Order Now
Item account not registered or doesn't have a view.php file.

Assignment: Safety improvement plan.

Assignment: Safety improvement plan.

ORDER CUSTOM, PLAGIARISM-FREE PAPERS HERE Assignment: Safety improvement plan.

  • For this assessment, you will develop an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016).You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

    DEMONSTRATION OF PROFICIENCY

    By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

    • Competency 1: Analyze the elements of a successful quality improvement initiative.
      • Analyze the usefulness of resources to role group responsible for implementing quality and safety improvements.
    • Competency 2: Analyze factors that lead to patient safety risks.
      • Analyze the value of resources to reduce patient safety risk or improve quality.
    • Competency 3: Identify organizational interventions to promote patient safety.
      • Identify necessary resources to support the implementation and sustainability of a safety improvement initiative.
    • Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.
      • Present compelling reasons and relevant situations for resource tool kit to be used by its target audience.
      • Communicate in a clear, logically structured, and professional manner, using current APA style and formatting.
    References

    Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342.Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7.

    PROFESSIONAL CONTEXT

    Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you.

    SCENARIO

    For this assessment, consider taking one of these two approaches:

    1. Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan and put the plan into action.
    2. Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action.

    PREPARATION

    Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu.Refer to the following links to help you get started with Google Sites:

    INSTRUCTIONS

    Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.Following the recommended scheme, you would collect 3 resources on average for each of the 4 categories. Each resource listing should include the following:Assignment: Safety improvement plan.

    • An APA-formatted citation of the resource with a working link.
    • A description of the information, skills, or tools provided by the resource.
    • A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.
    • A description of how nurses can use this resource and when its use may be appropriate.

    Remember that you must make your site ‘public’ so that your faculty can access it. Check out the Google Sites resources for more information.Here is an example entry:

    • Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29. Retrieved from www.canadian-nurse.com/articles/issues/2011/octobe…
      • This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting.Assignment: Safety improvement plan.

    Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score.

    • Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative.
    • Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
    • Analyze the value of resources to reduce patient safety risk.
    • Present compelling reasons and relevant situations for use of resource tool kit by its target audience.
    • Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting.

    Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like for an annotated bibliography. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

    To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.Example Google Site: You may use the example Google Site, Resources for Safety and Improvement Measures in Geropsychiatric Care, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assignment. Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.Assignment: Safety improvement plan.

    Additional Requirements

    • APA formatting: References and citations are formatted according to current APA style

    Note: Your instructor may also use the Writing Feedback Tool to provide feedback on your writing. In the tool, click the linked resources for helpful writing information.Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course.

  • SCORING GUIDE

    Use the scoring guide to understand how your assessment will be evaluated.Assignment: Safety improvement plan.

 

scoring_guide_and_resurces_4.docx
assessment__4_example.docx

Unformatted Attachment Preview

Improvement Plan Tool Kit Scoring Guide CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHE D Identify necessary resources to support the implementatio n and sustainability of a safety improvement initiative. Does not identify necessary resources to support the implementatio n and sustainability of a safety improvement initiative. Identifies resources, but the necessity or support for the safety improvement initiative is unclear. Identifies necessary resources to support the implementatio n and sustainability of a safety improvement initiative. Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative. Organizes resources logically for ease of use. Analyze usefulness of resources for role group responsible for implementing quality and safety improvements . Does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements. Summarizes but does not analyze usefulness of resources for role group responsible for implementing quality and safety improvements . Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements . Analyzes usefulness of resources for role group responsible for implementing quality and safety improvements. Provides specific examples of utility in the context of a specific health care setting. Analyze the value of resources to reduce patient safety risk or Does not analyze the value of resources to reduce patient safety risk or Describes resources to reduce patient safety risk or improve quality. Analyzes the value of resources to reduce patient safety risk or improve quality. Analyzes the value of resources to reduce patient safety risk or improve quality, CRITERIA NONPERFORMANC E BASIC PROFICIENT DISTINGUISHE D improve quality. improve quality.
Present compelling reasons and relevant situations for resource tool kit use by its target audience. Does not present compelling reasons and relevant situations for resource tool kit use by its target audience. Lists reasons or situations for resource tool kit use, but they are not compelling or their relevance to the target audience is unclear. Presents compelling reasons and relevant situations for resource tool kit use by its target audience Uses persuasive, engaging language to present compelling reasons and relevant situations for resource tool kit use by its target audience. Communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting. Does not communicate resource tool kit in a clear, logically structured, and professional manner that applies current APA style and formatting. Communicate s online resource kit using a Google Sites in an unclear and disorganized structure and unprofessiona l manner. Communicate s resource tool kit in a Word doc in a clear, logically structured, and professional manner that applies flawless, current APA style and formatting. Communicates online resource tool kit using a Google Sites in a clear and organized structure, and professional manner that applies flawless, current APA style and formatting throughout. Resources: identifying those that may be most valuable for reducing patient safety risk or improving quality.Assignment: Safety improvement plan.
• Collaboration and Teamwork • Chard, R., & Makary, M. A. (2015). Transfer-ofcare communication: Nursing best practices. AORN Journal, 102(4), 329–342. Consider applying some of the communications best practices highlighted in this article to how you communicate your tool kit. Dietz, A. S., Pronovost, P. J., Mendez-Tellez, P., Wyskiel, R., Marsteller, J. A., Thompson, D. A., & Rosen, M. A. (2014). A systematic review of teamwork in the intensive care unit: What do we know about teamwork, team tasks, and improvement strategies? Journal of Critical Care, 29(6), 908–914. The authors discuss best practices related to teamwork and team improvement, some of which may help you think about how best to present the information in your tool kit. Kalisch, B. J., Aebersold, M., McLaughlin, M., Tschannen, D., & Lane, S. (2015). An intervention to improve nursing teamwork using virtual simulation. Western Journal of Nursing Research, 37(2), 164–179. This article presents a feasibility study for use of a simulation to improve teamwork among nursing staff. o • o • o Click the linked title above, Determining the Relevance and Usefulness of Resources to complete this formative activity, which will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. This is for your own practice and selfassessment. • • Building Professional Efficacy and Visibility o Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7. This editorial urges nurses to be active contributors to ongoing research, journals, blogs, and other outlets to increase visibility of their valuable perspectives on health care. • Evaluating Resources • o • o • • o The Library of Congress. (n.d.). Evaluating Internet resources: An annotated guide to selected resources. Retrieved from https://www.loc.gov/rr/business/beonline/select bib.html This Web page collects resources related to evaluating the reliability and relevance of information from electronic sources. The format of this page may also be a helpful model for the resource list you are assembling. Think Critically About Source Quality. This Capella University Library guide offers a method to help you determine which resources to include in your tool kit. Capella Writing Center Introduction to the Writing Center. Access the various resources in the Capella Writing Center to help you better understand and improve your writing. APA Style and Format • Capella University follows the style and formatting guidelines in the Publication Manual of the American Psychological Association, known informally as the APA manual. Refer to the Writing Center’s APA Module for tips on proper use of APA style and format.Assignment: Safety improvement plan.
Capella University Library • o BSN Program Library Research Guide. The library research guide will be useful in guiding you through the Capella University Library, offering tips for searching the literature and other references for your assessments. Running head: IMPROVEMENT PLAN TOOL KIT 1 Improvement Plan Tool Kit Learner’s Name Capella University Improving Quality of Care and Patient Safety Improvement Plan Tool Kit April, 2019 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 2 Improvement Plan Tool Kit This improvement plan tool kit aims to enable nurses to implement and sustain safety improvement measures in health care settings in a geropsychiatric unit. The tool kit has been organized into four categories with three annotated sources each. The categories are as follows: general organizational safety and quality best practices, environmental safety and quality risks, staff-led preventive strategies, and best practices for reporting and improving environmental safety issues. Assignment: Safety improvement plan.Annotated Bibliography General Organizational Safety and Quality Best Practices Sherwood, G., & Horton-Deutsch, S. (2015). Reflective organizations: On the front lines of QSEN and reflective practice implementation. Retrieved from https://ebookcentral- proquestcom.library.capella.edu/lib/capella/detail.action?docID=3440207# This e-book presents the paradigm shift required for organizations to provide QSEN (quality and safety education to nurses). It provides readers with the innovative pedagogical approaches required to change traditional content-based health care education methods to interactive methods that engage learners. These approaches include facilitative teaching, visual thinking strategies, creating a presence that is authentic, and meaningful learning through debriefing. Concrete examples in the resource demonstrate the application of reflective learning. Additionally, the reflective questions in the resource guide readers to evaluate their own practice, either independently or in groups, to implement formal education programs with a focus on selfimprovement. The resource prepares nursing students for advanced competency, Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
IMPROVEMENT PLAN TOOL KIT 3 which will help them adopt reflective thinking, develop a safety culture, and therefore qualitatively improve practices in critical health units such as geropsychiatry units. Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016). A unit-level perspective on the long-term sustainability of a nursing best practice guidelines program: An embedded multiple case study. International Journal of Nursing Studies, 53, 204–218. https://doi.org/10.1016/j.ijnurstu.2015.09.004 This article helps analyze the sustainability of a best practice guidelines program implemented in acute health care settings. The sustainability of the program was characterized by the following: benefits for patients as the rate of incidence of falls reduced; routinization of best practices as the team’s adherence to guidelines improved; and, in the long term, the development of the team’s adaptability to changes in circumstances that threatened the program. Seven key factors that accounted for the sustainability of the program were also identified. The source explains how relationships between the characteristics of sustainability (benefits, routinization, and development) and the seven key factors contributed toward the sustainability of the improvement program. This source is valuable for nursing students as it helps them understand how safety programs can be sustained to ensure the long-term reduction of the incidence of sentinel events in geropsychiatric units. Kossaify, A., Hleihel, W., & Lahoud, J.-C. (2017). Team-based efforts to improve quality of care, the fundamental role of ethics, and the responsibility of health managers: Monitoring and management strategies to enhance teamwork. Public Health, 153, 91–98. https://doi.org/10.1016/j.puhe.2017.08.007 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
IMPROVEMENT PLAN TOOL KIT 4 This paper discusses the benefits of teamwork in improving the quality of health care. It presents a review of 33 papers identified after performing a search on PubMed. The paper discusses the important ingredients of efficient teamwork such as self-awareness and the individual behavior of team members, the ethical climate within the team, the work environment and institutional infrastructure, positive moderation from leadership, and communication and coordination among team members.Assignment: Safety improvement plan.
Effective teamwork can help reduce the incidence of sentinel events that result from preventable medical errors, which are often caused by dysfunctional communication among team members. Teamwork is more reliable and efficient than individual work in high-risk environments such as a geropsychiatry unit. Although the specific contexts of readers’ practices may be different, this resource is valuable for nursing administrators and professionals as it discusses the implementation of values needed for positive teamwork as well as the monitoring and management of teamwork. Environmental Safety and Quality Risks Powell-Cope, G., Quigley, P., Besterman-Dahan, K., Smith, M., Stewart, J., Melillo, C., Friedman, Y. (2014). A qualitative understanding of patient falls in inpatient mental health units. Journal of the American Psychiatric Nurses Association, 20(5), 328–339. https://doi.org/10.1177/1078390314553269 This source mentions a study conducted to analyze falls in geropsychiatric patients. The study also focused on selling falls prevention in psychiatric units. The risk factors that lead to the falls were identified by a focus group. The focus group formulated an improvement plan to reduce the number of falls, and it was found that implementing Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 5 infrastructural changes such as the use of geriatric-friendly sanitary ware such as raised toilet seats helped reduce the rate of incidence of falls. Although all the changes may not be feasible in a given setup, many of the strategies mentioned in this study could serve as a starting point for the prevention of falls. The article helps nursing students understand the challenges that occur in an adult mental health unit and the quality improvement measures taken to resolve these challenges. Wong Shee, A., Phillips, B., Hill, K., & Dodd, K. (2014). Feasibility, acceptability, and effectiveness of an electronic sensor bed/chair alarm in reducing falls in patients with cognitive impairment in a subacute ward. Journal of Nursing Care Quality, 29(3), 253– 262. Assignment: Safety improvement plan.https://doi.org/10.1097/NCQ.0000000000000054 This source is a preliminary study conducted to determine the effectiveness of electronic sensor bed/chair alarms to reduce the occurrence of falls in patients with cognitive impairment. These alarms can be attached to the patient’s body or to the bed/chair the patient uses to alert the nursing staff every time the patients move or leave their seat. Nurses were educated about the alarms and asked to document their observations and provide feedback. Although effective at preventing falls in patients with cognitive impairment, the electronic sensors needed improvements such as the elimination of cords that may be hazardous to patients and the additional provision of alerting nurses through pagers. This source helps nursing students understand both the effectiveness and the limitations of electronic sensor alarms in reducing the occurrence of falls. Chari, S. R., Smith, S., Mudge, A., Black, A. A., Figueiro, M., Ahmed, M., . . . Haines, T. P. (2016).
Feasibility of a stepped wedge cluster RCT and concurrent observational subCopyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 6 study to evaluate the effects of modified ward night lighting on inpatient fall rates and sleep quality: A protocol for a pilot trial.Assignment: Safety improvement plan.
Pilot and Feasibility Studies, 2(1). https://doi.org/10.1186/s40814-015-0043-x Inadequate lighting at night in geropsychiatric wards is one of the important causes of falls in geropsychiatric units. Psychotropic medications can cause cognitive impairments and blurring of vision, which can be aggravated by dim lighting in the units. The article presents a trial pilot study conducted to evaluate the effects of the use of modified night lighting in inpatient wards to prevent falls. LED lights were installed in the vicinity of the beds and the toilets, where falls were likely to occur. The study provides valuable insights that could inform design and refurbishment efforts at geropsychiatric units. An important limitation of the study is that a stepped wedge, cluster randomized controlled trial has not yet been applied to test environmental modifications in any setting. However, the modifications discussed could still be implemented as an important intervention strategy for preventing falls in older adults with cognitive impairment. Staff-Led Preventive Strategies Morgan, L., Flynn, L., Robertson, E., New, S., Forde‐Johnston, C., & McCulloch, P. (2016). Intentional rounding: A staff‐led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 26(1–2), 115–124. https://doi.org/10.1111/jocn.13401 This article highlights an intervention strategy called intentional rounding to reduce the occurrence of inpatient falls. Intentional rounding is a specific strategy in which nurses conduct a routine check on patients at certain time intervals based on the needs of the Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 7 patient. The rounding was implemented through effective communication and teamwork among the nursing staff and iterations of plan-do-check-act measures. This proactive staff-led strategy helped reduce the rate of falls by 50%. This study achieved success through the combined efforts of the research team that conducted the analysis of the system to design the rounding format and the frontline nursing staff who conducted the intentional rounds.
Although its sample size was small and not entirely representative, the study does establish intentional rounding as an effective falls-prevention strategy, which when implemented with adequate staff engagement and support from leadership definitively reduces the occurrence of falls. Moncada, L. V. V., & Mire, G. L. (2017). Preventing falls in older persons. Am Fam Physician, 96(4), 240–247. Retrieved from https://www.aafp.org/afp/2017/0815/p240.pdf The article posits that a history of falls in older persons is associated with an increased risk of a future fall. The American Geriatrics Society recommends that older adults aged 65 and above should undergo annual screening for balance impairment and a history of falls as a preliminary intervention for the prevention of falls. The article also highlights an algorithm developed by the Centers for Disease Control and Prevention. The algorithm suggests assessment and multifactorial interventions to prevent falls in patients who have had more than two falls and more than one fall-related injury. The multifactorial interventions include exercise routines that include balance and gait training, the use of vitamin D supplements with or without calcium based on the community in which the patients dwell, and the management of psychotropic medication. These interventions have been known to cause a significant decrease in the rate of falls Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 8 and can be implemented across all geropsychiatric wards to prevent sentinel events. The source is authentic and hence can be referred to by nursing students to understand multifactorial interventions in the prevention of falls. Isaac, L. M., Buggy, E., Sharma, A., Karberis, A., Maddock, K. M., & Weston, K. M. (2018). Enhancing hospital care of patients with cognitive impairment. International Journal of Health Care Quality Assurance, 31(2), 173–186. https://doi.org/10.1108/IJHCQA-11- 2016-0173 This paper evaluates the TOP5 intervention strategy of improving patient care.
The strategy involves engaging with carers of geriatric patients (individuals who are family members or friends of the patients) to collect characteristic non-clinical information about patients to personalize care and reduce falls.
The carers of patients narrated to the nursing staff five important and distinct characteristic details such as the patients’ needs and past emotional experiences. The nursing staff then prepared a customized plan of care for each patient based on this information. This study reported a significant reduction in falls and qualitatively improved care.
The study enables nursing students to meaningfully involve the carers of cognitively impaired patients and reduce the incidence of falls. Best Practices for Reporting and Improving Environmental Safety Issues Tan, A. K. (2015). Emphasizing caring components in nurse-patient-nurse bedside reporting. International Journal of Caring Sciences, 8(1), 188–193. Retrieved from https://library.capella.edu/login?qurl=https%3A%2F%2Fsearch.proquest.com%2Fdocvie w%2F1648623547%3Faccountid=27965 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PL ..