Cover the content of the health issues identified in the case study and the content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following as they relate to your patient’s health concerns: 

*Nutrition Counseling for Health Promotion

*Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).

CASE STUDY

Mrs. Jones is a 32 year old Caucasian female who presents for follow up on her gestational diabetes.  She is 3 months postpartum and was diagnosed with gestational diabetes.  This was her first pregnancy.  She has a strong family history of diabetes and was told to get it checked out once she stopped breastfeeding.  She has not checked her glucose since she came home from the hospital, stating she has been too busy.  

Allergies: Sulfa

Current medications: Multivitamin

PMH: Gestational Diabetes

PSH: Tonsillectomy, Wisdom teeth extraction 

Social: Denies tobacco, Alcohol, or illegal drug use.  She is married and lives with her husband and new baby.  She works as an elementary teacher.  She follows a regular diet and walks 2 days a week when she has recess duty.  

Immunizations: flu: 2019

Family: Father: alive, +DM, CAD, Hyperlipidemia, Mother: alive, +DM, CKD

ROS: 

Constitutional:  Complains of increase fatigue

HEENT: Denies any headache, nasal congestion, ear pain

Cardiovascular: Denies chest pain

Respiratory: Denies any SOB or DOE 

GI: Denies any issues, last BM 1 day ago.  

GU: Denies any painful urination, urgency, hesitancy

Musculoskeletal: denies.  

Neurological: Denies

Psychiatric: Denies suicidal ideations, depression. Does report difficulty falling asleep

Endocrine: Denies any weight changes, intolerance to heat/cold

Hematologic/ Lymphatic: Denies any bruising

OBJECTIVE:

Vital signs: Ht: 66, Wt: 185,  BP 130/78, HR 76, Resp: 16, SaO2: 98% 

Constitutional: Well developed, overweight female

HEENT: Oropharynx pink, moist, no lesions or exudate. Tonsils 1+ bilaterally. Teeth in good repair, no cavities noted. Tongue smooth, pink, no lesions, protrudes in midline. Neck supple. No cervical lymphadenopathy or tenderness noted. Thyroid midline, small and firm without palpable masses

Cardiovascular:  RRR, No murmurs or rubs noted.  

Respiratory:  Clear all fields

GI: Abdomen round, soft, with bowel sounds noted in all four quadrants. 

GU: Deferred

Musculoskeletal: Crepitus noted bilateral knees, fluid wave noted to Rt knee

Integumentary: Skin warm and dry, No rashes noted

Neuro: Follows commands without difficulty

Working with your group, utilize the above case study a, develop a Voice Over PowerPoint presentation for your patient covering the problems identified in the case study and content in Unit 3 of Edelman, Kudzama, & Mandle (2018). Include the following: 

o Screening [Immunizations are to be addressed explicitly-ie. up to date- and define, or not up to date- management]o Health Educationo Nutrition Counseling for Health Promotiono Exerciseo Stress Managemento Complementary and Alternative Strategies.o Incorporate the application of a mobile app either by practitioner or population (ie, use of CDC Immunization App to reference Catch Up Schedule, or Fitbit© App and mobile technology for fitness tracking).

 

Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100–250 words about the QI plan and key information in your poster.

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

SHOW LESS

The ability to propose and promote quality improvements in care is a vital skill for a master’s-prepared nurse. One aspect of this is understanding strategies for implementing best practice changes in a team, department, or care setting. Another is understanding how best practices can help lead to a continuous quality improvement cycle. Additionally, it is important to grasp how successful change strategies can be leveraged to help in the creation or implementation of clinical best practices. Part of this is considering the audience when proposing quality improvement projects or new best practices. Another part of this is being able to effectively communicate the goals, rationale, and benefits of a project.

For this assessment you will create a presentation poster to communicate a quality improvement project.

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

• Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
  • Evaluate specific evidence that supports the quality improvement methods proposed.
• Competency 2: Develop change strategies for improving the care environment.
  • Explain how the project is grounded in successful change strategies.
• Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
  • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
• Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired healthcare improvement outcomes.
  • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
• Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
  • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

  

As a master’s-level nurse you will be responsible for promoting equitable quality of care. In the biopsychosocial model of care, there are a number of areas where you can have an impact on improving the quality, safety, and equitablility of care. One example area where equitable quality of care is an issue is with medications, especially considering the cost of various medications to treat the same condition versus the effectiveness and potential side-effects of the medications. A further pharmacological concern for safe and quality care is medication errors. This could include considerations like a patient getting the wrong medication or a dangerous interaction due to other aspects of a patient’s health and treatment situation. An example could be vitamin or herbal supplements the patient has not disclosed as part of the medication reconciliation process.

One way to communicate the need for quality improvements, and your plans for achieving specific improvements, is through a presentation poster. This type of communication tool is used both in the work place and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.

Questions to Consider

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

SHOW LESS

The assessment will be built around creating a professional and compelling poster to present a quality improvement project that may have grown out of your change initiative in the second assessment.

• Who will be the primary audience of your poster? Who might be the wider, or outreach, audience that will be relevant to consider when creating your poster?
  • What details or information will be most important and compelling to your audiences?
  • How might you craft the design of your poster so that it better speaks to your audiences?
• What steps might a nurse take to implement best practice changes in a care setting while respecting the multidisciplinary team?
  • What does each member bring to the care of the client or community?
  • How might recognizing the contributions of the multidisciplinary team help build buy-in or collaboration?
    • Why is buy-in important to the success of a quality improvement project?

 

Assessment Instructions

Scenario

For this assessment, you may take one of two approaches:

• The first is to build upon the clinical issue that was the focus of your Change Strategy and Implementation assessment, and turn it into a full, organization- or community-wide quality improvement initiative.
• The second is to identify a new issue related to a biopsychosocial (BPS) clinical issue, or a clinical issue related to one of the items from the list of conditions, diseases, and disorders presented in the Resources section for the Concept Map assessment. The focus should be on a community rather than on a specific patient or health care setting.

As a master’s level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders.

Instructions

Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan.

Abstract Requirements

• Your abstract should be 100–250 words.
• It should summarize the key information in your poster.
• Do not put your abstract on your poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract.

Poster Requirements

• Your poster should include the following sections:
  • Quality Improvement Methods.
  • Evidence Supporting QI Methods.
  • Change Strategy Foundation.
  • Interprofessional Team Benefits.
  • Overall Project Benefits.
• There are templates in PowerPoint or on the Internet that can help you get a start designing your poster.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of them. You may also want to read the Quality Improvement Presentation Poster scoring guide and the Guiding Questions: Quality Improvement Presentation Poster document to better understand how each grading criterion will be assessed.

• Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
• Evaluate specific evidence that supports the quality improvement methods proposed.
• Explain how the project is grounded in successful change strategies.
• Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
• Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
• Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

• Assessment 3 Example [PPTX].

Additional Requirements

• Length of submission:
  • Abstract: 100–250 words. Your abstract should be succinct and precise.
  • Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assessment instructions.
• Number of references: Cite a minimum of 5–7 sources of scholarly or professional evidence that support your considerations and plans. Resources should be no more than five years old.
• APA formatting: Resources and citations are formatted according to current APA style. 

Grading Rubric:

1-  Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration. 

Passing Grade:  Proposes quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration. Acknowledges potential difficulties and discusses how those challenges will be met.
 

2-  Evaluate specific evidence that supports the quality improvement methods proposed. 

Passing Grade:  Evaluates specific evidence that supports the quality improvement methods proposed. Identifies knowledge gaps, unknowns, missing information, unanswered questions, or areas of uncertainty (where further information could improve the analysis). 

3-  Explain how the project is grounded in successful change strategies. 

Passing Grade:  Explains how the project is grounded in successful change strategies. Acknowledges potential difficulties and discusses how those challenges will be met. 

4-  Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project. 

Passing Grade:  Analyzes the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project. Identifies assumptions upon which the analysis is based. 

5-  Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience. 

Passing Grade:  Communicates quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience. The structure of the communication enables the audience to grasp complex concepts and encourages buy-in. 

6-   Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style. 

Passing Grade:   Integrates relevant sources to support assertions, correctly formatting citations and references using current APA style. Citations are free from all errors. 

• Conflict, Workplace Violence, and Negotiation
  1. Define conflict and describe the benefits and risks of too much/too little conflict in an organization
  2. What are the commons sources of conflict in an organization?
  3. What types of conflict might a nurse see In a healthcare organization?
  4. What are the stages occurring in conflict resolution?
  5. What are the anticipated conflict resolution outcomes?
  6. Name and define with an example of the 6 common resolution strategies
  7. What are common causes of organizational conflict, as in a healthcare org.?
  8. What are three strategies in conflict resolution that you have tried or can anticipate in your first nursing job?
  9. Define bullying and incivility within the nursing profession (Lateral violence—also workplace violence)
  10. What is negotiation as it relates to concerns in healthcare?
  11. Name negotiating strategies that lead to conflict resolution
  12. What are some destructive tactics that can damage a successful negotiation session?
  13. Name three alternatives to negotiation…how do they work?
  14. Describe the importance of consensus as a conclusion to conflict management
  15. Chapter 24—Performance Appraisal
  16. Describe the performance appraisal process, naming important factors to consider
  17. Describe the factors influencing an effective appraisal—why are these important?
  18. Describe salient strategies for a successful performance appraisal—why is implicit bias such an important criterion to master?
  19. Define the terms associated with errors made in performance appraisals
  20. Describe different types of performance appraisals—which would you prefer and why?
  21. Describe the features of a successful performance appraisal session
  22. Define and describe the management by objectives approach to performance appraisals
  23. How does peer review work for performance appraisals? What are the potential downfalls?
  24. Define strategies for being a successful coach to others

• Chap 25—Problem Employees: Rule Breakers, Marginal Employees and the Chemically or Psychologically Impaired

  1. What are the “do’s and don’t’s” of Rules in an organization?
  2. Define, compare and contrast “Constructive Discipline” and “Destructive Discipline”
  3. Name the criteria that must be present to make disciple fair and a growthful experience
  4. Define strategies that create an atmosphere of self-discipline, the best approach to well- functioning organizations
  5. Name the four common steps in Progressive Discipline
  6. Describe a successful disciplinary conference for an employee
  7. Describe the main elements in a termination/separation meeting
  8. Define the formal grievance process? When is this most often used?
  9. Define the rights and responsibilities of those involved in the grievance process (be sure to use your ATI reference)
  10. Define and compare the disciplinary process for unionized employees
  11. Chemical impairment—define and provide a profile of a chemically impaired nurse
  12. What are the recommended ways to confront and support a chemically impaired employee?
  13. What are the reentry guidelines for a previously chemically impaired nurse to return to practice?

Apply what you have learned about Health Promotion and Disease Prevention, and demonstrate the ability to develop a holistic plan of care, incorporating Telehealth and defining assessment and intervention of specific population incorporating unique attributes of populations for health promotion, wellness preservation, and maintenance of function across the health-illness continuum.

Develop a case study and a plan of care, incorporating current mobile App technology:

1. Select a population. Define your population by gender, age, ethnicity, socioeconomic status, spiritual need, and healthcare need.  Apply concepts learned in course to identify healthcare needs specific to the population and access to care (Utilize your textbook Chapters 1-25, and identified Websites).  Also use at least two references within the five years.
2. Develop a case study for a patient in your chosen population.
3. Define a provider level of care that includes telehealth, alternative therapies, and mobile App technology discussed in this class. Describe how telehealth could impact the care delivery of this patient. 

Hint: Concise, condensed information, with specifics and details about population and unique needs with a plan for meeting these needs should be considered. Incorporate the content you have learned in this course.

Expectations

• Due: 2/16/21
• Length: 3 pages not including the title page and references page
• Format: APA, 7th edition format is to be observed (12 pt., 1” margins, Times New Roman)
• Research: Two references within the last five years

Discussion 3

Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects.

In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

1. The purpose of the quality improvement initiative.
2. The target population or audience.
3. The benefits of the quality improvement initiative.
4. The interprofessional collaboration that would be required to implement the quality improvement initiative.
5. The cost or budget justification.
6. The basis upon which the quality improvement initiative will be evaluated.

Reply 1

Weiner 1 postsRe: Topic 2 DQ 3

For my executive summary assignment my idea for quality improvement in my workplace is the reduction of falls. I work in a skilled nursing facility and we have a lot of dementia patients as well as rehab patients. Basically, I think there are ways in which to decrease the number of falls that my facility could implement that wouldn’t be too difficult to accomplish. One would be to assign the fall risk patients rooms closer to the nurses’ station because we have a few right now that I think are too far and on more than one occasion, I have found certain patients halfway out of the bed. I know reducing falls is a very common project, but I do think it’s vitally important to do so.

Reply 2 

Nkamse 1 postsRe: Topic 2 DQ 3

The central electronic systems in hospitals are the electronic health record systems. These systems are clear evidence of the significance of information technology that continues to revolutionize various industries. These systems have great importance in enhancing healthcare services provided to the patients. Many healthcare organizations and facilities have shifted their focus to its use to improve their service delivery. These systems function as the key repository of all patients’ files (Liberati et al., 2017). Nurses also utilize the appointment scheduling software to track and schedule shifts among them. The medical equipment management software helps doctors to monitor their patients who are in the ICU.

Healthcare has experienced some improvements in service delivery through these electronic systems, such as limiting medication errors and ensuring advanced health management. The continued adoption of electronics in the hospitals leads to increased delivery of quality care to patients and improvements in health and healthcare administration (Prezerakos, 2018). The most common electronic systems in hospitals include electronic health record (EHR) software, imaging and visualization, medical diagnosis software, appointment scheduling, medical billing, hospital management software, e-prescribing software, medical research, and medical equipment management. EHR is the most common electronic system in hospitals. It is extensively utilized to collect data about patients, including their medical charts, personal information, authorized users, and medications for use. It enables the integration of patient care across various healthcare departments.  The medical database software enables nurses, physicians, and other healthcare professionals to enter and share patients’ data on various digital platforms.

References

Liberati, E. G., Ruggiero, F., Galuppo, L., Gorli, M., González-Lorenzo, M., Maraldi, M. … & Moja, L. (2017). What hinders the uptake of computerized decision support systems in hospitals? A qualitative study and framework for implementation. Implementation Science, 12(1), 1-13.

Prezerakos, P. E. (2018). Nurse managers’ emotional intelligence and effective leadership: A review