Patient Outcomes and Sustainable Change

Reflect on the “IHI Module PS 203: Pursuing Professional Accountability and a Just Culture.” As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization. Explain how you can create, shape, and sustain a culture of safety for your site or organization using the six domains of a culture of safety. How will you inspire, motivate, and inform your organization on a journey of zero harm? Provide rationale and support for your explanation.

Patient Outcomes and Sustainable Change

This assignment will be completed in two parts, which will be synthesized into a final paper.
The purpose of this assignment is to investigate a quality and/or safety issue in a health care entity. You will use the issue and health care entity that you select in this paper for Part 2 of the assignment and for the sustainability assignments. You may use an issue identified at the practice site in your DPI Project.
General Guidelines:
Use the following information to ensure successful completion of the assignment:
• Doctoral learners are required to use APA style for their writing assignments.
• This assignment requires that you support your position by referencing six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
• You are required to submit this assignment to LopesWrite to verify similarity scores.

Write a paper (1,500-1,750 words) discussing the role of quality or safety in nursing practice. Include the following:

  1. In your own words, define quality and safety measures and describe their relationship and role in nursing practice today.
  2. Create a table that identifies three barriers, and three facilitators or methods for addressing the barriers, in today’s health care that impact both patient outcomes and organizational outcomes. Evaluate two of the barriers and provide solutions for how health care organizations can overcome them. Describe two of the facilitators or methods and explain how the facilitators or methods will assist overcoming or reducing barriers. Attach the table as an appendix to this assignment.
  3. Identify a health care entity. Provide an overall description of this entity without using the real name (e.g., location, size, profit or nonprofit, years in operation). In addition to not using the name of the health care entity, do not use the name of any person described.
  4. Select a specific contemporary quality and/or safety issue that is measured at the health care entity and explain how that measure is applied in nursing practice. You will use this selected issue for all quality and sustainability assignments.
  5. Describe the current quality and/or safety program the health care entity has in place to address the quality and/or safety issue you selected. Describe the key quality measures or components currently used to analyze the health care program’s outcome. Discuss what is working and what is not working.
  6. Summarize the specific variables used to track improvement of the health care quality and/or safety program’s outcome.

Patient Outcomes and Sustainable Change

 

 

Assessment Description
2. Reflecting on the “IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care,” describe the role of the DNP-prepared nurse in managing costs. Identify one common barrier to cost management and inappropriate resource use. Discuss a change theory and how it can be applied in nursing practice to integrate sustainable care delivery. Provide supporting evidence.

Assessment Description
3. Reflecting on the “IHI Module TA 102: Improving Health Equity,” describe two causes of health disparities in the United States, or in your local community, that lead to health inequity. What ethical issues inhibit access and quality for care for these issues? Outline an initiative, integrating your faith and ethical principles surrounding practice, to reduce these health inequities and sustain the change within the health care system.

Assessment Description
4. Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement. How will you achieve widespread change? How would the widespread change of your DPI Project be affected if it were implemented in a country with universal health care. Describe how the health outcome would be impacted. Provide supporting evidence.

Assessment Description
5. Reflect on the “IHI Module QI 201: Planning for Spread: From Local Improvements to System-Wide Change.” Describe how change spreads according to Kurt Lewin and Everett Rogers. Using the IHI Framework for Spread, assess the current culture of your organization or practice site and explain how likely a new idea will spread. Provided rationale and support for your explanation.

Assessment Description
6. Reflect on the “IHI Module PS 203: Pursuing Professional Accountability and a Just Culture.” As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization. Explain how you can create, shape, and sustain a culture of safety for your site or organization using the six domains of a culture of safety. How will you inspire, motivate, and inform your organization on a journey of zero harm? Provide rationale and support for your explanation.

Assessment Description
7. Reflect on the “IHI Module PFC 102: Key Dimensions of Patient and Family Centered Care” module. Explain how the four dimensions of patient- and family-centered care are applied or can be applied within your organization. How does your organization collaborate with patients and families to redesign care?

Assessment Description
8. Reflecting on the “IHI Module: PS 202 Achieving Total Systems of Safety,” describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm. What three key recommendations will you use as a DNP leader to promote safety among the workforce in your organization to improve health outcomes?

 

Patient Outcomes and Sustainable Change

 

 

Assessment Description
2. Reflecting on the “IHI Module TA 103: Increasing Value and Reducing Waste at the Point of Care,” describe the role of the DNP-prepared nurse in managing costs. Identify one common barrier to cost management and inappropriate resource use. Discuss a change theory and how it can be applied in nursing practice to integrate sustainable care delivery. Provide supporting evidence.

Assessment Description
3. Reflecting on the “IHI Module TA 102: Improving Health Equity,” describe two causes of health disparities in the United States, or in your local community, that lead to health inequity. What ethical issues inhibit access and quality for care for these issues? Outline an initiative, integrating your faith and ethical principles surrounding practice, to reduce these health inequities and sustain the change within the health care system.

Assessment Description
4. Reflecting on the “IHI Module QI 202: Addressing Small Problems to Build Safer, More Reliable Systems,” describe how your direct practice improvement project achieves clinical improvement. How will you achieve widespread change? How would the widespread change of your DPI Project be affected if it were implemented in a country with universal health care. Describe how the health outcome would be impacted. Provide supporting evidence.

Assessment Description
5. Reflect on the “IHI Module QI 201: Planning for Spread: From Local Improvements to System-Wide Change.” Describe how change spreads according to Kurt Lewin and Everett Rogers. Using the IHI Framework for Spread, assess the current culture of your organization or practice site and explain how likely a new idea will spread. Provided rationale and support for your explanation.

Assessment Description
6. Reflect on the “IHI Module PS 203: Pursuing Professional Accountability and a Just Culture.” As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization. Explain how you can create, shape, and sustain a culture of safety for your site or organization using the six domains of a culture of safety. How will you inspire, motivate, and inform your organization on a journey of zero harm? Provide rationale and support for your explanation.

Assessment Description
7. Reflect on the “IHI Module PFC 102: Key Dimensions of Patient and Family Centered Care” module. Explain how the four dimensions of patient- and family-centered care are applied or can be applied within your organization. How does your organization collaborate with patients and families to redesign care?

Assessment Description
8. Reflecting on the “IHI Module: PS 202 Achieving Total Systems of Safety,” describe the eight recommendations proposed in the IHI report that DNP leaders can apply to accelerate patient safety and the prevention of harm. What three key recommendations will you use as a DNP leader to promote safety among the workforce in your organization to improve health outcomes?