leisa grew up in a physically active family. Now that Leisa lives on her own, they continually check on her to see if she is exercising and praise her for joining a fitness club. This is an example ofa predisposing factor.a confirming factor.a reinforcing factor.an enabling factor.Question 322 points Save A high membership cost at a local gym might serve as aprimary motivator.positive enabler.secondary motivator.negative enabler.Question 332 points Save A good example of an enabling factor isliving near a walking path when you want to begin a walking program.nagging your parents because they smoke.encouraging your spouse to go to the fitness club with you.having friends who exercise.Question 342 points Save Actions that increase susceptibility to negative health outcomes arehealth promotion activities.disease prevention activities.exposure factors.risk behaviors.Question 352 points Save An adolescent smoker might think lung cancer only happens to old people. This is an example of which construct of the Health Belief Model?perceived seriousnessperceived susceptibilitycues to actiondemographic variablesQuestion 362 points Save A stable set of beliefs and feelings isa belief.an attitude.motivation.a conviction.Question 372 points Save Observing a friend’s successful attempts to quit smoking in order to help yourself quit smoking is an example ofconforming.shaping.envy.modeling.Question 382 points Save According to the Theory of Planned Behavior, subjective normsare not linked to our behavioral intentions.can have a strong positive or negative impact on our behavioral intentions.comprise what we think about the effects of our actions.relate to our beliefs about the constraints on our behaviors.Question 392 points Save When applying the strategy of shaping to behavior change, one shouldset very demanding goals for oneself.only reward oneself when reaching the main goal.use small achievable steps.expect this strategy to provide immediate success.Question 402 points Save Going out for dinner as a reward for finishing a big project is an example of a(n) ________ type of reinforcer.activitypossessionalconsumablesocialQuestion 412 points Save Lower health insurance rates for non-smokers is an example of a/an ________ type of reinforcer.possessionalmanipulativesocialactivityQuestion 422 points Save Not allowing yourself to think about getting stage fright and only focusing on the words when preparing to do a speech would be an example ofrational emotive therapy.blocking/thought stopping.self-instruction.self-threats.Question 432 points Save All of the following would be good advice for changing a behavior except:Understand your behavior.Make several major changes at the same time.Build in support and reinforcement.Plan for setbacks.Question 442 points Save When analyzing personal behavior, consider all of the following except:the frequency of the problem behavior.what your partner thinks of your behavior.the duration of the behavior.your perceived seriousness of the problem behavior.Question 452 points Save In order to change problem behaviorsset realistic goals.try to change all negative behaviors at the same time.have a counselor decide which behavior to work on.consider the possible negative outcomes.it will cost money.Question 462 points Save Many athletes use this strategy to visualize attainment of goals.coachingimagined rehearsalathletic imageryvicarious performanceQuestion 472 points Save A strategy for overcoming the obstacle of stress could includeseeking emotional support.identifying sources of stress.finding constructive ways to deal with stress.all of theseQuestion 483 points Save When setting realistic goals, considerif the behavior change is attainable.the potential outcomes.services that may be of help in achieving the goal.all of theseQuestion 493 points Save Rational-emotive therapy principles applied to behavior change includeshaping.self-talk.punishment.enabling.

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Nursing Quantitative Matrix

Nursing Quantitative Matrix

ARTICLE TO USE: Rowley, B., Kerr, M., Van Poperin, J., Everett, C., Stommel, M., & Lehto, R. H. (2015). Perioperative warming in surgical patients: A comparison of interventions. Clinical Nursing Research, 24(4), 432-441.

In this assignment, the student will read the quantitative study provided and complete a methodologic matrix utilizing the format presented below placing the information in the matrix.

1. Complete the quantitative methodologic matrix below utilizing the heading presented.

2.Information should be in bulleted format, not narrative paragraphs.

3.Include a title page and reference page.

4.The quantitative methodologic matrix should be in landscape page design whereas the title page and reference should be in portrait page design. Complete in Microsoft Word 

5.APA format is required (attention to spelling/grammar, a title page, and reference page). The assignment does not require an introduction, purpose statement, or conclusion. 

Quantitative Methodologic Matrix

Quantitative Matrix Grading Rubric

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convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced.

Capstone Project Milestone 2: Design for Change Proposal Guidelines PURPOSE You are to create a Design for Change proposal inclusive of your Practice Issue and Evidence Summary worksheet from your Capstone Project Milestone 1. Your plan is to convince your management team of a nursing problem you have uncovered and you feel is significant enough to change the way something is currently practiced. In the event you are not currently working as a nurse, please use a hypothetical clinical situation you experienced in nursing school, or nursing education issue you identified in your nursing program. COURSE OUTCOMES This assignment enables the student to meet the following course outcomes. • CO1: Applies the theories and principles of nursing and related disciplines to individuals, families, aggregates, and communities from entry to the healthcare system through long-term planning. (PO #1) • CO2: Proposes leadership and collaboration strategies for use with consumers and other healthcare providers in managing care and/or delegating responsibilities for health promotion, illness prevention, health restoration and maintenance, and rehabilitative activities. (PO #2) DUE DATE Milestone 2 consists of the proposal for your Design for Change Capstone Project. Submit this assignment to the Dropbox by the end of Week 4. POINTS Milestone 2 is worth 225 points. DIRECTIONS 1. Create a proposal for your Design for Change Capstone Project. Open the NR451_Milestone2_Design_Proposal_ template in Course Resources to create your paper. You will include the information from Milestone 1, your practice issue and evidence summary worksheets, as you compose this proposal. Your plan is to convince your management team of a practice problem you have uncovered that is significant enough to change current practice. 2. The format for this proposal will be a paper following the Publication manual of APA 6th edition. 3. The paper is to be four- to six-pages excluding the Title page and Reference page. 4. As you organize your information and evidence, include the following topics. a. Introduction:Write an introduction but do not use “Introduction” as a heading in accordance with the rules put forth in the Publication manual of the American Psychological Association (2010, p. 63). Introduce the reader to the plan with evidence-based problem identification and solution. b. Change Model Overview: Overview of the ACE Star model (the model we have been discussing this session); define the scope of the EBP; identify the stakeholders, and determine the responsibility of the team members. c. Evidence: Conduct internal and external searches of evidence; integrate and summarize the evidence summary worksheet from Milestone 1; develop a recommendation for change. d. Translation: develop a hypothetical action plan; include measurable outcomes, reporting to stakeholders; identify next steps and disseminate the findings. e. Conclusion: Provide a clear and concise summary, inclusive of the problem issue, the five points of the ACE Star change model; and ways to maintain the change plan. 5. Citations and Referencesmust be included to support the information within each topic area. Refer to the APA manual, Chapter 7, for examples of proper reference format. In-text citations are to be noted for all information contained in your paper that is not your original idea or thought. Ask yourself, “How do I know this?” and then cite the source. Scholarly sources are expected, which means using peer-reviewed journals and credible websites. 6. Tables and Figures may be added as appropriate to the project. They should be embedded within the body of the paper (see your APA manual for how to format and cite). Creating tables and figures offers visual aids to the reader and enhances understanding of your literature review and design for change. Your title here This paragraph(s) is to introduce the paper. State the problem and potential solutions backed by evidence. Briefly, introduce the nursing focused plan. Remember this is a scholarly APA assignment so you cannot use first person. Remember also that you will keep all the bolded headings and just remove the non-bolded content when you start your paper. Change Model Overview In this first paragraph, provide an overview of the ACE Star model Evidence-Based Practice Process. Feel free to state why nurses should use this model as a guide to facilitate change. Under each of the second level headers listed below, you now link your identified topic to the ACE Star model EBP Process. Define the Scope of the EBP Restate your practice issue. Why is this a problem? Give basic statistics and information to back the scope of the problem at your facility/work area. How does this problem impact healthcare on a broader scale? Stakeholders You will be the leader of the team since this is your project. Who will you also include in your team? Make sure you choose relevant stakeholders. You should have no more than eight members. Do not list your team members by name but instead by position (pharmacists, charge nurse, etc.). Determine Responsibility of Team Members Why are the members chosen important to your project? What are their roles? Evidence Conduct internal/external search for evidence. What type of evidence did you find in addition to you Evidence Summary? EBP guidelines? Quality improvement data? Position statements? Clinical Practice Guidelines? Briefly discuss the strength of this research. This is not where you describe the results of your studies. This is done in the following steps. Summarize the Evidence In this section, you need to synthesize the information from the systematic review article. What are some of the evidence-based interventions you discovered in your Evidence Summary that do you plan to use?Be sure and cite all of your references, in proper APA format, from any and all articles into this one paragraph. Develop Recommendations for ChangeBased on Evidence What is your recommendation based on the research? Ideally, you will have found enough support in your evidence to proceed with implementing your pilot program. Translation Action Plan You have not implemented your project yet, therefore, this section will be hypothetical. Develop your plan for implementation. What are the specific steps you will take to implement your pilot study? What is the timeline for your plan? Make sure you include a plan for evaluation of outcomes and method to report the results. Process, Outcomes Evaluation and Reporting What are the desired outcomes? How will they be measured? How will you report the results to the key stakeholders? Identify Next Steps How will you implement the plan on a larger scale? Will this be applicable to other units or the facility as a whole? What will you do to ensure that the implementation becomes permanent? Disseminate Findings How will you communicate your findings internally (within your organization) and externally (to others outside of your organization)? Conclusion Provide a clear and concise summary. Review the key aspects of the problem as well as the change model. Be sure to include important aspects of the five points of the ACE Star change model EBP process and ways to maintain the change plan.

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RESEARCH DIFFERENT CODES OF ETHICS FOR ANY TWO GROUPS OF HEALTHCARE PROFESSIONALS.

Codes of Ethics

In the healthcare field, different groups of healthcare professionals adhere to their own codes of ethics. All healthcare professionals are duty-bound to follow a strict code of ethics. This has been true since the fourth or fifth century, when the Hippocratic Oath was penned. While the code has changed with the times, the code of ethics still dictates a commitment both to patients and to other healthcare professionals.

Using  the Internet, create a paper and respond to the following questions in a 2pages Microsoft Word document:

  • Research two different codes of ethics for any two groups of healthcare professionals. You can research groups, such as nurses, physicians, and allied health professionals.
  • Compare and contrast the codes of ethics. What are the major similarities between the two codes and what are the major differences?
  • Consider the issue of how to triage patients in times when hospitals are overwhelmed as a result of a disaster situation. Use the codes of ethics from each of your two selected groups to explain how the dilemma could be resolved while adhering to the group’s codes of ethics.
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Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

Learning Resources

Required Readings

McGonigle, D., & Mastrian, K. G. (2017). Nursing informatics and the foundation of knowledge (4th ed.). Burlington, MA: Jones & Bartlett Learning.

  • Chapter 25, “The Art of      Caring in Technology-Laden Environments” (pp. 525–535)
  • Chapter 26, “Nursing Informatics and the      Foundation of Knowledge” (pp. 537–551)

American Nurses Association. (2018). Inclusion of recognized terminologies supporting nursing practice within electronic health records and other health information technology solutions. Retrieved from https://www.nursingworld.org/practice-policy/nursing-excellence/official-position-statements/id/Inclusion-of-Recognized-Terminologies-Supporting-Nursing-Practice-within-Electronic-Health-Records/

Glassman, K. S. (2017). Using data in nursing practice. American Nurse Today, 12(11), 45–47. Retrieved from https://www.americannursetoday.com/wp-content/uploads/2017/11/ant11-Data-1030.pdf 

Macieria, T. G. R., Smith, M. B., Davis, N., Yao, Y., Wilkie, D. J., Lopez, K. D., & Keenan, G. (2017). Evidence of progress in making nursing practice visible using standardized nursing data: A systematic review. AMIA Annual Symposium Proceedings, 2017, 1205–1214. Retrieved from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5977718/

Office of the National Coordinator for Health Information Technology. (2017). Standard nursing terminologies: A landscape analysis. Retrieved from https://www.healthit.gov/sites/default/files/snt_final_05302017.pdf 

Rutherford, M. A. (2008). Standardized nursing language: What does it mean for nursing practice? Online Journal of Issues in Nursing, 13(1), 1–12. doi:10.3912/OJIN.Vol13No01PPT05. 

Thew, J. (2016, April 19). Big data means big potential, challenges for nurse execs. Retrieved from https://www.healthleadersmedia.com/nursing/big-data-means-big-potential-challenges-nurse-execs

Wang, Y. Kung, L., & Byrd, T. A. (2018). Big data analytics: Understanding its capabilities and potential benefits for healthcare organizations. Technological Forecasting and Social Change, 126(1), 3–13. doi:10.1016/j.techfore.2015.12.019. 

Required Media

Laureate Education (Executive Producer). (2012). Data, information, knowledge and wisdom continuum [Multimedia file]. Baltimore, MD: Author. Retrieved from http://mym.cdn.laureate-media.com/2dett4d/Walden/NURS/6051/03/mm/continuum/index.html

Public Health Informatics Institute. (2017). Public Health Informatics: “shipping” information for better health [Video file]. Retrieved from https://www.youtube.com/watch?v=q1gNQ9dm0zg.

Public Health Informatics Institute. (2017). Public Health Informatics: knowledge “architecture” [Video file]. Retrieved from https://www.youtube.com/watch?v=sofmUeQkMLU.

Assignment: The Impact of Nursing Informatics on Patient Outcomes and Patient Care Efficiencies

In the Discussion for this module, you considered the interaction of nurse informaticists with other specialists to ensure successful care. How is that success determined?

Patient outcomes and the fulfillment of care goals is one of the major ways that healthcare success is measured. Measuring patient outcomes results in the generation of data that can be used to improve results. Nursing informatics can have a significant part in this process and can help to improve outcomes by improving processes, identifying at-risk patients, and enhancing efficiency.

To Prepare:

· Review the concepts of technology application as presented in the Resources.

· Reflect on how emerging technologies such as artificial intelligence may help fortify nursing informatics as a specialty by leading to increased impact on patient outcomes or patient care efficiencies.

The Assignment: (4-5 pages)

In a 4- to 5-page project proposal written to the leadership of your healthcare organization, propose a nursing informatics project for your organization that you advocate to improve patient outcomes or patient-care efficiency. Your project proposal should include the following:

· Describe the project you propose.

· Identify the stakeholders impacted by this project.

· Explain the patient outcome(s) or patient-care efficiencies this project is aimed at improving and explain how this improvement would occur. Be specific and provide examples.

· Identify the technologies required to implement this project and explain why.

· Identify the project team (by roles) and explain how you would incorporate the nurse informaticist in the project team.

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Concept Analysis of Caring in Nursing

QUESTION

Concept Analysis of Caring in Nursing

The Assignment will focus solely upon the discipline of nursing with the inclusion of nursing scholarly sources to substantiate the literature review. Locate evidenced-based articles (based on research studies in nursing) that use the concept or discuss the concept. Please confer with your instructor if you are not sure about your concepts or sources. For this paper you will: Identify the concept and purpose for studying the concept. Describe reasons for this concept being of interest to nursing and its body of knowledge. Define the attributes of the concept and relevant uses. Provide a summary of the concept as described in each article with examples of how the term was defined. Provide the theoretical and operational definition of the concept based on the review of literature. (Theoretical is pure definition and operational is how it is used in practice.) Apply the concept as it relates to your practice and how you will use this concept in the future. My prctice is a CLinical Transplant Coordinator for Kidney and pancreas. Describe the value of these concept analyses to your understanding of nursing knowledge.

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THE FACTORS THAT DETERMINE YOUR HEALTH ARE MULTIFACETED, RANGING FROM AGE, SEX, AND GENETIC MAKEUP TO SOCIOECONOMIC, CULTURAL, AND ENVIRONMENTAL CONDITIONS.

The factors that determine your health are multifaceted, ranging from age, sex, and genetic makeup to socioeconomic, cultural, and environmental conditions. This week’s Discussion will give you the opportunity to explore these factors further.

To prepare review the weekly readings on social determinants of health and then visit the Healthy People 2020 website (http://www.healthypeople.gov.) Explore the Leading Health Indicators described on the Healthy People website. Then, select one social determinant and one Leading Health Indicator to analyze for this week’s Discussion.

post a comprehensive response to the following questions as they relate to your selected determinant and Leading Health Indicator. Be sure to identify the determinant in the beginning of your posting to your peers.

  • In what ways can your select social determinant influence one of the Leading Health Indicators described on the HealthyPeople.gov site? For example, if you choose the Leading Indicator of oral health care, how might the social determinant of socio-economic status impact one’s oral health?
  • How do you know this? Summarize the evidence through effective paraphrasing and reference your sources at the end of your post.
  • Has the social determinant you chose for this Discussion impacted how you, a friend, or a family member received health care in the past? What was the impact?

Note: Before you post your written response, review the Writing and Library Skills Resource Guide for information pertaining to searching the Walden library databases, effective paraphrasing, using evidence to support written statements, and preparing a reference list. Apply what you’ve learned about paraphrasing and demonstrate your ability to summarize content from the readings in your own words. Also, practice supporting your statements with your readings for this week. Provide a list of references at the end of your post.

resources:

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Quality Improvement Milestones

Throughout history, major events have influenced quality improvement efforts in health care. For example, the Institute of Medicine’s report To Err is Human: Building a Safer Health System revealed statistics about errors in patient safety that result in thousands of deaths annually. Health care providers must be cognizant of the purpose and philosophy of quality improvement efforts as they lead the charge for improving health outcomes and patient safety. This Discussion is intended to help you understand how various developments have shaped contemporary perspectives and approaches to promoting health care quality.

By tomorrow 11/28/17, write a minimum of 550 words essay in APA format with 3 references from the list below which addresses the level one headings as numbered below:

Post a cohesive scholarly response that addresses the following:

When “To Err is Human” was published in 1999, it marked an important milestone in Quality Improvement Science.

1) Analyze how this milestone has influenced the health care delivery system and nursing practice.

2) Provide an example from your own work history and experience as to how the patient safety movement has affected your practice. 

Required Readings

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

  • Chapter      1: “Healthcare Quality and the Patient”
  • Chapter      2: “Basic Concepts of Healthcare Quality”

Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health system. Washington, D.C.: National Academy Press. 

Executive summary: Released in 1999, this groundbreaking report provides the rationale for implementing comprehensive improvements in patient safety, an important subset of health care quality. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Institute of Medicine, Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. 

Executive summary: This report was published by the Institute of Medicine in 2001 to highlight the significant gap between the state of health care quality and where it should be. The report draws attention to the need to improve the U.S. health care delivery system as a whole, and identifies six areas for improvement: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Although only the executive summary is required this week, you are strongly encouraged to read additional sections of this report as you proceed through the course.

Wachter, R. M. (2010). Patient safety at ten: Unmistakable progress, troubling gaps. Health Affairs, 29(1), 165–173.

This article presents an analysis of progress in patient safety since the publication of the IOM report, To Err is Human. As you read this article, evaluate the author’s critique, and consider recent developments that continue to shape patient safety efforts in health care.

Required Media

Laureate Education, Inc. (Executive Producer). (2011). Organizational and systems leadership for quality improvement: Concepts of quality and patient safety. Baltimore: Author. 

This video examines the recent history of the quality improvement movement, including two pivotal IOM reports, To Err is Human and Crossing the Quality Chasm. Dr. Donald Berwick introduces six dimensions of quality: safety, effectiveness, patient-centeredness, timeliness, efficiency, and equity. Other topics addressed include transparency, the prevention of adverse events, and the usefulness of international comparisons for quality assessment and improvement.

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Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

Nursing homework

In 1,000-1,500 words, provide a description of the methods to be used to implement the proposed solution. Include the following:

  1. Describe the setting and access to potential subjects. If there is a need for a consent or approval form, then one must be created. Although you will not be submitting the consent or approval forms in Topic 5 with the narrative, you will include the consent or approval forms in the appendices for the final paper.
  2. Describe the amount of time needed to complete this project. Create a timeline. Make sure the timeline is general enough that it can be implemented at any date. Although you will not be submitting the timeline in Topic 5 with the narrative, you will include the timeline in the appendices for the final paper.
  3. Describe the resources (human, fiscal, and other) or changes needed in the implementation of the solution. Consider the clinical tools or process changes that would need to take place. Provide a resource list. Although you will not be submitting the resource list in Topic 5 with the narrative, you will include the resource list in the appendices for the final paper.
  4. Describe the methods and instruments, such as a questionnaire, scale, or test to be used for monitoring the implementation of the proposed solution. Develop the instruments. Although you will not be submitting the individual instruments in Topic 5 with the narrative, you will include the instruments in the appendices for the final paper.
  5. Explain the process for delivering the (intervention) solution and indicate if any training will be needed.
  6. Provide an outline of the data collection plan. Describe how data management will be maintained and by whom. Furthermore, provide an explanation of how the data analysis and interpretation process will be conducted. Develop the data collection tools that will be needed. Although you will not be submitting the data collection tools in Topic 5 with the narrative, you will include the data collection tools in the appendices for the final paper.
  7. Describe the strategies to deal with the management of any barriers, facilitators, and challenges.
  8. Establish the feasibility of the implementation plan. Address the costs for personnel, consumable supplies, equipment (if not provided by the institute), computer-related costs (librarian consultation, database access, etc.), and other costs (travel, presentation development). Make sure to provide a brief rationale for each. Develop a budget plan. Although you will not be submitting the budget plan in Topic 5 with the narrative, you will include the budget plan in the appendices for the final paper.
  9. Describe the plans to maintain, extend, revise, and discontinue a proposed solution after implementation.

You are required to cite five to 10 sources to complete this assignment. Sources must be published within the last 5 years and appropriate for the assignment criteria and nursing content.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.

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