NRS 451 Executive Summary GCU
NRS 451 Executive Summary GCU
NRS 451 Executive Summary GCU
Executive Summary Assignment: Handwashing
There is quite a range of topics on improving patient safety that I have thought about writing. However, I have decided on addressing handwashing among patients admitted in care facilities. The reasons why I chose this heading is due to the frequent adverse events related to healthcare-associated infections (HAIs) among hospitalized patients. I have also realized that there are several infection prevention and control (IPC) strategies in hospitals but most of such practices give preference to healthcare providers as opposed to patients who are the recipient of medical intervention (Pittet et al., 2017). Attention has been on the effectiveness of handwashing practices that guarantee safety to patients. Even though hand hygiene has been widely promoted across the world, specific concerns still remain on the best practices that ensure optimal protection to patients. The challenges of proper hand washing in healthcare system among patients are unexpected but continue to suffice. In my visit to one of the public hospitals in Los Angeles, I realized that effective handwashing techniques are not followed by the patients to the latter. This is due to the unreliable supply of liquid soap and alcohol handrubs to achieve the three stages of handwashing. Besides, even when these agents are available, some patients lacked knowledge on proper techniques of handwashing as some start with alcohol handrub and ends by using the soap. This calls for an initiative by care facilities to inform patients about the handwashing protocols. The education on handwashing can be addressed during bedside services or patients sensitized during health education forums organized by the care facility.
References
Pittet, D., Boyce, J. M., & Allegranzi, B. (Eds.). (2017). Hand hygiene: a handbook for medical professionals (Vol. 9). John Wiley & Sons.
Assessment Description
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:

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Target Audience or Population
The target audience for this QI is hospitalized patients in acute care settings. The CDC provides a report on elderly patients as being prone to the risk of falls. To this effect, the intervention focuses on patients not less than 60 years. To add up, the intervention will focus on trauma patients who have sustained injuries, especially on their lower extremities.
Benefits of the Quality Improvement Initiative
Falls management in an acute care setting is associated with various aspects of patient health and quality of life. The approach will reduce the number of additional cases related to falls at the facility. Furthermore, nurses and other health care professionals will not be held liable for negligence, even if the falls result in serious injuries that result in the death of patients (Morello et al., 2017). The care facility’s reputation will be enhanced so that it becomes a preferred destination for trauma patients.
Collaboration Among Professionals
The fall management intervention program includes various health professionals from the facility. Registered nurses with extensive experience in critical care will be part of the team educating patients (Watson, Salmoni & Zecevic, 2019). Physicians from the facility’s critical care units will also be included in the program because they will play a key role in developing diagnoses for trauma patients. Pharmacists and physiotherapists are among the professionals who provide education on fall prevention strategies in the facility.
Cost Justification
The primary goals of this fall management project are staff and patient education. The project is expected to cost around $500 if the Senior Falls Investigative Methodology (SFIM) is used as an intervention strategy. The financial estimate is based on minimum unit requirements because professional education will take place in nurse stations and patient education will take place in the hallways (Morello et al., 2017). Brochures and other publications are only available on request.
Evaluation
The interprofessional team will be responsible for evaluating the performance of the falls management strategy. The variables for the project will be evaluated in comparison to hospital policies on falls reduction and also broadly assessed by the standards developed by America’s Institute of Medicine (IOM) on patient care (Watson, Salmoni & Zecevic, 2019). In this regard, patient feedback will be examined to affirm the effectiveness of the patient fall prevention program. The approach will be determined by the quality of life for the trauma patients and reduced instances of falls for at-risk patients.
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
Target Population or Audience
The target population for this quality improvement program are nurses and physicians who interact with patients in care provision. Nurses administer medications and care for patients by ensuring that all recommendations by physicians are implemented to improve their conditions. Nurses are at the core of healthcare provision and communicate information from patients and their families to other providers, starting with the physicians. As such, this initiative targets them so that they are aware of the SBAR tool and how they can use it to attain effective communication with their colleagues and other professionals in the healthcare setting.
Benefits of the Quality Improvement Initiative
The implementation of the SBAR tool will have several benefits to the organization and its staff in several ways. Communication is a critical component of care provision as it ensures that providers and patients share information and data that inform the type of interventions and medications required. As such, implementing this initiative will ensure that nurses and physicians can seamlessly share critical data and evidence on handling certain patients based on their status (Shahid et al., 2018). Secondly, good communication improves patient safety and reduces inherent risks that may arise when patients and providers do not share vital data and information about the health status or medical condition.
The SBAR communication tool will ensure that nurses handover notes are comprehensive and can allow other providers to develop better interventions to deliver quality care. In their study, Mulfiyanti et al. (2022) assert that effective communication based on the SBAR approach reduces communication failures among health workers and with patients. The implication is that effective communication based on the SBAR approach improves the overall quality of services and enhances patients’ levels of satisfaction. It also ensures effective handover among nurses and other providers leading to patient safety (Ruhomauly et al., 2019). As such, this initiative will have significant benefits to the organization like reducing costs, attracting new clients and ensuring that providers offer high quality care interventions to diverse patient population.
Inter-Professional Collaboration Needed in the QI initiative
The implementation of the proposed quality improvement initiative will involve different stakeholders to form an inter-professional collaboration. The collaboration will entail different care providers including nurses, physicians and pharmacists. Nurses will work collaboratively with physicians and pharmacists to roll out the SBAR tool to enhance communication within the nursing department. Again, nurses will enlist other professionals like informaticists to analyze data on rate of medication errors and other adverse events that may reduce the quality of care offered to patients emanating from ineffective communication. Based on this data, they will implement the SBAR communication tool to improve overall care provision, especially during medication administration time to reduce and prevent the occurrence of medication administration errors.
Cost or Budget Justification for the Quality Improvement Initiative
The implementation of this initiative will be critical in reducing the overall cost burden arising from the occurrence of adverse events like medical errors and even falls. The cost of implementing this initiative will not be higher compared to the costs incurred when one medical error occurs in the facility. The facility will require resources to train nurses on the use of the SBAR tool and evaluate its efficacy with two months of the implementation by assessing the number of adverse events, especially medical errors (Müller et al., 2018). As such, the organization may spend close to $3,000 in providing necessary training and implementing the SBAR communication protocols compared to colossal amounts related to compensation and longer stays due to complications arising from such errors.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
Executive Summary Feedback Form
Assessment Description
Share your written proposal with your manager, supervisor, or other colleague in a formal leadership position within a health care organization. Complete the “Executive Summary Feedback Form,” located in topic Resources, during the exchange and submit the document.
Executive Summary – Rubric
Collapse All Executive Summary – RubricCollapse All
Purpose of the Quality Improvement Initiative
21Â points
Criteria Description
Purpose of the Quality Improvement Initiative
5. Excellent
21Â points
The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, is provided in detail, and demonstrates higher level thinking by incorporating prior learning or reflective thought.
4. Good
18.69Â points
The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
16.59Â points
The purpose of the quality improvement initiative is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.
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2. Less Than Satisfactory
15.75Â points
The purpose of the quality improvement initiative is incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The purpose of the quality improvement initiative is not provided.
Target Population or Audience
18.2Â points
Criteria Description
Target Population or Audience
5. Excellent
18.2Â points
The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2Â points
The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38Â points
The target population or audience is provided and meet the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65Â points
The target population or audience is incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The target population or audience is not addressed.
Benefits of Quality Improvement Initiative
18.2Â points
Criteria Description
Benefits of Quality Improvement Initiative
5. Excellent
18.2Â points
The benefit of the quality improvement initiative meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2Â points
The benefit of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38Â points
The benefits of the quality improvement initiative are provided and meet the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65Â points
The benefits of the quality improvement initiative are incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The benefits of the quality improvement initiative are not provided.
Interprofessional Collaboration Required to Implement the Quality Improvement Initiative
18.2Â points
Criteria Description
Interprofessional Collaboration Required to Implement the Quality Improvement Initiative
5. Excellent
18.2Â points
The interprofessional collaboration that would be required to implement the quality improvement initiative is clearly discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2Â points
The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38Â points
The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets the basic criteria for the assignment as indicated in the assignment instructions
2. Less Than Satisfactory
13.65Â points
The interprofessional collaboration that would be required to implement the quality improvement initiative is incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The interprofessional collaboration that would be required to implement the quality improvement initiative is not discussed.
Cost or Budget Justification
18.2Â points
Criteria Description
Cost or Budget Justification
5. Excellent
18.2Â points
The cost or budget justification issue meets all criteria for the assignment, as indicated by the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2Â points
The cost or budget justification issue meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail.
3. Satisfactory
14.38Â points
The cost or budget justification is provided and meets the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65Â points
The cost or budget justification is incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The cost or budget justification is not provided.
Basis Upon Which the Program or Project Will Be Evaluated
18.2Â points
Criteria Description
Basis Upon Which the Program or Project Will Be Evaluated
5. Excellent
18.2Â points
The basis, upon which the quality improvement initiative will be evaluated as indicated by the assignment instructions, is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought.
4. Good
16.2Â points
The basis upon which the quality improvement initiative will be evaluated is provided in detail.
3. Satisfactory
14.38Â points
The basis upon which the quality improvement initiative will be evaluated meets the basic criteria for the assignment as indicated in the assignment instructions.
2. Less Than Satisfactory
13.65Â points
The basis upon which the quality improvement initiative will be evaluated is incomplete, missing relevant information.
1. Unsatisfactory
0Â points
The basis upon which the quality improvement initiative will be evaluated is not provided.
Thesis Development and Purpose
7Â points
Criteria Description
Thesis Development and Purpose
5. Excellent
7Â points
Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.
4. Good
6.23Â points
Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose.
3. Satisfactory
5.53Â points
Thesis is apparent and appropriate to purpose.
2. Less Than Satisfactory
5.25Â points
Thesis is insufficiently developed or vague. Purpose is not clear.
1. Unsatisfactory
0Â points
Paper lacks any discernible overall purpose or organizing claim.
Paragraph Development and Transitions
7Â points
Criteria Description
Paragraph Development and Transitions
5. Excellent
7Â points
There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless.
4. Good
6.23Â points
A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose.
3. Satisfactory
5.53Â points
Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other.
2. Less Than Satisfactory
5.25Â points
Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident.
1. Unsatisfactory
0Â points
Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed.
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
7Â points
Criteria Description
Mechanics of Writing (includes spelling, punctuation, grammar, language use)
5. Excellent
7Â points
Writer is clearly in command of standard, written, academic English.
4. Good
6.23Â points
Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech.
3. Satisfactory
5.53Â points
Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed.
2. Less Than Satisfactory
5.25Â points
Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied.
1. Unsatisfactory
0Â points
Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used.
Paper Format (use of appropriate style for the major and assignment)
2.8Â points
Criteria Description
Paper Format (use of appropriate style for the major and assignment)
5. Excellent
2.8Â points
All format elements are correct.
4. Good
2.49Â points
Appropriate template is fully used. There are virtually no errors in formatting style.
3. Satisfactory
2.21Â points
Appropriate template is used. Formatting is correct, although some minor errors may be present.
2. Less Than Satisfactory
2.1Â points
Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent.
1. Unsatisfactory
0Â points
Template is not used appropriately, or documentation format is rarely followed correctly.
Documentation of Sources
4.2Â points
Criteria Description
Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)
5. Excellent
4.2Â points
Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.
4. Good
3.74Â points
Sources are documented, as appropriate to assignment and style, and format is mostly correct.
3. Satisfactory
3.32Â points
Sources are documented, as appropriate to assignment and style, although some formatting errors may be present.
2. Less Than Satisfactory
3.15Â points
Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors.
1. Unsatisfactory
0Â points
Sources are not documented.
Total 140 points
Rubric Criteria
Criterion |
1. Unsatisfactory |
2. Less Than Satisfactory |
3. Satisfactory |
4. Good |
5. Excellent |
---|---|---|---|---|---|
Interprofessional Collaboration Required to Implement the Quality Improvement Initiative Interprofessional Collaboration Required to Implement the Quality Improvement Initiative |
0 points The interprofessional collaboration that would be required to implement the quality improvement initiative is not discussed. |
13.65 points The interprofessional collaboration that would be required to implement the quality improvement initiative is incomplete, missing relevant information. |
14.38 points The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets the basic criteria for the assignment as indicated in the assignment instructions |
16.2 points The interprofessional collaboration that would be required to implement the quality improvement is discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail. |
18.2 points The interprofessional collaboration that would be required to implement the quality improvement initiative is clearly discussed and meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. |
Paper Format (use of appropriate style for the major and assignment) Paper Format (use of appropriate style for the major and assignment) |
0 points Template is not used appropriately, or documentation format is rarely followed correctly. |
2.1 points Appropriate template is used, but some elements are missing or mistaken. A lack of control with formatting is apparent. |
2.21 points Appropriate template is used. Formatting is correct, although some minor errors may be present. |
2.49 points Appropriate template is fully used. There are virtually no errors in formatting style. |
2.8 points All format elements are correct. |
Cost or Budget Justification Cost or Budget Justification |
0 points The cost or budget justification is not provided. |
13.65 points The cost or budget justification is incomplete, missing relevant information. |
14.38 points The cost or budget justification is provided and meets the basic criteria for the assignment as indicated in the assignment instructions. |
16.2 points The cost or budget justification issue meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail. |
18.2 points The cost or budget justification issue meets all criteria for the assignment, as indicated by the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. |
Basis Upon Which the Program or Project Will Be Evaluated Basis Upon Which the Program or Project Will Be Evaluated |
0 points The basis upon which the quality improvement initiative will be evaluated is not provided. |
13.65 points The basis upon which the quality improvement initiative will be evaluated is incomplete, missing relevant information. |
14.38 points The basis upon which the quality improvement initiative will be evaluated meets the basic criteria for the assignment as indicated in the assignment instructions. |
16.2 points The basis upon which the quality improvement initiative will be evaluated is provided in detail. |
18.2 points The basis, upon which the quality improvement initiative will be evaluated as indicated by the assignment instructions, is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. |
Mechanics of Writing (includes spelling, punctuation, grammar, language use) Mechanics of Writing (includes spelling, punctuation, grammar, language use) |
0 points Surface errors are pervasive enough that they impede communication of meaning. Inappropriate word choice or sentence construction is used. |
5.25 points Frequent and repetitive mechanical errors distract the reader. Inconsistencies in language choice (register) or word choice are present. Sentence structure is correct but not varied. |
5.53 points Some mechanical errors or typos are present, but they are not overly distracting to the reader. Correct and varied sentence structure and audience-appropriate language are employed. |
6.23 points Prose is largely free of mechanical errors, although a few may be present. The writer uses a variety of effective sentence structures and figures of speech. |
7 points Writer is clearly in command of standard, written, academic English. |
Thesis Development and Purpose Thesis Development and Purpose |
0 points Paper lacks any discernible overall purpose or organizing claim. |
5.25 points Thesis is insufficiently developed or vague. Purpose is not clear. |
5.53 points Thesis is apparent and appropriate to purpose. |
6.23 points Thesis is clear and forecasts the development of the paper. Thesis is descriptive and reflective of the arguments and appropriate to the purpose. |
7 points Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear. |
Documentation of Sources Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style) |
0 points Sources are not documented. |
3.15 points Documentation of sources is inconsistent or incorrect, as appropriate to assignment and style, with numerous formatting errors. |
3.32 points Sources are documented, as appropriate to assignment and style, although some formatting errors may be present. |
3.74 points Sources are documented, as appropriate to assignment and style, and format is mostly correct. |
4.2 points Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error. |
Purpose of the Quality Improvement Initiative Purpose of the Quality Improvement Initiative |
0 points The purpose of the quality improvement initiative is not provided. |
15.75 points The purpose of the quality improvement initiative is incomplete, missing relevant information. |
16.59 points The purpose of the quality improvement initiative is provided and meets the basic criteria for the assignment as indicated in the assignment instructions. |
18.69 points The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail. |
21 points The purpose of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, is provided in detail, and demonstrates higher level thinking by incorporating prior learning or reflective thought. |
Target Population or Audience Target Population or Audience |
0 points The target population or audience is not addressed. |
13.65 points The target population or audience is incomplete, missing relevant information. |
14.38 points The target population or audience is provided and meet the basic criteria for the assignment as indicated in the assignment instructions. |
16.2 points The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail. |
18.2 points The target population or audience meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. |
Benefits of Quality Improvement Initiative Benefits of Quality Improvement Initiative |
0 points The benefits of the quality improvement initiative are not provided. |
13.65 points The benefits of the quality improvement initiative are incomplete, missing relevant information. |
14.38 points The benefits of the quality improvement initiative are provided and meet the basic criteria for the assignment as indicated in the assignment instructions. |
16.2 points The benefit of the quality improvement initiative meets all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail. |
18.2 points The benefit of the quality improvement initiative meet all criteria for the assignment, as indicated in the assignment instructions, and is provided in detail, while demonstrating higher level thinking by incorporating prior learning or reflective thought. |
Paragraph Development and Transitions Paragraph Development and Transitions |
0 points Paragraphs and transitions consistently lack unity and coherence. No apparent connections between paragraphs are established. Transitions are inappropriate to purpose and scope. Organization is disjointed. |
5.25 points Some paragraphs and transitions may lack logical progression of ideas, unity, coherence, and/or cohesiveness. Some degree of organization is evident. |
5.53 points Paragraphs are generally competent, but ideas may show some inconsistency in organization and/or in their relationships to each other. |
6.23 points A logical progression of ideas between paragraphs is apparent. Paragraphs exhibit a unity, coherence, and cohesiveness. Topic sentences and concluding remarks are appropriate to purpose. |
7 points There is a sophisticated construction of paragraphs and transitions. Ideas progress and relate to each other. Paragraph and transition construction guide the reader. Paragraph structure is seamless. |

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