NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 6 (Grading Rubic and Media Attached) 2025

Discussion: Defining and Measuring Quality in Health Care Organizations Quality is never an accident. It is always the result of intelligent effort. —John Ruskin Quality is multidimensional and involves the perspectives of various stakeholders, including patients and families. As noted in this week’s Learning Resources, defining quality is not a simple, straightforward task. Yet, it provides an essential foundation for being able to measure and assess quality, and, ultimately, to improve it. In this Discussion, you consider definitions and measurements of quality. As you proceed, think about why it is important for organizations to be able to quantify quality and compare current performance to previous performance, to a set of standards, and/or to performance in other organizations. To prepare: Review the information in the Learning Resources, especially the chapters in the Sadeghi, Brazi, Mikhail, and Shabot course text, focusing on how quality is or could be defined and measured. Think about a health care organization with which you are familiar. It may be the same organization you are focusing on for your Course Project, or a different one. How do you think various stakeholders in this organization would define quality? How would you define quality as it relates to this organization? Review the information on quality standards and / or aims in the Learning Resources, and consider the following: Which outcomes related to quality are currently being monitored in the organization that you have selected? How is related data collected and evaluated? Does the organization use health information technology in this regard? If so, how? How is quality-related information (e.g., data, needs for improvement) communicated throughout the organization? What do you consider to be the strengths and weaknesses of the current approach to quality in this organization? Post a definition of quality for your selected organization. Describe at least one quality-related measure that is currently being monitored within the organization. Summarize the data collection process for this measure, and explain how this information is communicated to or among the staff. Identify at least one strength and one weakness related to how quality is defined, measured, and/or monitored within the organization. Read a selection of your colleagues’ responses. Respond to at least two of your colleagues on two different days using one or more of the following approaches: Compare the organizations’ definitions of quality. Share an insight about how your colleague’s data and information could be used to formulate a quality initiative. Suggest additional options for tracking data. Provide an additional resource to assist a colleague with his or her plan for keeping staff informed and engaged. Use the below link: http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementEstablishingMeasures.aspx Required Readings Hickey, J. V., & Brosnan, C. A. (2017). Evaluation of health care quality in for DNPs (2nd ed.). New York, NY: Springer Publishing Company. Chapter 6, “Evaluating of Health Care Information Systems and Patient Care Technology” (pp. 143-170) This chapter examines federally mandated use of health information technology to improve health care and care delivery. Sadeghi, S., Barzi, A., Mikhail, O., & Shabot, M. (2013). Integrating quality and strategy in health care organizations. Burlington, MA: Jones & Bartlett Learning. Review Chapter 3, “General Concepts in Quality” (pp. 45–82) (assigned in Week 4) The authors discuss historical perspectives of quality in various industries, and explain the multifaceted nature of defining quality in health care settings. Chapter 4, “Current State of Quality Measurement: External Dynamics” (pp. 83–98) This chapter describes many of the government, nonprofit, and for-profit groups / organizations that contribute to the establishment quality standards and support research to improve the quality of health care. Chapter 5, “Current State of Quality Measurement: Internal Dynamics” (pp. 99–110) This chapter focuses on mandatory and voluntary quality measurement in organizations. Chapter 6, “Measuring Quality of Inpatient Care” (pp. 111–132) This chapter explains the terminology use in quality measurement (e.g., measures, indicators, metrics), and notes that measurement is a critical foundation for the ultimate aim of creating effective changes to improve quality. Chapter 8, “Quantifying the Quality Performance Gaps” (pp. 161–177) This chapter addresses how to quantify current performance and set targets. Epstein, J. N., Langberg, J. M., Lichtenstein, P. K., Kolb, R. C., & Stark, L. J. (2010). Sustained improvement in pediatricians’ ADHD practice behaviors in the context of a community-based quality improvement initiative. Children’s Health Care, 39(4), 296–311. Retrieved from the Walden Library databases. Researchers evaluate a quality improvement project on pediatric care of ADHD patients and the sustainability of the improvement over a two-year period. Gardner, K., Bailie, R., Si, D., O’Donoghue, L., Kennedy, C., Liddle, H., . . . Beaver, C. (2011). Reorienting primary health care for addressing chronic conditions in remote Australia and the South Pacific: Review of evidence and lessons from an innovative quality improvement process. The Australian Journal of Rural Health, 19(3), 111–117. Retrieved from the Walden Library databases. The authors review data from continuous quality improvement projects, and also discuss key features of continuous quality improvement projects and requirements for supporting an initiative on a larger scale. Institute of Medicine. (2001). Crossing the quality chasm: A new health system for the 21st century. Washington, DC: National Academy Press. Retrieved from the Walden Library databases. This report outlines the Institute of Medicine’s (IOM’s) six aims to improve the quality of health care. Knox, L. M., & Aspy, C. B. (2011). Quality improvement as a tool for translating evidence based interventions into practice: What the youth violence prevention community can learn from healthcare. American Journal of Community Psychology, 48(1-2), 56–64. Retrieved from the Walden Library databases. This article discusses evidenced-based practice, how it can be used to not only improve healthcare, but also performance in other fields such as youth and family services. Institute for Healthcare Improvement. (2011). Science of improvement: Establishing measures. Retrieved from http://www.ihi.org/knowledge/Pages/HowtoImprove/ScienceofImprovementEstablishingMeasures.aspx This piece outlines central tenets of measurement for improvement purposes. Document: Evidence Matrix (Word document)

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Discussion: Validity in Quantitative Research Designs 2025

Discussion: Validity in Quantitative Research Designs Validity in research refers to the extent researchers can be confident that the cause and effect they identify in their research are in fact causal relationships. If there is low validity in a study, it usually means that the research design is flawed and the results will be of little or no value. Four different aspects of validity should be considered when reviewing a research design: statistical conclusion validity, internal validity, construct validity, and external validity. In this Discussion, you consider the importance of each of these aspects in judging the validity of quantitative research. To prepare: Review the information in Chapter 10 of the course text on rigor and validity. Read the method section of one of the following quasi-experimental studies (also located in this week’s Learning Resources). Identify at least one potential concern that could be raised about the study’s internal validity. Metheny, N. A., Davis-Jackson, J., & Stewart, B. J. (2010). Effectiveness of an aspiration risk-reduction protocol. Nursing Research, 59 (1), 18–25. Padula, C. A., Hughes, C., & Baumhover, L. (2009). Impact of a nurse-driven mobility protocol on functional decline in hospitalized older adults. Journal of Nursing Care Quality, 24 (4), 325–331. Yuan, S., Chou, M., Hwu, L., Chang, Y., Hsu, W., & Kuo, H. (2009). An intervention program to promote health-related physical fitness in nurses. Journal of Clinical Nursing, 18 (10), 1,404–1,411. Consider strategies that could be used to strengthen the study’s internal validity and how this would impact the three other types of validity. Think about the consequences of an advanced practice nurse neglecting to consider the validity of a research study when reviewing the research for potential use in developing an evidence-based practice. Post the title of the study that you selected and your analysis of the potential concerns that could be raised about the study’s internal validity. Propose recommendations to strengthen the internal validity and assess the effect your changes could have with regard to the other three types of validity. Discuss the dangers of failing to consider the validity of a research study.

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Can someone deliver 400 words or one page in APA format? 2025

Assignment Objectives Demonstrate the integration and utilization of key concepts and knowledge from prior courses to solve the selected problem Apply critical thinking and relevant concepts to the final project Primary Task Response: Within the Discussion Board area, write 400–600 words that respond to the following questions with your thoughts, ideas, and comments. This will be the foundation for future discussions by your classmates. Be substantive and clear, and use examples to reinforce your ideas: Assignment Details Each health care organization is unique in reference to its strengths and weaknesses. Assessing different aspects of the organization will assist in the implementation of your proposed project. Your assessment plan will put a larger emphasis on your topic of study within an additional overall assessment of the organization. Complete the following: Post on the Discussion Board some information that you discovered when assessing your organization that you did not know before. Identify the type of organizational assessment that you used. Where did you locate the information? Why is it relevant to your topic of study?

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Preparing a Strategic Career Plan for Graduate FNP 2025

Preparing a Strategic Career Plan Graduation and certification are the beginning of your career as an NP. Whether you are looking for that dream job or you have decided to open your own practice as an independent NP, you need a plan to get there. Before the Web and social media, job hunting was relatively simple. Job hunters perused the classifieds, made cold calls, and many times just showed up with a resume in hand. There has been a dramatic change in the last decade in how people find and get jobs, and NPs are no exception. For those seeking employment now, there is a wealth of resources available from mega employment Web sites to specialty blogs. Finding a job as an NP may not be a big challenge, but landing the position that you have passionately prepared for and pursued is going to take some work. A well-crafted cover letter and resume may be necessary items, but it may not be enough to get you exactly where you want to be. With so many opportunities and career trajectories available to NPs today, you need to focus and get serious about what you want to do and where you want to do it. Directions In this Assignment, you will develop your own strategic career plan for starting your new career as an NP. There are sequential steps that need to be accomplished. Use the following template to design your career plan. You do not need to include references. This is a plan that you may layout how you wish. There are no right or wrong answers in this plan. It is time to take inventory and ask yourself some questions. What is your career vision? Be specific and honest. Where do you want to work? What are your short term and long term goals (give timeline). What are the most important things you are looking for? Do you want to independently own a clinic? Perhaps you have a niche such as managing chronic diseases in patients over 65 years old. Or, your aspirations may be more concrete such as salary and benefits. Next, describe your ideal work situation. Is it a rural clinic or major trauma center? Who do you want to work with? Who is your target patient population? What schedule do you want? What are the priorities in your career right now? How about 5 years from now? How do you plan on researching opportunities (whether looking for employment or independent practice site)? List several methods such as job fairs, the Web, and medical employment agencies. Discuss your networking ideas. Networking is essential today. Are you in Linkedin? If all goes right, how will you prepare for the interview? This is sometimes the make it or break it step. Be specific here on how you plan on acing this step. If you want to start your own practice, describe what your practice will be? How you will market this business? How will you obtain funding? What do you need to do before opening the doors? Briefly, what is your business plan? To view the Grading Rubric for this Assignment, please visit the Grading Rubrics section of the Course Home. Assignment Requirements Before finalizing your work, you should: be sure to read the Assignment description carefully (as displayed above) consult the Grading Rubric (under the Course Home) to make sure you have included everything necessary utilize spelling and grammar check to minimize errors Your writing Assignment should: follow the conventions of Standard American English (correct grammar, punctuation, etc.) be well ordered , logical , and unified , as well as original and insightful display superior content, organization, style, and mechanics use APA 6th Edition format for organization, style, and crediting sources. Refer to the APA Progression Ladder . THE RESOURCES USED MUST BE NO OLDER THAN 4 YEARS. USE HE STATE OF ALABAMA!!!!!! FOLOW THE PROVIDED RUBRIC EXACTLY!!!!!

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