Table of Contents
NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example
NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement
NURS FPX 8030 Building the Case for Healthcare Improvement Assignment Brief
Course: NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner
Assignment Title: NURS FPX 8030 Assessment 1 Building the Case for Healthcare Improvement
Assignment Overview
In this assignment, you will engage in evidence-based practice (EBP) by identifying a patient safety issue within a healthcare setting and proposing a quality improvement (QI) project to address this challenge. The goal is to apply the six-step EBP process to develop a comprehensive understanding of the problem, evaluate supporting evidence, and propose evidence-based interventions.
Understanding Assignment Objectives
The primary objective of this assignment is to develop a deep understanding of the EBP process and its application in healthcare quality improvement. You will identify a pertinent patient safety issue, explore internal and external evidence supporting the need for change, assess organizational priorities, and propose interventions with desired patient outcomes.
The Student’s Role
You will assume the role of a Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center. As a frontline leader, you are responsible for identifying and addressing healthcare safety issues using evidence-based interventions.
Competencies Measured
By completing this assignment, you will demonstrate proficiency in the following competencies:
- Apply the steps of the evidence-based practice process to a healthcare challenge:
- Identify a patient safety issue requiring improvement.
- Describe the significance of the issue to stakeholders and justify its organizational priority.
- Explain desired patient outcomes and the potential impact of a quality improvement project.
- Interpret the results and practical significance of health care data analyses in the evidence-based practice process:
- Document external sources from literature that support the need for change.
- Produce original written work, complying with Capella Writing Standards:
- Conduct a professional presentation using well-designed slides and slide notes.
- Apply APA formatting to in-text citations and references.
You Can Also Check Other Related Assessments for the NURS-FPX 8030 Evidence-Based Practice Process for the Nursing Doctoral Learner Course:
NURS FPX 8030 Assessment 2 Evidenced Based Literature: Search and Organization Example
NURS FPX 8030 Assessment 3 Critical Appraisal of Evidence-Based Literature Example
NURS FPX 8030 Assessment 4 Methods and Measurement Example
NURS FPX 8030 Assessment 5 Creation of Policy or Procedure Example
NURS FPX 8030 Building the Case for Healthcare Improvement Paper Example
Introduction
Ensuring patient safety is paramount in healthcare, aiming to prevent clinical errors and minimize patient suffering. A significant obstacle to achieving optimal patient safety is the persistent nursing shortage. This paper will delve into the critical issue of the nursing shortage, exploring its impact through internal and external evidence, organizational implications, and proposing a comprehensive quality improvement project to address this pressing challenge.
Patient Safety Issue: Nursing Shortage
The shortage of nursing staff is a crucial factor significantly influencing patient outcomes and healthcare quality. Extensive research underscores the direct correlation between adequate staffing levels and improved patient outcomes, including reduced hospital stays and mortality rates (Smith et al., 2020; Jones & Brown, 2019). In the United States, this challenge is compounded by a rapidly aging population, which places increased demand on healthcare services, further straining an already stretched healthcare workforce.
Internal Evidence of Nursing Shortage
Recent research within our healthcare organization highlights concerning trends among nursing staff. Surveys reveal alarmingly low levels of job satisfaction among nurses, with only a minority expressing contentment in their roles. Factors contributing to dissatisfaction include concerns about stability, working conditions, and compensation (Johnson et al., 2021). The COVID-19 pandemic has exacerbated workload pressures, leading to unprecedented levels of burnout and dissatisfaction among nursing professionals.
For instance, a survey conducted by our organization revealed that only 1 in 10 clinical nurses report satisfaction in their current positions. Furthermore, 36% of respondents expressed willingness to stay in their roles if specific improvements were implemented, highlighting the critical need for organizational interventions to address workforce challenges (Anderson & Wilson, 2020).
External Evidence of Nursing Shortage
On a national scale, projections indicate a looming crisis in nursing workforce supply. It is estimated that over the next few years, a significant portion of the nursing workforce will retire, exacerbating the shortage. Additionally, recruitment challenges, limited clinical training opportunities, and stringent regulatory requirements contribute to a shrinking pool of qualified nurses available to meet escalating healthcare demands (Brown & Carter, 2022).
For example, recent studies suggest that by 2022, more than 500,000 registered nurses are expected to leave the workforce, resulting in a deficit of over 1.1 million nurses (Smith et al., 2020). This anticipated shortage underscores the urgent need for strategic interventions to attract and retain qualified nursing professionals.
Organizational Priority for Intervention
The nursing shortage poses a direct and profound threat to patient care quality and safety within our organization. Extensive research has established a clear link between staffing deficiencies and adverse patient outcomes, including increased mortality rates, higher infection rates, and compromised care due to nurse fatigue (Taylor & Rogers, 2018). Addressing this critical issue is imperative to uphold our organizational commitment to providing high-quality care and ensuring patient safety.
For instance, studies have shown that understaffed hospitals experience higher rates of in-hospital mortality, infections, post-operative complications, and patient falls (Brown & Carter, 2022). Moreover, nurse fatigue resulting from prolonged working hours contributes to medication errors and delays in emergency care, further jeopardizing patient safety.
Proposed Quality Improvement Project
To effectively combat the nursing shortage and mitigate its adverse effects, a multifaceted quality improvement project is proposed. This project will focus on enhancing retention strategies, investing in nurse education programs, and leveraging technology to optimize staffing efficiency. Strategies such as implementing flexible scheduling, offering competitive compensation packages, and providing professional development opportunities will be integral to improving nurse satisfaction and retention rates (Anderson & Wilson, 2020).
Desired Patient Outcomes and Organizational Impact
The successful implementation of these interventions is expected to yield several positive outcomes. Improved nurse retention rates will contribute to enhanced patient care experiences, reduced adverse events, and optimized care coordination. By addressing the nursing shortage strategically, our organization aims to create a sustainable solution that positively impacts patient safety and healthcare quality.
Conclusion
In conclusion, the nursing shortage represents a critical healthcare challenge that demands immediate attention and concerted action. By leveraging internal and external evidence, acknowledging the organizational impact, and proposing a comprehensive quality improvement project, we can work towards mitigating the adverse effects of the nursing shortage on patient safety and care quality.
References
Anderson, L., & Wilson, M. (2020). Strategies for addressing the nursing shortage: A comprehensive approach. Journal of Healthcare Management, 45(3), 78-85.
Brown, R., & Carter, S. (2022). The impending nursing shortage: Projections and implications for healthcare organizations. Healthcare Trends, 12(2), 45-52.
Johnson, E., et al. (2021). Job satisfaction among nursing professionals: A survey-based analysis. Nursing Research Quarterly, 30(4), 112-125.
Jones, A., & Brown, K. (2019). Impact of nursing shortages on patient outcomes: A systematic review. Journal of Nursing Excellence, 15(1), 24-36.
Smith, J., et al. (2020). Forecasting the nursing shortage: Implications for healthcare policy. Health Policy Review, 8(4), 210-225.
Taylor, S., & Rogers, P. (2018). Nurse staffing and patient safety: A critical analysis. Healthcare Quality Journal, 25(2), 56-68.
Detailed Assessment Instructions for the NURS FPX 8030 Building the Case for Healthcare Improvement Paper Assignment
Present a five-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention.
Introduction
Evidence-based practice (EBP) is the process of searching for, appraising, and integrating the most relevant, best research evidence to answer a clinical question or address a health care challenge. The best research evidence is weighed along with patient preferences and values, organizational data, and professional expertise. For this assessment, you will learn about each of the six steps of EBP in detail and acquire a working knowledge about EBP as a problem-solving approach used in many health care settings.
Of note, there are many published processes regarding the steps of EBP. Some processes have more steps and some have fewer. However, the fundamental concepts are the same. For the purposes of organization, we will use the six step EBP process below in the courseroom:
- Ask the clinical question.
- Acquire the best evidence.
- Apprise the evidence.
- Implement the evidence.
- Evaluating the outcomes.
- Disseminate findings.
Introduction
The purpose of this assessment is to identify your patient safety issue and further explain how the safety issue was identified, the impact on safety, and/or descriptions of the problem from clinical experts within your institution. Your goal is to identify internal resources or do a “needs assessment.” The internal resources will not require citation/references. You are welcome to draw from personal experiences and use creative liberty to make your case from an internal perspective.
Scenario
Throughout the course, we will focus on a patient safety issue of your choice and work through all six steps of the evidence-based practice (EBP) process. The first step is to “Ask the burning clinical question in PICOT format,” which you will find later in this assessment in the section titled “Mastering the First Step in EBP: PICOT.”
Now, let’s imagine that you are the Director of Clinical Operations and Nursing Excellence at a major metropolitan medical center encompassing many entities, including hospitals and outpatient medical centers. You report directly to the Chief Nursing Officer and serve as the front-line leader for clinical operations, including serving as a clinical resource for all nursing staff levels in both the acute-care and ambulatory settings.
It is your responsibility to ensure that the best practices and protocols are implanted throughout the medical center. Your primary goals are to focus on problems in health care safety and how to solve them with evidence-based interventions as a quality improvement (EBP/QI) project.
Instructions
Present a 5-minute PowerPoint presentation with voice over to introduce your patient safety issue, the supporting research, and possible intervention, using the following steps:
Consider patient safety issues that you have heard about in your practice, the medical field, the media, or your coursework. Select a patient safety issue to research throughout this course.
- Explain the patient safety issue that needs improvement.
- Describe the problem in detail using creative liberty or give specific examples of the issue in practice.
Locate and review two examples of internal or practice site sources of evidence that support the need for change to address the patient safety issue.
- Describe how the sources were obtained, including a timeframe or number of patients involved.
- The internal resources will NOT require citations and references.
Locate and review two sources of evidence that the safety issue exists outside of your institution.
- We call these external resources. This information can come from peer-reviewed literature, clinical practice guidelines, consensus statements, local or national databases, national organizations, Joint Commission, and/or hospital compare (CMS). The external resources will require citations and references.
- Utilize Capella library resources to guide your research, including the library guide and an appointment with a librarian.
- Explain how these literature resources support the need for change related to the patient safety issue.
- Describe how each source is directly related to the patient safety issue.
Determine the organizational priority by describing why this patient care safety problem is of significant concern to stakeholders, patients, or community members. Give specific examples.
Describe your desired patient outcomes from a proposed intervention and the potential impact of the quality improvement project. Use at least one citation from literature to support the intervention.
Again, the patient safety issue and intervention or interventions identified for this assessment will also be used for all the assessments in this course, so take a look at those assessments now. Ensure the problem and interventions you select will work for the other four assessments.
Create 10-12 slides that reflect the issue you have selected, the evidence, and the possible interventions. You may use the following headings for your slides:
Title.
Name, course information.
Presentation Outline.
Patient Safety Issue.
Internal Evidence of Patient Safety Issue.
External Evidence of Patient Safety Issue.
Organizational Priority for Intervention.
Describe why problem is significant to stakeholders and give specific examples.
Propose a Quality Improvement Project.
Describe interventions and desired patient outcomes and potential organizational impact.
Include at least one citation from literature to support proposal.
References.
Record voice over for your slide presentation using PowerPoint features or Kaltura.
Submit PowerPoint slide deck with slide notes in PDF or Microsoft Word format and a video recording of your 5-minute presentation.
Additional Requirements
. 10-12 PowerPoint slides with slide notes.
. Five minute voice over recording of presentation slides.
. Minimum two external resources.
. Reference slide with APA citations.
. Submit slide deck, slide notes, and video recording.
Competencies Measured
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
. Competency 1: Apply the steps of the evidence based practice process to a health care challenge.
. Identify a health care safety problem that needs to be improved.
. Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority.
. Explain your desired patient outcomes and the potential impact of the quality improvement project.
. Competency 5: Interpret the results and practical significance of health care data analyses in the evidence based practice process.
. Document two external sources from literature of evidence that support the need for change.
. Competency 6: Produce original written work, in compliance with the Capella Writing Standards, which is a creative synthesis of information from credible sources.
. Conduct a professional presentation using well designed slides and slide notes.
. Apply APA formatting to in-text citations and references.
RUBRICS
1, Identify a health care safety problem that needs to be improved. Identifies a health care safety problem that needs improvement and describes the problem in detail using creative liberty or with specific examples.
2, Document two external sources from literature of evidence that support the need for change. Discusses external sources that support the need for change that are from literature. Explains how source is directly related to the patient safety issue.
3, Describe why this health care safety problem is a concern to stakeholders, patients, or community members and should be an organizational priority. Describes why the health care safety problem is a high priority and is of significant concern to stakeholders, patients, or community members and provides specific examples.
4, Explain your desired patient outcomes and the potential impact of the quality improvement project. Describes the desired state for an intervention in a health care setting and explains the impact of the quality improvement project with at least one citation from literature to support impact.
5, Conduct a professional presentation using well designed slides and slide notes. Conducts a professional presentation using well designed slides and slide notes. Speaks with confidence and explains the issue and intervention without too much jargon.
6, Apply APA formatting to in-text citations and references. Exhibits strict and nearly flawless adherence to APA formatting of in-text citations and references.
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