Quality Improvement Paper

Assignment Instructions:
For this assignment select a practice improvement issue within your organizational system and within the realm of your practice area. Using the grading rubric as a guide, develop a quality improvement plan to address the identified issue. The purpose of this paper is to demonstrate knowledge of the essential elements of quality improvement, with change theory as an underpinning for the process. Do not use a quality intervention plan that has already been implemented for this assignment; this should be a new plan for the organization with a clear measurable problem statement and a planned evidence-based intervention. Students are not expected to implement the plan; however, the process for implementation and evaluation is addressed as part of the planning process. The paper should be carefully written in a formal style, based on primary sources, provide an integration of ideas, and be 6 to 7 pages in length, excluding title page, appendices & reference list. Organized flow, logical progression of ideas, and clarity in thought are essential. Please use headings consistent with the topic areas of the rubric to separate content. References must be timely; published within the previous five (5) years. Liberal number of primary and peer reviewed references (minimum of 10). This paper will be automatically submitted to Turnitin when you submit your assignment. You will be allowed to view the Turnitin report and resubmit the paper until the due date. Any papers submitted OR resubmitted after the due date will have a late penalty applied consistent with the syllabus unless prior arrangements were approved by the primary faculty. Deductions: Papers over the page limit will be penalized by a disregard of content over the page limit. Scholarship Expectations: The assignment will be formatted based on the APA 7th edition. There will be a title page and headings used appropriately. Clarity and conciseness in writing, grammar and spelling will be consistent with graduate level work. The points allocated for scholarship will be at the discretion of the faculty member. You are clinical nurse scholars in the making. You are the nurses with advanced education/ DNPs and members of the highly literate profession of advanced practice nursing who will chart the future of health care. Good writing ability is as much a required skill for nurses in advanced practice as performing clinical functions. Therefore, precision and scholarship is expected in all assignments. Rev 12/19 Grading Rubric Name: Grade Points Introduction paragraph (one paragraph). Introduce a practice issue appropriate for a quality improvement project facilitated by a MSN or DNP prepared nurse. The practice issue should be stated as a clear problem statement. There must be a thesis statement at the end of the paragraph that tells the reader the purpose of paper and what will be discussed. 1 Describe background/context of the identified local measurable practice issue. Quantify (measure) the local practice concern to establish a baseline for your work. State a project aim in a single sentence. Use evidence to further support the concern. 3 Discuss and apply one theoretical underpinning of change (Lewin, Rogers, Kotter, Havelock, Prochaska & Diclemente, Bandura) for the proposed quality initiative. Using the selected change theory, describe the profound importance of staff engagement, empowerment, commitment, and ownership of practice improvement initiatives/projects. 2 Describe how at least one improvement tool (root cause analysis, fishbone cause and effect diagram, FMEA, etc.) can be used to better understand your identified practice issue. Describe how to apply the tool to the identified practice issue to understand and assess the concern before planning an intervention. Do not describe the solution, describe how you will investigate the problem using this tool. 3 Select a model (e.g., PDSA, FADE, Six Sigma, TCAB, TeamSTEPPs) for the quality improvement project. Describe the model and summarize the practice improvement initiative/intervention(s) using the steps of the model. This is the point in the paper where you describe the evidence based intervention (with citation) based on the problem, background and investigation of the concern. 3 Budget: Discuss briefly the revenue or savings associated with the project, expenses and identify if there will be a return on the investment. Use the budget template provided with the assignment link to prepare a brief budget. Attach the completed budget template as an appendix. 2 Based on Donabedian’s work, identify and describe (a) the structure measures, (b) the process measures, and (c) the outcomes measures for the quality improvement intervention(s) for this project. 3 What qualitative and quantitative measures will be identified to determine effectiveness of quality initiative? How would qualitative findings contribute to the evaluation of your specific quality initiative? 3 Identify and briefly describe at least two visual displays for reporting outcome data for your selected practice issue (e.g. histogram, run chart, pie chart, bar graph, etc.). 1.5 Conclusions: Summarize the essential points of paper (one paragraph). 1 Rev 3.20 Scholarship: The assignment will be submitted consistent with the Assignment Instructions described in this document. Deduction Comments: TOTAL 0 25 2.5

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