NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
Walden University NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare-Step-By-Step Guide
This guide will demonstrate how to complete the Walden University NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare assignment based on general principles of academic writing. Here, we will show you the A, B, Cs of completing an academic paper, irrespective of the instructions. After guiding you through what to do, the guide will leave one or two sample essays at the end to highlight the various sections discussed below.
How to Research and Prepare for NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
Whether one passes or fails an academic assignment such as the Walden University NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare depends on the preparation done beforehand. The first thing to do once you receive an assignment is to quickly skim through the requirements. Once that is done, start going through the instructions one by one to clearly understand what the instructor wants. The most important thing here is to understand the required format—whether it is APA, MLA, Chicago, etc.
After understanding the requirements of the paper, the next phase is to gather relevant materials. The first place to start the research process is the weekly resources. Go through the resources provided in the instructions to determine which ones fit the assignment. After reviewing the provided resources, use the university library to search for additional resources. After gathering sufficient and necessary resources, you are now ready to start drafting your paper.
How to Write the Introduction for NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
The introduction for the Walden University NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare is where you tell the instructor what your paper will encompass. In three to four statements, highlight the important points that will form the basis of your paper. Here, you can include statistics to show the importance of the topic you will be discussing. At the end of the introduction, write a clear purpose statement outlining what exactly will be contained in the paper. This statement will start with “The purpose of this paper…” and then proceed to outline the various sections of the instructions.
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How to Write the Body for NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
After the introduction, move into the main part of the NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare assignment, which is the body. Given that the paper you will be writing is not experimental, the way you organize the headings and subheadings of your paper is critically important. In some cases, you might have to use more subheadings to properly organize the assignment. The organization will depend on the rubric provided. Carefully examine the rubric, as it will contain all the detailed requirements of the assignment. Sometimes, the rubric will have information that the normal instructions lack.
Another important factor to consider at this point is how to do citations. In-text citations are fundamental as they support the arguments and points you make in the paper. At this point, the resources gathered at the beginning will come in handy. Integrating the ideas of the authors with your own will ensure that you produce a comprehensive paper. Also, follow the given citation format. In most cases, APA 7 is the preferred format for nursing assignments.
How to Write the Conclusion for NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
After completing the main sections, write the conclusion of your paper. The conclusion is a summary of the main points you made in your paper. However, you need to rewrite the points and not simply copy and paste them. By restating the points from each subheading, you will provide a nuanced overview of the assignment to the reader.
How to Format the References List for NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
The very last part of your paper involves listing the sources used in your paper. These sources should be listed in alphabetical order and double-spaced. Additionally, use a hanging indent for each source that appears in this list. Lastly, only the sources cited within the body of the paper should appear here.
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NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
NURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
You are a DNP-prepared nurse working in the ICU of your local hospital. A patient is struggling with balance, and you indicate this patient is a “fall risk” in your charts. However, after a long night, caring for many patients, you forget to indicate this risk on the patient’s door, which is procedure at the hospital. You complete your shift and go home for the night.
The scenario presented highlights how easy it is for an error to occur in healthcare. Humans are prone to error, and DNP-prepared nurses are no exception; however, certain policies and procedures can be enacted to improve patient safety and minimize errors.
Almost all occupational fields rely on safety and quality practices to ensure employees, customers, etc., are in a safe environment. These quality and safety practices help organizations to limit errors and improve performance; the field of nursing is no different. It is important for the nurse leader to recognize that quality and safety measures help to improve patient safety by installing processes and workflows into nursing practice that may result in fewer errors.
In the previous assignment, I discussed client M.N, a 46-year-old African American male diagnosed with Type 2 Diabetes. Quality and safety are key aspects of diabetes care, which significantly determine patient outcomes. Cost is a major barrier in accessing health services and also determine patient outcomes. This essay aims to discuss the effect of Type 2 Diabetes on the quality of care, patient safety, and costs to the system and individual.
How Type 2 Diabetes Impacts the Quality of Care, Patient Safety, and Costs to the System and Individual
Type 2 Diabetes significantly impacts the quality of care provided to patients since health providers must provide aggressive and top-notch care to prevent the development of diabetes-related complications. Furthermore, health providers have to be alert to identify symptoms of low or very high blood glucose in diabetic patients (Nikitara et al., 2019). There has been a growing demand to enhance the quality of care for diabetes to more comprehensive health care that addresses the physical, social, and emotional challenges attributed to the condition (Nikitara et al., 2019). Health professionals are recommended to promote patient participation in decision-making regarding their care.
A report by the American Diabetes Association (ADA) reveals an estimated overall diabetes cost of $327 billion in 2017, with $237 billion used in direct medical costs and $90 billion in reduced productivity. The largest components of diabetes costs include hospital inpatient care and prescription treatments to treat complications, which account for 30% of the total medical cost each (ADA, 2018). Other components include antidiabetic agents and diabetes supplies, which account for 15%, and physician office visits at 13%. Diabetic patients incur an average medical cost of $16,752 annually, of which approximately $9,601 is used in diabetes care (ADA, 2018). On average, diabetic patients have medical costs roughly 2.3 times higher than what medical costs would be in the absence of diabetes.
How State Board Nursing Practice Standards and Governmental Policies Can Affect Type 2 Diabetes Impact on the Quality of Care, Patient Safety, and Costs to the System and Individual
State board nursing practice standards dictate how nursing care is provided and the quality of care for diabetic patients. The standards guide nurses to provide standard care to patients regardless of the healthcare setting (ADA, 2016). Consequently, nursing practice standards can positively impact the quality of diabetes care by guiding nurses in assessing and managing patients to provide the best quality care possible. Nursing practice standards also provide the minimum standards that nurses should meet when providing patient care to avoid complications and promote patient safety (ADA, 2016). Besides, they guide nurses on assessing for complications, evaluating the effectiveness of care, and providing patient education on preventing complications.
The standards guide nurses on how to provide quality care that will promote reduced complications, hospital stays and readmission rates and increase patient outcomes, thus reducing patient and hospital operational costs. Nursing standards direct nurses on the actions to take on each step of management to avoid unnecessary procedures, investigations, or treatments, thus reducing patient and operational costs (Nikitara et al., 2019). They direct the evaluation of the overall care given to patients for nurses to evaluate whether the care was cost-effective and, if not, how it can be improved to make it more efficient.
Government policies can significantly affect diabetes’ impact on the quality of care, patient safety, and costs to the system and individual. Policy actions can improve the availability and quality of care for diabetes and support persons to make healthier choices. According to Timpel et al. (2019), government policies can help eliminate two major health system obstacles to successful type 2 diabetes care and management: financial barriers for patients and limited access to health services and medication. Government policies can address health system factors to promote effective type 2 diabetes care and management (Timpel et al., 2019). These factors include the utilization of innovative care models, increased pharmacists’ inclusion in care delivery, and education programs facilitated by healthcare professionals.
Improving patient safety practices can support health care delivery systems and enhance health sector performance. Government policies can direct the adoption of strategies by health systems to promote quality improvement in the care of diabetic patients. According to El-Jardalim & Fadlallah (2017), government policies can introduce sets of standardized and applicable quality indicators for performance measurement and benchmark. Besides, they can direct the establishment of incentive systems that connect contractual agreements, accreditation, regulations, and performance indicators to improve patient care quality and safety (El-Jardalim & Fadlallah, 2017). Lastly, government policies can help establish a culture of continuous quality improvement in the health systems and support professional training in quality improvement and patient safety
This week, you will examine foundations of quality improvement in healthcare, as well as explore patient safety. You will also review your experience with these practices and consider your role as a future DNP-prepared nurse.
Learning Objectives
Students will:
- Analyze quality and safety for nursing practice
- Analyze quality and safety for healthcare delivery
- Analyze the role of the DNP-prepared nurse as a function of quality and safety
- Analyze the concept of just culture in healthcare organizationsNURS 8302 Week 1 Assignment: Foundations of Quality and Patient Safety in Healthcare
- Analyze how a just culture impacts healthcare organizations
- Analyze the role of the DNP-prepared nurse in supporting environments for just culture in healthcare organizations
Learning Resources
Required Readings (click to expand/reduce)
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Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
Read Also: NURS 8302 Discussion Week 11: Evaluating and Sustaining Change
- Chapter 1, “Overview of Healthcare Quality” (pp. 5–47)
- Chapter 2, “History and the Quality Landscape” (pp. 49–74)
Institute for Healthcare Improvement. (2021). https://www.ihi.org
Experience with Quality and Safety
Quality and safety are the driving force behind delivering and promoting optimal care (Stalter & Mota, 2018). My primary role as a clinical nurse is to provide high-quality, patient-centered care using evidence-based practice. Before giving any care or medication dispensing, I include EBP into the routine. In my current role, I noticed that my colleagues rely on post-education, and I feel that approach is integrated at the wrong time, which is usually after an incident or error has occurred. I strongly believe in pre-education and promoting evidence-based practice in nursing.
I work on a 23-bed Med-Surg unit, and Friday mornings are the busiest surgical days. On this morning, a nurse administered a patient scheduled for Coronary Artery Bypass Graft (CABG) 20 units of Aspart and 15 units of Regular for a blood sugar of 206. Unfortunately, the patient had been NPO after midnight before the day of surgery. In the meantime, as we continued to make rounds and administer morning medications on the unit, the nurse received a call from the telemetry unit that the patient heart rhythm converted from normal sinus rhythm to ventricular tachycardia. The staff quickly went to the bedside and noted the patient to be diaphoretic, lethargic with a heart rate sustaining in the 130-150’s.
Immediately we had to call the rapid response team for further assistance. After the team arrived and was given a full report on the patient, the team administered IV antiarrhythmic medication to aid with the heart rate and a bolus of IV fluids for the blood pressure. Then, of course, the surgery was postponed, and the patient was transported to the ICU for closer observation. At shift change, the nurses had to report on what happened and how the patient received such a high insulin dose. Any high-alert medications must have two verifiers; only one nurse verified and administered the drug, which led to the error above. After further investigation, it was a computer error because it did not prompt the alert box for an additional signer. In addition, the nurse who administered the medication was new to the unit. I’m not making any excuses; however, the nurse should have verified the insulin order with the charge nurse or the ordering provider. Also, the ordering provider should have discontinued the order before surgery, which could have prevented the error. Therefore, thorough education and the implementation of evidence-based practice are imperative in nursing.
Role as a DNP-Prepared Nurse
As a DNP-Prepared nurse, I intend to integrate evidence-based practice by developing our organizational culture that supports best practice and promotes opportunities for staff to enhance their clinical skills and knowledge. With the healthcare system being so complex, as a DNP-prepared nurse, promoting a healthy work environment is an effective solution to promoting quality improvement and being proactive in preventing errors or glitches before they occur (Abdul, Jarrar & Don, 2015). In addition, I would advocate for the implementation of evidence-based practice throughout the nursing unit and organization by educating nurses on skills, such as critical appraisal and translation of research findings into practice (Tu & Wang, 2011). Furthermore, in my role as a DNP-prepared nurse, I can use error prevention strategies by continuously monitoring outcomes and completing root cause analysis when errors occur, including the input from clinical staff and the leadership team.
References:
Abdul, R.H., Jarrar, M., & Don, M.S. (2015). Nurse level of education, quality of care and
patient safety in the medical and surgical wards in Malaysian private hospitals: A cross-
sectional study. Global Journal of Health Sciences.7(6):331-337. doi: 10.5539/gjhs.v7n6p33.
Stalter, A., & Mota, A. (2018). Using systems thinking to envision quality and safety
in healthcare, Nursing Management. Volume 49(2): doi:
10.1097/01.NUMA.0000529925.66375.d0.
Tu, Y.C., & Wang, R.H. (2011). High-quality nursing health care environment: The patient
safety perspective. Hu Li Za Zhi 58(3): 93-8. https://pubmed.ncbi.nlm.nih.gov/21678259.
Hello Heidi,
I do agree with you that in order to achieve quality care and patient satisfaction, it is imperative for healthcare organization to have a critical analysis of the existing systems and check into areas that require improvement. Organizational culture is crucial for the change process to be successful and foster improvement program or EBP project implementation. There are a number of factors that help in advancing the needs of the patients and achieving timely and quality care (Chen et al., 2018). One key area that has to be invested in is healthcare technology. A well-developed healthcare technology facilitates timely delivery of care, helps in keeping up to date records of the patients, allows multidisciplinary teams approach and collaboration and more so reduces chances of errors of omission or commission in care. Incorporation of electronic health records and electronic medical records form the core of modern healthcare technology applications and this has been a major factor driving the expansion of healthcare systems and the outreach to the most remote areas of the society (Jetté & Kwon, 2019). People in rural areas are able to get medical diagnosis, drug prescription and check-up through use of telehealth. Additionally, quality healthcare services have been improved over the years through continuous education. Where the RNs, are encouraged to continue advancing their knowledge through undertaking the MSN and the DNP programs (Mlambo et al., 2021).
References
Chen, Q., Beal, E. W., Okunrintemi, V., Cerier, E., Paredes, A., Sun, S., Olsen, G., & Pawlik, T. M. (2018). The Association Between Patient Satisfaction and Patient-Reported Health Outcomes. Journal of Patient Experience, 6(3), 237437351879541. https://doi.org/10.1177/2374373518795414
Jetté, N., & Kwon, C.-S. (2019). Electronic Health Records—A System Only as Beneficial as Its Data. JAMA Network Open, 2(9), e1911679–e1911679. https://doi.org/10.1001/jamanetworkopen.2019.11679
Mlambo, M., Silén, C., & McGrath, C. (2021). Lifelong learning and nurses’ continuing professional development, a metasynthesis of the literature. BMC Nursing, 20(1). https://doi.org/10.1186/s12912-021-00579-2
Alternative Perspective: Holistic and Patient-Centered Care
In addition to focusing on the prevention of adverse effects and medical errors, a holistic and patient-centered perspective can provide a valuable alternative lens for approaching quality and safety in nursing practice and healthcare (Brooks, Winship & Kuzel, 2020). This perspective emphasizes the importance of considering the patient as a whole individual, taking into account not only their physical health but also their mental, emotional, and social well-being.
Holistic care recognizes that patients are unique, and their health is influenced by various factors such as their lifestyle, cultural background, and personal preferences (Brooks, Winship & Kuzel, 2020). In order to truly ensure quality and safety, nurses can adopt an approach that involves active collaboration with patients in their care. This means engaging in shared decision-making, respecting patient autonomy, and considering the patient’s values and beliefs when planning and delivering healthcare services.
Moreover, a patient-centered perspective goes beyond the immediate treatment of illnesses and focuses on promoting overall well-being and enhancing the patient’s quality of life (Scott, 2020). This might involve addressing psychosocial aspects of care, providing adequate support for coping with illnesses, and fostering open communication between healthcare providers and patients.
By incorporating holistic and patient-centered care into nursing practice, healthcare professionals can not only prevent harm and errors but also enhance the overall patient experience (Scott, 2020). This approach aligns with the principles of person-centered care and emphasizes the importance of building a therapeutic relationship between healthcare providers and patients. Ultimately, it contributes to a more comprehensive understanding of quality and safety that extends beyond the traditional medical model.
References
Brooks EM, Winship JM, Kuzel AJ. A “Behind-the-Scenes” Look at Interprofessional Care Coordination: How Person-Centered Care in Safety-Net Health System Complex Care Clinics Produce Better Outcomes. Int J Integr Care. 2020 Apr 28;20(2):5. doi: 10.5334/ijic.4734. PMID: 32405282; PMCID: PMC7207252.
Scott Barss K. Spiritual Care in Holistic Nursing Education: A Spirituality and Health Elective Rooted in T.R.U.S.T. and Contemplative Education. Journal of Holistic Nursing. 2020;38(1):122-130. doi:10.1177/0898010119889703
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