30 Jan Presentation Formatting
Unit 1 discussion
DQ1 Health Care Policy: Delivery and Changes
Discuss two major national health care initiatives that underlie health policy change affecting patient safety and quality care.
Provide one specific example of how your current health care organization or practice setting is embracing change and developing strategies to support these important initiatives.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What questions do you have about how these initiatives have affected heath care delivery organizations and patient care in your peers’ communities?
What insight might you offer into how your organization or practice setting is similar or different in this regard?
Learning Components
This activity will help you achieve the following learning components:
Identify the strategic aspects of proposed practice changes.
Apply the principles of effective composition.
Identify major national health care initiatives that underlie health policy change affecting patient safety and quality care.
Recognize how health care organizations react strategically to policy-driven change.
Proofread and edit written communications.
Identify organizational systems that support and enhance health care delivery.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
DQ2 Creating and Sustaining a Culture of Quality and Safety
Discuss the nurse leader’s role in creating and sustaining a culture of quality and safety in a variety of diverse health care delivery settings.
What obligations do professional nurses have to improve patient safety and quality care?
What is their expected level of commitment to this goal?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What makes this aspect of a nurse leader’s role important?
How are your views on the nurse leader’s role in creating and sustaining a culture of quality and safety similar to, or different from, that of your peers?
Learning Components
This activity will help you achieve the following learning components:
Identify organizational systems that support and enhance health care delivery.
Determine the nurse leader’s role in developing and sustaining a culture of safety and quality.
Apply the principles of effective composition.
Proofread and edit written communications.
Resources
Discussion Participation Scoring Guide.
Introduction to the Writing Center.
APA Guide.
Academic Honesty & APA Style and Formatting.
Unit 2 discussion
DQ1 Systems That Support Safety, Quality, and Interprofessional Care
Describe what you believe are the systems that support a culture of safety and quality in diverse health care delivery settings.
How can nurses work to improve patient safety and quality in an interprofessional environment?
How do particular systems support and enhance health care delivery?
How can barriers be overcome?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
How does your organization compare or contrast with those of your peers?
What specific ideas come to mind when you think about systems, organizational size, specific types of care delivery, culture, processes, and roles?
Learning Components
This activity will help you achieve the following learning components:
Determine how nurse leaders can guide and support interprofessional care teams to change or resolve systemic issues.
Identify organizational systems that support and enhance health care delivery.
Proofread and edit written communications.
Recognize systemic organizational problems.
Identify outcome measures related to a specific and systemic organizational problem.
Apply the principles of effective composition.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
DQ2 Elements of Change
Describe the systems in your organization that support health care delivery in your practice.
What would you change to improve patient safety and care quality?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
Reflect upon the consistency between systems and care delivery, and consider the following questions as you contemplate your responses:
What systems are complex and require more oversight when trying to effect changes in the safety and quality of care?
What might be different when applying the same processes and systems in various organizations?
Learning Components
This activity will help you achieve the following learning components:
Identify organizational systems that support and enhance health care delivery.
Proofread and edit written communications.
Determine appropriate criteria for prioritizing proposed practice changes.
Evaluate options for closing specific gaps in care.
Explain why proposed practice changes are necessary.
Identify the theoretical or evidenced-based information that supports proposed changes to organizational functions, processes, and behaviors.
Determine the nurse leader’s role in developing and sustaining a culture of safety and quality.
Apply the principles of effective composition.
Explain how proposed practice changes will improve outcomes.
Resources
Discussion Participation Scoring Guide.
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
APA Guide.
Unit 3 discussion
Gaps in Patient Care
Think about health care from an organizational, communications, state-level, or national-level perspective.
Where do you see a gap in care within a specific patient population?
How might you address this gap and why?
What system could be developed to support a change to close this gap?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What causes a gap in care?
How do we identify gaps in practice?
How do we develop or sustain organizational systems that support, change, or enhance positive patient outcomes?
Learning Components
This activity will help you achieve the following learning components:
Identify performance gaps in the delivery of safe, high-quality care.
Identify the factors that contribute to particular performance issues or opportunities.
Assess the relative importance of quality and safety outcomes.
Identify the factors having potential effects on outcomes.
Evaluate options for closing specific gaps in care.
Determine the most effective approach to implementing change.
Apply the principles of effective composition.
Proofread and edit written communications.
Resources
Discussion Participation Scoring Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
APA Guide.
Unit 4 discussion
DQ1 Fostering Positive Change
Change is not only a leadership responsibility, but one shouldered by all nurses, regardless of their job description or scope of practice.
Explain how you can positively influence patient safety and quality of care in your present role to help achieve the goal of becoming a high-performance organization.
Tzeng, Yin, & Fitzgerald’s 2015 article, “Engaging Patients in Their Care Versus Obscurantism,â€? will help you with this discussion.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What distinguishes one organization as high-performing versus another?
How does one health care role affect another when trying to support quality outcomes?
In the context of leadership, responsibility, and accountability in all roles, what makes interprofessional collaboration key to developing any specific outcome measure?
Learning Components
This activity will help you achieve the following learning components:
Determine how specific practice changes will correct or mitigate adverse quality and safety outcomes.
Determine the nurse leader’s role in developing and sustaining a culture of safety and quality.
Determine the role of nurse leaders in implementing practice changes.
Proofread and edit written communications.
Identify relevant performance issues or opportunities.
Identify stakeholders who are key to successful process change.
Apply the principles of effective composition.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Engaging Patients in Their Care Versus Obscurantism.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
DQ2 Strategic Change
Discuss the advantages and limitations of using an evidence-based strategy with interprofessional teams to improve patient safety and quality care.
How does your organization involve interprofessional teams in decisions for process change?
How does your organization use the strategic plan when developing ideas for effecting changes in health care delivery?
Smith et al’s. 2016 article, “Patient Engagement at a Tipping Point—The Need for Cultural Change Across Patient, Sponsor, and Regulator Stakeholders,â€? will help you with this discussion.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
How do interprofessional teams in various organizations differ in their approaches to decision making?
How can we ensure that input from all members of the team is considered when making decisions, without becoming paralyzed by indecision?
What part does organizational culture play in strategic change?
What do you see as necessary for all organizations to consider when instituting strategic change?
Learning Components
This activity will help you achieve the following learning components:
Analyze the relationships between specific outcome measures and an organization’s strategic plan to improve safety and quality.
Proofread and edit written communications.
Determine how interprofessional teams can influence process change.
Determine how strategic plans can be used to institute process changes.
Apply the principles of effective composition.
Resources
Discussion Participation Scoring Guide.
Patient Engagement at a Tipping Point—The Need for Cultural Change Across Patient, Sponsor, and Regulator Stakeholders.
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
APA Guide.
Unit 5 discussion
Stakeholder Strategy and Planning
Building stakeholder support is crucial to fostering and sustaining change. Therefore, as you approach the assignment for this unit, think about the stakeholders whose support you will need for the change you want to bring about.
What information is most essential for both the formal and informal stakeholders to understand about the proposed change?
How might you communicate the need for change using just a few sentences (this is often referred to as an “elevator speech�).
Draft your elevator speech. Introduce the issue, then briefly describe:
The current state.
The proposed change.
The expected outcomes.
Why the change will make a positive difference for all involved in care delivery.
The unit readings will provide you with examples of benchmarking, executive summaries, and how to obtain stakeholder support for your evidence-based change projects.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
How and why might stakeholders vary depending upon the organization’s size, focus, and involvement with the community?
How do you determine which stakeholders will champion specific strategic initiatives?
Learning Components
This activity will help you achieve the following learning components:
Identify stakeholders who are key to successful process change.
Proofread and edit written communications.
Apply the principles of effective composition.
Identify the information that is crucial to communicating the need for change to stakeholders.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
Unit 6 discussion
DQ1 Purposeful Design: What We Measure and Why
Creating a health care culture of safety and quality does not happen by chance; we must purposefully design systems grounded in support for safety and quality. In addition, we must determine what to measure related to local, national, and global patient care initiatives, regulations, and guidelines to develop viable health care delivery systems. These systems must be cost effective, evidence-based, and have the potential for universal access.
Note: Obtain information from the unit readings and your own literature review on the topic to help formulate your post.
Discuss how a purposeful health care system design can create a culture of safety and quality, and explain how your organization is working to accomplish this goal.
What are important outcomes to measure in your organization to sustain a culture of safety and quality?
Why are these outcome measures important?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
Do you agree or disagree with your peers’ views on purposeful health care system design? Why or why not?
How do your peers’ important outcome measures compare with yours?
Can you offer any tips or suggestions to help other organizations create a culture of safety and quality?
Learning Components
This activity will help you achieve the following learning components:
Proofread and edit written communications.
Explain why particular outcome measures are important in sustaining a culture of safety and quality.
Assess an organization’s potential to develop and sustain a culture of quality and safety.
Apply the principles of effective composition.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
DQ2 Health Care Innovation
Select one model of health care innovation that has resulted in improved patient safety and quality outcomes in your organization, practice setting, or area of interest. The Internet resources in the assigned readings will help you find an innovation model of improvement.
Describe what is being measured and how these measures drive improved outcomes.
Next, reflect on how the stakeholders support successful outcomes and how a nurse leader guides the process.
With respect to this health care innovation, what barriers could be turned into opportunities?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
Is there a clear connection between outcome measures and improved outcomes?
What other potential barriers might be turned into opportunities?
Learning Components
This activity will help you achieve the following learning components:
Assess the role of innovation in improving outcomes and creating a culture of safety.
Determine how particular measures drive improved outcomes.
Explain why particular outcome measures are important in sustaining a culture of safety and quality.
Apply the principles of effective composition.
Proofread and edit written communications.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
Unit 7 discussion
Using an Evaluation Model
It is essential to assess the impact and success of a change in a process or system intended to improve patient safety and the quality of care. Challenges in that assessment include knowing what to measure, and how to measure it, as well as understanding the results.
Research some of the tools and measurement instruments that can be used to determine the impact of a change on safety and quality, and describe what you have found that makes those tools and measurement instruments valuable and useful.
Explain why using an evaluation model that focuses on safety and quality initiatives and innovations is a requirement in order to demonstrate how those initiatives and innovations make a difference.
Consider how you might incorporate your Unit 7 assignment ideas in this discussion, as you reflect upon strategy, change, and useful information.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
Do you agree or disagree about the value and usefulness of the tools or measurement instruments identified by your peers? Why?
What thoughts or perspective could you add regarding evaluation models?
Learning Components
This activity will help you achieve the following learning components:
Explain the importance of evaluating safety and quality initiatives and innovations.
Apply the principles of effective composition.
Proofread and edit written communications.
Examine the value and utility of particular evaluation tools in assessing the impact of change on safety and quality.
Resources
Discussion Participation Scoring Guide.
Introduction to the Writing Center.
APA Guide.
Academic Honesty & APA Style and Formatting.
Unit 8 discussion
DQ1 Lessons Learned: Incorporating Best Practice and Practical Innovation
When leaders plan for change, they should include best practice and practical innovation so that end users can understand and apply the information.
What should a nurse leader consider when defining and developing a vision for change? Think about the actual design, implementation, and measurement of change.
How do we engage stakeholders to help develop, implement, and sustain a vision to actually change and improve patient outcomes?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
Do you agree or disagree with your peers’ conclusions regarding their visions for change and methods to engage stakeholders?
Can you offer suggestions or recommendations for engaging stakeholders?
Learning Components
This activity will help you achieve the following learning components:
Assess the role of innovation in improving outcomes and creating a culture of safety.
Identify the key considerations when defining and developing a vision for change.
Determine how to engage stakeholders in sustaining a vision for change.
Resources
Discussion Participation Scoring Guide.
Academic Honesty & APA Style and Formatting.
APA Guide.
Introduction to the Writing Center.
DQ2 Strategic Discovery
The nurse leader plays a major role in assisting and supporting nurses in applying the principles of strategic discovery.
Think about health care delivery errors and unintended outcomes.
What models or tools can nurse leaders use to help all stakeholders participate in strategic discovery of systemic issues?
How do nurse leaders guide and support interprofessional care teams to change or resolve system issues?
Please provide a specific example from your organization, practice setting, or area of interest.
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What is your assessment of the models and tools identified to help stakeholders participate in strategic discovery?
Do you have experience with any of these models or tools that you can share?
Do you agree or disagree with your peers’ positions on guidance and support for interprofessional care teams?
Can you offer comments or suggestions pertaining to specific examples that were shared?
Learning Components
This activity will help you achieve the following learning components:
Determine how nurse leaders can guide and support interprofessional care teams to change or resolve systemic issues.
Identify models or tools that can be used to help stakeholders in the strategic discovery of systemic issues.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
Unit 9 discussion
Transparency
Transparent communication is essential when leaders want to support, effect, and innovate high-quality health care delivery.
Describe the processes a health care organization or practice setting must have in place to promote transparency when medical errors and adverse patient outcomes occur.
What are the challenges and risks for the nurse leader in providing information about medical errors and adverse outcomes?
How can a nurse leader institute change or maintain a strategic vision when problems or barriers to full disclosure arise?
What important components of communication should a nurse leader use with interprofessional teams to sustain an organization’s vision for safe, high-quality care?
Ensure that your discussion post is at least 150 words in length. In addition, be sure to cite at least one source from the assigned readings or other professional and scholarly literature, as applicable, to support your position, substantiate a claim, or when referring to the ideas or work of others.
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
What is your assessment of the processes described by your peers to promote transparency? Are they sufficient? If not, how might they be enhanced?
Can you offer suggestions for how nurse leaders can address barriers to full disclosure.
Learning Components
This activity will help you achieve the following learning components:
Determine the importance of transparency in improving outcomes.
Determine how to engage stakeholders in sustaining a vision for change.
Identify organizational processes that promote a culture of transparency.
Resources
Discussion Participation Scoring Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
APA Guide.
Unit 10 discussion
DQ1 Strategic Plan and Presentation
Provide three sentences that describe your plan to develop or enhance your organization’s culture of quality and safety, which you presented in your Unit 9 assignment. Then, post your presentation here to showcase your thoughtful work!
Response Guidelines
Read as many posts as time allows and respond to at least one. Your responses are expected to be substantive in nature and at least 75 words in length.
Choose a post that has not yet received a response.
Use the “sandwich techniqueâ€? to provide feedback on your peer’s presentation. Point out a strength of their work, an area for potential improvement, and another strength of their work.
Learning Components
This activity will help you achieve the following learning components:
Identify relevant performance issues and opportunities.
Set goals for improving outcomes.
Determine how to engage stakeholders in sustaining a vision for change.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Academic Honesty & APA Style and Formatting.
Introduction to the Writing Center.
DQ2 Learning Outcomes
Address the following questions:
What one thing did you learn in this course that will have the greatest impact on your professional practice?
How will you apply what you have learned in this course in your role as a nurse leader?
What questions remain unanswered for you about health care quality and safety management?
Response Guidelines
Read as many posts as time allows and respond to at least one, preferably a post that has had few or no responses. Your responses are expected to be substantive in nature and at least 75 words in length. You are encouraged to ask questions, elaborate on a particular point, offer an alternative viewpoint, or add comments that extend or sustain the dialog. Remember to cite your sources, as applicable.
As you contemplate your responses, consider the following questions:
Were your peers’ experiences with this course similar to or different from yours?
Have you noticed any general themes or patterns emerge in your peers’ responses to the discussion questions?
What suggestions might you offer regarding additional resources or support related to health care quality and safety management?
Learning Components
This activity will help you achieve the following learning components:
Apply the principles of effective composition.
Reflect on lessons learned and their impact on professional practice.
Proofread and edit written communications.
Identify aspects of health care quality and safety management for potential, future investigation.
Resources
Discussion Participation Scoring Guide.
APA Guide.
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
Unit 03 Assignment 1
Quality and Safety Gap Analysis
Professional Context
As a nurse leader, you must be able to assess your organization’s ability to deliver safe, high-quality patient care. In so doing, you may be required to perform a gap analysis of a quality or safety issue as the first step in improving outcomes. Failure to meet benchmarks for safe and effective patient care can have reimbursement, regulatory, and legal consequences.
This assignment provides an opportunity to develop the knowledge, skills and attitudes required to successfully implement changes that improve patient outcomes by:
Evaluating the current culture of an organization.
Performing an outcomes gap analysis.
Determining what changes are needed to bridge the gap.
Examining current thinking on this topic contained in the literature.
Scenario
As a nurse leader, you are fully aware of the hazardous nature of health care and that organizations must continually work to improve the quality and safety of the care they provide to patients. For this assignment, you will identify a systemic problem in your organization, practice setting, or area of interest, that is associated with adverse quality and safety outcomes (for example, an increase in the incidence of falls or medical errors). You will then analyze the gap between current and desired performance.
Your gap analysis will provide the basis for the remaining assignments in this course.
Instructions
Perform a quality and safety gap analysis.
The requirements outlined below correspond to the grading criteria in the Quality and Safety Gap Analysis Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed. Additionally, the Guiding Questions: Quality and Safety Gap Analysis document, linked in the Resources, provides additional considerations that may be helpful in completing your assignment.
Note: Remember that you can submit all, or a portion, of your draft analysis to Smarthinking for feedback, before you submit the final version for this assignment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback if you plan on using this free service.
Writing and Supporting Evidence
Communicate analysis data and information clearly and accurately, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Use 3–4 scholarly or professional sources.
Conducting the Gap Analysis
Identify a systemic problem in your organization, practice setting, or area of interest that contributes to adverse quality and safety outcomes.
Propose specific practice changes that will improve quality and safety outcomes and bridge the gap between current and desired performance.
Prioritize proposed practice changes.
Determine how proposed practice changes will foster a culture of quality and safety.
Determine how a particular organizational culture or hierarchy might affect quality and safety outcomes.
Justify necessary changes with respect to functions, processes, or behaviors specific to your organization that correct or mitigate adverse quality and safety outcomes.
Submission Requirements
Format your document using APA style.
Use the APA Style Paper Template, linked in the Resources. An APA Style Paper Tutorial is also provided in the Resources to help you in writing and formatting your analysis. Be sure to include:
A title page and reference page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Properly-formatted citations and references.
Your analysis should be 4–5 pages in length, not including the title page and reference page.
Portfolio Prompt: You may choose to save your gap analysis to your ePortfolio.
Resources
Quality and Safety Gap Analysis Scoring Guide.
Academic Honesty & APA Style and Formatting.
Vila Health: Quality and Safety Gap Analysis | Transcript.
Smarthinking.
Introduction to the Writing Center.
APA Style Paper Template [DOCX].
Guiding Questions: Quality and Safety Gap Analysis [DOCX].
ePortfolio.
APA Guide.
APA Style Paper Tutorial [DOCX].
Unit 05 Assignment 1
Executive Summary
Professional Context
As a nurse leader, you must be able to access, identify, and describe outcome measures as they relate to safety and quality problems in your organization.
This assignment provides an opportunity to examine existing outcome measures, assess their strategic value, and present your findings to executive leaders in a manner that will help you gain their support.
Scenario
The gap analysis you completed in Unit 3 was the first step toward improving outcomes. Your analysis of the gap between current and desired performance has provided the information you need to move forward with proposed changes. Your next step is to focus on existing outcome measures and their relationship to the systemic problem you are addressing. For this assignment, you have been asked to draft a summary of existing outcome measures for your organization’s executive team to raise awareness of the problem and the strategic value of existing measures.
Instructions
Write an executive summary of existing outcome measures in your current organization or practice setting.
The requirements outlined below correspond to the grading criteria in the Executive Summary Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed. Additionally, the Guiding Questions: Executive Summary document, linked in the Resources, provides additional considerations that may be helpful in completing your assignment.
Note: Remember that you can submit all, or a portion, of your draft summary to Smarthinking for feedback, before you submit the final version for this assignment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback if you plan on using this free service.
Writing and Supporting Evidence
Write clearly and concisely, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support your assertions, correctly formatting citations and references using APA style. Use at least four scholarly or professional sources.
Composing the Executive Summary
Explain key quality and safety outcomes.
Determine the strategic value to an organization of specific outcome measures.
Analyze the relationships between a systemic problem in your organization or practice setting and specific quality and safety outcomes.
Determine how specific outcome measures support strategic initiatives related to a quality and safety culture.
Determine how the leadership team would support the implementation and adoption of proposed practice changes affecting specific outcomes.
Submission Requirements
Format your document using APA style.
Use the APA Style Paper Template, linked in the Resources. An APA Style Paper Tutorial is also provided in the Resources to help you in writing and formatting your summary. Be sure to include:
A title page and reference page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Properly-formatted citations and references.
Your summary should be 4–5 pages in length, not including the title page and reference page.
Portfolio Prompt: You may choose to save your executive summary to your ePortfolio.
Resources
Executive Summary Scoring Guide.
APA Style Paper Template [DOCX].
Introduction to the Writing Center.
APA Guide.
Vila Health: Quality and Safety Gap Analysis | Transcript.
Smarthinking.
APA Style Paper Tutorial [DOCX].
Academic Honesty & APA Style and Formatting.
ePortfolio.
Guiding Questions: Executive Summary [DOCX].
Unit 07 Assignment 1
Outcome Measures, Issues, and Opportunities
Professional Context
As a nurse leader, you may be called upon to submit a detailed report to your executive leadership team and key stakeholders that describes a quality or safety problem and its effects on outcomes, fully supported by relevant and credible data.
This assignment provides an opportunity to draft such a report in which you can call attention to quality and safety issues and opportunities, effectively support your position, and lay out a plan for change.
Scenario
The executive summary you completed in Unit 5 captured the attention and interest of the executive leadership team. They have asked you to provide them with a detailed report addressing outcome measures and performance issues or opportunities, including a strategy for ensuring that all aspects of patient care are measured.
Instructions
Draft a report on outcome measures, issues, and opportunities for the executive leadership team or stakeholder group.
The requirements outlined below correspond to the grading criteria in the Outcome Measures, Issues, and Opportunities Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed. Additionally, the Guiding Questions: Outcome Measures, Issues, and Opportunities document, linked in the Resources, provides additional considerations that may be helpful in completing your assignment.
Note: Remember that you can submit all, or a portion, of your draft report to Smarthinking for feedback, before you submit the final version for this assignment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback if you plan on using this free service.
Writing and Supporting Evidence
Write coherently and with purpose for a specific audience, using correct grammar and mechanics.
Integrate relevant and credible sources of evidence to support assertions, correctly formatting citations and references using APA style. Use at least six scholarly or professional sources.
Drafting the Report
Analyze organizational functions, processes, and behaviors in high-performing health care organizations or practice settings.
Determine how organizational functions, processes, and behaviors affect outcome measures associated with the systemic problem identified in your gap analysis.
Identify the quality and safety outcomes and associated measures relevant to the performance gap you intend to close.
Create a Quality and Safety Outcomes spreadsheet showing the outcome measures.
Identify performance issues or opportunities associated with particular organizational functions, processes, and behaviors and the quality and safety outcomes they affect.
Outline a strategy, using a selected change model, for ensuring that all aspects of patient care are measured and that knowledge is shared with the staff.
Submission Requirements
Format your document using APA style.
Use the APA Style Paper Template, linked in the Resources. An APA Style Paper Tutorial is also provided in the Resources to help you in writing and formatting your report. Be sure to include:
A title page and reference page. An abstract is not required.
A running head on all pages.
Appropriate section headings.
Properly-formatted citations and references.
Your report should be six pages in length, not including the title page and reference page.
Add your Quality and Safety Outcomes spreadsheet to your report as an addendum.
Portfolio Prompt: You may choose to save your report to your ePortfolio.
Resources
Outcome Measures, Issues, and Opportunities Scoring Guide.
ePortfolio.
Smarthinking.
Vila Health: Quality and Safety Gap Analysis | Transcript.
Example Outcome Measures Spreadsheet [XLSX].
Introduction to the Writing Center.
Academic Honesty & APA Style and Formatting.
APA Guide.
APA Style Paper Tutorial [DOCX].
APA Style Paper Template [DOCX].
Guiding Questions: Outcome Measures, Issues, and Opportunities [DOCX].
Unit 09 Assignment 1
Planning for Change: A Leader’s Vision
Professional Context
As a nurse leader, you will be expected to communicate effectively with leaders and stakeholders at all levels in an organization. You will need to be able to communicate in a variety of ways, depending on your purpose and your audience. Being able to deliver effective presentations is one important skill you will likely be called upon to use often.
This assignment provides an opportunity to hone your presentation skills and garner the support of stakeholder groups who will be key to achieving desired changes in the organization and developing or enhancing a culture of quality and safety.
Scenario
The report you completed in Unit 7 has convinced the executive leadership team of the organizational benefits of taking the next step toward changes to improve outcomes and cultivate a culture of quality and safety. You have been asked to follow up on your report with a presentation to administrative leaders and stakeholders. This will be your opportunity to outline your plan to develop or enhance the organization’s culture of quality and safety. Several key stakeholders will be unable to attend your presentation in person, so you have decided to provide those individuals with a video recording of the presentation.
Preparation
Your deliverables for this assignment are:
A slide deck, to supplement your presentation and facilitate discussion of your plan.
A video recording of your presentation.
Note: Remember that you can submit all, or a portion, of your draft presentation slides to Smarthinking for feedback, before you submit the final version for this assignment. However, be mindful of the turnaround time of 24–48 hours for receiving feedback if you plan on using this free service.
You may use Microsoft PowerPoint or any other suitable presentation software to create your slides. Use the speaker’s notes section of each slide to develop your talking points and reference your sources, as appropriate. If you need help designing your presentation, you are encouraged to review the various presentation resources provided for this assignment. These resources will help you to design an effective presentation, whether you choose to use PowerPoint or other presentation design software.
You may use Kaltura Media, Adobe Connect or other technology of your choice to record your video.
If using Kaltura Media, refer to the Using Kaltura tutorial for directions on recording and uploading your video in the courseroom.
If using Adobe Connect, refer to the instructions and tutorials available from the Using Adobe Connect support page.
Note: If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact Disability Services to request accommodations.
Instructions
Create and record a video presentation for administrative leaders and stakeholders.
The requirements outlined below correspond to the grading criteria in the Planning for Change: A Leader’s Vision Scoring Guide, so be sure to address each point. You may also want to review the performance level descriptions for each criterion to see how your work will be assessed. Additionally, the Guiding Questions: Planning for Change: A Leader’s Vision document, linked in the Resources, provides additional considerations that may be helpful in completing your assignment.
Communication and Supporting Evidence
Argue persuasively to obtain agreement with, and support for, a plan to develop or enhance a culture of safety.
Support your main points, arguments, and conclusions with relevant and credible evidence, correctly formatting citations and references using APA style. Use at least eight scholarly or professional sources.
Developing the Presentation
Summarize the key aspects of a plan to develop or enhance a culture of safety.
Identify existing organizational functions, processes, and behaviors affecting quality and safety.
Identify current outcome measures related to quality and safety.
Explain the steps needed to achieve improved outcomes.
Create a future vision of your organization’s potential to develop and sustain a culture of quality and safety, and of the nurse leader’s role in developing that potential.
Submission Requirements
Presentation Formatting and Length
Your slide deck should consist of 12–15 slides, including a title slide and a references slide.
List your sources on the references slide at the end of your presentation.
Cite at least eight sources of scholarly or professional evidence.
Use of a small font is permitted to fit all eight references on a single slide.
In addition to your slide deck and a link to your video, submit any other relevant documentation or links for this assignment (if you used technology other than Kaltura Media, Adobe Connect, or PowerPoint).
Portfolio Prompt: You may choose to save your presentation to your ePortfolio.
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