Support your response with references from the professional nursing literature. Your posts need to be written at the capstone level (see checklist). APA format and 3 paragraphs. Use scholar authors only and use references in discussion.  See references.

As health care consumers, we all expect quality care and positive outcomes. It is important as professionals that we meet these demands of health care consumers. Consider the work of the major theorists you examined in this week’s Resources, and think about how these theories apply to your own experience as a health care customer and/or practitioner.

Discussion:

Post your definition of quality, and apply it to the work of one major quality theorist (e.g., Donabedian, Juran, Deming, Triple Aim (IHI) – Berwick). Identify a practice problem that you have had some experience with as a customer or as a practitioner, and explain how eliminating wasteful practices could have improved the experience. Include how your definition of quality applies to that experience.

References:

Spath, P. (2018). Introduction to healthcare quality management (3rd ed.). Chicago, IL: Health Administration Press.
Chapter 1, “Focus on Quality” (pp. 1–12)
Chapter 2, “Quality Management Building Blocks” (pp. 13–34)
Preview Chapter 3, “Measuring Performance” (pp. 43–46)
 

Yoder-Wise, P. S. (2019). Leading and managing in nursing (7th ed.). St. Louis, MO: Mosby.
Chapter 1, “Leading, Managing, and Following” (pp. 1-18)
Chapter 2, “Clinical Safety: The Core of Leading, Managing and Following” (pp. 19-31)
 

  

QP staff. (2010). Guru guide: Six thought leaders who changed the quality world forever. 

  

NURS 4220

Capstone Paper Guide

The Capstone Paper is the culminating assignment of your undergraduate-nursing program at Walden University. In this assignment you will identify a quality improvement practice problem, review and synthesize evidence-based practice evidence, and propose an evidence-based quality improvement plan that you will use to address your practice problem.

Capstone Paper Overview

The Capstone Paper is written in sections each week and submitted for grading in two parts. 

Capstone Paper: Part I (3-4 pages) includes the Practice Problem; Analysis of Evidence; and Quality Improvement Process sections that are written during the first three weeks of the course. The Capstone Paper, Part I will be submitted for grading at the conclusion of Week 3. 

Capstone Paper: Part II (3-4 pages) includes the Evidence-Based Practice Quality Improvement Plan Explanation and Project Resources sections written in weeks 4 and 5. Part II of the capstone paper is submitted for grading at the conclusion of Week 5. 

The two parts of the Capstone paper are designed to be combined into one document and used in conjunction with your storyboard to present a quality improvement plan. You may use these documents demonstrate to your employer an understanding of quality improvement processes that improve patient care and/or patient safety.

Assignment Template

You will use the Walden University APA Course Template to complete this Assignment. 

o Walden University. Walden templates: General templates: APA course paper template with advice (6th ed.). Retrieved from http://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-2774360

§ Delete the abstract page in the template. This is not required for this course.

§ The template includes the correct font and formatting: 12 pt. Times New Roman font, double spacing, and 1-inch margins on all sides. 

Writing Standards

· Review the Academic Writing Expectations Checklist Capstone Level found in your Week 1 Learning Resources

o Note the new expectations for Use of evidence and Credit to Source

o Use a Scholarly Voice

§ http://academicguides.waldenu.edu/writingcenter/scholarlyvoice 

§ http://academicguides.waldenu.edu/writingcenter/webinars/scholarlywriting#s-lg-box-2773859 

o Review the Walden University Writing Center webpage: Using Evidence: Synthesis – http://academicguides.waldenu.edu/writingcenter/evidence/synthesis 

Rubrics (found on the Course Information page)

· Week 3 Assignment Rubric

· Week 5 Assignment Rubric

Capstone Paper, Part I

· Introduction (Completed in Week 1) 

o State the practice problem in measurable terms and that reflect quality indicators. 

This is the same problem described in the Week 1 Practice Experience discussion. 

Provide the rationale for selecting the practice problem

o Include a purpose statement.

· Analysis of Evidence (Completed in Week 2) 

o Synthesize a minimum of 5 evidence-based practice resources that support your practice problem. Include a minimum of two to three research studies obtained from the Walden Library. 

· Quality Improvement Process (Completed in Week 3)

o Describe the quality improvement process and a brief overview the quality model that will be used to improve your practice problem. Include a description of a quality tool that will be used in the quality improvement plan. 

o This process will be used to support the detailed proposed quality improvement plan in Week 4

o Explain why the specific quality model was selected and document your explanation with references.

o Summary  

§ Summarize the key points discussed in the paper. 

Capstone Paper, Part II

· Quality Improvement Plan (Completed in Week 4) 

o Using the Quality Improvement Model as a framework provide a detailed explanation of the quality improvement plan that you will use to address the practice problem. 

o Use the scholarly references identified in the analysis of evidence to support the quality improvement plan.

· Resources (Completed in Week 5)  

o Describe the resources needed to support the change in practice such as personnel time, supplies for staff education, cost of new equipment, or cost of software. 

o Explain why each resource is necessary. 

· Summary  

o Summarize the key points discussed in the paper. 

  

Capstone Paper Schedule and Due Dates

  

Capstone Paper, Part 1

Week Assigned

Date Due

 

Introduction 

· State the practice   problem in measurable terms and that reflect quality indicators. 

o This is the same problem described in the Week 1 Practice   Experience discussion. 

o Keep in mind that this section may need to be revised   after you complete all of the other sections.

· Provide the rationale for selecting the   practice problem.

Week 1

Day 7 of Week 3

 

Analysis of Evidence

· Synthesize a minimum   of at least five evidence-based practice resources that support your practice   problem. 

Week 2

Day 7 of Week 3

 

Quality Improvement Process 

· Describe   the quality improvement process. Include a description of a quality tool that will be used in the   quality improvement plan

· This   process will be used to support the proposed quality improvement plan.

· Explain   why the specific process was selected and document your explanation with   references.

· Summary 

o Summarize   the key points discussed in the paper.

o Submit   to Week 3 Assignment drop box

Week 3

Day 7 of Week 3

 

Dr. Ally, a 49-year-old professor, was diagnosed with essential hypertension 12 years ago and was on antihypertensive drugs. However, he did not take his medications last year because he was feeling just fine. In addition, he was very busy with work. Nevertheless, he felt tired after work and developed dyspnea while climbing the stairs. Recently, he had a bout of epistaxis (severe nose bleed) with dizziness and blurred vision. He went to the doctor for a checkup. His blood pressure was 180/110, and the doctor found rales or crackles on his chest upon auscultation. The doctor ordered rest and asked him to start his medication again.

• What are the patient’s problems?
• What pathophysiological changes are happening in his eyes and heart?
• According to the doctor, the patient might have developed congestive heart failure. Is it right-sided or left-sided?
• What medications are likely to have been used? Describe the mechanisms of actions of at least two antihypertensive drugs.

  

1.    Include theories and concepts from liberal education in providing safe and effective care

Explain in two paragraphs.

After reading this week’s assigned chapters, think about your nursing philosophy. In your own words, discuss your philosophy of nursing. Reflect on the definition of the four concepts of the nursing meta-paradigm. Write your own definition for each concept of the meta-paradigm of nursing. Which concept would you add to the meta-paradigm of nursing and why? Which concept would you eliminate and why?

Your paper should be 1–2 pages in length, in APA format, typed in Times New Roman with 12-point font, and double-spaced with 1″ margins. Cite at least one outside source using APA format.

You are caring for an 82-year-old woman who has been hospitalized for several weeks for burns that she sustained on her lower legs during a cooking accident. Before the time of her admission, she lived alone in a small apartment. The patient reported on admission that she has no surviving family. Her support system appears to be other elders who live in her neighborhood. Because of transportation difficulties, most of them are unable to visit frequently. One of her neighbors has reported that she is caring for the patient’s dog, a Yorkshire terrier. As you care for this woman, she begs you to let her friend bring her dog to the hospital. She says that none of the other nurses have listened to her about such a visit. As she asks you about this, she begins to cry and tells you that they have never been separated. You recall that the staff discussed their concern about this woman’s well-being during report that morning. They said that she has been eating very little and seems to be depressed.

1. Based on Nightingale’s work, identify specific interventions that you would provide in caring for this patient.

2. Describe what action, if any, you would take regarding the patient’s request to see her dog. Discuss the theoretical basis of your decision and action based on your understanding of Nightingale’s work.

3. Describe and discuss what nursing diagnoses you would make and what interventions you would initiate to address the patient’s nutritional status and emotional well-being.

4. As the patient’s primary nurse, identify and discuss the planning you would undertake regarding her discharge from the hospital. Identify members of the discharge team and their roles in this process. Describe how you would advocate for the patient based on Nightingale’s observations and descriptions of the role of the nurse.
just answer the questions in one nice paragraph 

 

Choose an experience from your nursing practice. Using the “SBAR” template, explain the situation in detail, followed with background information. Then explain your immediate assessment and recommendations you have for the provider.

Include the following in the “SBAR” template:

1. Be sure to include three or four evidence-based references, not older than 5 years.
2. When giving your recommendation discuss how you would educate the client using evidence-based research and guidelines. How would you deliver your recommendation in various learning environments?

APA style is not required, but solid academic writing is expected.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.