Quality Improvement Proposal Assignment

HLT 362 Quality Improvement Proposal Assignment

Quality Improvement Proposal Assignment

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Reasons for Quality Improvement Initiatives

Quality improvement initiatives are required in the treatment processes and medical prescription to enhance effective patient outcomes. Also, quality improvement is needed in this area to reduce the number of deaths resulting from the medication errors. The hospital is experiencing increasing mortalities especially among the infants due to medication errors and wrong treatment approaches. Also, there are always complications arising from the cesarean processes. As a result, the healthcare management ought to develop quality improvement strategies to ensure the reduction in the number of complications associated with the operational processes. Quality improvement is also required to reduce the rate of infant mortalities. With the quality improvement processes, there are high expectations of improved patient outcomes and a drastic reduction in the rate of infant mortalities. The organization also anticipates the reduction in the number of healthcare acquired infections and complications. Some of the quality improvement approaches may include continuous training of medical professionals to adhere to the stipulated quality standards and policies. Quality Improvement Proposal Assignment

How the Results of Previous Research Demonstrate

Support for the Quality Improvement

There are previous research processes that demonstrate support for the quality improvements to reduce treatment and medication errors. These researches incorporated the ideal strategies in ensuring the reduction in the treatment and medication errors. According to the qualitative research, “Qualitative exploration of practices to prevent medication errors in neonatal intensive care units: a focus group

HLT 362 Week 4 Quality Improvement Proposal Assignment Essays
HLT 362 Week 4 Quality Improvement Proposal Assignment Essays

study. Therapeutic advances in drug safety” by Rishoej et al., (2018), technology, education, and improvement of hospital pharmacy services are some of the practices of reducing medication errors. The above qualitative research provides some of the strategies that can be applied to enhance quality improvements in the healthcare settings. The research’s projected outcome was to ensure the reduction of medication errors and the number of mortalities associated with the wrong prescriptions and surgical processes. Additionally, the research, “Medication errors and drug knowledge gaps among critical-care nurses: a mixed multi-method study.”  By Gracia, Serrano, and Garrido, (2019) provides the theoretical framework and the approaches that can be used to enhance quality improvement when it comes to the reduction of medication errors in the healthcare settings. The above research studies provide the foundation for understanding the approaches to take in order to reduce cases of treatment and medication errors in my healthcare institution. Quality Improvement Proposal Assignment

Steps of Implementing Quality Improvement Initiative

The first step involves listing and prioritizing the improvement opportunities. In the above case, the healthcare institution should prioritize reduction in the medication and treatment errors. Secondly, the healthcare organization should focus on defining the improvement objectives. Thirdly, there is the need to define the requirement and the procedures for accomplishing the quality improvement initiative. Collection, organization, and analysis of data is the fourth step in the quality improvement initiative (Snijders et al., 2017). The process involves determining the validity of the improvement processes and the steps required for the successful implementation of the quality improvement ideas. The final step is the generation of the potential solution and choosing the best solution or approach to take in an attempt to reduce medication and treatment errors. The outcomes from the above stages, if valid, should be implemented so as to reduce the cases of medication and treatment errors. Quality improvement should be a continuous process that involve all the stakeholders.

Evaluation of the quality Improvement initiative

Before the implementation of the quality improvement initiatives, there is always the need to conduct evaluation processes to determine the areas of weaknesses and strength. The evaluation processes should involve the analysis of procedures used and the possible outcomes. The whole process should involve the collection and analysis of the clinical data to identify a valid outcome (Rishoej et al., 2018). The evaluation of the quality improvement will also involve analyzing the patient’s feedbacks and determining the areas of concerns. Finally, the evaluation of the improvement strategies should involve measuring patient’s outcomes and the quality of care given.

The research processes to determine the level of quality improvement should involve quantitative research processes where there is independent and dependent variables. The dependent variable will be the rate of mortalities while the independent variable will be rate of medication errors. T-test will be needed to compare the means and reject or accept the null hypothesis. Quality Improvement Proposal Assignment

Conclusion

Quality improvement is a framework that is applied to systematically enhance the ways healthcare processes are delivered to the patients. Quality improvement possesses characteristics that are measurable and controllable. In my organization, treatment and medication errors are some of the challenges that impede effective patient outcome. Quality improvement initiatives are required in the treatment processes and medical prescription to enhance effective patient outcomes. Also, quality improvement is needed in this area to reduce the number of deaths resulting from the medication errors. Before the implementation of the quality improvement initiatives, there is always the need to conduct evaluation processes to determine the areas of weaknesses and strength.

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Summary of the Research Article

Sampling requires the researcher to determine the right type and number of individuals to represent the entire population (Ryan, 2018). The selected research article “Spiritual and Religious Issues of Stigmatization Women with Infertility: A Qualitative Study: Spiritual and Religious Issues of Stigmatization” by Akarsu & Beji in 2021.

The Purpose of the Research

According to the authors, “the purpose of this study is to determine the perceptions of women with infertility on stigma and religious and spiritual issues of stigmatization.”

Method of Research

The method used for this study was the phenomenological method with 12 women with infertility issues who were selected through the criterion sampling method. The phenomenological approach aims to describe, understand and interpret the meanings of experiences of human life. It focuses on research questions such as what it is like to experience a particular situation (Bloor & Wood, 2006).

Sample

The participants were aged between 20 and 39 years. The 12 women were interviewed for about 30-60 minutes and were asked open-ended questions about their reason for infertility, current emotional state, family reactions, general opinions, and effects of the stigmas.

Conclusion

In this study, Akarsu & Beji (2021) found that women related their infertility experience to stress and God’s will. In addition, the study showed that the participants had been subjected to others’ pity, stigmatization, and spiritual problems due to their inability to have children. They had suffered from social alienation due to others’ awareness of their infertility struggles. Furthermore, medical professionals stigmatized these women during their infertility treatments.

Evaluation of Sampling

I think that this was a great topic to research because many women have infertility and the shame of not being about to bear children. In my opinion and experience, many women do not talk about infertility because they feel inadequate as a woman, and they blame themselves for not being about to have children. The research sample method was sufficient. However, I believe the researchers should have had a larger sample to conclude about women’s perception of infertility issues. According to Faber & Fonseca (2014), a good selection makes studies more effective. Very few samples compromise a study’s internal and external validity, causing both researchers and clinicians to be misled, potentially leading to treatment failure. I feel that the researchers did not get the correct number of individuals to represent the entire population.

Reference:

Bloor, M. & Wood, F. (2006). Phenomenological methods. In Keywords in qualitative methods (pp. 129-130). SAGE Publications Ltd, https://www.doi.org/10.4135/9781849209403

Faber, J., & Fonseca, L. M. (2014). How sample size influences research outcomes. Dental press journal of orthodontics, 19(4), 27–29. https://doi.org/10.1590/2176-9451.19.4.027-029.ebo

Höbek Akarsu, R., & Kızılkaya Beji, N. (2021). Spiritual and Religious Issues of Stigmatization Women with Infertility: A Qualitative Study: Spiritual and Religious Issues of Stigmatization. Journal of Religion and Health, 60(1), 256–267. https://doi- org.lopes.idm.oclc.org/10.1007/s10943-019-00884-w

Ryan, Christina. (2018). Population and Sampling Distributions. Retrieved from:

https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/2

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Irene,

I continued to do research regarding teenage pregnancy in the United States, and I found some very interesting information. The Centers for Disease Control and Prevention [CDC] (2021) states that in the United States, the teen birth rate has been on the decline since 1991. It was found that teenage birth rates also declined from 2018 to 2019 (CDC, 2021). According to the CDC (2021) there were 17.4 per 1,000 females in 2018, and 16.7 per 1,000 females in 2019. It is stated that the reasons for the declines in teenage pregnancy are unclear, however, evidence suggests that this could be because teens are abstaining from sexual activity and the teens who are sexually active use more birth control than in past years (CDC, 2021). It was also found that in 2019, the birth rates for Hispanic teens (25.3) and non-Hispanic black teens (25.8) were over double the birth rate for non-Hispanic White teens (11.4) (CDC, 2021). The CDC (2021) then stated that in 2019, the highest teenage birth rate of all races/ethnicities was American Indian/Alaska Native, with a rate of 29.2.

Centers for Disease Control and Prevention [CDC]. (2021). About Teen Pregnancy. Centers for Disease Control and Prevention. https://www.cdc.gov/teenpregnancy/about/index.htm.

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Irene,

Good article about Spiritual and Religious Issues of Stigmatization of Women with Infertility!!! You provided 12 women as samples but the sampling method used for your article was missing.