DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Sample Answer for DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization Included After Question

Topic 6 DQ 1

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.

ADDITIONAL INSTRUCTIONS FOR THE CLASS

Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.

Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.

One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.

I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.

In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.

Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).

Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).

Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.

Check Out Also: NR 631 Week 5 Discussion Resource Management in Project Management

I highly recommend using the APA Publication Manual, 6th edition.

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Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.

As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.

It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.

Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.

Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?

Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.

Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.

If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.

I do not accept assignments that are two or more weeks late unless we have worked out an extension.

As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.

Communication

Communication is so very important. There are multiple ways to communicate with me:

Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.

Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.

A Sample Answer For the Assignment: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Title: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

The task of providing safety for patients and individuals in the workforce involves awareness and the highest level of commitment. Safety cannot be merely a deliberate concern but must be a fundamental value that is interlaced into the framework of our organizations. A culture of safety requires the participation and assurance of the full healthcare team, from patients to clinicians to the entirety of the workforce (Tan et al., 2019). As a future DNP leader, contributing to clinical outcomes through continuous quality improvement in patient care and creating a supportive environment for colleagues is paramount to the furtherance of healthcare systems, healthcare policy, and the development of the profession (Heinen et al., 2019). Both qualitative and quantitative data can be used to assess workplace’s strengths and areas for improvement. Qualitative methods such as observations, management meetings, focus groups, one-on-one interviews, and expert consultations. Quantitative methods such as pre-existing records, electronic health records, employee’s health records, self-report surveys, clinical and diagnostic testing can help with the assessment of the culture at practice sites.

The six domains of safety are establishing a compelling vision for safety, building trust, respect, and inclusion, selecting, developing, and engaging your board, prioritizing safety in the selection and development of leaders, leading, and rewarding a just culture, and establishing organizational behavior expectations (Institute for Healthcare Improvement, 2017). The development of a culture of safety may be achieved by undergoing formal training to gain an understanding of safety culture concepts and practices and ensuring that safety is addressed as a priority in the strategic plans of the organization, having facility-wide patient safety policies and procedures. In addition, as healthcare workers we must take ownership and accept responsibility for the safety of ourselves, our coworkers, patients, and visitors (Tan et al., 2019).

The zero-harm approach concentrates on using evidence-based practices to remove avoidable harm across a wide variety of clinical areas (Wilson et al., 2022). This can be achieved by expressing the importance of a culture of safety and, especially, the creation of a just culture that is one where persons are included in the design and enhancement of systems through open dialogue and experience psychological safety, without fear of suffering punishment or ridicule. In addition, as nurse leaders we must ensure transparency and accountability at all levels, comply with legislation and regulatory practice standards, focused on the patient and family experience, integrated quality governance structures. developed measurable quality aims and processes, provide psychological safety for patients and employees (Wilson et al., 2022).

References

Heinen, M., van Oostveen, C., Peters, J., Vermeulen, H., & Huis, A. (2019). An integrative review of leadership competencies and attributes in advanced nursing practice. Journal of Advanced Nursing, 75(11), 2378–2392.https://doi.org/10.1111/jan.14092

Institute for Healthcare Improvement (2017, August 17). 6 Ways to Lead a Culture of Safety. https://www.ihi.org/communities/blogs/_layouts/15/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=423

Tan, K, H., Pang, N, L., Siau, C., Foo, Z., & Fong, K.Y. (2019). Building an organizational culture of patient safety. Journal of Patient Safety and Risk Management, 24(6):253-261. doi:10.1177/2516043519878979

Wilson, M. A., Sinno, M., Hacker Teper, M., Courtney, K., Nuseir, D., Schonewille, A., Rauchwerger, D., & Taher, A. (2022). Toward Zero Harm: Mackenzie Health’s Journey Toward Becoming a High-Reliability Organization and Eliminating Avoidable Harm. Journal Of Patient Safety, 18(7), 680–685. https://doi.org/10.1097/PTS.0000000000000978

A Sample Answer 2 For the Assignment: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Title: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

I agree you that providing safety for patients and individuals in the healthcare workforce is a commitment of most healthcare providers and workers. Patients prefer visiting and contacting healthcare facilities that guarantee them of their safety. Unfortunately, some healthcare organizations lack a safety culture. As a result, patients are vulnerable to medication errors (Liu et l., 2019). Similarly, other stakeholders are at risk when they interact with hospitals that lack a safety culture. A culture of safety requires the participation and assurance of the full healthcare team, from patients to clinicians to the entirety of the workforce (Park & Kim, 2019). There are various benefits of a safety culture. Thus, healthcare stakeholders have policies and other mechanisms that help in attaining and maintaining a safety culture. However, healthcare facilities also rely on competent workforce and exceptional healthcare leadership to establish a safe healthcare environment. DNP-prepared nurses are best-suited to guide and even lead efforts to promote patient safety.

References

Liu, J., Zheng, J., Liu, K., Liu, X., Wu, Y., Wang, J., & You, L. (2019). Workplace violence against nurses, job satisfaction, burnout, and patient safety in Chinese hospitals. Nursing outlook, 67(5), 558-566. https://doi.org/10.1016/j.outlook.2019.04.006

Park, H. H., & Kim, S. (2019). A structural equation model of nurses’ patient safety management activities. Journal of Korean Academy of Nursing Administration, 25(2), 63-72. DOI: https://doi.org/10.11111/jkana.2019.25.2.63

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.

A Sample Answer 3 For the Assignment: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Title: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Over the last two decades, there is an idea that hospitals have a safety culture that can be measured, understood, and improved upon. This idea has become a pillar of the patient safety movement and is increasingly being built into accreditation and regulatory standards (Churruca et al., 2021). Accordingly, there is now a need for a comprehensive assessment of safety culture and many new tools have been generated. A standard definition of safety culture is: ‘The product of individual and group values, attitudes, perceptions, competencies and patterns of behavior that determine the commitment to, and the style and proficiency of, an organization’s health and safety management’ (Churruca et al., 2021). Although this definition provides some guidance on which ideas to consider when assessing safety culture, the specificities of the attitudes, values, and norms that promote safety and how to assess them, are less clear (Churruca et al., 2021). Quantitative and qualitative data can be collected to assess the culture of a facility, mixed methods are also used to assess this complex and multifaceted issue. The most widely-used qualitative surveys were the Hospital Survey on Patient Safety Culture (HSOPS) by the Agency for Healthcare Research and Quality, and the Safety Attitudes Questionnaire (SAQ) developed by Sexton and colleagues at the University of Texas (Churruca et al., 2021). These surveys will reveal the answers to questions about how employees feel about their work environment, their managers, and the organization in relation to safety and punishment for mistakes. Qualitative or mixed methods can also be used to assess safety culture in healthcare. Interviews are a common approach to assessing qualitative data related to safety culture, but focus groups are also commonly used in gathering this more in-depth data (Churruca et al., 2021). These qualitative questions in the interview r group varied in content and focus, some questions were broad and exploratory like, ‘Can you tell me about what patient safety means to you” and some were more specific and contained, ‘How safe do you think is the care provided in the ICU?(Churruca et al., 2021). It i my opinion that the safety culture in a small unit or doctor’s office would be better assessed using qualitative data collection methods. The interview of each individual who provides patient care will provide real insight and real conversation about safety and health promotion, however, this would take some time to schedule these interviews and compile the data. Qualitative surveys are most useful in larger organizations where individual interviews of every staff member would be almost impossible. Qualitative questionnaires can be used, and this would most likely be considered a mixed methods type of data collection.

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.

An organization cannot become what its leaders are not willing to become. It is both the obligation and the privilege of every healthcare leader to create and represent a compelling vision for a culture of safety (Churruca et al., 2021). It is well understood that a culture in which mistakes are acknowledged, leads to sustainable and positive change. These changes promote respectful and inclusive behaviors that become instinctive and serve as behavioral norms for the organization (Hadley & Institute for Healthcare Improvement, 2017). In this culture of healthcare, the physical and psychological safety of patients and healthcare workers are both highly valued and protected. The domains of a culture of safety include establishing behavioral expectations such as transparency, effective teamwork, active communication, civility, and direct and timely feedback (Hadley & Institute for Healthcare Improvement, 2017). We must lead and reward a just culture, where mistakes are a learning experience and not a time to finger-point and punish. Leaders should prioritize safety in the selection and development of leaders by identifying physicians, nurses, and other clinical leaders as safety champions to close the gap between administrative and clinical leadership development (Hadley & Institute for Healthcare Improvement, 2017). In order to achieve zero harm, healthcare leaders must ensure that their actions are consistent at all times and across all levels of the organization (Hadley & Institute for Healthcare Improvement, 2017). Trust, respect, and inclusion are non-negotiable standards that must encompass the Board room and extend to the C-suite, clinical departments, and the entire workforce. These cultural commitments must be universally understood and apply equally to the entire workforce, regardless of rank, role, or department and it starts with leadership and trickles down. As a DNP-prepared nurse leader, it is important to establish trust, show respect, and promote inclusion while being actively involved in safety improvement efforts.

References

Churruca, K., Ellis, L. A., Hogden, A., Bierbaum, M., Long, J. C., Olekalns, A., & Braithwaite, J. (2021). Dimensions of safety culture: a systematic review of quantitative, qualitative and mixed methods for assessing safety culture in hospitals. BMJ Open, 11(7), e043982. https://doi.org/10.1136/bmjopen-2020-043982

Hadley, W. & Institute for Healthcare Improvement. (2017). 6 ways to lead a culture of safety. Retrieved March 11, 2023, from https://www.ihi.org/communities/blogs/_layouts/15/ihi/community/blog/itemview.aspx?List=7d1126ec-8f63-4a3b-9926-c44ea3036813&ID=423#:~:text=These%20behaviors%20include%2C%20but%20are,rank%2C%20role%2C%20or%20department.

A Sample Answer 4 For the Assignment: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Title: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Healthcare facilities consider a safety culture as a guarantee of improving patient positive outcomes. Besides, a safety culture promotes patient safety. Therefore, hospitals use different strategies to attain and maintain a safety culture. Patient tastes and preferences are crucial in establishing a safety culture (Khoshakhlagh et al., 2019). As a result, adequate time is directed to evaluate patient preference. A standard definition of safety culture is: ‘The product of individual and group values, attitudes, perceptions, competencies and patterns of behavior. Evaluating different aspects of healthcare plays an important role of ensuring that hospitals maintain a safety culture (Hwang et al., 2019). A safety culture benefits different healthcare stakeholders. However, patients may be the primary beneficiaries. Quantitative and qualitative data provides different information that can impact safety culture. Therefore, DNP-prepared healthcare professionals use their competence and experience to guide the creation of a safety culture.  The culture limits chances of medication errors and other healthcare complications. Changes can be part of creating a patient safety culture.

References

Hwang, J. I., Kim, S. W., & Chin, H. J. (2019). Patient participation in patient safety and its relationships with nurses’ patient-centered care competency, teamwork, and safety climate. Asian nursing research, 13(2), 130-136. https://doi.org/10.1016/j.anr.2019.03.001

Khoshakhlagh, A. H., Khatooni, E., Akbarzadeh, I., Yazdanirad, S., & Sheidaei, A. (2019). Analysis of affecting factors on patient safety culture in public and private hospitals in Iran. BMC health services research, 19(1), 1-14.

Topic 6 DQ 1

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.

A Sample Answer 5 For the Assignment: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Title: DNP 835 Topic 6 DQ 1 As a future DNP leader describe what quantitative and qualitative data you could use to assess the culture of your practice site or organization

Quantitative data: Quantitative data is any data that can be counted or measured. For my DPI project, I would generate the needed information from the Electronic Health Record (HER) such as the patient’s laboratory results which show fasting blood glucose level, and HBA1c which is monitored every 12 weeks on all diabetic patients. Documentation log from patient’s Dexcom G6 device. Other valuable information may be patients’ weight and age to determine the proper diagnosis of diabetes mellitus. Observation of patients during return demonstration, Contact with Durable Medical Equipment expert consultations, Face-to-Face interviews, and Staff and management meetings (National Patient Safety Foundation, 2018).

Qualitative data: The quantitative methods that can be used include information from the Electronic Health Record (HER) such as graphs generated from Hypo/Hyperglycemic reactions and review of documentation from monitor alarms (National Patient Safety Foundation, 2018).

Explain how you can create, shape, and sustain a safety culture for your site or organization using the six domains of a culture of safety.

Value Trust, Respect, and Inclusion: The purpose of my DPI project in the organization where I work is to make it easy for staff to follow procedures and deliver safe care to our patients with Diabetes Mellitus in the comfort of their homes. The learner needs to make the Dexcom G6 device readily available and easily tracked electronically by downloading it into the patient’s electronic Health Record for the technician’s and provider’s review (National Patient Safety Foundation, 2018).

Lead and Reward a Just Culture: In a just culture, the point of the Dexcom G6 review by the learner is not to find where patients and their caregivers went wrong. It is to understand if further assistance is needed at the time and use that learning to improve the care that we provide to the patient (National Patient Safety Foundation, 2018).

Establish Organizational Behavior Expectations: The workforce needs to know what is expected and why. Setting expectations for leaders is especially important, as they are role models for others (National Patient Safety Foundation, 2018).

Prioritize Safety in the Selection and Development of Leaders: Although a just culture is not a blame-free environment, employees are still responsible for following the protocols and procedures provided. It is the responsibility of the leaders in an organization to make guidelines effective and clear (American College of Healthcare Executives and IHI/NPSF Lucian Leape Institute, 2017).

Establish a Compelling Vision for Safety: Sometimes, patients will listen to your words and pay attention to your feet. The learner should make it possible for the patients, caregivers, Skilled nurses, and relatives to access My Chart to review the information and be able to voice any concerns about the process (National Patient Safety Foundation, 2018).

Board Engagement: DNP-prepared leaders of today’s healthcare systems need to strike a difficult balance between two opposing paradigms and make it safe for employees and the patients (Daley, et al., 2018).

How will you inspire, motivate, and inform your organization on a journey of zero harm? A just culture focuses on systems issues as the most common cause of adverse events and believes systems issues can lead individuals to engage in unsafe behaviors. However, such a culture maintains individual accountability by establishing zero tolerance for reckless behaviors (Daley, et al., 2018).

Reference

American College of Healthcare Executives and IHI/NPSF Lucian Leape Institute (2017). Leading a Culture of Safety: A Blueprint for Success. Boston, MA: American College of Healthcare Executives and Institute for Healthcare Improvement; 2017. Retrieved from https://www.ihi.org/resources/Pages/Publications/Leading-a-Culture-of-Safety-A-Blueprint-for-Success.aspx

Daley, U. E., Gandhi, T. K., Mate, K., Whittington, J., Renton, M., Huebner, J. (2018). Framework for Effective Board Governance of Health System Quality. IHI White Paper. Boston, Massachusetts: Institute for Healthcare Improvement; 2018. Retrieved from https://www.ihi.org/resources/Pages/IHIWhitePapers/Framework-Effective-Board-Governance-Health-System-Quality.aspx

National Patient Safety Foundation. (2018). RCA2: Improving Root Cause Analyses and Actions to Prevent Harm. Boston, MA: National Patient Safety Foundation; 2015. Retrieved from https://www.ihi.org/resources/Pages/Tools/RCA2-Improving-Root-Cause-Analyses-and-Actions-to-Prevent-Harm.aspx