Quality/performance improvement (QI/PI) frameworks

Develop a 4-page quality/performance improvement framework for your doctoral project.

Quality/performance improvement (QI/PI) frameworks are used to establish and evaluate processes in practice. The most common models for such a framework are Plan-Do-Study-Act (PDSA) and Six Sigma Define, Measure, Analyze, Improve, Control (DMAIC). The purpose of this assessment is to use key information from your project charter to develop a QI/PI framework from which you will begin developing a project implementation plan and logic model in the next assessment.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

· Competency 1: Align the project charter with a continuous improvement model.

1. Describe the current practice needing improvement.

1. Explain how QI/PI data will be collected and analyzed.

1. Describe the proposed QI/PI changes and expected outcomes.

1. Explain how changes in quality or performance will be evaluated.

1. Apply APA style and formatting to scholarly writing.

Instructions

Is about reducing falls in a primary care clinic with the implementation of a fall risk management protocol, now the clinic doesn’t use any protocol.

Develop a quality/performance improvement (QI/PI) framework for your project, aligned with your project charter. Choose a model for your framework, using the PDCA or DMAIC model, a model used in your organization, or another familiar reputable model that is suitable for your project. PDCA or DMAIC model information and examples are included in Resources.

Provide a succinct, scholarly narrative that reflects the content of your model and addresses the key points outlined below:

Graded Requirements

Each of the main tasks corresponds to scoring guide criteria. Read the performance-level descriptions in the scoring guide for each criterion to see how your work will be assessed.

· Describe the current practice needing improvement.

1. What is the problem and its root cause?

1. What is the gap between what is and what should be?

1. What evidence supports your assertions and conclusions?

· Describes a QI/QP framework that will support and guide the project.

2. What do you need to accomplish to meet the project objectives and outcomes?

2. What formative assessments will help you ensure that the project is on course?

2. Which framework will assist you in guiding the entire project?

· Explain how QI/PI data will be collected and analyzed.

3. What data is needed?

3. How will you record and organize collected data?

3. What are appropriate data analysis methods for the type of data you will be collecting?

· Describe proposed QI/PI changes and expected outcomes.

4. What are appropriate measures for determining actual improvement?

4. How feasible are the proposed changes and what are the relevant contextual factors that can affect expected outcomes?

· Explain how changes in quality or performance will be evaluated.

5. What evaluation tools or methods will you use?

5. What criteria will you use to evaluate outcomes?

· Write clearly and concisely in a logically coherent and appropriate form and style.

6. Write with a specific purpose and audience in mind.

6. Adhere to scholarly and disciplinary writing standards.

6. Proofread your writing to minimize errors that could distract readers and make it difficult for them to focus on the substance of your introduction.

· Apply APA style and formatting to scholarly writing.

Planning for the future examination

Please see the attachment for the instructions

Case study

Please complete this assignment, orientation is attached. 

Nursing

 Explain your null hypothesis and alternate hypotheses for your research question and identify the dependent and independent variables that you would recommend to best support the research study 

Q&A

 

Answer the following questions:

1. What is a suffix? Write an example of its use.

2. What is a prefix? Write an example of its use.

3. What is the definition of word root? Write an example of its use.

3. What is an eponymous? Write three examples.

4. What is an acronym? Write an example.

5. What is an initialism in Nursing? Write an example.

6. What is a combining form? Write an example.

7. When do you use a combining vowel? Write an example.

8. What is a number prefix? Write three examples of its use in medical terminology.

9. What are the other four levels of body organization that follow after the cellular level? 

10. Make a list of the systems that form the human body.

sensitivity and specificity in accuracy of a screening test

Discuss the role of sensitivity and specificity in accuracy of a screening test?

Generate 400 words 3 citations APA format since 2018 to present

please provide plagiarism report

case study

 

Examine Case Study: A Middle-Aged Caucasian Man With Anxiety. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

  • Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

  • Which decision did you select?
  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

  • Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.
  • What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).
  • Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

  • Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

WEEK8 5550

Read the following case study and answer the reflective questions.  Please provide evidence-based rationales for your answers.  APA, 7th ed. must be followed.  

Culture Plan of Care

One is an individual plan of care. This can be a (personal plan of care based on your own culture or a culture of your choice).

In place of an APA ASSIGNMENT,  please draft an individual plan of care related to one’s personal culture or a selected population of interest. 

  • The culture that is being recognized.
  • Unique traits of that culture (language, preferences, family dynamics, dietary needs).
  • Health problems associated with that culture.
  • Corrective measures and community resources.
  • Expected outcomes. 
  • Include citations to support your presented data

PLEASE DO IT ON MEXICAN CULTURE

Response

PLEASE RESPOND IN 50 WORDS OR MORE TO THE FOLLOWING:

1. What staffing model is implemented at the facility where you work?  What would you recommend for modifying the staffing model where you work, what is you recommendation based on and how would you implement the change?  (Support your thoughts/ideas with academic literature OR required readings) 

The staffing model the facility where I work is a nursing home. We use a census as our staffing model. On my floor there is a total of 23 rooms and 2 clients per room. Most of the time we are short staffed, and as a result there are only 2 nurses and we each have 23 patients sometimes less if patients get discharged. Per facility each nurse is suppose to have 9 patients. When dividing patients among nurses I think it is important to take into account patient acuity, some patients require more intense care than others. Meaning if the patients are equally divided the workload may not be. I believe that it is important to talk to your coworkers about this concern to prevent placing patients at risk and create a positive environment where the workload is shared. A lot of times coworkers are not willing to change assignments and that is where I think the unit manager should step in. To fix this problem more staff should be hired to keep the 9:1 ratio and the unit nurse should review assignments, before they are given. Most nurses experience substantial fatigue, with high acuity patients having an overall greater impact. We recommend that NPAs shall contain fewer high acuity patients than lower acuity patients. Additionally, The OFER acute fatigue scale (OPER-AF) suggests that assignments should contain no more than five patients to mitigate fatigue (Mollica and Schwerha, 2021).

Reference

Mollica, & Schwerha, D. (2021). Exploring the Relationship between Patient Acuity, Patient Assignments and Fatigue among Nurses. Proceedings of the Human Factors and Ergonomics Society Annual Meeting65(1), 1200–1204. https://doi.org/10.1177/1071181321651016