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NURS 4030 Assessment 2: Determining the Credibility of Evidence and Resources Example

To guarantee that the information you are using is trustworthy and accurate and to help you make informed decisions, it is crucial to critically assess the evidence and resources’ reliability. My safety issue from assignment 1 was sepsis diagnosis. Early diagnosis of sepsis can promote better treatment outcomes. This paper aims to describe this safety issue, propose evidence-based criteria that would be used to assess the credibility of evidence sources, assess the credibility of chosen sources, and use an evidence-based model to justify the importance of incorporating credible evidence into the model.

Safety Issue

Best Places to Complete Research and Types of Resources to access to find Pertinent Information

Besides being a teaching and a leading hospital in education, the institution is proud to have one of the nationally known computer laboratories, which enables access to vast resources that may influence clinical decision-making. The computer lab offers free internet access and free logins to different credible medical databases, which any healthcare professionals, students, and trainees linked with the organization may use to obtain pertinent information.

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research SOLVED Example 3

Research is a vital tool in the ongoing effort to improve the quality and safety of patient care. Patient care is continually improving, thanks to the efforts of healthcare staff and researchers in discovering new methods to improve treatment and putting the findings into practice. However, before applying the evidence into practice, there is a prodromal period of significant effort to find appropriate resources, sift throu

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research SOLVED Example 2

Healthcare professionals need to be able to locate credible databases and research sources to access the most current and accurate information to inform their practice and improve patient outcomes. Choosing which sources of online information are relevant and credible can be challenging due to the proliferation of online information (Weathers, 2021). In addition to finding credible sources, the reputation of the journal or organization publishing the research, funding sources for the research, and the rigor of the methods can also be used to evaluate their credibility (Katowa-Mukwato et al., 2022). This paper aims to identify information sources, suggest the best communication strategies, and explain my role as a baccalaureate-prepared nurse in communication and collaboration for a case study that required evidence-based practice.

Case Scenario

A new nurse has been hired to offset the imbalance in the nurse-patient ratio in the medico-surgical unit of my facility. On her first day, the unit’s nurse manager assigned her to a patient who had sepsis. The patient developed borderline low blood pressure, slightly elevated heart rate, and slight confusion. Even though the nurse knew that her patient had sepsis, she was unsure what nursing diagnosis to assign her patient because of the risk of fats deterioration, multiple symptoms, and signs that the patient has her lack of knowledge of the protocols in the unit and limited time within which she had to perform full body physical examination. Within her hypothetical setting, various resources exist, such as nurse works station computers and hospital internet connection.

Role as a Baccalaureate-prepared Nurse Supervising Clinical Staff Nurses with regard to Communication and Collaboration in Locating Evidence for Application in Nursing Practice Scenario

Summary Brief of the Nursing Practice Scenario

During my duties at a nationally recognized hospital in terms of nursing and medical student education and training, I was assigned to supervise three nurses who work in the medical-surgical department. During daily ward rounds, I assign specific patients to the nurses and participate in my shift report.

A new nurse approaches me, having just completed orientation and training a week before, and expresses his difficulty making a diagnosis in one of the patients assigned to him. Knowing the importance of evidence-based practices in patient outcomes, I am responsible for assisting the nurse in locating the literature that will be useful in caring for the patient.

Communication and Collaboration Strategies

Communication and collaboration are critical pillars of nursing practice that when done well, benefit both patients and caregivers. Because I am responsible for directing the nurses during their clinical rotation, I am responsible for communicating with the one who requires assistance locating evidence-based practice.

First, I would devote time to educating the nurse on evidence-based practice. This will be accomplished by carefully considering both my and the nurse’s schedules and arriving at a convenient time for both of us. A face-to-face communication strategy would be the most effective in conveying the gravity of the situation.

During the meeting, I would be courteous to the nurse and recognize his lack of knowledge as a strength and a need to learn. Even though there is a hierarchical ranking in nursing based on academic and professional achievements, everyone in the healthcare sector is considered a colleague (Schot et al., 2020).

As a result, the decision to communicate with junior colleagues in the most welcoming and cautious manner is informed. Demonstrating kindness and sincerity is an additional communication and collaboration strategy when addressing the issue.

NURS-FPX4030 Assessment 1 Locating Credible Databases and Research SOLVED Example

Owing to the complexity of the human body and its physiological functions, care must be provided only by professionals and following evidence obtained from the current literature. Evidence-based practice is applying the best available evidence from any credible source to guide optimal nursing practice, aiming to improve the quality and safety of patient care (Kim et al., 2020).

Valley City, ND, Demographics – NHS-FPX-4060 Assessment 3: Disaster Recovery Plan

Population: 8,295 (up from 6,585 in 2010 census)

Median Age: 43.6 years. 17.1% under age 18; 14.8% between 18 and 24; 21.1% between 25 and 44; 24.9% 46 – 64; 22% 65 or older.

Officially, residents are 93% white, 3% Latino, 2% African-American, 1% Native American, 1% other.

—additionally, unknown number of undocumented migrant workers with limited English proficiency

VILA HEALTH Disaster Recovery Scenario (NHS-FPX-4060 Assessment 3: Disaster Recovery Plan)

For a health care facility to be able to fill its role in the community, it must actively plan not only for normal operation, but also for worst-case scenarios which could occur. In such disasters, the hospital’s services will be particularly crucial, even if the specifics of the disaster make it more difficult for the facility to stay open.

In this scenario, you will resume your role as the senior nurse at Valley City Regional Hospital. Like many facilities within the Vila Health network, Valley City Regional serves as the primary source of health care for a wide area of North Dakota. As such, it is even more imperative than usual that it stay open and operational in all situations. Doing this means planning and preparation.

NHS-FPX-4060 Assessment 3 Disaster Recovery Plan Instructions

Disaster Recovery Plan Sample Paper

Name (Presenter) Institution Affiliated

Introduction and Objectives

Disaster Recovery Plan-An approach to preserve an organization during and

after an emergency or disastrous event.

Disaster-A catastrophic event that causes significant damage or deaths

NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Sample Paper

Nursing informatics is a specialty that integrates nursing and analytical and information sciences to communicate and manage data in nursing practice. It involves the application of information technology in nursing education, research, and nursing services (McGonigle & Mastrian, 2021). Therefore, nurse informaticists are nurse practitioners who incorporate information technology in nursing services to improve the quality of healthcare

NHS-FPX6004 Assessment 4 Training Session for Policy Implementation Sample Approach

Sound policy and practice guidelines for managing medication errors are critical for a premier medical center such as Mercy Medical Center. To successfully implement the policy on managing medication errors, members of the nursing staff at the medical center responsible for enacting the policy must thoroughly understand the strategies prescribed by the policy. A training program designed for staff members will ensure effective dissemination of the knowledge and skills required to implement the policy guidelines. The training program outlined in this paper will be conducted for a pilot group of 20 nursing staff members from the pediatric medical center’s pediatric division.

Policy on Management of Medication Errors Policy Guidelines and Strategies

The policy on managing medication errors states the procedure that must be followed in case of a medication error. The scope of the policy extends to the nursing, emergency care, and medical staff employed at Mercy Medical Center (Black County Partnership, 2015). The policy requires that the medical center form a multidisciplinary committee. This committee will assess potential discrepancies and address shortfalls in medication processes (Weant et al., 2014).

NURS-FPX4020 Assessment 4 Improvement Plan Tool Kit Example Approach

Medication administration errors are undesirable in healthcare facilities. The safety improvement plan of interest will focus on introducing barcode medication administration technology and a staff education program. The focus is reducing medication administration errors’ prevalence, thus improving patient safety and ensuring quality patient outcomes.

This improvement plan kit is divided into four themes: Evidence-Based Medication Error Prevention Strategies, Utilization of Healthcare Technologies, Education and Training, Communication and collaboration. The tool kit provides and explains how various resources under these themes will help implement and sustain a safety improvement plan initiative in a medical unit in a healthcare facility.

MSNFP6016 Capella University Quality Improvement Initiative Evaluation

Evaluation of the Quality Improvement Initiative Against Standard Benchmarks and Outcomes

A crucial point revealed in the analysis of the QI initiative is that a majority of the nurses in the medical and surgical units felt dissatisfied with their jobs because of overwork. Poor nursing outcomes at TGH are symptomatic of quality issues in the hospital’s nursing workforce. Therefore, prioritizing the quality of nursing is the first step to a successful QI initiative.

The statement is supported by certain assumptions about the value of nursing in achieving better patient outcomes:

Nurses are the largest workforce in any health care setting and deliver most of the bedside patient care (Stalpers, de Brouwer, Kaljouw, & Schuurmans, 2015)

MSNFP6016 Capella University Quality Improvement Initiative Evaluation Sample Paper

Quality Improvement Initiative Evaluation

As primary caregivers and care coordinators, nurses play important roles in ensuring quality and safety in patient care. In fact, health care organizations rely on nurses’ knowledge and insight to design and implement quality improvement (QI) initiatives. However, QI initiatives tend to focus solely on patients’ well-being, creating a stressful work environment for nurses.

MSNFP6016 Capella University Quality Improvement Initiative Evaluation

Overview

Deliver a 5–7-page analysis of an existing quality improvement initiative at your workplace. The QI initiative you choose to analyze should be related to specific disease, condition, or public health issue of personal or professional interest to you.

NURS-FPX4020 Assessment 2 Root-Cause Analysis and Safety Improvement Plan Example 2

Root cause analysis.

Root-cause analysis is used to point out the causes of adverse occurrences or explore options to prevent them from happening again. The root-cause analysis focused on medication errors and was performed in a nursing home facility following death of a resident patient due to wrongful discontinuation of the medication. This paper explores medication errors and looks at evidence-based and best practices methods to reduce medication errors. Further, the paper suggests a safety improvement plan with a basis on the use of available resources to address the problem.

Analysis of the Problem

The root-cause, in this case, was instigated by the untimely death of an 80-year-old at a nursing home. Angie broke her right; she was taken to the hospital and, after an ORIF was done, transferred back to the nursing home. Angie had been given new medications and ordered to continue taken her previous prescriptions as she had a known history of congestive failure that had lately presented with frequent exacerbations.

Improvement Plan with Evidence-Based and Best-Practice Strategies

The National Coordinating Council for Medication Error Reporting and Prevention definition of medication errors emphasizes their preventability (Tariq et al., 2022). Various quality improvement plans can be implemented to prevent medication errors in the aforementioned scenario.

My improvement plan for this seating will include three actions: incorporate technology in prescription, conduct bedside shift reporting, and conduct mandatory medication reconciliation at every point of care transition. As aforementioned, transitions in patient care provide the most chances for medication errors. Therefore, they can also provide the best opportunity for clinicians to prevent these errors.

Implementing CPOEs and CDSS will assist the clinician with prescription and decision-making by providing alerts and warning for potential medication safety risks. These technologies also provide clinicians with platforms for communication and collaboration. They will make the process of interdisciplinary collaboration and coordination efficient.

The last part of the plan is to implement bedside shift reporting to provide an opportunity for medication reconciliation. Handing over at the patient’s bedside will enhance care collaboration that will also be patient-centered, thus lowering the risk for patient safety concerns.

Root-Cause Analysis and Safety Improvement Plan Example

Root cause analysis (RCA) systematically and methodologically investigates an occurrence to identify the reason for a system failure that might not be apparent initially after the incident. System and personal failures can lead to patient safety risks, including medication errors (Center for Drug Evaluation & Research, 2019).

NURSFPX4020 Capella University Root-Cause Analysis and Safety Improvement Plan Example 2

A root-cause analysis is a method of problem-solving that entails determining the primary reason for a situation or issue to stop it from happening again in the future. Investigating the root causes of safety problems and potential remedies is often part of a safety improvement plan.

Organizations wishing to increase safety and prevent accidents or incidents must apply root-cause analysis and safety improvement planning. Organizations may make their workplaces safer and more productive for both their employees and clients by recognizing and addressing the fundamental causes of issues. This paper aims to conduct a root cause analysis of an incident that risked patient safety in my health organization and develop a safety improvement plan from the analysis.

NURSFPX4020 Capella University Safety Improvement Plan Analysis Paper

Medication Errors Root Cause Analysis and Safety Improvement Plan Example Approach

Root cause analysis (RCA) is a tool used to investigate and understand the underlying causes of patient safety incidents, such as medication errors (Ahmed et al., 2019). It helps in problem identification so that health practitioners can introduce changes that improve care quality and patient experience. Medication errors are a typical incident that requires an RCA that will ultimately produce various recommendations to reduce medication errors and improve patient safety.

The application of RCA to medication errors within a clinical care setting is critical considering the alarming numbers of increased length of stay, hospital injuries and death that adverse events have caused in American hospitals (Gates et al., 2019). For instance, according to Mazer and Nabhan (2019), at least 200,000 deaths are attributable to medication errors yearly, indicating that various root cause factors play a role in those events and are worth exploring. This report covers an RCA of ten hospitals in the US, analyzing and describing the fundamental causes and major contributors to medication errors, as well as an evidence-based plan and resources for improving patient safety.

Root Causes Of Medication Errors And Evidence-Based Solutions

When nurses, pharmacists, or physicians offer any type of healthcare service to patients, they can unknowingly inflict injury on the patient or cause adverse events such as medication errors or misdiagnosis. As per Gates et al. (2019), 10-20% of medication orders contain medication errors depending on the adverse event, for instance, delayed medicine administration.