Theories are derived from conceptual models and are comprised of concepts and propositions. The only concepts that are common to all nursing theories, in some shape or form, are patient, nurse, health, and environment. These are sometimes referred to as the basic metaparadigms of the nursing domain. Identify two additional concepts that are relevant to your personal practice of nursing and explain how they relate to your practice and why they are important to your practice.

Since then, additional quality improvement methods have evolved:

• Shewhart Cycle (PDCA)
• Six Sigma (DMAIC)
• Lean (5S)

Directions

1. Describe the steps in each of the three quality improvement methods listed above.
2. While evolving from industry, describe how each quality improvement method can be applied to achieve quality improvement in healthcare organizations.
3. For the analysis of each quality improvement method, the discussion should be a minimum of three (3) paragraphs, with a maximum of five (5) paragraphs.

2. Use APA format and cite sources, as necessary. 

1. Student’s must use a minimum of 3 scholarly references – scholarly references can include peer-reviewed articles, textbooks, journals, and scholarly news articles. No YouTube videos.

No plagiarism

Textbook Title: Applying Quality Management in Healthcare: A Systems Approach

Edition:4

Author:Patrice L. Spath and Diane L. Kelly 

Publisher (Year): 2017

The following requirements correspond to the criteria in the assignment scoring guide, so be sure to address each point:

1. Analyze organizational or system strengths, weaknesses, opportunities, and threats (SWOT) in relation to the selected project aim.      
   • Support the SWOT analysis with contextual information specific to the organization or health care system.
   • Identify and rate major known risks (low, medium, high risk) that could be barriers to the project.
   • Explain major assumptions for the project, including a description of logistical constraints that may affect the fidelity of the project.
2. Summarize pertinent ethical considerations that may be encountered during the project.      
   • Address protected health information, HIPAA, human subject considerations, equitable care, and appropriate use of data.
3. Describe the communication strategies that will be used during the project.      
   • Specify how the project manager will communicate to the executive sponsor, project team members, and stakeholders, including frequency of status updates, project team meetings, and so on.
   • Include descriptions of any visual tools or processes that will be used in communication such as Gemba walks, Gantt charts, dashboards, or safety cross.
4. List proposed outcomes and corresponding metrics to measure the outcomes.      
   • Operationally define outcome measures.
   • Operationally define process measures.
5. Describe the purpose and use of the data collection plan.             
   • Include a description of primary or secondary data, source, data integrity, and data security plan.
   • Attach a data collection tool in Excel appropriate for the data source and time frame for the project; include this as an appendix.  

John is a doctor in Hope Geral hospital. The doctor has been working for five years. He started working in this hospital when he acquired his degree though this is the hospital in which he did his internship. Doctor John is the doctor in judge in Hope General Hospital. The doctor’s leadership style is transformational leadership. The doctor is focused on bringing change to the organization. Dr. John leads his team, and also he is a mentor to most nurses who are doing their intern in the organization, Dr. John takes at least three hours to monitor what the nurses in practice are doing and also he uses this time to guide them. The Dr is also friendly to the patient, and most patients have hi number, and they can call the doctor any time within the working hours for assistance. For emergency cases, the doctor has another number that patients use to call for help. The doctor works both within the organization and outside when the need arises.

Dr. John is a transformational leader; he communicates a lot with his team (Gray et al., 2017). He conducts a lot of open meetings; this is to allow his team members to express their views regarding the change the doctor he what to make. Since Dr. John was assigned as the doctor in judge, he has made a lot of changes within the organization. At first, the rate of readmission was 40%, but in the past five years, the rate has dropped by half.

The doctor has a vital role he is playing within the organization; the Dr ensures that every department is running effectively, and also he has a communication chain that helps him to gather information which can help the organization become more productive. Dr. John encourages a lot of teamwork. An example, in every ward, Dr. John ensures that there are three professionals from different departments who are delivering care to the patients.

I chose Doctor John as my preceptor because some time ago, I accompanied my father to the hospital, and his case required this particular doctor to attend to him. As the doctor as examining him, he sounded friendly and ready to explain to us every procedure my father will require, and also, he made us understand the health issue that was affecting my father. From this incident, I saw the doctor be the best mentor to me. Most people from my community also trust the doctor due to his good work. The doctor is in charge of the organization he has ensured that professions are comfortable within the organization and will the recruitment team members to focus on other things instead of recruiting professionals regularly. Due to the change today, patients are safe in HGH, and the patient outcome has improved significantly.

Different health care leaders have different strategies that can help an organization, but also patients can be of great help in giving views that will govern the organization (Nelson et al., 2015). The purpose of a health care organization is to achieve the patient outcome; therefore, to get to know what the patients can be of great help. When conducting health care, this can be the best time to understand what the patients need. Different patients have different needs, but the primary need is quality services; thus, from the many options the patient will give, the leader should choose the best views.

The leader can protect health issues; this is because the primary role of a health care leader is to ensure the organization can deliver quality services that help to achieve the patient outcome (Hannum et al., 2017). An example, falling has been an issue in most health care organizations. Looking at the problem, some organizations have overcome the issue while others have not. The difference is causes be the difference in governance. In HGH, the leader aims to make a change; thus, this leader has made proper strategies that will help him achieve this change, and results have been observed even though not to its maximum. Dr. John has been able to protect his team, which is to ensure that their jobs are secured. 

Ethics can be an issue if a leader does not take a good look at the problem. Today HGH has all the principles of ethics; this has helped the organization to receive the patient had lost to the competitors. Dr. John, together with his team, when an issue arises, they discuss, and Dr. John makes the final decision. For many years the organization had problems with high recruitment, which affected a lot the organization’s productivity, but since Dr. John was chosen as a leader, this has reduced significantly.

The issue Dr. John has encountered regarding organization data is the lack of useful data. Dr. John, when he reported first at the office, a lot of data, especially the finance files, were missing at that time the organization was falling due to lack of funds. Dr. John is not sure what he was to do to help the organization because even the drugs were not available at the organization. Dr. John made strategies and got some money, which enabled him to manage the organization until it was stable. The finance issue affected the organization for about two years. Today the organization is trusted with the community, and also they receive a patient from other communities this shows that the organization is now stable 

1. Write coherently to support a central idea, using correct grammar, mechanics, and APA formatting.

Concept Synthesis Paper on Personal Nursing Philosophy

You are required to submit a scholarly paper in which you will identify, describe, research, and apply the concepts that underlie your personal philosophy for professional nursing practice.

This will help you identify your own values and beliefs about the established metaparadigms and metatheories of the discipline. It will also help you identify and articulate concepts relevant to your specific practice. This paper is intended to be an exercise in clarification and organization of your professional foundation. You are also required to provide a list of assumptions from personal nursing practice that illustrate the concepts and framework of your theory.

Your paper should follow a format that includes:

• Nursing Autobiography: A brief (1 page) discussion of your background in nursing.
• The Four Metaparadigms: Identification, discussion, and documentation from the literature of your perspective on the basic four metaparadigms/concepts of patient, nurse, health, and environment.
• Two Practice-Specific Concepts: Identification, discussion, and documentation from the literature of your perspective on at least two other concepts specific to your own practice.
• List of Propositions: A numbered list of at least five propositions or assumption statements that clearly connect the concepts described.

Each week, you will complete various segments of your Concept Synthesis Paper and submit it to the Submissions Area for facilitator feedback when necessary. Your paper should integrate these discrete elements and reflect your personal nursing philosophy.

Your Concept Synthesis Paper on your Personal Nursing Philosophy is due in Week 3. However, it is recommended that you begin working on your paper from Week 1 onwards and complete the various components related to the paper week wise as you progress through the course. The suggested tasks for each week are:

Week 1: Nursing Biography and The Four Metaparadigms of Nursing
Week 2: Two Practice-specific Concepts, and List of Propositions/Assumptions
Week 3: Due: Concept Synthesis Paper on Personal Nursing Philosophy

Consider the following questions as you complete your various tasks related to this assignment.

1.

How do I define and employ the four basic metaparadigms of nursing theory in my professional practice?

2.

What are the major concepts I employ that are unique to my professional practice?

3.

What philosophies and theories from the literature of nursing and other disciplines/domains are consistent with these concepts?

4.

How are the concepts of transcultural nursing, the health promotion model, skill acquisition, role theory, and change theory specifically integrated into  my philosophy and practice?

5.

What research supports these theories and concepts?

6.

How do I integrate role and change theory into my professional practice and how may these theories be applied to the organization in which I practice?

The paper is to be thoroughly researched and well documented, with relevant material from the nursing theorists presented incorporated into the paper. Use the current edition of the APA Manual throughout the paper. Sources should focus on references from nursing theory but may also include conceptual and theoretical material from other professional domains. The paper, excluding references or appendices, is to be limited to 6-10 pages. Writing should be succinct and well organized, as it is impossible for the facilitator to evaluate form and content separately.

Your philosophy/framework is to be given a title that is appropriate to its content and emphasis.