NURS 8300 The Application of Process Improvement Models in Organizations and Systems Recommendation Week 10 Part II

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NURS 8300 The Application of Process Improvement Models in Organizations and Systems Recommendation Week 10 Part II Essay Assignment

What separates a successful quality improvement initiative from those that fail to meet their goals? Frequently, it is the application of the process improvement model and development of a well thought-out plan of action.

This week continues the examination of how process improvement models are applied to create and sustain change at the organizational and policy level. You also consider how evidence-based practice models can be used for these same purposes.

Learning Objectives

By the end of this week, you will be able to:
  • Apply evidence-based practice models to an identified clinical practice problem
  • Formulate recommendations and an action plan for a quality improvement initiative

Note: Week 10 is a group assignment. Last week, you explored key factors that contribute to patient safety challenges using root cause analysis. This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

Week 10 is a group assignment. Last week, you explored key factors that contribute to patient safety challenges using root cause analysis. This week builds on that foundational awareness with a focus on the application of evidence-based practice models as a strategy to improve patient safety and other quality dimensions. In this Discussion, consider how these strategies can sustain practice changes.

To prepare:

Read: Newhouse, R.P. (2007) Diffusing confusion among evidence-based practice, quality improvement and research. JONA 37,432-535

Read: Mazurek Melynk B., Gallagher-Ford, L., English Long, L., & Fineout-Overholt, E. (2014) The establishment of Evidence-Based practice competencies for practicing registered nurses and advanced practice nurses in real world clinical settings: proficiencies to improve healthcare quality, reliability, patient outcomes, and costs. Worldviews on Evidence-Based Nursing 11(1),5-15.

We all agree that research is the highest form of reliable evidence, when implemented in an organization that provides the basis for an evidence based practice. As a group: FIND a research study published in a peer reviewed journal related to a clinical practice problem that is of interest to the group, and which would ultimately contribute to an evidence based practice.

The discussion assignment:

ANSWER the following discussion questions as a group: (as a team, post your responses by Sunday at midnight). Include the research study in your post (attach it to the post and post it in doc sharing). See page 11 #15 in Mazurek Melynk, Gallagher Ford, English Long and Fineout-Overholt. In this assignment, you are being asked to critically appraise a single research study for its relevance to a QI practice problem.

Each member of the team must participate (weekly rules for discussion) on the group discussion board in order to get full credit.

Discussion questions:

  • What was the purpose of the research?
  • Identify the independent and dependent variables in the study.
  • Briefly describe the research design, data collection method(s), and instruments used to measure the variables under study.
  • Briefly summarize study findings, conclusions and recommendations. Do you agree with these?
  • As a DNP prepared nurse, would you recommend a change in nursing practice based on the study? Defend and/or justify your decision based on research evaluation principles. In other words, does the evidence generated by this research article signify a need to change nursing practice? If not, why not; if so, why?

By Day 3

Post your team’s answers in the form of a main post on your group discussion board. Each member of the group must participate in week 10 in order to receive the grade.

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