Category: Nursing

Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—various groups talking among themselves about results and enhancements. Nurses are critical to the delivery of high-quality, efficient health care. As a result, they must develop their skills in reviewing and evaluating performance reports. They also need to be able to communicate outcome measures related to quality initiatives effectively. Patient safety and positive institutional health care outcomes mandate collaboration among nursing staff members to ensure the integration of their perspectives in all quality care initiatives.
Overview
In the first assessment, you analyzed an adverse event or a near miss, and outlined a QI initiative to address it. This assessment will give you practice and the confidence to evaluate a quality care initiative in much the same way you might in your health care setting to help determine if the initiative is effective.
Too often, discussions about quality health care, care costs, and outcome measures take place in isolation—each group talking among themselves about results and enhancements. Because nurses are critical to the delivery of high-quality, efficient health care, it is essential that they develop the proficiency to review, evaluate performance reports, and be able to effectively communicate outcome measures related to quality initiatives. The nursing staff’s perspective and the need to collaborate on quality care initiatives are fundamental to patient safety and positive institutional health care outcomes.
Instructions
Imagine you have been asked to prepare and deliver an analysis of an existing QI initiative at your workplace. The QI initiative you choose to analyze should be related to a specific disease, condition, or public health issue of personal or professional interest to you. The purpose of the report is to assess whether the specific quality indicators point to improved patient safety, quality of care, cost and efficiency goals, and other desired metrics. Your target audience is nurses and other health professionals with specializations or interest in your chosen condition, disease, or public health issue.
In your report, you will:
Analyze a current QI initiative in a health care setting.
Identify what prompted implementation of the QI initiative.
Evaluate problems that arose during the initiative or problems that were not addressed.
Evaluate the success of a current QI initiative through recognized benchmarks and outcome measures as required to meet national, state, or accreditation requirements.
Identify the core performance measurements related to successful treatment or management of the condition.
Evaluate the impact of the quality indicators on the health care facility.
Incorporate interprofessional perspectives related to the success of actions used in the QI initiative as they relate to functionality and outcomes.
Recommend additional indicators and protocols to improve and expand outcomes of a current quality initiative.
Ensure your analysis conveys purpose, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly writing standards.
Be sure to address all of the bullet points. You may also want to read the Quality Improvement Initiative Evaluation Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Quality Improvement Initiative Evaluation [DOCX] document for additional clarification about things to consider when creating your assessment.
Additional Requirements
Your assessment should also meet the following requirements:
Length of submission: A minimum of five but no more than seven double-spaced, typed pages, not including the title page and References section.
Number of references: Cite a minimum of four sources of scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work. Review the Nursing Master’s Program (MSN) Library Guide for guidance.
APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.

Identify a healthcare organization where you have worked in the past or currently work. Examine the mission, vision, and values of that organization. Use a minimum of 4 current scholarly sources to support your work and create a 3-5 page paper to address the following elements:
Provide an introduction to the paper.
Explain the importance of high reliability within healthcare systems. Discuss the organizational characteristics that support a culture of excellence and high reliability. Explain the climate and culture within organizations which cultivate a culture of excellence and high reliability.
Present the mission, vision, and values of a selected organization, and explain the interrelationships between these elements. Discuss how the mission, vision, and values support high reliability and a culture of excellence within the organization.
Discuss the culture, climate, and leadership within the organization. Consider the degree to which they do or do not support a culture of high reliability. Propose one recommendation to either improve or sustain the culture, climate, and leadership within the organization.
Provide a conclusion to the paper.
Assignment Instructions
Abide by the Chamberlain College of Nursing Academic Integrity Policy.
Sources older than five years may not be used without the permission of the class professor.
Title page, pagination, subheadings, body of paper, citation of sources, and reference page must follow APA guidelines as found in the most current edition of the manual.
Rules of grammar, spelling, word usage, punctuation, sentence and paragraph structure are followed and consistent with formal, scholarly writing as noted in the most current edition of the APA Manual.
No more than one short direct quote (15 words or less) may be used in this assignment.
First person should not be used within this assignment.
Please note: If you do not receive a proficient rating in any major content category, you can re-submit your assignment with revisions in those content categories to receive a better grade. You have one additional opportunity to revise after the initial submission in order to make improvements. The initial submission must be a complete paper, rough drafts will not be graded. All revisions must be submitted no later than Sunday of Week 7 at 11:59pm. (You cannot revise your graduate level writing style for a higher grade in that category)

Health care providers are perpetually striving to improve care quality and patient safety. To accomplish enhanced care, outcomes need to be measured. Next, data measures must be validated. Measurement and validation of information support performance improvement. Health care providers must focus attention on evidence-based best practices to improve patient outcomes.
Health informatics, along with new and improved technologies and procedures, are at the core of all quality improvement initiatives. Data analysis begins with provider documentation, researched process improvement models, and recognized quality benchmarks. All of these items work together to improve patient outcomes. Professional nurses must be able to interpret and communicate dashboard information that displays critical care metrics and outcomes along with data collected from the care delivery process.
Overview
A basic principle of quality measurement is: If you can’t measure it, you can’t improve it.
–Agency for Healthcare Research and Quality (2021)
In the previous assessment, you analyzed the effectiveness of an existing quality initiative. Now that you’ve done that, this assessment gives you experience interpreting and communicating dashboard data for the purpose of making a quality initiative proposal of your own. And you’ll make your proposal through a PowerPoint presentation, including using speaker notes in the Notes section of the slides, much like you might in your health care setting.
Health care providers are on an endless quest to improve both care quality and patient safety. This unwavering commitment requires hospitals and care givers to increase their attention and adherence to treatment protocols to improve patient outcomes. Health informatics, along with new and improved technologies and procedures, are at the core of virtually all QI initiatives. The data gathered by providers, along with process improvement models and recognized quality benchmarks, are all part of a collaborative, continuing effort. As such, it is essential that professional nurses are able to correctly interpret and effectively communicate information revealed on dashboards that display critical care metrics.
Instructions
In this assessment, you will make a QI initiative proposal based on a health issue of professional interest to you. This proposal will be based on an analysis of dashboard metrics from a health care facility. You have two options:
Option 1
If you have access to dashboard metrics related to a QI initiative proposal of interest to you:
Analyze data from the health care facility to identify a health care issue or an area of concern. You will need access to reports and data related to care quality and patient safety. If you work in a hospital setting, contact the quality management department to obtain the data you need.
You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by standards for compliance with the Health Insurance Portability and Accountability Act (HIPAA).
Option 2
If you do not have access to a dashboard or metrics related to a QI initiative proposal:
You may use one of the links in the following reading list to access a dashboard or metrics for a health care facility to develop the QI initiative proposal:
Assessment 3: Resources
You will follow the same instructions and provide the same deliverables as your peers who select Option 1.
Complete the following steps for your proposal:
Analyze data to identify a health care issue or an area of concern as it relates to a state, national, or accreditation benchmark requirement relevant to your professional setting.
Evaluate the quality of the data.
Outline a QI initiative proposal based on the selected health issue or area of concern and supporting data analysis to improve identified dashboard metric. The interactive activity Designing a Quality Improvement Initiative can get you going on the first steps of a QI process and your assessment.
Identify the target areas of improvement and outcome measures.
Include the QI model that will be utilized.
Specify evidence-based strategies that will be utilized.
Integrate interprofessional perspectives and actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
Specify roles and responsibilities.
Apply effective collaboration strategies to promote QI of interprofessional care.
Include specific communication tools.
Deliver a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
Be sure that your proposal, at minimum, addresses each of the bullet points. You may also want to read the Data Analysis and Quality Improvement Initiative Proposal Scoring Guide to better understand the performance levels that relate to each grading criterion. Additionally, be sure to review the Guiding Questions: Data Analysis and Quality Improvement Initiative Proposal [DOCX] document for additional clarification about things to consider when creating your assessment.
Recording Your Presentation
Before starting to record your presentation make sure you have:
Set up and tested your microphone and headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear or high quality when captured by the microphone.
Practice using the equipment to ensure the audio quality is sufficient.
Consult Using Kaltura for guidance on how to record your presentation and upload it in the courseroom.
Microsoft PowerPoint also allows you to record your narration with your slides. If you choose this option, simply submit your presentation to the appropriate area of the courseroom. Your narration will be included with your slides.
Remember to practice delivering and recording your presentation multiple times to ensure effective delivery.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services at to request accommodations.
Additional Requirements
Your assessment should also meet the following requirements:
Length of submission: 7–10 PowerPoint slides, with speaker’s notes, not including title slide and attached reference list. Balance text with visuals. Avoid text-heavy slides. Use speaker’s notes for additional content.
Length of presentation: No more than 10 minutes.
Number of references: Cite a minimum of five sources (no older than seven years, unless a seminal work) of scholarly or professional evidence to support your evaluation, recommendations, and plans. Review the Nursing Master’s Program (MSN) Library Guide for guidance.
APA formatting: Resources and citations are formatted according to current APA style. Review the Evidence and APA section of the Writing Center for guidance.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
Competency 2: Plan quality improvement initiatives in response to routine data surveillance.
Analyze data to identify a health care issue or area of concern as it relates to a state, national, or accreditation benchmark requirement.
Outline a quality improvement initiative proposal based on a selected health care issue or area of concern and supporting data analysis to improve identified dashboard metrics.
Competency 4: Integrate interprofessional perspectives to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
Integrate interprofessional perspectives and specify actions to lead quality improvements in patient safety, cost-effectiveness, and work-life quality.
Competency 5: Apply effective communication strategies to promote quality improvement of interprofessional care.
Apply effective collaboration strategies to promote quality improvement of interprofessional care.
Create a persuasive, coherent, and effective audiovisual presentation. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.
Reference
Agency for Healthcare Research and Quality. (2021). Preventing falls in hospitals. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/index.html

2-3 current less than 5 year old evidence based research articles that discuss specific therapy 
5-7 pages
Topics to include description, identify and discuss conditions for which therapy is beneficial 
Potential drug disease interactions 
Patient teaching
Apa format 

a
Module 07 Content
Purpose of Assignment
The goal of this assignment is to create a plan of care for a child with bronchiolitis. The nursing interventions would reflect the underlying respiratory syncytial virus with patent ductus arteriosus (PDA) history.
Competency
Apply the foundations of pediatric nursing when caring for clients with health alterations.
Scenario
You are working in a large urban pediatric clinic after hours.
A mother brings her 6-month-old daughter, Vivi Mitchell, to the clinic for rhinorrhea, congestion, fever, and cough. Upon assessment, you identify the child has wheezing upon auscultation and on inspection, you identify retractions.
The child is in less than 10th percentile of weight and has a cardiac history of Patent DuctusArteriosus (PDA).
The child is in less than 10th percentile of weight and has a cardiac history of patent ductus arteriosus (PDA).
Born at 36 weeksgestation.
Mother states this child doesn’t go to day care but her two other children ages 2 and 3 do attend daycare.
Temperature: 102.1F, pulse: 140 beats/minute, respirations: 40 breaths/minute, blood pressure: 83/58mmHg, pulse oximeter 96% on room air.
A swab for respiratory syncytial virus (RSV) is positive.
Doctor orders – Nasal bulb suction and nasal saline drops PRN, Tylenol 15mg/kg Q4 PRN for fever, albuterol nebulizer in office and encourage oral fluids as tolerated.
After the albuterol nebulizer treatment, respirations are 36 breaths/minute and oxygen saturation is 100% on room air. 
Wheezing has diminished. Mom is an ER nurse and the doctor feels comfortable that client has a nebulizer at home and can return to pediatric after-hours clinic or ER if needed.
Client is discharged with these orders:
Methylprednisolone0.4 mg/kg oral BID for 3
Albuterol Q4 hours for 24 hours, then Q 6 hours for 24 hours, and then Q6 hours as needed. Call doctor if needed prior to the Q4 dose.
Manage fever with Tylenol and continue hydration and nasal bulb suction Q6 hours while awake.
Return for re-evaluation in 3 days.
Instructions
In a two to three-page APA formatted paper, provide responses for these requests for information:
Describe the pathophysiology for bronchiolitis, including the most common causative organism.
Analyze risk factors associated with bronchiolitis.
Choose diagnostic testing for bronchiolitis and support with rationale.
Explain signs and symptoms of bronchiolitis, including specific examples from the scenario.
Describe the pathophysiology of PDA, including why this is significant for this scenario.
Describe the rationale for use and contraindications for each of the prescribed medications.
Select two priority nursing diagnoses for this scenario, including supporting rationale for your choices.
Write two SMART goals for each nursing diagnosis.
Choose two interventions for each goal, including supporting rationale for your choices.
Describe potential short and long-term complications, including specific examples and supporting rationale.
Apply information from the scenario to create a plan for discharge teaching.
* In Include a minimum of 2 scholarly sources

Conduct an educational technology needs assessment for your current workplace setting or another health care setting you are familiar with and interested in. Document the results of your needs assessment in a 3-5 page report.

Articles From the Nursing journal should be current within 5 years. One-page articles (such as editorials) are not appropriate for this assignment. It is 200 words APA formatting 7th edition and cites articles correctly. 

Please fill out the clinical jusdement plan that has been attached the information will be according to the nursing process worksheet that will also be attached 

This week, you will develop your personal philosophy of teaching in a written statement, articulating your beliefs about important educational theories and practices. Your teaching philosophy should be based on what is meaningful to you in your approach to teaching.
Note: As your experiences and beliefs about teaching grow and change, your philosophy will also change. Therefore, at the end of this course, you will submit your revised teaching philosophy with a brief discussion of how your philosophy has changed or developed during this course.
There is no right or wrong way to write a personal teaching philosophy. However, for the purpose of this assignment, please follow the assignment guidelines below to connect your beliefs, goals, and strategies into a coherent approach to help students learn and grow.
Assignment Guidelines
Philosophy Paper Requirements
The paper should be 2–4 pages, typed in Times New Roman using 12-point font, and double-spaced with 1″ margins.
Use a first person narrative and present tense.
Write sincerely, uniquely, and memorably. Avoid clichés, jargon, and technical terms.
Include specific (not abstract) ideas, using 1–2 concrete examples, whether actual or anticipated experiences.
Show humility and mention students enthusiastically.
Include your conception of how learning occurs.
Communicate your goals as an instructor.
Include actual or anticipated teaching strategies and methods.
Include justification for why you teach (or anticipate teaching) the way you do.
Include a brief discussion of how your teaching (or anticipated teaching) facilitates student learning.
Include a conclusion.
To assist you in developing your teaching philosophy, you may choose to include any or all of the following:
Famous quotes
Your personal experiences as a learner
Your views of the educational system
Your interest in new types of teaching and learning
What you think students should expect from you as a teacher
How you know your goals for students are being met
How you create (or anticipate creating) an engaging or enriching learning environment, and specific activities or exercises to engage your students

please respond to classmate’s post ONLY. first 3 attachments are classmate’s response. last attachment is original discussion prompt.