The Role of the Leader in Evaluating Data to Improve Quality and Safety

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The Role of the Leader in Evaluating Data to Improve Quality and Safety Paper
The nurse’s position in between the patient and the health care agency provides a unique platform for viewing and addressingquality-care issues.Nurses can gain personal feedback from their patients, who may trust them more and speak with greater openness. They can also work collaboratively with their colleagues to create strategies toimprovepatient care.

Recall how nurses can usedatatoimprovepatientsafetyandquality-care delivery. In NURS 4005, you analyzed a Dashboard to determine nursing practice improvements. This week, you reviewed the importance of and focus on patientqualityandsafety.

The followingdataare shared by the unit manager with her staff at a recent staff meeting. There has been a higher than acceptable level of patient falls on the telemetry unit in the last 4 months. The distribution of falls is outlined below. Information about the unit also includes the following:
• The average age of the patients is 72.4 years old, and every patient has a cardiac diagnosis.
• The majority (68%) of the patients are women.
• Recently, 1 FTE of nursing assistants were moved from the night shift (11P–7A) to the evening shift (3P–11P).
• The rooms on this unit are all private.
• 94% of the patients are on diuretics.
• 12% of the patients have secondary diagnoses of confusion or disorientation.
In a 3–5 pagepaper, respond to the following:
• Describe some possible interpretations of thedatarelated to the patient fall rate on the telemetry unit.
• Discuss thequalitymanagement process you would follow toimprovepatient fall rates on the unit.
• What change management strategies would you incorporate in yourqualityimprovement plan?
• What leadership characteristics are needed to assist in improving the patient fall rates?

Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

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The Nurse’s Role in Supporting the Organization’s Strategic Agenda
As hospitals seek to reduce the incidence of Never Events and improve the overall quality of health care provided, it is apparent that ultimate success will require the effort of the entire medical staff. Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.
For this application you are asked to interview a quality manager in an acute care or long-term care agency of your choice. Your goal is to determine the manager’s view regarding the impact of the direct care nurse’s role in clinical outcomes for the organization. How does this influence the ability of the organization to achieve its strategic agenda? Before you attend the interview, create a list of relevant questions that will help you better understand the effect a nurse can have on the successful treatment of the patient.
Write a 2- to 3-page paper discussing what you learned from this interview. How will what you learned impact how you approach your nursing responsibilities?

Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting

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The Role of the Community and Public Health Nurse This week, your Instructor assigned you a chapter in the course textbook that discussed the role of the public health nurse in a specific setting. Based on your assigned chapter and bearing in mind the primary prevention focus of the community/public health nurse, respond to the following: What differentiates the role of the community and public health nurse from other health professionals? What skills and knowledge are necessary for the type of decision making inherent in population-focused nursing practice? How do these skills differ from those required in the institutional setting? Support your response with references from the professional nursing literature. Post your response to this Discussion byDay 3. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 1 Discussion area for details. Application The History of Public Health and the Role of the Community/Public Health Nurse Using Chapter 2 in the course textbook, your assigned reading on the role of the nurse in a specific public health setting, and reviewing this week’s media presentation, address the following in a 2- to 3-page paper: Trace the history of the public health nurse including the contributions made by Lillian Wald and the Henry Street Settlement. Also, summarize the role of the nurse in the practice setting assigned. Include the following in your summary: Explain how the core functions of community/public health nursing and the standards of practice are met with that specific role. Describe the population served by the nurse in this role. Which interventions might the nurse in this role utilize? Explain the level of practice used in this practice setting (primary/secondary/tertiary). Describe an ethical dilemma that might be encountered in this nursing role. Use the Application Rubric in the Course Info area on the left navigation bar to develop this paper. Due byDay 7. Virtual Practicum Team Discussion Practicum Activities: Identify a Population Group Community health nursing needs to be not only on the individual, but also the family and the community. This activity is intended to teach you how the term community health is about identifying problems and managing interactions within the community. In meeting multiple needs, community health nurses are required to fulfill multiple roles. These roles include care provider, educator, advocate, manager, collaborator, leader and researcher. This week, your instructor has assigned you to choose a population group that you will write about for the next six weeks. Community health nursing settings include homes, ambulatory care settings, schools, occupational heath settings, residential institutions, and the community at large. Knowing about these settings may assist you in choosing your population group. Read more about populations in your textbook. Please address the following: Introduce yourself to your team members. Where do you work? Briefly describe the community where you live. For the purpose of the Population-Based Nursing Care Project, choose a population group that interests you. Describe what the members of your chosen group have in common? For example, do they share some important features in their lives? What are some health problems or issues that you can think of that may affect the population that you are interested in?. Post your response to this Discussion byDay 5. Respond to at leasttwocolleagues’ postings byDay 7. See the Week 6 Practicum Discussion area for details.

Intervention and Evaluation

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Milestone 3: Intervention and Evaluation
Purpose
The purpose of this PowerPoint presentation is to provide an opportunity to develop a community health nursing intervention and evaluation tool for your identified community health problem (described in Milestone 2: Assessment and Diagnosis) and identify the components of the nursing process as it applies to a community or population.
Course Outcomes
Scenario
You are a Community/Public Health Nurse (C/PHN) working in your setting of choice. You have identified a community health problem and have analyzed the data collected from your windshield survey and assessment & diagnosis assignments (the first two milestones). You have decided on one nursing intervention and need your organization’s approval for funding of this intervention. Your leadership team has agreed to listen to your proposal.
Directions
• Choose a community health nurse setting. Some examples of settings are school nurse, parish nurse, home health nurse, nurse working in the health department (be specific to what area in the health department, e.g., WIC, STD clinic, health promotion, maternal-child health, etc.)
• Introduction: Introduce the identified problem, the purpose of the presentation, and reiterate at least one or two important findings that demonstrate this problem in your community (average of 1–2 slides)
• Proposed Intervention: Propose one community health nursing intervention that would address one or more of the major direct or indirect factors that contribute to the problem. Keep in mind the Public Health Intervention Wheel (Nies & McEwen, p. 14, figure 1-3) as your framework (average of 3-4 slides). Your intervention needs to be specific:
o Who is your target population?
o Where is this intervention taking place?
o Will it take place one time or multiple times?
o How will you reach out to your target population?
§ How will you get your target population involved?
o What is the CH Nurses role in this intervention?
o Will you collaborate with anyone (e.g., physician’s office, church, local resources, etc.?)
o Is anyone else involved besides yourself (C/PHN)?
§ If yes, are they paid or volunteers?
o What level(s) of prevention is your intervention addressing (primary, secondary and/or tertiary prevention)?
• Intervention Justification: Justify why the problem and your nursing interventions should be a priority.
o Based on what you have found in the literature, discuss why these interventions are expected to be effective. Include summarized information from at least two professional scholarly sources related to your interventions (average of 2-3 slides).
• Proposed Evaluation: Your presentation must include at least one proposed quantitative or qualitative evaluation method that you would use to determine whether your intervention is effective. It should include the method you would use along with desired outcomes. Outcome measurement is a crucial piece when implementing interventions. There is a helpful tool in Doc Sharing to assist you with understanding qualitative and quantitative methods of evaluation. (average of 2-3 slides)