THIS IS A 2 PART ASSIGNMENT. THE ORGANIZATION THAT I NEED THIS TO BE ON IS : Regional One Health, located in Memphis, TN. The quality improvement issue is RN/nurse Retention.

Project: Promoting Health Care

Section 3: Quality Measurement and Assessment

This week you continue working on Section 3 of your Course Project, which was introduced in Week 6. Through your work in previous weeks of this course, you have likely gained critical insights into the organization that serves as the focus for your quality improvement plan. Integrating this knowledge of the organization into your plan for addressing a quality improvement issue is essential for successfully facilitating change.

As you deepen your analysis of your selected organization, consider how the information presented in this week’s Learning Resources relates to strategic priorities as well as to the uniquely collaborative and competitive dynamic that binds organizations in health care.

To prepare:

• Think about the quality improvement issue that you are addressing and the associated plan that you are developing. Consider the following:
  • What is the overall purpose, or aim, of doing this work?
  • What would you hope to achieve for the organization by undertaking this project? What are the objectives of this initiative?
  • What value would this work add to the organization?
  • How would this work improve practice and create outcomes with impact?
• Review Chapter 7 of the Sadeghi, Barzi, Mikhail, and Shabot course text. Consider how addressing this quality improvement issue would align with the organization’s mission, vision, values, and strategic goals and objectives. How does it relate to regulatory issues, and other matters that are significant for the organization? If you notice a misalignment, use this as an opportunity to refine your focus.
• With this in mind, continue to hone your development of this Assignment, integrating the concepts addressed here into Section 3.

To complete:

Write a 3- to 5-page paper that includes:

• An introduction to your quality improvement plan, including the overarching aim of this initiative and an explanation of how it aligns with the mission, vision, values, and strategic goals and objectives of the organization, as well as regulatory issues and other matters that are significant for the organization
• An overview of the current situation with regard to this quality improvement issue in the organization
• A description of measures and indicators
• A presentation on data related to this issue, including:
  • Actual historical and current data and/or a description of the methods that you would use to collect and analyze the data
  • Methods for collecting and analyzing data in the future, including when you would do this
• A description of realistic, evidence-based targets

Be sure to cite evidence from the literature to justify your selection of the measures and indicators, as well as the performance targets. This section of the Course Project serves as the Portfolio Assignment for this course.

Due by Day 7 of Week 8.

Section 4: Quality Improvement Strategies

Through your work on Section 3 of the Course Project, you have examined the gap between current performance and evidence-based targets and considered how addressing this gap relates to organizational priorities and large-scale aims for quality improvement.

In this section of the Course Project, you begin to think about quality improvement strategies that could help to bridge this gap. As noted in the Sadeghi, Barzi, Mikhail, and Shabot text, this is referred to as performance-driven planning.

Since the publication of the Institute of Medicine’s report “Crossing the Quality Chasm,” a good deal of attention has been paid to the need to examine processes that contribute to outcomes (Ernst, Wooldridge, Conway, Dressman, Weiland, Tucker, and Seid). As the USAID has noted, interventions “will not create the desired outcome to improve the quality of care unless the overall process of care delivery is also improved.” Therefore, attention to process redesign is a central aspect of cultivating strategies for improvement.

To prepare:

• Refer to the modified Donabedian model (access, structure, process, outcome, and patient experience) presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text.
• Recall the performance targets that you identified for Section 3 (in Week 6). What does the recommendation that performance-driven planning should “begin with the end in mind” suggest given your established goals?
• Review the information presented in Chapter 9 of the Sadeghi, Barzi, Mikhail, and Shabot text, and think about how you would assess the organization’s strengths and weaknesses related to the performance gaps you identified in Section 3 (Week 6).
• Based on the above, start to think of specific evidence-based strategies that could be implemented to close/minimize the performance gaps you have identified. Consider both interventions (what) and processes (how). Focus on strategies that are supported by the latest research and could create systems-level change. These may be tentative for now, but be sure to identify at least one that specifically lends itself to a change in process (i.e., practice, protocol, pathway, activity).

Additional instructions for Section 4 are presented next week. To complete this Assignment, you will create a process map and write a paper describing quality improvement strategies. This Assignment is due by Day 7 of Week 8.

PART 2 OF THIS ASSIGNMENT:

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

• Ask a probing question, substantiated with additional background information or research.
• Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives.
• Validate an idea with your own experience and additional resources.

Submission and Grading Information

Grading Criteria

To access your rubric:
Week 8 Discussion Rubric

Post by Day 3 and Respond by Day 6

To participate in this Discussion:
Week 8 Discussion

Project 1: Promoting Health Care Quality

Section 3: Quality Measurement and Assessment

By Day 7

Review the complete Assignment description presented in Weeks 6 and 7. Submit Section 3.

Submission and Grading Information

To submit your completed Project for review and grading, do the following:

• Please save your Project using the naming convention “WK8Proj1+last name+first initial.(extension)” as the name.
• Click the Week 8 Project Rubric to review the Grading Criteria for the Project.
• Click the Week 8 Project link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Proj+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:
Week 8 Project 1 Rubric

Check Your Project Draft for Authenticity

To check your Assignment draft for authenticity:
Submit your Week 8 Project 1 draft and review the originality report.

Submit Your Project by Day 7

To submit your Project:
Week 8 Project 1

Project 2: Promoting Health Care Quality

Section 4: Quality Improvement Strategies

Throughout this course you have been considering the relationship between structure, process, and outcomes as it relates to health care quality. Looking at outcomes, alone, may not tell the “whole story.” For instance, if you are concerned with improving fall rates, evaluating the process—related activities or practices—can help you identify factors that contribute to outcomes and develop strategies for improving them.

For this section of your Course Project, you create a process map to examine a current process related to your quality improvement issue. You will use the results of the process mapping to redesign a process to help minimize or close the performance gap(s). As you proceed, keep in mind the importance of maintaining a patient-centered focus so the patient experience is not negatively affected by any changes in process.

To prepare:

• Review the instructions provided in the Learning Resources for creating a process map.
• With your quality improvement issue in mind, as well as the other work you have completed on your Course Project thus far, think about how creating a process map could help you to better understand your quality improvement issue and redesign an associated process.
• Create a process map using Microsoft Word or PowerPoint.
• Refine the strategies for promoting systems-level change to minimize or close the performance gap(s) that you began to think about in Week 7. As part of this, identify a way to redesign at least one process based on your analysis of the process map that you have created.

To complete:

• Write a 2- to 3-page paper in which you describe quality improvement strategies that you selected related to your quality improvement issue.
• Finalize your process map, which will be submitted along with the paper.

By Day 7

Submit your paper and process map.

Submission and Grading Information

To submit your completed Project for review and grading, do the following:

• Please save your Project using the naming convention “WK8Proj2+last name+first initial.(extension)” as the name.
• Click the Week 8 Project Rubric to review the Grading Criteria for the Project.
• Click the Week 8 Project link. You will also be able to “View Rubric” for grading criteria from this area.
• Next, from the Attach File area, click on the Browse My Computer button. Find the document you saved as “WK8Proj+last name+first initial.(extension)” and click Open.
• If applicable: From the Plagiarism Tools area, click the checkbox for I agree to submit my paper(s) to the Global Reference Database.
• Click on the Submit button to complete your submission.

Grading Criteria

To access your rubric:
Week 8 Project 2 Rubric

For this project, you will select and critique a nursing theory of your choice.  You will:

1. Write an original paper.
2. Submit it to the dropbox for a grade based on the rubric.

The following are some conceptual models and theories you may choose from; however, you may choose any nurse theorist:

• Florence Nightengale’s Environmental Model
• Dorothy Johnson’s Behavioral System Model
• Hildegard Peplau’s Interpersonal Process Theory
• Dorothea Orem’s Self-Care Deficit Theory
• Ida Jean Orlando’s Nursing Process
• Sister Calista Roy’s Adaptation Model
• Madeleine Leininger’s Theory of Culture Care Diversity and Universality
• Jean Watson’s Nursing as Caring Theory
• Margaret Newman’s Health Expanding Consciousness
• Martha Roger’s Science of Unitary of Human Being
• Abdellah’s Patient-Centered Approaches Theory

Steps to follow to do your critique:

• You can visit the Fitne website to watch videos about the above mentioned theorist.
• You  can use the Internet to find a journal or articles that provides an  analysis and critique of a theory of nursing as a resource to start  working with your own critique. 
• You need to login entering the following information:
    
  • Username: medical center campus
  • Password: medical
  • Under the Nurse Theorists: Portraits of Excellence (Volume I) link select the theorist of your choice
  • On the left navigation area select a topic to view
     
• You must use the criteria for analysis and critique of theories in Chapter 1 of the George text book. 
• You  will select the link “Library Resources” found under the “NUR3846 –  Library” tab (located on left-side of screen) to do your research and  complete your literature review of the model/theory you selected.
• You may physically visit the library in person as well, and ask for help from the library staff.

Your critique must have the following headings and follow APA Guidelines.

  Topic Description    

Meaning

(30 pts.)

 

• Describe the main ideas of the theory (should include the assumptions under which the theory operates).
   
• What are the main concepts?
   
• What are the main relationships between the concepts?
   
• How do different concepts affect each other?
   

 

Origins of the Theory

(30 pts.)

 

• What was going on in the profession of nursing or in American society that may have influenced the theory?
   
• What values, theories, evidence, and/or existing knowledge did the theorist cite as support for the theory?
   
• What motivated the theorist to write the theory?
   
• What approach to theory development did the theorist use?
   

 

Usefulness

(20 pts.)

 

• How useful is this theory in practice?
   
• Is the theory practical and helpful to nursing?
   
• Does it contribute to understanding and predicting outcomes?
   
• Cite an example/case study where this theory could be used.
   

 

Testability

(10 pts.)

 

• How testable is this theory?
   
• Has this theory generated research? How many and what types of studies?
   
• Give one example of a study done using the theory
   
• What types of statements are the propositions?
   

 

Overall Evaluation

(10 pts.)

 

• Is the theory comprehensive and specific?
   
• How general is the theory?
   
• Summarize the strengths and weaknesses of the theory.
   
• Why  would you use or not use this theory in your own advanced practice?  (Begin to think about the your presentation “Synthesis of Nursing  Theory”).