NURS FPX 6412 Assessment 2 Presentation to the Organization
Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Presentation to the Organization Hello, my name is [Your Name], and I am here to discuss the eTAR system, which stands for Electronic Treatment Administration Record. This system serves as a digital health records solution, facilitating the comprehensive management of medication and therapy through both online and offline applications. The eTAR ensures real-time recording, collection, and reporting of resident data, providing secure and practical access to medication records. Change in Workflow with the Use of Evidence-Based Practice Electronic Health Records (EHR) offer detailed information contributing to health outcomes. Compared to traditional documentation methods, electronic records provide more comprehensive patient data. Healthcare providers can achieve accurate assessments over time by monitoring changes, such as cholesterol levels and weight. The eTAR data supports primary care professionals in developing better strategies for managing, preventing, and screening chronic diseases, serving as valuable research material (Zheng et al., 2020). The eTAR simplifies clinicians’ workload, allowing them to see more patients by providing access to thorough patient histories on a single screen. This can save doctors’ time spent searching for results and reports. Notable benefits include the availability of laboratory results, medication error alerts, remote access to patient charts, and reminders for preventive care. EHRs offer resources to identify patient risks, leading to higher-quality care and improved patient-provider communication (ARAS, 2021). For instance: Evaluation of Workflow that Supports Strategic Plan The eTAR system aligns with the organization’s strategic plan, contributing to improved health outcomes, patient care, safety, technological advancements, and treatment quality. It enhances care quality, leading to better patient outcomes and increased management efficiency. The system reduces medication errors, unnecessary investigations, and fosters improved interactions between primary care providers and patients (Fuller, 2019). Improved Care and Patient Outcomes The eTAR not only streamlines healthcare professionals’ tasks but also enhances patient safety and care. It aids in clinical data management, making valuable information more accessible. Additionally, it expedites time-consuming medical procedures (Lyles et al., 2020). Patients benefit from better clinical care when healthcare professionals have complete and reliable data. The eTAR helps in monitoring medications, storing data about primary care providers, and notifying clinicians in emergencies, thereby improving patient care (Lindberg et al., 2020). Workflow Changes for Stakeholders/Practitioners/End Users The successful implementation of the eTAR system requires a well-defined strategy considering the impact on stakeholders, healthcare providers, and end users. Key stakeholders in the decision-making process include clinicians, nurse informaticists, billing teams, administration, and marketing teams. Involving these stakeholders is crucial as their perspectives contribute to the comprehensive evaluation of the new system’s suitability (Farre et al., 2019). Stakeholders Affected by the Change and Efficiency Gains The implementation of the eTAR system yields efficiency gains and positively impacts various stakeholders. By reducing the risks of medication errors and enhancing organizational effectiveness, eTAR systems contribute to patient safety and overall healthcare quality (Awad et al., 2021). The system benefits healthcare professionals in delivering safer care, improving healthcare convenience, enhancing communication, and facilitating the exchange of electronic information. It also aids billing teams by eliminating paperwork and simplifying work processes, supporting marketing efforts by showcasing system features that enhance patient-physician communication (Kruse et al., 2018). Decision-Making Rationale for the Workflow Changes The decision to implement the eTAR system is driven by its potential to enhance the organization’s workflow and positively impact stakeholders. The system incorporates comprehensive patient medical records, improving provider workflows, patient care, and participation in decision-making. This results in better patient diagnosis, improved health outcomes, and increased operational efficiency and cost savings (Wang & Laramee, 2021). Strategies to Maximize Efficiency, Safety, and Patient Satisfaction Using eTAR To maximize efficiency, safety, and patient satisfaction, the eTAR system can leverage online experiences for scheduling appointments and streamline data collection processes. Online appointment scheduling allows patients to manage their visits conveniently, while efficient data collection through checkpoints reduces manual errors and enhances team productivity. These strategies contribute to improved communication, time savings, and reduced paper usage (Baumann et al., 2018). Conclusion In conclusion, the eTAR system presents a comprehensive solution for healthcare paperwork. Its availability in both online and offline applications facilitates real-time recording, collection, and reporting of resident data, providing secure and practical access to medication records. References ARAS, S. (2021). Investigation of the effects on dose calculations of correction-based algorithms in different tissue mediums. Celal Bayar Üniversitesi Fen Bilimleri Dergisi. https://doi.org/10.18466/cbayarfbe.841547 Baumann, L. A., Baker, J., & Elshaug, A. G. (2018). The impact of electronic health record systems on clinical documentation times: A systematic review. Health Policy, 122(8), 827–836. https://doi.org/10.1016/j.healthpol.2018.05.014 Cajander, Å., & Grünloh, C. (2019). Electronic health records are more than a work tool. Proceedings of the 2019 CHI conference on human factors in computing systems – CHI ’19. https://doi.org/10.1145/3290605.3300865 Farre, A., Heath, G., Shaw, K., Bem, D., & Cummins, C. (2019). How do stakeholders experience the adoption of electronic prescribing systems in hospitals? A systematic review and thematic synthesis of qualitative studies. BMJ Quality & Safety, 28(12), bmjqs-2018-009082. https://doi.org/10.1136/bmjqs-2018-009082 NURS FPX 6412 Assessment 2 Presentation to the Organization Fuller, A. (2019). Electronic medication administration records and barcode medication administration to support safe medication practices in long-term care facilities. ERA. https://era.library.ualberta.ca/items/5f13a1b6-a1e2-4f13-8b1d-7ea531d24c42 Klecun, E., Zhou, Y., Kankanhalli, A., Wee, Y. H., & Hibberd, R. (2019). The dynamics of institutional pressures and stakeholder behavior in national electronic health record implementations: A tale of two countries. Journal of Information Technology, 026839621882247. https://doi.org/10.1177/0268396218822478 Kruse, C. S., Stein, A., Thomas, H., & Kaur, H. (2018). The use of Electronic Health Records to support population health: A systematic review of the literature. Journal of Medical Systems, 42(11). https://doi.org/10.1007/s10916-018-1075-6 Lindberg, D. S., Prosperi, M., Bjarnadottir, R. I., Thomas, J., Crane, M., Chen, Z., Shear, K., Solberg, L. M., Snigurska, U. A., Wu, Y., Xia, Y., & Lucero, R. J. (2020). Identification of important factors in an inpatient fall risk prediction model to improve the quality of care using EHR and electronic administrative data: A machine-learning approach. International Journal of Medical Informatics, 143, 104272. https://doi.org/10.1016/j.ijmedinf.2020.104272 NURS FPX 6412 Assessment 2 Presentation to
NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice
Student Name Capella University NURS-FPX 6412 Analysis of Clinical Information Systems and Application to Nursing Practice Prof. Name Date Policy and Guidelines for the Informatics Staff: Decision-Making in the Utilization of Informatics Systems Abstract This policy delineates the functionalities and assessment of the Electronic Treatment Administration (eTAR) as a pivotal tool in Electronic Health Records (EHR) within the healthcare system. It underscores the role of eTAR in supporting evidence-based practice, scrutinizing the work environment, contributing to strategic plans, evaluating workflow efficiency, and advancing interprofessional care. The document also encompasses guidelines and responsibilities pertinent to the integration of eTAR within the healthcare landscape. Functions of eTAR Electronic Treatment Administration (eTAR) serves several crucial functions within the healthcare system: Evaluation of eTAR’s Function in Evidence-Based Practice eTAR augments nursing services through paperless electronic care strategies, applicable to both acute and post-acute patient care. It generates resident lists based on location, pass time, and route of administration, creating e-charts with comprehensive patient information. It offers checkboxes for treatment and medication documentation, tracks patient-specific effects, and facilitates reorder requests when necessary. This systematic approach ensures efficient care delivery (Li et al., 2021). A summary page at the end of each session provides statistics on various parameters. Guidelines Reflecting Analysis of Work Setting eTAR enhances patient experiences and eradicates discrepancies in healthcare processes, safeguarding patient data from human errors. It facilitates the documentation of patient credentials, health conditions, medication routes, surgical/non-surgical procedures, and outcomes. Moreover, it assists healthcare providers in documenting unfulfilled medical and surgical orders, ensuring compliance with residents’ Electronic Health Records (EHR). This simplifies the collaboration between nurses and physicians (Quinn et al., 2019). Contribution to Strategic Planning eTAR plays a pivotal role in strategic planning by prioritizing new orders within a 72-hour timeframe. It utilizes the NetSolutions Clinical Decisions software to store and validate patient data, ensuring patient consent and access rights. The Clinical Decision Support (CDS) feature enhances care quality by providing validated data to care providers for more effective care delivery (Robertson et al., 2019). Assessment of Workflow Efficiency eTAR’s digitized data collection simplifies care provision and offers convenient features such as quick links, two-step verification, easy access to patient data, and relevant information placement. It employs barcoding for secure data storage, minimizing the potential for human errors (Tapuria et al., 2021). These enhancements maximize workflow efficiency and support multidisciplinary tasks. Contribution to Interprofessional Care eTAR maintains patient information access, facilitating coordinated interprofessional collaborative patient practice (ICP). It complements Electronic Health Records (EHR) by enhancing interprofessional communication and validating role responsibilities and competencies. The system generates reports that keep the entire team informed, promoting effective communication within interdisciplinary healthcare teams (Quinn et al., 2019). Conclusion eTAR emerges as a valuable EHR tool that maintains accurate patient data, enhances patient safety, and authorizes patients to access their information conveniently. Its efficient features, guidelines, and policies contribute significantly to the healthcare system’s quality and efficiency. References Kataria, S., & Ravindran, V. (2020). Electronic health records: A critical appraisal of strengths and limitations. Journal of the Royal College of Physicians of Edinburgh, 50(3), 262–268. https://doi.org/10.4997/jrcpe.2020.309 Li, E., Clarke, J., Neves, A. L., Ashrafian, H., & Darzi, A. (2021). Electronic Health Records, Interoperability and Patient Safety in Health Systems of High-income Countries: A Systematic Review Protocol. BMJ Open, 11(7), e044941. https://doi.org/10.1136/bmjopen-2020-044941 Ludwikowska, K. (2018). Evidence-based training approach in organizational practice. Modern Management Review. https://doi.org/10.7862/rz.2018.mmr.48 McConeghy, K. W., Cinque, M., White, E. M., Feifer, R. A., Blackman, C., Mor, V., Gravenstein, S., & Zullo, A. R. (2021). Lessons for deprescribing from a nonessential medication hold policy in US nursing homes. Journal of the American Geriatrics Society, 70(2), 429–438. https://doi.org/10.1111/jgs.17512 NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice Quinn, M., Forman, J., Harrod, M., Winter, S., Fowler, K. E., Krein, S. L., Gupta, A., Saint, S., Singh, H., & Chopra, V. (2019). Electronic health records, communication, and data sharing: Challenges and opportunities for improving the diagnostic process. Diagnosis, 6(3), 241–248. https://doi.org/10.1515/dx-2018-0036 Robertson, B., McDermott, C., Star, J., Lewin, L. O., & Spell, N. (2020). Synchronous virtual interprofessional education focused on discharge planning. Journal of Interprofessional Education & Practice, 100388. https://doi.org/10.1016/j.xjep.2020.100388 Tapuria, A., Porat, T., Kalra, D., Dsouza, G., Xiaohui, S., & Curcin, V. (2021). Impact of patient access to their electronic health record: Systematic review. Informatics for Health and Social Care, 46(2), 194–206. https://doi.org/10.1080/17538157.2021.1879810 Appendix A: Policy Overview This policy aims to acquaint the interdisciplinary healthcare team with eTAR technology and its benefits. It emphasizes the potential reduction in the workload of healthcare providers upon eTAR’s implementation. Purpose The purpose of this policy is to enhance the quality of healthcare services and streamline the responsibilities of healthcare providers, reducing the likelihood of errors. It introduces technological advancements to revolutionize healthcare, improving data collection, distribution, utilization, and automation across healthcare sectors (Quinn et al., 2019). Responsibility Guidelines Under this policy, extended guidelines for eTAR are established to promote its usage globally and enhance patient safety. The guidelines include: NURS FPX 6412 Assessment 1 Policy and Guidelines for the Informatics Staff:Making Decisions to Use Informatics Systems in Practice
NURS FPX 6105 Assessment 4 Assessment Strategies and Complete Course Plan
Student Name Capella University NURS-FPX 6105 Teaching and Active Learning Strategies Prof. Name Date Overview This comprehensive assessment delineates the design and implementation of a stress management course tailored for ADN nursing students. The course integrates evidence-based strategies in classroom and learner management, drawing from educational theories like Jacob Kounin’s Classroom Management Theory and Barry Zimmerman’s Self-Regulated Learning Theory. Motivational elements include practices based on Self-Determination Theory (SDT), Growth Mindset Theory, and Culturally Responsive Teaching. While acknowledging the valuable insights of each theory, the course adopts a holistic approach to cater to the diverse needs of the ADN student population. The assessment also addresses potential barriers, including language and cultural differences, varied educational backgrounds, technology familiarity, and time constraints. Proposed strategies include initial diagnostic assessments, multilingual resources, tech orientations, and flexible learning through self-paced modules and recorded sessions. To address knowledge gaps, the assessment recommends continuous curriculum updates and fostering an open communication culture. The assessment strategy employs formative and summative assessments, supplemented by peer, self, and practical assessments. Formative assessments provide continuous feedback, while summative assessments evaluate overall comprehension. Peer and self-assessments promote critical thinking, and practical assessments ensure the application of theoretical knowledge. The goal is to cultivate a culture of continuous learning for confident navigation of the healthcare landscape. Application of Sociocultural Learning Theory In Assessment 1, Vygotsky’s Sociocultural Learning Theory was identified as suitable for the stress management teaching plan for ADN students. The theory emphasizes social interactions and cultural contexts influencing cognitive development and learning processes, optimizing teaching experiences and learner outcomes (Taber, 2020). Influence of Sociocultural Learning Theory on Teaching and Learning The social nature of nursing and diverse student backgrounds align with Vygotsky’s theory, fostering inclusivity and comprehension of complex nursing concepts. The ‘Zone of Proximal Development’ guides teaching strategies, facilitating collaborative learning for maximal potential (Oliveira et al., 2023). Rationale for Selection and Application of Sociocultural Learning Theory Applying Vygotsky’s theory aligns with research supporting collaborative learning for community building and understanding complex nursing concepts (Su & Zou, 2020). Emphasizing social interactions and cultural sensitivity prepares students for nursing practice, making the theory relevant and beneficial (Valderama‐Wallace & Apesoa‐Varano, 2020). Implementation of Learning Methods and Techniques The teaching plan employs thinking, learning, and communication methods based on Vygotsky’s theory. Strategies include collaborative learning, critical reflection, and open discourse, addressing potential conflicts with transformative learning, cultural competence development, and peer mediation. Rationale and Evidence-Based Support for Learning Methods Efficacy in promoting critical thinking and cultural competence supports transformative learning (Wang et al., 2019). Activities like intercultural workshops and diversity simulations enhance cultural competence, and peer mediation equips students with essential skills (Ay et al., 2019). These methods aim to create a supportive environment for developing effective, compassionate, and culturally sensitive healthcare professionals. Integration of Appropriate Learning Strategies and Techniques Addressing stress management for ADN students requires evidence-based learning strategies. Blended learning combines in-person and online components, offering flexibility. Peer learning fosters collaboration, while self-guided learning accommodates hectic schedules, promoting time management and self-discipline. Assumptions Based on Learning Strategies The chosen strategies are grounded in understanding the unique characteristics and needs of the ADN student population, ensuring a responsive and effective learning environment for stress management (Saifan et al., 2021). Varying Levels of Prior Knowledge Anticipations exist that students in the Associate Degree in Nursing (ADN) program will commence the course with differing levels of comprehension regarding stress and stress management. Some may have already formulated coping mechanisms, while others may be relatively unfamiliar with formal stress management techniques. Consequently, a blended learning approach has been selected, as it accommodates these diverse baseline knowledge levels by offering an array of resources and learning activities (Madsgaard et al., 2022). Need for Peer Support Given the inherently stressful nature of nursing studies, the assumption is that peer learning and shared experiences will yield significant benefits. The collaborative activities not only nurture academic growth but also encourage students to cultivate supportive relationships, serving as a vital source of emotional support throughout their studies (Saifan et al., 2021). Busy Schedules Nursing students often manage a multitude of responsibilities, including coursework, clinical rotations, and part-time employment. The self-guided learning approach acknowledges this challenge, providing a flexible learning environment that respects students’ time constraints, thereby minimizing potential additional academic-related stress (Madsgaard et al., 2022). Through the integration of these learning strategies based on the outlined assumptions, the course aims to deliver a comprehensive and flexible learning experience. This design empowers ADN nursing students to develop effective stress management skills while acknowledging their individual learning needs and constraints. Integration of Evidence-Based Best Practices for Classroom and Learner Management The design and implementation of our stress management course for ADN nursing students leverage evidence-based best practices in classroom and learner management. The subsequent section delves into these practices, examines conflicting data, and acknowledges alternative perspectives. Classroom Management Practices Effective classroom management is essential for establishing an environment conducive to successful teaching and learning. Our course draws from Jacob Kounin’s Classroom Management Theory, integrating strategies such as creating a structured course schedule, establishing clear learning objectives, and fostering robust communication channels. These elements aim to reduce potential confusion and stress that may lead to disruptive behaviors. However, Kounin’s theory may not fully account for individual differences among learners. In addressing this, elements of Barry Zimmerman’s Self-Regulated Learning Theory are incorporated, promoting learner autonomy and engagement by enabling students to take an active role in identifying and managing their stressors (Shoghi et al., 2019). Learner Management Practices Evidence-based learner management practices within our course aim to support students’ development as self-regulated learners. Drawing on Zimmerman’s Self-Regulated Learning Theory, the course integrates strategies such as goal-setting and self-monitoring. Students are encouraged to set personal stress management goals and monitor their progress, fostering a sense of self-efficacy and active involvement in learning. However, it is acknowledged that learners with self-regulation difficulties may require additional guidance and support (Tambunan et al., 2020). Considering Conflicting Data and Other Perspectives The selection of these strategies does not dismiss
NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing
Student Name Capella University NURS-FPX 5005 Introduction to Nursing Research, Ethics, and Technology Prof. Name Date Evidence-Based Practice in Nursing Nurses devote a substantial portion of their time to critically assess and evaluate the quality of patient care within the dynamic healthcare environment. Continually adapting to evolving patient circumstances and staying abreast of medical advancements, treatments, and literature is crucial. Evidence-Based Practice (EBP) serves as the framework for assessing and evaluating recent innovations, best practices, and emerging literature to establish state-of-the-art inpatient care (Alatawi et al., 2020). EBP integrates external evidence, clinical expertise, patient values, and critical evaluation. New approaches to nursing practice are appraised based on external evidence, personal experience, and patient feedback. External evidence comprises clinically substantiated and contemporary literature, while personal experience reflects clinical proficiency gained through patient care (Alatawi et al., 2020). Analysis of Criteria and Process for Implementing EBP Nurses encounter recurring problems that their prior experiences can resolve in their daily responsibilities. However, novel issues demand further investigation. To address such challenges, EBP follows a four-step process: Nurses compile information based on initial assessments to formulate a clinical problem statement, serving as a foundation for database searches. Rigorous scrutiny is applied to assess the credibility and relevance of sources. Based on this comprehensive literature review, nurses proceed to implement identified treatment protocols (Alatawi et al., 2020). NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing According to Alatawi et al. (2020), barriers to adopting EBP are both individual and organizational. Individual barriers relate to the professional competence of healthcare providers, including experience and attitudes. Organizational barriers pertain to resources and budgets, influencing the extent to which organizations prioritize optimal patient care. Importance of Scholarship for EBP Research Solving complex healthcare problems requires significant investments of time and resources. Programs such as Magnet® support evidence-based nursing practice and research (Wentland & Hinderer, 2020). Clinical nurses play a distinct role in driving problem-focused research, contributing to staff development, and enhancing healthcare capabilities (Whalen et al., 2020). Inclusion and exclusion criteria for evidence-based nursing practice, outlined by Saunders et al. (2019), consider biases, methodological quality, and multiple outcomes. Clinical Questions Related to Evidence-Based Practice Speroni et al. (2020) revealed that over 90% of Magnet-recognized hospitals in the United States utilize the EBP model. The Iowa Model of Evidence-Based Practice is most commonly employed, demonstrating its ability to enhance patient care. Clinical Question: “Which Interventions, Along with Patient Care Technologies, Control Fever Based on EBP in the ICU?” Chiwaula et al. (2021) introduced the Iowa Model of Evidence-Based Practice in the ICU of Kamuzu Central Hospital (KCH). Fever management in the ICU is a significant concern, and temperature monitoring devices with connected sensors empower frontline nurses to systematically manage the ICU. A significant knowledge gap in the study pertains to patient consent due to the unconscious state of many ICU patients. Patient circumstances and symptoms vary, requiring careful consideration to align EBP guidelines with individual patient needs (Chiwaula et al., 2021). Evaluation of Ethical and Regulatory Concerns for EBP Ethical concerns related to patient-doctor confidentiality and ethical codes necessitate full disclosure to patients regarding the study’s objectives and potential health implications. Informed consent must be obtained when conducting investigations involving patients (Chiwaula et al., 2021). Ethical considerations emphasize adherence to the Belmont principles, encompassing respect for autonomy, beneficence, and justice (Tu & Gao, 2021). Regulatory considerations mandate compliance with all FDA recommendations for evidence-based technology. Patient safety and privacy are paramount concerns, particularly when implementing interventions such as fever management in the ICU (Chiwaula et al., 2021). EBP may necessitate structural changes, technological upgrades, and financial considerations, posing policy challenges (Chipps et al., 2020). Conclusion Evidence-Based Practice has the potential to address emerging challenges in healthcare, provided nurses are afforded opportunities and support for scholarly research efforts. Upholding rigorous standards when evaluating literature, ensuring methodological quality, and maintaining patient confidentiality and anonymity are imperative in EBP studies. References Alatawi, M., Aljuhani, E., Alsufiany, F., Aleid, K., Rawah, R., Aljanabi, S., & Banakhar, M. (2020). Barriers of implementing evidence-based practice in nursing profession: A literature review. American Journal of Nursing Science, 9(1), 35. https://doi.org/10.11648/j.ajns.20200901.16 Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L ., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2). https://doi.org/10.1111/wvn.12435 Chiwaula, C. H., Kanjakaya, P., Chipeta, D., Chikatipwa, A., Kalimbuka, T., Zyambo, L., Nkata, S., & Jere, D. L. (2021). Introducing evidence-based practice in nursing care delivery, utilizing the Iowa model in the intensive care unit at Kamuzu Central Hospital, Malawi. International Journal of Africa Nursing Sciences, 14, 100272. https://doi.org/10.1016/j.ijans.2020.100272 NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Liu, Y., Liu, C., Gao, M., Wang, Y., Bai, Y., Xu, R., & Gong, R. (2020). Evaluation of a wearable wireless device with artificial intelligence, iThermonitor WT705, for continuous temperature monitoring for patients in surgical wards: A prospective comparative study. BMJ Open, 10(11), e039474. https://doi.org/10.1136/bmjopen-2020-039474 Saunders, H., Gallagher‐Ford, L., Kvist, T., & Vehviläinen‐Julkunen, K. (2019). Practicing healthcare professionals’ evidence‐based practice competencies: An overview of systematic reviews. Worldviews on Evidence-Based Nursing, 16(3), 176–185. https://doi.org/10.1111/wvn.12363 Speroni, K. G., McLaughlin, M. K., & Friesen, M. A. (2020). Use of evidence‐based practice models and research findings in magnet‐designated hospitals across the united states: National survey results. Worldviews on Evidence-Based Nursing, 17(2), 98–107. https://doi.org/10.1111/wvn.12428 Tu, J., & Gao, W. (2021). Ethical considerations of wearable technologies in human research. Advanced Healthcare Materials, 10(17), 2100127. https://doi.org/10.1002/adhm.202100127 NURS FPX 5005 Assessment 3 Evidence-based Practice in Nursing Wentland, B. A., & Hinderer, K. A. (2020). A nursing research and evidence-based practice fellowship program in a magnet®-designated pediatric medical center. *Applied Nursing Research, 151287. https://doi.org/10.1016/j.apnr.2020.151287 Whalen, M., Baptiste, D.-L., & Maliszewski, B. (2020). Increasing Nursing Scholarship Through Dedicated Human Resources. JONA: The Journal of Nursing Administration, 50(2), 90–94. https://doi.org/10.1097/nna.0000000000000847
NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care
Student Name Capella University NURS-FPX 6614 Structure and Process in Care Coordination Prof. Name Date Enhancing Performance as Collaborators in Care Presentation Introduction Hello, everyone. I am _________, and I welcome you all to this meeting. Firstly, I would like to acknowledge the presence of our esteemed healthcare professionals in the audience, including nurses, physicians, hospital administrators, nutritionists, physiotherapists, and information technologists. This presentation will focus on the significance of interprofessional collaboration for overweight hypertensive patients. Our multidisciplinary efforts aim to educate these patients about the benefits of adopting a healthier lifestyle. Both lifestyle changes and antihypertensive medications can assist patients with obesity and hypertension. However, research indicates that patients may experience medication side effects within the first six months (Cosimo Marcello et al., 2018). Due to these adverse effects, patients may struggle to adhere to their prescribed medications. Nevertheless, evidence suggests that modifying one’s lifestyle, such as improving diet and engaging in exercise, can lower blood pressure and reduce body weight without adverse effects (Cosimo Marcello et al., 2018). Healthcare providers need to collaborate and develop strategies to educate patients on making healthier lifestyle choices, ultimately helping obese hypertensive patients adopt better habits. Steps to Improve Inter-professional Collaboration Overview to Enhance Evidence-based Practice Each day, new discoveries are made that lead to improved treatments and more efficient care methods for patients. New studies offer better techniques and stronger supporting evidence for patient treatment. Researchers continually uncover information that can aid healthcare providers in delivering the best possible care (O’Cathain et al., 2019). The organization should initiate training in relevant areas to enhance evidence-based practice among healthcare professionals. Allowing ample time for healthcare staff to review and implement research findings is also beneficial. Professionals with expertise in evidence-based approaches can serve as mentors and educators for their colleagues (Lafuente et al., 2019). Healthcare leaders should also facilitate access to resources that support the pursuit of evidence-based literature and provide necessary support. This approach to improving evidence-based practices will also enhance inter-professional collaboration in a healthcare setting (Lafuente et al., 2019). Explanation of the Planning Stages To promote evidence-based practices and enhance inter-professional collaboration, the following steps can be taken: Forming inter-professional teams: Creating inter-professional teams that include nurses, physicians, nutritionists, physiotherapists, hospital administrators, and IT specialists is essential for enhancing collaboration (Frank et al., 2020). Appointing team leaders: Designated leaders will employ strategies supported by robust data. Leaders will also assess whether there is sufficient information to justify a new approach. Data collection will continue so that leaders can evaluate progress and make necessary adjustments (Frank et al., 2020). Regular team meetings: Regular team meetings, led by designated team leaders, will be held to establish goals based on patient needs. Healthcare workers can express their views and preferences in these team meetings, improving interprofessional collaboration. These meetings will facilitate the adoption of innovative strategies to enhance health outcomes, reduce costs, and minimize errors (Frank et al., 2020). Educational Services and Resources Educational Methodologies Leveraging Health Information Technology (HIT): Healthcare information technology, such as telehealth, can be utilized by nurses and other team members (Chike-Harris et al., 2021). Telehealth allows healthcare professionals to educate patients about healthier lifestyle choices and monitor their adherence to new healthy habits. Identifying the patient’s preferred learning method: Patients have varying learning styles; therefore, it is essential to determine whether they would benefit more from telehealth or printed materials (Chike-Harris et al., 2021). NURS FPX 6614 Assessment 2 Enhancing Performance as Collaborators in Care Tailoring education to the patient’s interests: Patients should recognize the importance of being educated on healthy lifestyle choices. Creating a comfortable environment by engaging the patient in conversation is crucial. While some patients may benefit from in-depth knowledge of their condition, others may prefer a concise checklist covering the essentials (Yen and Leasure, 2019). Consideration of the patient’s abilities and limitations: Identifying any cognitive, emotional, or motor deficits that may hinder the patient’s ability to learn is critical. If a patient has difficulty hearing, visual aids and hands-on approaches may be more effective than verbal explanations (Yen and Leasure, 2019). Collaborate and Partner with Inter-professional Team Members Implementation Process Lee and Bae (2018) assert that the Chronic Care Model (CCM) can facilitate improved care coordination. The CCM model assists healthcare professionals in formulating a treatment strategy after conducting comprehensive assessments of patients’ conditions. Patients and physicians can work more effectively to pinpoint issues and find solutions. With the assistance of CCM, healthcare providers and patients can collaboratively set and achieve support goals (Lee and Bae, 2018). The care coordination team should include the patient and their family, the primary care provider, the care coordinator, nutritionists, physiotherapists, and the peer psychologist. These team members should fulfill their respective treatment responsibilities and further provide intervention and follow-up monitoring duties. The most crucial step in managing hypertensive symptoms is to establish a team that delivers comprehensive care tailored to the needs of obese patients with a sense of responsibility (Lee and Bae, 2018). The next step is to design quality management processes and monitor activities. After educating patients, monitoring ongoing operations and evaluating their quality will be essential. Plans to Collaborate and Partner To facilitate collaboration among team members, I will initially establish a social platform for communication among professionals from various disciplines. Weekly team meetings, brainstorming sessions, or clusters will provide a forum for staff to discuss patients and develop plans for delivering optimal care (Moser et al., 2018). Additionally, we can enhance communication and information sharing by integrating collaboration into routine activities. Consistent staff collaboration is an effective means of fostering a cooperative atmosphere (Schmutz et al., 2019). Therefore, I will implement processes to ensure that all healthcare workers regularly collaborate to achieve their goals. Increased workforce unity, morale, and productivity can result from enhanced face-to-face and virtual information exchange opportunities. Implementing a HIPAA-compliant text messaging platform could facilitate effective staff collaboration (Ganapathy et al., 2020). Outcomes of the New Process Results Assessments The OECD has established six criteria for assessing a strategy:
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Student Name Capella University NURS-FPX4040 Managing Health Information and Technology Prof. Name Date Informatics and Nursing Sensitive Quality Indicator Greetings, I am —-, and I work as a registered nurse at Valley Hospital. First, I congratulate and welcome you all on your induction day. This audio tutorial will give you brief and concise knowledge of informatics and nursing-sensitive quality indicators. I will discuss these indicators and their role in nursing practices. Then, I will discuss a specific nursing-sensitive indicator, its use by healthcare organizations, and evidence-based practices for nurses to enhance patient safety. Additionally, you will also learn how this information on quality indicators is collected and disseminated across the organization. Let’s brace ourselves and delve into this topic together. Nursing-Sensitive Quality Indicator The American Nurses Association (ANA) established a comprehensive and concise database of the National Database of Nursing-Sensitive Quality Indicators (NDNQI) in 1998 to gather and analyze data relevant to nursing-sensitive quality indicators (NSQI). These NSQI are measures to analyze the nursing care quality and its influence on patient health outcomes. These measuring areas are benchmarks for evaluating nurses’ performance and planning prospective improvements based on the results. The NSQI metrics are classified into three categories: structure (nurse education), process (pain management), and outcomes (patient satisfaction, job satisfaction, and nurse turnover) (Oner et al., 2020). Based on these three classes, various quality indicators can be utilized to evaluate nurses’ performance. By identifying areas of concern, hospitals can improve the quality of care nurses provide. This can include policy changes, promoting nurse staffing standards, and advocating for patient care improvements. The Chosen Quality Indicators and its Importance The nursing-sensitive quality indicator that I have chosen to discuss in detail is hospital readmission rates. Hospital readmission rates refer to the rate at which patients are readmitted to the hospital shortly after discharge. Hospital readmission rates can reflect the quality of care and care transitions. It is essential to monitor this quality indicator as it can inform healthcare organizations about the quality of care being provided to patients. When the hospital readmission rates are higher, patients may not receive appropriate post-discharge care or coordinated care. With escalating hospital readmission rates, the quality of care can be compromised due to disruptions during treatment plans or medication regimens. Moreover, patient safety is further impacted as higher hospital readmissions expose patients to additional risks, such as hospital-acquired infections and adverse events that may take place during subsequent hospital stays. Furthermore, stress and discomfort associated with multiple hospitalizations can also compromise patient safety and overall well-being. Besides, higher rates of hospital readmissions pose various implications, such as added costs to patients and organizations, strained healthcare systems due to increased burden on limited resources, and decreased patient satisfaction (Yeo et al., 2019). NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators New nurses must have adequate knowledge of this quality indicator when providing patient care. They can reduce hospital readmission rates by providing practical, coordinated care to patients before discharge or during care transitions. This will reduce the chances of hospital readmissions as patients are already receiving the right quality of care and showing improved clinical outcomes. If the nurses do not acknowledge this quality indicator, the patient may receive compromised quality of care, increasing the hospital readmission rates. This will ultimately impact nurses as they must provide further care treatments to patients, leading to enhanced burnout among nurses and job dissatisfaction. Therefore, nurses must consider this quality indicator while providing patient care to prevent future hospital readmission rates (Meddings et al., 2023). Role of Interdisciplinary Team in Data Management Let’s delve into the interdisciplinary team’s role in data management, encompassing collection and analysis. I consulted with our hospital administrator to gain a deeper understanding of data collection and management at Valley Hospital. The interview taught me that our organization utilizes Electronic Health Records (EHRs) to gather data on quality indicators like hospital readmission rates. Various interdisciplinary team members include nurses, IT personnel, Quality control department personnel, and hospital administration. The nurses are primarily responsible for accurately reporting data relevant to readmissions, such as discharge diagnoses, follow-up appointments, and patient demographics. Accurate documentation is crucial for estimating hospital readmission rates and analyzing critical areas for improvement. The accurately documented data on hospital readmission rates will enable the proper planning to prevent readmissions by providing high-quality care before patients’ discharge. The IT personnel analyze and disseminate these data by creating dashboards to share with quality improvement department leaders and healthcare administration. The dashboards are analyzed monthly, and interdisciplinary team meetings are conducted. These quality improvement meetings bring together nurses, quality improvement leaders, and healthcare administrators. Their focus is to discuss observed patterns and trends and devise prospective plans to enhance patient safety and the quality of care. The interdisciplinary team plays a crucial role in data collection as a collaboration of nurses and IT personnel in maintaining and using EHR reduces the chances of errors and inaccurate data. This leads to accurate analysis and driving improvements needed in healthcare organizations to improve organizational performance in reducing hospital readmission rates. Use of Nursing Sensitive Quality Indicators by Healthcare Organizations Healthcare organizations use nursing-sensitive quality indicators to ensure the quality of care delivered to patients is up to mark and evaluate their position in improving patients’ clinical health outcomes. Healthcare organizations can use hospital readmission rates to enhance patient safety, patient care outcomes, and organizational performance reports. For instance, patient safety is enhanced when nurses closely monitor the health status of discharged patients to ensure they do not require further care treatments at hospitals and reduce the risk of hospital-acquired infections on readmissions. Moreover, by utilizing the hospital readmission rates, healthcare professionals analyze whether the care transitions are smoothly accomplished through effective care coordination, medical reconciliation, and patient education before discharge. Lower hospital readmission rates show successful care transitions with enhanced patient safety (Kripalani et al., 2019). By analyzing hospital readmission rates and their root causes, nurses can identify areas for improvement and implement evidence-based interventions
NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care
Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof. Name Date Remote Collaboration and Evidence-Based Care Hello everyone, good afternoon. My name is …… and today I am going to present you all a brief talk about remote collaboration and evidence-based care. First, we will go in-depth into what remote collaboration actually is. Remote collaboration is the work done in a collaborative and cooperative manner by a group of people in a remote setup. Remote collaboration overcomes the geographic barriers which are not part of physical collaboration. This is done by the aid of technologies that help connect people who are dispersed from each other. For every collaborative work, communication is the key element. Likewise, in remote collaboration, communication has an immense role in developing effective interaction while overcoming geographic barriers (Druta et al., 2021). Remote collaboration in healthcare systems has helped nurses and other health professionals to take better and more effective care of patients who live miles away from hospitals, especially those suffering from dangerous and chronic diseases. This is possible when nurses apply evidence-based care models in this collaborative effort. Ever since the pandemic COVID-19 came into existence, 37% of Americans started working from home by remote collaboration (Yang et al., 2021). Likewise, remote patient care was initiated in healthcare organizations to prevent the spread of the pandemic coronavirus. Remote patient care was also needed in faraway areas where patients could not commute to hospitals and get the care treatments. Now, remote collaboration is the need of the hour as the advancements in technologies have permitted it and every geographical area is not devoid of some technology. This demands that nurses follow evidence-based research models in order to provide effective collaboration and credible care treatment to patients living in remote areas to reduce the death rates. Scenario-Based Remote Collaboration Caitlyn, a two-year-old girl who happened to be readmitted to a Vila hospital from her hometown on facing severe symptoms. Dr. Copeland and Virginia Anderson, a pediatric nurse are in charge of her case. In the beginning, her symptoms matched those of pneumonia: coughing with short intervals. Considering her symptoms of pneumonia, she was referred to consult Dr. Rebecca Helogo, a respiratory therapist. This team of health professionals came to the point that Caitlyn’s case was a complex case as her past medical history revealed exposure to repeated infections and that this was her second admission to the hospital as a result of pneumonia. Later, it was found that she suffered from meconium ileus (bowel obstruction) at the time of birth which usually happens to pulmonary patients. There was thick respiratory mucus and she was treated with nebulizers and inhalers that were almost choking her. This created panic in the team of health professionals. After conducting a few laboratory tests, her team suspected diagnosis to be cystic fibrosis (CF). CF is a chronic pulmonary condition that is characterized by the presence of thick mucus and scarred tissue in the lungs. NURS FPX 4030 Assessment 4 Remote Collaboration and Evidence Based Care Upon physical examination, her body weight found was unusually low i.e. 20 pounds. Her pathological lab tests showed that scarred tissue of fibrotic nature was present in her lung. Later, her sweat chlorine test confirmed the diagnosis of Caitlyn to be Cystic Fibrosis. This condition can cause breathing huffs that need a suctioning pump or some specific respiratory inhalers which can be complex to use without proper education. Therefore, healthcare professionals made a decision of educating Caitlyn’s parents as they live quite far from the Vila Health facility, hence, lack medical services and facilities. To reduce the chances of life-threatening complications related to CF, the healthcare team with a collaborated effort made the decision of educating parents and nursing staff about telehealth and its significance. The use of social media applications or video calling applications such as Skype can enable remote collaboration among healthcare professionals and Caitlyn’s parents. This will enable timely decision making which will be helpful and effective in the case of Caitlyn. Therefore, a proper care model is required to provide Caitlyn and her parents with informed, educated, and outcome-oriented care related to her condition of cystic fibrosis. Evidence-Based Care Plan In order to manage a patient’s condition effectively, a care plan must be prepared. These care plans must be based on credible and evidence-based research. Evidence-based care plans are effective for patients with chronic and infectious diseases as any negligence in the care plan can result in further complications and increased mortality rates. For the management of Caitlyn’s case of cystic fibrosis, a strategic care plan needs to be devised that promotes remote collaboration. Care Plan for Improving Patient Outcomes Cystic Fibrosis (CF) is a genetic abnormality that causes abnormal transport of salt and water across the cells in the body. This results in an abnormal buildup of mucus and organ dysfunction (Endres & Konstan, 2022). The nursing care plan that enhances the safety and clinical outcomes of patients with CF is as follows: Among the numerous complications of cystic fibrosis, an abnormal gaseous exchange is the major complication to take into consideration. Others include sinus-related complications such as chronic nasal congestion, CF-related pancreatic disease, nutrition, and growth-related disorders such as clubbed fingers and osteoarthropathy (Chen et al., 2021). Since Caitlyn’s both parents are working, the additional information on Caitlyn’s CF pattern at daycare and how it was managed could have been useful in developing the care plan for her. The Ways to Use Evidence-Based Practice Model Stetler Evidence-Based Practices Care Model The Stetler Model helps healthcare professionals in finding how the research and evidence data can be implemented in clinical practice. This model investigates how the evidence can be brought into use to bring positive outcomes and promote patient-centered care. This model is composed of five phases including preparation, validation, decision-making, application, and evaluation. First, the need for the application of EBP (CF care plan in Caitlyn’s case) is identified and then evidence-based sources related to the subject (CF in
NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources
Student Name Capella University NURS FPX4030 Making Evidence-Based Decisions Prof: Date Determining the Credibility of Evidence and Resources Owing to the presence of immense data on internet about every health issue, it is possible that the provided data are not evidence-based and merely based on intuition and surface studies. It is important that we seek in-depth knowledge of healthcare-related data to find out its authenticity and validity. In this regard, journals and websites which are governed by governments are more authentic in terms of providing evidence-based data than the data found on website pages. In this article, the focus is on finding credible resources that can help the nurses obtain valuable and credible information for treating and managing Diabetes Mellitus. There are various criteria used for evaluating the credibility of evidence and resources. Credible resources and evidence-based data can be used by nurses to bring better patient outcomes and disease management in diabetics. Diabetes Benefitting from an Evidence-Based Approach Diabetes Mellitus (DM) is a chronic illness that requires ongoing treatment along with management strategies for getting optimum and sustained control of glycemic level. It can be roughly classified into three types, type 1 Diabetes Mellitus, Type 2 Diabetes Mellitus, and Gestational diabetes. Type 1 diabetes involves the insufficient production of insulin by pancreatic cells which makes the patients take insulin subcutaneously to control hyperglycemia. The most common type among the three types of diabetes is type 2 diabetes mellitus (T2DM). T2DM is characterized by the development of insulin resistance in the cells of the body where the cells are unable to utilize the available insulin produced by the pancreatic cells. The underlying causes can be age, genetics, obesity, etc. Patients suffering from type 2 diabetes need critical care treatment for their survival (Khan et al., 2019). The prevalence of diabetes can be seen from the statistics provided by the WHO. According to WHO, there are approximately 422 million people suffering from diabetes globally, the majority being people natives to low- and middle-income countries. NURS FPX 4030 Assessment 2 Determining the Credibility of Evidence and Resources Every year, 1.5 million deaths are reported as a result of diabetes. New incidence reports of diabetes and the prevalence of diabetes have been rapidly enhancing in the past few years (World Health Organization, 2023). There are various advanced complications and risks associated with diabetes showing detrimental effects on the liver, brain, and other organs of the body. This includes liver diseases, systemic infections, dementia, and cancers in diabetic patients (Tomic et al., 2022). This shows there is an ultimate need of using evidence-based data on diabetes, its treatment, and management. As diabetes demands critical care and treatment from nurses, its essential to obtain credible evidence-based data for gaining authentic knowledge on its treatment. Nurses can use evidence-based research in their evidence-based practices of diabetes for better health outcomes in diabetics by implementing appropriate and credible treatment methods (Tena et al., 2023). Criteria to be Considered in Determining Credibility of Resources Numerous criteria have been established to evaluate the reliability and credibility of resources such as journals and websites. One of these criteria is CRAAP methodology which is utilized in checking whether the research resource is credible or not. The CRAAP test originates back to 2004 at California State University of Chico. it was developed for the students to use this mnemonic for the evaluation criteria on the new information they encountered (Sye & Thompson, 2023). CRAAP test stands for currency, relevance, authority, accuracy, and purpose. Currency tells the article’s time of publication. Relevance is focused on the relatedness of information to your requirements. Authority tells about the source of information such as the author, their credentials, and affiliations to the organizations. Accuracy is about the validity and truthfulness of the content. Purpose tells about the intention of the provided information whether the information is delivered to sell, teach or entertain (Sye & Thompson, 2023). Application of CRAAP on Research Evidence: Considering this bibliography Tomic, D., Shaw, J. E., & Magliano, D. J. (2022). The burden and risks of emerging complications of diabetes mellitus. Nature Reviews Endocrinology, 18(9), 1–15. https://doi.org/10.1038/s41574-022-00690-7 for evaluating the credibility, the CRAAP test can be applied in the following way: Currency: from the bibliography, it is clear that the article has been published lately and comes under the last 5 years of research resources. Relevance: the title of this article “The burden and risks of emerging complications of diabetes mellitus” depicts that it is relevant to the topic of our interest which is diabetes and the further content in the article reveals the relevant information to diabetes mellitus. Authority: the authors Tomic, Shaw, and Magliano are related to diabetes as they are affiliated with Baker Heart and Diabetes Institute, Melbourne, Australia. Accuracy: the contents of this article are based on research evidence and are accurate. Purpose: the objective of this article is to provide the public and healthcare professionals with knowledge of the complications and risks of diabetes. Analysis of Credibility and Relevance of Evidence and Resources In this paper, all the resources used are evidence-based and taken from official health websites of the government. They fulfill the criteria mentioned in the CRAAP test and are useful for nurses and other healthcare professionals in diabetes treatment and management. The article written by the authors Khan and colleagues (2019) is authentic as it comes under the category of the last 5 years of published articles and is relevant as it conveys information about prediabetes, diabetes, and its treatment and all the information is based on the research evidence and the authors are all related to the field of biological sciences. The Journal publisher is Medicina which is a peer-reviewed journal. The objective of this article paper is to provide authentic knowledge on diabetes and its treatment based on evidence-based research. Another article authorized by Tena and fellows (2023) is about the evidence-based research on telemedicine in controlling Hb1Ac in type 2 diabetes is a credible article and follows the criteria mentioned
NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit
Student Name Capella University NURS FPX 4020 Improving Quality of Care and Patient Safety Prof. Name Date Improvement Plan Tool-Kit The Acadia General Hospital has been encountering medication administration erors compromising patient safety, for which safety improvement plan has been developed in previous assessment. This improvement plan toolkit addresses medication administration errors and enlightens the healthcare workforce of AGH with a better understanding of the safety improvement plan. This will potentially persuade the healthcare workforce to implement the safety improvement plan as it is based on evidence-based scholarly articles. The resource toolkit is prepared by thorough research on medication administration errors via multiple databases such as CINAHL, Google Scholar, PubMed, JSTOR, and PubMed Central. The resource tool kit focuses on four categories related to medication administration: Introduction to medication errors, Risk factors of medication administration errors, Nurses’ role in preventing medication administration errors, and Evidence-Based practices for minimizing medication administration errors. Introduction to Medication Errors Carver, N., Hipskind, J. E., & Gupta, V. (2019). Medical error. Nih.gov; StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK430763/ This resource covers medical errors from its introduction, issues of concern, and risk factors to clinical. significance. According to this resource, medication errors can be directed to different events varying in the magnitude of patient harm. The avoidable medication adverse events cause 44,000 to 98,000 mortalities in US hospitals. The resource further describes types of medical errors, comprising wrong dose, drug, patient, route of administration, diagnostic, and system errors. These events incur heavy costs to the community that range between 37.6 to 50 billion dollars, including additional healthcare costs, loss of productivity, and disability. The resource also emphasizes the multifaceted approaches to control errors, including error reporting culture, implementation of legislative measures to enhance patient safety, and use of strategies to prevent medication errors, such as using technology and improving communication among interdisciplinary teams. This resource is helpful for nurses to understand what medication errors are, their prevalence, and their types. This will lead to reduced risk to patient safety and improved quality of care with medication administration. Furthermore, nurses can use this resource in their healthcare settings, such as Acadia General Hospital, to understand factors leading to medication errors and strategies to avoid them. This will create an organizational culture prioritizing patient safety and reducing patient harm due to medication errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Elliott, R. A., Camacho, E., Jankovic, D., Sculpher, M. J., & Faria, R. (2021). Economic analysis of the prevalence and clinical and economic burden of medication error in England. BMJ Quality & Safety, 30(2). https://doi.org/10.1136/bmjqs-2019-010206 This study by Elliot and colleagues (2021) mainly focuses on the prevalence of medication errors and economic burden in England. This resource highlights that 237 medication errors occur in England annually, of which 66 million are of significant clinical value. Moreover, implications of these errors include the utilization of 181,626 bed-days and total costs incurred to NHS up to £98 462 582 per year. This resource is helpful for nurses as it enlightens them on the prevalence of medication errors outside the U.S. and the financial repercussions. Moreover, nurses can gain insights from this resource on how medication errors can cause a financial burden on the country and how these preventable adverse events can result in a better and more stable economy if the appropriate measures are adopted timely. Nurses can use this resource to understand medication errors from an economic perspective in their healthcare setting. Additionally, it can improve nurses’ work performance when they have adequate knowledge of the subsequent consequences of medication administration errors. NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit Rodziewicz, T., & Hipskind, J. (2020). Medical error prevention (pp. 1–37). http://www.saludinfantil.org/Postgrado_Pediatria/Pediatria_Integral/papers/Medical%20Error%20Prevention%20-%20StatPearls%20-%20NCBI%20Bookshelf.pdf This resource talks about the prevention of medical errors. This resource highlights multiple adverse events, including medication-associated errors, with their causes and preventive strategies. Moreover, it discusses healthcare technologies to prevent medication errors, such as electronic health records and computerized prescriber order entry. It guides nurses in preventing medication errors due to communication errors by integrating “read back” strategies on telephone orders and enhancing multidisciplinary team collaboration. Nurses can use this resource to discover the types of errors and preventive strategies to reduce the incidence of these errors in Acadia General Hospital (AGH) and better understand the safety improvement plan where technology is required. Risk Factors of Medication Administration Errors Walker, D., Moloney, C., SueSee, B., Sharples, R., Blackman, R., Long, D., & Hou, X.-Y. (2022). Factors influencing medication errors in the prehospital paramedic environment: A mixed method systematic review. Prehospital Emergency Care, 1–37. https://doi.org/10.1080/10903127.2022.2068089 This study by Walker and colleagues (2022) highlights various factors contributing to medication administration errors. These include organizational factors such as a culture that does not encourage patient safety, understaffing, and inadequate resources and reporting systems. Medications with poorly labeled packaging and confusing names, such as look-alike-sound-alike medication, are medication-related factors that lead to medication errors. Additionally, external interruptions and inadequate lighting are environmental factors influencing medication errors. Other factors include procedure-related factors (poor medication verification processes) and cognitive factors (cognitive overload, poor memory, and confirmation biases). This resource provides a comprehensive list of factors that nurses can use to gain adequate knowledge on contributing factors towards medication errors and must take suitable measures to prevent them. This requires interdisciplinary collaboration and resources to eliminate these factors. Nurses of AGH can utilize this resource to learn about key factors that hinder patient safety and work accordingly to reduce medication errors owing to these mediators. Wondmieneh, A., Alemu, W., Tadele, N., & Demis, A. (2020). Medication administration errors and contributing factors among nurses: A cross sectional study in tertiary hospitals, Addis Ababa, Ethiopia. BMC Nursing, 19(4), 1–9. https://doi.org/10.1186/s12912-020-0397-0 NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit This resource highlights medication administration errors and contributing factors among nurses that lead them to medication errors, reducing patient safety. The authors identified that lack of adequate training, inadequate work experience, and unavailability of proper guidelines for medication administration were major nurse-oriented factors that caused medication administration.
NURS FPX 4020 Assessment 1 Enhancing Quality and Safety
Student Name University Name NURS FPX 4020 Improving Quality of Care and Patient Safety Instructor Name Date Enhancing Quality and Safety Healthcare professionals should provide high-quality care treatments that do not compromise patients’ health and safety. All healthcare providers must improvise medical interventions tailored to their health needs and minimize the chances of adverse events. Medication errors are preventable adverse events that can impact patient safety and quality of life. The incidence of adverse drug events, including medication errors, accounts for 1.3 million emergency department visits and 350,000 hospitalizations annually (CDC, 2019). Nurses are primary medication managers for patients as they administer them into human bodies. It is paramount for nurses to strictly adhere to safe medication administration that promises patient safety and improved health outcomes, ultimately enhancing patients’ quality of life. Factors Leading to a Specific Patient Safety Risk On a fine day, Jenna worked as a registered nurse at Acadia General Hospital in the medicine ward. Jenna was doing an evening round and looked up to the prescribed medication record of a 50-year-old patient named Graham, who was admitted to the hospital due to unmanaged arthritis pain. The patient was prescribed “Celebrex,” a non-steroidal anti-inflammatory drug. The nurse went to the dispensing area and retrieved the wrong medicine bottle labeled “Celexa,” which sounded like the prescribed “Celebrex.” The nurse gave the patient “Celexa, ” an anti-depressant agent for mood disorders. Graham took the medication, unaware that it was the wrong drug. Later, Jenna reviewed his medication administration record and noticed she had administered incorrect medicines. She immediately reported to the medication safety team, and the patient was closely monitored. Fortunately, Graham did not experience severe side effects from the drug, but this incident raised concerns about the patient’s safety. Numerous factors lead to patient safety risks, including negligent behavior toward medication administration, non-adherence to medication administration protocols, lack of technology-based medication administration use, and lack of training on medication administration. Nurses may exhibit negligent behavior toward medication administration due to heavy workloads and fatigue. This leads to non-careful medication administration, particularly for “look-alike-sound-alike” medications (Schroers et al., 2020). NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Moreover, non-adherence to medication administration standards and protocols, such as double-checking before administration and missing the “Five Rights of Medication Administration,” such as the right patient, right drug, correct dose, right time, and right route of administration, also pose safety risks to patients (Hanson & Haddad, 2022). Hospitals often lack technologies that facilitate safe medication administration, such as “barcode medication administration,” which can prevent medication administration due to wrong drug administration. Implementing BCMA can lower override rates to less than two percent in large healthcare settings (Boehme et al., 2022). Additionally, training inadequacies among nurses on safe medication administration are significant factors that lead to patient safety risks. One study showed that among work-related characteristics towards medication errors, about 185 nursing staff were not trained on safe medication, and 24 nurses administered the wrong drugs (Wondmieneh et al., 2020). Evidence-Based Practices to Improve Patient Safety in Medication Administration Healthcare professionals play a crucial role in improving patient safety in medication administration and reducing costs to patients and organizations by implementing the best available evidence-based solutions. One such evidence-based practice is developing and integrating medication administration protocols within the organization. When the organization develops policies on medication administration and strictly integrates them for all nursing staff, there will be fewer chances of medication errors. Patients will receive the correct medication, leading to fewer incidents of harm. Moreover, the costs incurred by patients will be reduced as the patient will not undergo additional treatments due to medication errors. Likewise, hospitals can be saved from heavy expenditures and requirements of further resources for treating medication errors (Vaismoradi et al., 2020). Another strategy is training mindful thinking for medication administration, where nurses must be mindful of their nursing practices, particularly during medication administration. This will reduce the onset of medication errors due to wrong drug administration due to lack of focused care. The study showed that mindfulness training in medication administration reduced medication errors by 73.3 %. This enhances patient safety as patients evade medication errors due to administering the wrong drugs. NURS FPX 4020 Assessment 1 Enhancing Quality and Safety Moreover, by focused medication administration, hospitals will prevent operations due to medication errors and save financial resources, which can be allocated efficiently to other required areas (Ekkens & Gordon, 2021). Another strategy includes integrating BCMA technology, which can promote safe medication administration using the barcode mentioned on the medication label and the patient’s wrist. This will enable accurate and correct administration of drugs, preventing chances of wrong medication delivery. This technology will improve patient safety and reduce long-term costs incurred by the organization due to frequent medication errors occurring without technology (Zheng et al., 2020). Lastly, establishing training and educational programs on safe medication administration can improve patient safety, reducing medication errors. These training programs will teach nurses ways to reduce medication errors, such as double-checking medications, following protocols and guidelines for safe medication administration, and techniques for medication delivery through correct administration routes (Koyama et al., 2019). This will reduce financial implications on hospitals when preventive strategies are employed to diminish medication errors. As a result, hospital readmission rates, length of hospital stays, and hospital-acquired infections will be reduced. All these events that require massive income to manage patients’ health will be saved, and costs will be reduced for both organizations and patients. Nurses’ Role in Coordinating Care Nurses play a crucial role in achieving care coordination in hospitals. Nurse-led coordinated care can enhance patient safety in medication administration and reduce costs. Nurse leaders can organize training sessions and educational awareness programs for junior and fellow nurses where information on safe medication administration can be disseminated. Moreover, nurses can foster a culture of an interdisciplinary approach to the safe administration of drugs, from prescribing to delivering the drug. Nurses can utilize BCMA and other relevant technologies to reduce costs associated with medication