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Improvement Plan Tool Kit HW
Improvement Plan Tool Kit HW ON Improvement Plan Tool Kit HWDevelope an outline
Resource repository of at leasrces to implement and ensure success of the plan.t 12
annotated professional or scholarly resources to implement and ensure success of the plan.
Instructions attached, see Rubrics scoring guide distinguished column. Improvement Plan
Tool Kit HW attachment_1attachment_2attachment_3Unformatted Attachment
Preview12/22/2019 Assessment 4 Instructions: Improvement Plan Tool Kit – … Course
Navigation ? Christina Carsello Tutorials FACULTY Log Out ? JamieRoslyn HolubEllis ?
COACH Assessment 4 Instructions: Improvement Plan Tool Kit For this assessment, you will
develop an online resource repository of at least 12 annotated professional or scholarly
resources that you consider critical for the audience of your safety improvement plan to
understand or implement to ensure the success of the plan. Communication in the health
care environment consists of an information-sharing experience whether through oral or
written messages (Chard & Makary, 2015). As health care organizations and nurses strive to
create a culture of safety and quality care, the importance of interprofessional collaboration,
the development of tool kits, and the use of wikis become more relevant and vital. In
addition to the dissemination of information and evidence-based findings and the
development of tool kits, continuous for and availability of such resources are critical.
Among the most popular methods to promote ongoing dialogue and information sharing are
blogs, wikis, websites, and social media. Nurses know how to people in time of need or
crisis and how to one another in the workplace; wikis in particular enable nurses to
continue that beyond the work environment. Here they can be free to share their unique
perspectives, educate others, and promote health care wellness at local and global levels
(Kaminski, 2016). You are encouraged to complete the Determining the Relevance and
Usefulness of Resources activity prior to developing the repository. This activity will help
you determine which resources or research will be most relevant to address a particular
need. This may be useful as you consider how to explain the purpose and relevance of the
resources you are assembling for your tool kit. Improvement Plan Tool Kit HWThe activity
is for your own practice and self-assessment, and demonstrates course engagement.
Demonstration of Proficiency By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and assessment
criteria: Competency 1: Analyze the elements of a successful quality improvement initiative.
Analyze the usefulness of resources to role group responsible for implementing quality and
safety improvements. Competency 2: Analyze factors that lead to patient safety risks.
Analyze the value of resources to reduce patient safety risk or improve quality. Competency
3: Identify organizational interventions to promote patient safety. Identify necessary
resources to the implementation and sustainability of a safety improvement initiative.
Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a
manner that s safe and effective patient care. Present compelling reasons and relevant
situations for resource tool kit to be used by its target audience. Communicate in a clear,
logically structured, and professional manner, using current APA style and formatting.
References Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best
practices. AORN Journal, 102(4), 329–342.
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=
_232304_1&content_id=_8373594_1 1/4 12/22/2019 Assessment 4 Instructions:
Improvement Plan Tool Kit – … Kaminski, J. (2016). Why all nurses can/should be authors.
Canadian Journal of Nursing Informatics, 11(4), 1–7. Professional Context Nurses are often
asked to implement processes, concepts, or practices—sometimes with little preparatory
communication or education. One way to encourage sustainability of quality and process
improvements is to assemble an accessible, user-friendly tool kit for knowledge and process
documentation. Creating a resource repository or tool kit is also an excellent way to follow
up an educational or in-service session, as it can help to reinforce attendees’ new
knowledge as well as the understanding of its value. By practicing creating a simple online
tool kit, you can develop valuable technology skills to improve your competence and
efficacy. This technology is easy to use, and resources are available to guide you. Scenario
For this assessment, consider taking one of these two approaches: 1. Build on the work
done in your first three assessments and create an online tool kit or resource repository
that will help the audience of your in-service understand the research behind your safety
improvement plan and put the plan into action. 2. Locate a safety improvement plan (your
current organization, the Institution for Healthcare Improvement, or a publicly available
safety improvement initiative) and create an online tool kit or resource repository that will
help an audience understand the research behind the safety improvement plan and how to
put the plan into action. Preparation Google Sites is recommended for this assessment; the
tools are free to use and should offer you a blend of flexibility and simplicity as you create
your online tool kit. Please note that this requires a Google account; use your Gmail or
GoogleDocs login, or create an account following the directions under the “Create Account”
menu. Refer to the following links to help you get started with Google Sites: G Suite Learning
Center. (n.d.). Get started with Sites. Retrieved from
https://gsuite.google.com/learningcenter/products/sites/get-started/#!/ Google. (n.d.).
Google Sites. Retrieved from https://sites.google.com Google. (n.d.). Sites help. Retrieved
from https:// .google.com/sites/?hl=en#topic= Instructions Using Google Sites, assemble
an online resource tool kit containing at least 12 annotated resources that you consider
critical to the success of your safety improvement initiative. These resources should enable
nurses and others to implement and maintain the safety improvement you have developed.
It is recommended that you focus on the 3 or 4 most critical categories or themes with
respect to your safety improvement initiative. For example, if your initiative concerns
improving workplace safety for practitioners, you might choose broad themes such as
general organizational safety and quality best practices; environmental safety
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=
_232304_1&content_id=_8373594_1 2/4 12/22/2019 Assessment 4 Instructions:
Improvement Improvement Plan Tool Kit HWPlan Tool Kit – … and quality risks; individual
strategies to improve personal and team safety; and process best practices for reporting
and improving environmental scheme, safety issues. Following the recommended you
would collect 3 resources on average for each of the 4 categories. Each resource listing
should include the following: An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource. A brief
explanation of how the resource can help nurses better understand or implement the safety
improvement initiative. A description of how nurses can use this resource and when its use
may be appropriate. Remember that you must make your site ‘public’ so that your faculty
can access it. Check out the Google Sites resources for more information. Here is an example
entry: Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A
collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29. Retrieved from
www.canadiannurse.com/articles/issues/2011/october-2011/a-collaborative-ap This
article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT)
project. It shows how a collaborative nurse lead project can be implemented and used to
improve collaboration and interdisciplinary teamwork, as well as improve the delivery of
health care services. This resource is likely more useful to nurses as a resource for
strategies and models for assembling and participating in an interdisciplinary team than for
specific fall-prevention strategies. It is suggested that this resource be reviewed prior to
creating an interdisciplinary team for a collaborative project in a health care setting.
Additionally, be sure that your plan addresses the following, which corresponds to the
grading criteria in the scoring guide. Please study the scoring guide carefully so you
understand what is needed for a distinguished score. Identify necessary resources to the
implementation and continued sustainability of a safety improvement initiative. Analyze the
usefulness of resources to the role group responsible for implementing quality and safety
improvements. Analyze the value of resources to reduce patient safety risk. Present
compelling reasons and relevant situations for use of resource tool kit by its target
audience. Communicate in a clear, logically structured, and professional manner that
applies current APA style and formatting. Example Assessment: You may use the following
example to give you an idea of what a Improvement Plan Tool Kit HWProficient or higher
rating on the scoring guide would look like for an annotated bibliography. Note that you do
not have to submit your bibliography in addition to the Google Site; the example
bibliography is merely for your reference. Assessment 4 Example [PDF]. To submit your
online tool kit assessment, paste the link to your Google Site in the assessment submission
box. Example Google Site: You may use the example Google Site, Resources for Safety and
Improvement Measures in Geropsychiatric Care, to give you an idea of what a Proficient or
higher rating on the scoring guide would look like for this assignment. Note: If you
experience technical or other challenges in completing this assessment, please contact your
faculty member. Additional Requirements
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=
_232304_1&content_id=_8373594_1 3/4 12/22/2019 Assessment 4 Instructions:
Improvement Plan Tool Kit – … APA formatting: References and citations are formatted
according to current APA style Portfolio Prompt: Remember to save the final assessment to
your ePortfolio so that you may refer to it as you complete the final Capstone course.
SCORING GUIDE Use the scoring guide to understand how your assessment will be
evaluated. VIEW SCORING GUIDE ?
https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=
_232304_1&content_id=_8373594_1 4/4 Running head: IMPROVEMENT PLAN TOOL KIT
Improvement Plan Tool Kit Learner’s Name Capella University Improving Quality of Care
and Patient Safety Improvement Plan Tool Kit April, 2019 Copyright ©2019 Capella
University. Copy and distribution of this document are prohibited. 1 IMPROVEMENT PLAN
TOOL KIT 2 Improvement Plan Tool Kit This improvement plan tool kit aims to enable
nurses to implement and sustain safety improvement measures in health care settings in a
geropsychiatric unit. The tool kit has been organized into four categories with three
annotated sources each. The categories are as follows: general organizational safety and
quality best practices, environmental safety and quality risks, staff-led preventive
strategies, and best practices for reporting and improving environmental safety issues.
Annotated Bibliography General Organizational Safety and Quality Best Practices Sherwood,
G., & Horton-Deutsch, S. (2015). Reflective organizations: On the front lines of QSEN and
reflective practice implementation. Retrieved from https://ebookcentralproquest-
com.library.capella.edu/lib/capella/detail.action?docID=3440207# This e-book presents
the paradigm shift required for organizations to provide QSEN (quality and safety education
to nurses). It provides readers with the innovative pedagogical approaches required to
change traditional content-based health care education methods to interactive methods that
engage learners. Improvement Plan Tool Kit HWThese approaches include facilitative
teaching, visual thinking strategies, creating a presence that is authentic, and meaningful
learning through debriefing. Concrete examples in the resource demonstrate the application
of reflective learning. Additionally, the reflective questions in the resource guide readers to
evaluate their own practice, either independently or in groups, to implement formal
education programs with a focus on self-improvement. The resource prepares nursing
students for advanced competency, Copyright ©2019 Capella University. Copy and
distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 3 which will
help them adopt reflective thinking, develop a safety culture, and therefore qualitatively
improve practices in critical health units such as geropsychiatry units. Fleiszer, A. R.,
Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016). A unit-level perspective on
the long-term sustainability of a nursing best practice guidelines program: An embedded
multiple case study. International Journal of Nursing Studies, 53, 204–218.
https://doi.org/10.1016/j.ijnurstu.2015.09.004 This article helps analyze the sustainability
of a best practice guidelines program implemented in acute health care settings. The
sustainability of the program was characterized by the following: benefits for patients as the
rate of incidence of falls reduced; routinization of best practices as the team’s adherence to
guidelines improved; and, in the long term, the development of the team’s adaptability to
changes in circumstances that threatened the program. Seven key factors that accounted for
the sustainability of the program were also identified. The source explains how
relationships between the characteristics of sustainability (benefits, routinization, and
development) and the seven key factors contributed toward the sustainability of the
improvement program. This source is valuable for nursing students as it helps them
understand how safety programs can be sustained to ensure the long-term reduction of the
incidence of sentinel events in geropsychiatric units. Kossaify, A., Hleihel, W., & Lahoud, J.-C.
(2017). Team-based efforts to improve quality of care, the fundamental role of ethics, and
the responsibility of health managers: Monitoring and management strategies to enhance
teamwork. Public Health, 153, 91–98. https://doi.org/10.1016/j.puhe.2017.08.007
Copyright ©2019 Capella University. Copy and distribution of this document are prohibited.
IMPROVEMENT PLAN TOOL KIT 4 This paper discusses the benefits of teamwork in
improving the quality of health care. It presents a review of 33 papers identified after
performing a search on PubMed. The paper discusses the important ingredients of efficient
teamwork such as self-awareness and the individual behavior of team members, the ethical
climate within the team, the work environment and institutional infrastructure, positive
moderation from leadership, and communication and coordination among team members.
Effective teamwork can help reduce the incidence of sentinel events that result from
preventable medical errors, which are often caused by dysfunctional communication among
team members. Teamwork is more reliable and efficient than individual work in high-risk
environments such as a geropsychiatry unit. Improvement Plan Tool Kit HWAlthough the
specific contexts of readers’ practices may be different, this resource is valuable for nursing
administrators and professionals as it discusses the implementation of values needed for
positive teamwork as well as the monitoring and management of teamwork. Environmental
Safety and Quality Risks Powell-Cope, G., Quigley, P., Besterman-Dahan, K., Smith, M.,
Stewart, J., Melillo, C., Friedman, Y. (2014). A qualitative understanding of patient falls in
inpatient mental health units. Journal of the American Psychiatric Nurses Association, 20(5),
328–339. https://doi.org/10.1177/1078390314553269 This source mentions a study
conducted to analyze falls in geropsychiatric patients. The study also focused on selling falls
prevention in psychiatric units. The risk factors that lead to the falls were identified by a
focus group. The focus group formulated an improvement plan to reduce the number of
falls, and it was found that implementing Copyright ©2019 Capella University. Copy and
distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 5
infrastructural changes such as the use of geriatric-friendly sanitary ware such as raised
toilet seats helped reduce the rate of incidence of falls. Although all the changes may not be
feasible in a given setup, many of the strategies mentioned in this study could serve as a
starting point for the prevention of falls. The article helps nursing students understand the
challenges that occur in an adult mental health unit and the quality improvement measures
taken to resolve these challenges. Wong Shee, A., Phillips, B., Hill, K., & Dodd, K. (2014).
Feasibility, acceptability, and effectiveness of an electronic sensor bed/chair alarm in
reducing falls in patients with cognitive impairment in a subacute ward. Journal of Nursing
Care Quality, 29(3), 253– 262. https://doi.org/10.1097/NCQ.0000000000000054 This
source is a preliminary study conducted to determine the effectiveness of electronic sensor
bed/chair alarms to reduce the occurrence of falls in patients with cognitive impairment.
These alarms can be attached to the patient’s body or to the bed/chair the patient uses to
alert the nursing staff every time the patients move or leave their seat. Nurses were
educated about the alarms and asked to document their observations and provide feedback.
Although effective at preventing falls in patients with cognitive impairment, the electronic
sensors needed improvements such as the elimination of cords that may be hazardous to
patients and the additional provision of alerting nurses through pagers. This source helps
nursing students understand both the effectiveness and the limitations of electronic sensor
alarms in reducing the occurrence of falls. Chari, S. R., Smith, S., Mudge, A., Black, A. A.,
Figueiro, M., Ahmed, M., . . . Haines, T. P. (2016). Feasibility of a stepped wedge cluster RCT
and concurrent observational subCopyright ©2019 Capella University. Copy and
distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 6 study to
evaluate the effects of modified ward night lighting on inpatient fall rates and sleep quality:
A protocol for a pilot trial. Pilot and Feasibility Studies, 2(1).
https://doi.org/10.1186/s40814-015-0043-x Inadequate lighting at night in
geropsychiatric wards is one of the important causes of falls in geropsychiatric units.
Psychotropic medications can cause cognitive impairments and blurring of vision, which
can be aggravated by dim lighting in the units. The article presents a trial pilot study
conducted to evaluate the effects of the use of modified night lighting in inpatient wards to
prevent falls. LED lights were installed in the vicinity of the beds and the toilets, where falls
were likely to occur. The study provides valuable insights that could inform design and
refurbishment efforts at geropsychiatric units. An important limitation of the study is that a
stepped wedge, cluster randomized controlled trial has not yet been applied to test
environmental modifications in any setting. However, the modifications discussed could still
be implemented as an important intervention strategy for preventing falls in older adults
with cognitive impairment. Staff-Led Preventive Strategies Morgan, L., Flynn, L., Robertson,
E., New, S., Forde?Johnston, C., & McCulloch, P. (2016). Intentional rounding: A staff?led
quality improvement intervention in the prevention of patient falls. Journal of Clinical
Nursing, 26(1–2), 115–124. https://doi.org/10.1111/jocn.13401 This article highlights an
intervention strategy called intentional rounding to reduce the occurrence of inpatient fal
…Improvement Plan Tool Kit HW

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Improvement Plan Tool Kit HW.pdf

  • 1. Improvement Plan Tool Kit HW Improvement Plan Tool Kit HW ON Improvement Plan Tool Kit HWDevelope an outline Resource repository of at leasrces to implement and ensure success of the plan.t 12 annotated professional or scholarly resources to implement and ensure success of the plan. Instructions attached, see Rubrics scoring guide distinguished column. Improvement Plan Tool Kit HW attachment_1attachment_2attachment_3Unformatted Attachment Preview12/22/2019 Assessment 4 Instructions: Improvement Plan Tool Kit – … Course Navigation ? Christina Carsello Tutorials FACULTY Log Out ? JamieRoslyn HolubEllis ? COACH Assessment 4 Instructions: Improvement Plan Tool Kit For this assessment, you will develop an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan. Communication in the health care environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As health care organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to people in time of need or crisis and how to one another in the workplace; wikis in particular enable nurses to continue that beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote health care wellness at local and global levels (Kaminski, 2016). You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. Improvement Plan Tool Kit HWThe activity is for your own practice and self-assessment, and demonstrates course engagement. Demonstration of Proficiency By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria: Competency 1: Analyze the elements of a successful quality improvement initiative. Analyze the usefulness of resources to role group responsible for implementing quality and safety improvements. Competency 2: Analyze factors that lead to patient safety risks.
  • 2. Analyze the value of resources to reduce patient safety risk or improve quality. Competency 3: Identify organizational interventions to promote patient safety. Identify necessary resources to the implementation and sustainability of a safety improvement initiative. Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that s safe and effective patient care. Present compelling reasons and relevant situations for resource tool kit to be used by its target audience. Communicate in a clear, logically structured, and professional manner, using current APA style and formatting. References Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342. https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id= _232304_1&content_id=_8373594_1 1/4 12/22/2019 Assessment 4 Instructions: Improvement Plan Tool Kit – … Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7. Professional Context Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an educational or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use, and resources are available to guide you. Scenario For this assessment, consider taking one of these two approaches: 1. Build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan and put the plan into action. 2. Locate a safety improvement plan (your current organization, the Institution for Healthcare Improvement, or a publicly available safety improvement initiative) and create an online tool kit or resource repository that will help an audience understand the research behind the safety improvement plan and how to put the plan into action. Preparation Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or GoogleDocs login, or create an account following the directions under the “Create Account” menu. Refer to the following links to help you get started with Google Sites: G Suite Learning Center. (n.d.). Get started with Sites. Retrieved from https://gsuite.google.com/learningcenter/products/sites/get-started/#!/ Google. (n.d.). Google Sites. Retrieved from https://sites.google.com Google. (n.d.). Sites help. Retrieved from https:// .google.com/sites/?hl=en#topic= Instructions Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed. It is recommended that you focus on the 3 or 4 most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as
  • 3. general organizational safety and quality best practices; environmental safety https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id= _232304_1&content_id=_8373594_1 2/4 12/22/2019 Assessment 4 Instructions: Improvement Improvement Plan Tool Kit HWPlan Tool Kit – … and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental scheme, safety issues. Following the recommended you would collect 3 resources on average for each of the 4 categories. Each resource listing should include the following: An APA-formatted citation of the resource with a working link. A description of the information, skills, or tools provided by the resource. A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative. A description of how nurses can use this resource and when its use may be appropriate. Remember that you must make your site ‘public’ so that your faculty can access it. Check out the Google Sites resources for more information. Here is an example entry: Merret, A., Thomas, P., Stephens, A., Moghabghab, R., & Gruneir, M. (2011). A collaborative approach to fall prevention. Canadian Nurse, 107(8), 24–29. Retrieved from www.canadiannurse.com/articles/issues/2011/october-2011/a-collaborative-ap This article presents the Geriatric Emergency Management-Falls Intervention Team (GEM-FIT) project. It shows how a collaborative nurse lead project can be implemented and used to improve collaboration and interdisciplinary teamwork, as well as improve the delivery of health care services. This resource is likely more useful to nurses as a resource for strategies and models for assembling and participating in an interdisciplinary team than for specific fall-prevention strategies. It is suggested that this resource be reviewed prior to creating an interdisciplinary team for a collaborative project in a health care setting. Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the scoring guide. Please study the scoring guide carefully so you understand what is needed for a distinguished score. Identify necessary resources to the implementation and continued sustainability of a safety improvement initiative. Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements. Analyze the value of resources to reduce patient safety risk. Present compelling reasons and relevant situations for use of resource tool kit by its target audience. Communicate in a clear, logically structured, and professional manner that applies current APA style and formatting. Example Assessment: You may use the following example to give you an idea of what a Improvement Plan Tool Kit HWProficient or higher rating on the scoring guide would look like for an annotated bibliography. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference. Assessment 4 Example [PDF]. To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box. Example Google Site: You may use the example Google Site, Resources for Safety and Improvement Measures in Geropsychiatric Care, to give you an idea of what a Proficient or higher rating on the scoring guide would look like for this assignment. Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member. Additional Requirements https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id=
  • 4. _232304_1&content_id=_8373594_1 3/4 12/22/2019 Assessment 4 Instructions: Improvement Plan Tool Kit – … APA formatting: References and citations are formatted according to current APA style Portfolio Prompt: Remember to save the final assessment to your ePortfolio so that you may refer to it as you complete the final Capstone course. SCORING GUIDE Use the scoring guide to understand how your assessment will be evaluated. VIEW SCORING GUIDE ? https://courserooma.capella.edu/webapps/blackboard/content/listContent.jsp?course_id= _232304_1&content_id=_8373594_1 4/4 Running head: IMPROVEMENT PLAN TOOL KIT Improvement Plan Tool Kit Learner’s Name Capella University Improving Quality of Care and Patient Safety Improvement Plan Tool Kit April, 2019 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. 1 IMPROVEMENT PLAN TOOL KIT 2 Improvement Plan Tool Kit This improvement plan tool kit aims to enable nurses to implement and sustain safety improvement measures in health care settings in a geropsychiatric unit. The tool kit has been organized into four categories with three annotated sources each. The categories are as follows: general organizational safety and quality best practices, environmental safety and quality risks, staff-led preventive strategies, and best practices for reporting and improving environmental safety issues. Annotated Bibliography General Organizational Safety and Quality Best Practices Sherwood, G., & Horton-Deutsch, S. (2015). Reflective organizations: On the front lines of QSEN and reflective practice implementation. Retrieved from https://ebookcentralproquest- com.library.capella.edu/lib/capella/detail.action?docID=3440207# This e-book presents the paradigm shift required for organizations to provide QSEN (quality and safety education to nurses). It provides readers with the innovative pedagogical approaches required to change traditional content-based health care education methods to interactive methods that engage learners. Improvement Plan Tool Kit HWThese approaches include facilitative teaching, visual thinking strategies, creating a presence that is authentic, and meaningful learning through debriefing. Concrete examples in the resource demonstrate the application of reflective learning. Additionally, the reflective questions in the resource guide readers to evaluate their own practice, either independently or in groups, to implement formal education programs with a focus on self-improvement. The resource prepares nursing students for advanced competency, Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 3 which will help them adopt reflective thinking, develop a safety culture, and therefore qualitatively improve practices in critical health units such as geropsychiatry units. Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016). A unit-level perspective on the long-term sustainability of a nursing best practice guidelines program: An embedded multiple case study. International Journal of Nursing Studies, 53, 204–218. https://doi.org/10.1016/j.ijnurstu.2015.09.004 This article helps analyze the sustainability of a best practice guidelines program implemented in acute health care settings. The sustainability of the program was characterized by the following: benefits for patients as the rate of incidence of falls reduced; routinization of best practices as the team’s adherence to guidelines improved; and, in the long term, the development of the team’s adaptability to changes in circumstances that threatened the program. Seven key factors that accounted for
  • 5. the sustainability of the program were also identified. The source explains how relationships between the characteristics of sustainability (benefits, routinization, and development) and the seven key factors contributed toward the sustainability of the improvement program. This source is valuable for nursing students as it helps them understand how safety programs can be sustained to ensure the long-term reduction of the incidence of sentinel events in geropsychiatric units. Kossaify, A., Hleihel, W., & Lahoud, J.-C. (2017). Team-based efforts to improve quality of care, the fundamental role of ethics, and the responsibility of health managers: Monitoring and management strategies to enhance teamwork. Public Health, 153, 91–98. https://doi.org/10.1016/j.puhe.2017.08.007 Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 4 This paper discusses the benefits of teamwork in improving the quality of health care. It presents a review of 33 papers identified after performing a search on PubMed. The paper discusses the important ingredients of efficient teamwork such as self-awareness and the individual behavior of team members, the ethical climate within the team, the work environment and institutional infrastructure, positive moderation from leadership, and communication and coordination among team members. Effective teamwork can help reduce the incidence of sentinel events that result from preventable medical errors, which are often caused by dysfunctional communication among team members. Teamwork is more reliable and efficient than individual work in high-risk environments such as a geropsychiatry unit. Improvement Plan Tool Kit HWAlthough the specific contexts of readers’ practices may be different, this resource is valuable for nursing administrators and professionals as it discusses the implementation of values needed for positive teamwork as well as the monitoring and management of teamwork. Environmental Safety and Quality Risks Powell-Cope, G., Quigley, P., Besterman-Dahan, K., Smith, M., Stewart, J., Melillo, C., Friedman, Y. (2014). A qualitative understanding of patient falls in inpatient mental health units. Journal of the American Psychiatric Nurses Association, 20(5), 328–339. https://doi.org/10.1177/1078390314553269 This source mentions a study conducted to analyze falls in geropsychiatric patients. The study also focused on selling falls prevention in psychiatric units. The risk factors that lead to the falls were identified by a focus group. The focus group formulated an improvement plan to reduce the number of falls, and it was found that implementing Copyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 5 infrastructural changes such as the use of geriatric-friendly sanitary ware such as raised toilet seats helped reduce the rate of incidence of falls. Although all the changes may not be feasible in a given setup, many of the strategies mentioned in this study could serve as a starting point for the prevention of falls. The article helps nursing students understand the challenges that occur in an adult mental health unit and the quality improvement measures taken to resolve these challenges. Wong Shee, A., Phillips, B., Hill, K., & Dodd, K. (2014). Feasibility, acceptability, and effectiveness of an electronic sensor bed/chair alarm in reducing falls in patients with cognitive impairment in a subacute ward. Journal of Nursing Care Quality, 29(3), 253– 262. https://doi.org/10.1097/NCQ.0000000000000054 This source is a preliminary study conducted to determine the effectiveness of electronic sensor bed/chair alarms to reduce the occurrence of falls in patients with cognitive impairment.
  • 6. These alarms can be attached to the patient’s body or to the bed/chair the patient uses to alert the nursing staff every time the patients move or leave their seat. Nurses were educated about the alarms and asked to document their observations and provide feedback. Although effective at preventing falls in patients with cognitive impairment, the electronic sensors needed improvements such as the elimination of cords that may be hazardous to patients and the additional provision of alerting nurses through pagers. This source helps nursing students understand both the effectiveness and the limitations of electronic sensor alarms in reducing the occurrence of falls. Chari, S. R., Smith, S., Mudge, A., Black, A. A., Figueiro, M., Ahmed, M., . . . Haines, T. P. (2016). Feasibility of a stepped wedge cluster RCT and concurrent observational subCopyright ©2019 Capella University. Copy and distribution of this document are prohibited. IMPROVEMENT PLAN TOOL KIT 6 study to evaluate the effects of modified ward night lighting on inpatient fall rates and sleep quality: A protocol for a pilot trial. Pilot and Feasibility Studies, 2(1). https://doi.org/10.1186/s40814-015-0043-x Inadequate lighting at night in geropsychiatric wards is one of the important causes of falls in geropsychiatric units. Psychotropic medications can cause cognitive impairments and blurring of vision, which can be aggravated by dim lighting in the units. The article presents a trial pilot study conducted to evaluate the effects of the use of modified night lighting in inpatient wards to prevent falls. LED lights were installed in the vicinity of the beds and the toilets, where falls were likely to occur. The study provides valuable insights that could inform design and refurbishment efforts at geropsychiatric units. An important limitation of the study is that a stepped wedge, cluster randomized controlled trial has not yet been applied to test environmental modifications in any setting. However, the modifications discussed could still be implemented as an important intervention strategy for preventing falls in older adults with cognitive impairment. Staff-Led Preventive Strategies Morgan, L., Flynn, L., Robertson, E., New, S., Forde?Johnston, C., & McCulloch, P. (2016). Intentional rounding: A staff?led quality improvement intervention in the prevention of patient falls. Journal of Clinical Nursing, 26(1–2), 115–124. https://doi.org/10.1111/jocn.13401 This article highlights an intervention strategy called intentional rounding to reduce the occurrence of inpatient fal …Improvement Plan Tool Kit HW