Quality Improvement

Leadership/Management:
Quality Improvement project guide

Leadership/Management-Quality Improvement Project: Students in NU 450 will examine a current quality improvement topic (Marquis & Huston, 2017, Chapter 23) in their area of interest. The overall goal is for the student to demonstrate integration of evidence-based practice with future collaboration and leadership in identifying and planning a conceptual project that meets the Institute of Medicine (IOM) (see index for references in text) recommendations for quality improvement. (pp. 621-622). Students will identify an appropriate area of interest and focus. The student will synthesize literature on the topic.

This is an APA written assignment. The content should be 8-10 pages, not including the title page and reference page. The student should note at least 8 references, including five evidence- based practice journal articles supporting the project.

This Leadership/Management Quality Improvement Project correlates with the Institute of Medicine framework to focus on safe, quality patient-focused care with the competencies for educating health care providers. The healthcare providers are interdisciplinary teams that provide patient-centered care that is based on evidence-based practice, information technology, and quality improvement.

Students will address specific nursing-sensitive performance measures that are within their “area of interest/field”. The nursing-sensitive performance measures are also named as “never events” and “pay for performance” are an example of a topic or interest the student may choose. Specific examples are falls, medication errors, catheter related urinary tract infections, ventilator associated pneumonia, pressure ulcers, vaccines, nursing education, community, education, nursing interventions or needs.

In preparing your work, student’s note the following:

• IOM Aims for Quality (See text and other evidence- based literature. Remember the text is usually a secondary source, not a primary source of reference. (You must use primary references)
o Safety Issue (Safety is a subset of quality)
o Effectiveness of care delivery as it relates to issue
o Efficiency of care delivery as it relates to issue (Cost/Benefit)
o Equity of care (Is there a fair distribution of resources)
o Timely (Is timing an issue with regards to intervention For example,
if pressure ulcers are the issue and regular screening and monitoring of
skin are strategies, are they time-sensitive. How does time impact
the outcome?)
o Patient-centered How is the patient engaged. How is the patient a partner
in their care. Consider fall risk, restraint use, pain management.

Institute of Medicine (IOM) Competencies for Educating Healthcare Professionals
o Patient-Centered: See above
o Interdisciplinary Teams: Who makes up the team in caring for the patient population (per issue addressed, i.e. pressure ulcers. Falls with harm. Pain management.
o Information/technology: What information/technology is employed? How is information communicated. How does technology aid the patient care delivery process.
o Quality Improvement: How is this issue tracked. Trended. How are outcomes measured. What happens if quality continues to be below benchmark. How does this impact reimbursement. Patient satisfaction.
O Evidence-based: What evidence (research) supports the care delivery as it relates to the particular safety/quality issue.

Resources: Marquis, B., Huston, C., (2017). Leadership roles and management functions in nursing. 9th edition. Wolters Kluwer/Lippincott Williams & Wilkins. Philadelphia, Baltimore, New York, London, Buenos Aires, Hong Kong, Sydney, Tokyo.

-Use Chapter 23 Quality Control in above text.
-Use index to locate IOM references in text
-Use APA blog (google APA blog and then type in your question-eg. Primary reference
-Use APA manual
-Use biomedical library to locate EBP literature

(SEE RUBRIC ON NEXT PAGE)

QUALITY IMPROVEMENT PAPER RUBRIC

RUBRIC: 75 points
This is an APA written assignment. The content should be 6-8 pages, not including the title page and reference page. The student should note at least 8 references, including 5 evidence-based practice journal article supporting the project.
Use of evidence MUST be incorporated here and throughout the paper with citation of reference according to APA. Statistics which identify the scope of the problem MUST have cited references.

1. IOM AIMS-The Problem
IOM aims MUST be identified specifically throughout this section (see above under IOM aims). IOM aims addressed with practice integrated experience trends, patterns, benchmarks.
Evidence supporting the project: a description of the need or rationale for the project based on 8 references, 5 being a peer-reviewed, evidence based source. Use of evidence MUST be incorporated here and throughout the paper with citation of reference according to APA. Statistics which identify the scope of the problem MUST have cited references.
(30 points)

Planning/Collaboration/Interdisciplinary Team
2. IOM COMPETENCIES -SPECIFICALLY addressed (see above under IOM competencies). Potential/Collaboration: Discuss your potential-perceived preliminary contacts and how you would be working with others/interdisciplinary team to develop the plan. Include any training, approvals, meetings you would possibly plan to meet the objectives of the QI project. Be specific regarding what the NURSE’S ACTION WOULD BE.
(30Points)

3. The Solution/Interventions
Quality Improvement Strategies and Outcome Measures: evidence-based, measureable for safe, effective care. (Requires evidence and citation of references, including primary references)
(30 Points)

4. Scholarly/APA format/Grammar, Punctuation, Correct use of EBP and citation of references-
Proper APA introduction with supporting reference and thesis statement, scholarliness, quality, written composition (APA 6th Edition-must meet all requirements), incorporation of literature.
-Must have Introduction; use above 1, 2 & 3 as headings for the body of the paper and conclusion. Make sure there is frequent use of evidence and data to support your writing. This means you will have many citations of references, as you need this evidence and data to support your writing. (Make sure to view the Plagiarism video on SAKAI homepage under Student Information (Resources). It is easy to plagiarize another’s idea or thought by thinking it is s original idea.)
MUST use APA manual format. other APA resources under Resources of NU 450 site. Purdue Owl is also a good APA resource.May also google APA style blog for instructions and search for specific topic eg. Headers, primary sources for references.
(10points)
Total: 100 points
Total: 100