The focus of the Assessment is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 810 minute audio script training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses role in supporting accurate reporting and high quality results.

The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedians theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedians theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

• Review the nursing-sensitive quality indicators presented in theuploaded document resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.
• Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.
• Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:
  • What is your experience with collecting data and entering it into a database?
  • What challenges have you experienced?
  • How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
  • What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?
  • imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.The council prefers a recorded presentation using PowerPoint or a similar application. This will allow the education department to show the presentation during new hire training.As a result of this need, you offer to create a presentation orienting new hires to these topics. You know that you will need speakers notes to guide your recording. You plan to incorporate the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.You determine that you will cover the following topics in your presentation:
    

    Introduction: Nursing-Sensitive Quality Indicator

    • What is the National Database of Nursing-Sensitive Quality Indicators?
    • What are nursing-sensitive quality indicators?
    • Which particular quality indicator did you select to address in your tutorial?
    • Why is this quality indicator important to monitor?
      • Be sure to address the impact of this indicator on the quality of care and patient safety.
    • Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

    Collection and Distribution of Quality Indicator Data

    • According to your interview and other resources, how does your organization collect data on this quality indicator?
    • How does the organization disseminate aggregate data?
    • What role do nurses play in supporting accurate reporting and high-quality results?
      • As an example, consider the importance of accurately entering data regarding nursing interventions.

    Enhancing Outcomes

    • Explain how your health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
    • Describe how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

    build your presentation in PowerPoint, Keynote, Slides, Canva, or another presentation platform

Module 4 Discussion: TQE on topic of your choice

Readings Related to Discussion

Select two peer-reviewed journal articles published within the past two years that are relevant to your chosen discussion topic. These articles will serve as the foundation for your question and contributions.

Instructions

In this discussion, we will use a flipped classroom approach. You will take the lead in generating meaningful dialogue by developing and facilitating a discussion question based on your readings and relevant web-based information. We will use the TQE method (Thoughts, Questions, Epiphanies), as introduced in Module 1.

This assignment consists of two parts:

Part 1: Develop and Post Your Discussion Question

• By Day 2 or 3;of the discussion period, post an open-ended, thought-provoking question that encourages critical reflection on a topic relevant to nursing education or practice.
• Your question should be grounded in the literature and clearly reference the articles you selected.
• In your post, include your own thoughts and insights (epiphanies) from the readings to provide context and stimulate engagement.

Part 2: Facilitate and Engage in Discussion

• Throughout the discussion period, actively facilitate conversation in your thread by:
  • Responding to classmates comments
  • Asking follow-up questions
  • Encouraging connections to professional experiences
  • Referencing relevant literature to deepen the dialogue
• Additionally,engage in at least two other classmates threads by contributing thoughtful responses, asking questions, and sharing relevant experiences or evidence-based insights.

Module 4 Discussion: TQE on topic of your choice

Readings Related to Discussion

Selecttwo peer-reviewed journal articles published within the past two years that are relevant to your chosen discussion topic. These articles will serve as the foundation for your question and contributions.

Instructions

In this discussion, we will use a flipped classroom approach. You will take the lead in generating meaningful dialogue by developing and facilitating a discussion question based on your readings and relevant web-based information. We will use the TQE method (Thoughts, Questions, Epiphanies), as introduced in Module 1.

This assignment consists of two parts:

Part 1: Develop and Post Your Discussion Question

• By Day 2 or 3;of the discussion period, post an open-ended, thought-provoking question that encourages critical reflection on a topic relevant to nursing education or practice.
• Your question should be grounded in the literature and clearly reference the articles you selected.
• In your post, include your own thoughts and insights (epiphanies) from the readings to provide context and stimulate engagement.

Part 2: Facilitate and Engage in Discussion

• Throughout the discussion period, actively facilitate conversation in your thread by:
  • Responding to classmates comments
  • Asking follow-up questions
  • Encouraging connections to professional experiences
  • Referencing relevant literature to deepen the dialogue
• Additionally,engage in at least two other classmates threads by contributing thoughtful responses, asking questions, and sharing relevant experiences or evidence-based insights.

Discuss a theoretical model of cultural competency that is complementary to your nursing philosophy of patient care.

Post your initial discussion by 11:59 PM ET on Thursday. Posts are a minimum of 250 words, scholarly written, APA formatted (with some exceptions due to limitations in the D2L editor), and a minimum of 2 references (which may include the course textbook)

see attached doc

1. ApplicationofCourseKnowledge: Answer all questions/criteria with explanations and detail.
   1. Select one drug to treat the diagnosis(es) or symptoms.
   2. List medication class and mechanism of action for the chosen medication.
   3. Write the prescription in prescription format.
   4. Provide an evidence-based rationale for the selected medication using at least one scholarly reference. Textbooks may be used for additional references but are not the primary reference.
   5. List any side effects or adverse effects associated with the medication.
   6. Include any required diagnostic testing. State the time frame for this testing (testing is before medication initiation or q 3 months, etc.). Includes normal results range for any listed laboratory tests.
   7. Provide a minimum of three appropriate medication-related teaching points for the client and/or family.
2. Integration of Evidence: Integrate relevant scholarly sources as defined by program expectations:
   1. Cite a scholarly source in the initial post.

Scenario:You have been asked to give a poster presentation based on your work and research on a clinical problem in your practice setting. The purpose is to lay out the evidence and a potential implementation plan to your colleagues in order to bridge the gap between the evidence and the practice and improve the quality and outcomes of care.

Instructions:Identify a clinical problem in your work setting and develop an implementation plan to carry out your evidence-based practice proposal using a poster presentation. You may use the to help structure and organize your assessment submission.

Your Implementation Plan should include the following:

• Background on the clinical problem.
• PICOT question.
• Stakeholders that will be impacted.
• Action plan for implementation.
• Potential barriers to project implementation.
• Baseline data that will be needed to evaluate outcomes.
• Search strategy and databases used.
• Summary of the evidence with a critical appraisal of its quality.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your poster presentation addresses all of them.

• Develop a PICOT question for a chosen clinical problem.
  • Include a graphic that is relevant to the clinical problem.
  • Provide a background on the clinical problem identified.
• Outline an action plan to implement the evidence-based project that includes:
  • The recommended practice change.
  • Proposed timeline for implementation.
  • The tools or resources that will be needed to support the project.
• Identify the stakeholders, opportunities for innovation, and potential barriers to the practice change needed for project implementation.
  • Who are the stakeholders who will be impacted?
  • What are areas of the project that present opportunities for innovation?
  • What are the potential barriers, such as a lack of knowledge, time, skill level, motivation, or resources that could impact project implementation?
• Propose outcome criteria to evaluate the evidence-based practice project and how they will be measured.
  • How will outcomes be measured?
  • How do your outcomes align with the Quadruple Aim?
    • How will your outcome measures inform evidence-based practice, guidelines, or policies?
• Evaluate the evidence that supports the need for practice change.
  • In the notes section of your poster presentation:
    • Describe your search strategy and databases that were used.
    • Summarize your findings with a critical appraisal of the quality, relevance, and validity of your resources.
    • Note ethical considerations such as informed consent, protection of participant rights, and potential conflicts of interest.
• Convey purpose of the poster presentation, in an appropriate tone and style, incorporating supporting evidence and adhering to organizational, professional, and scholarly communication standards.
• Integrates relevant and credible sources of evidence to support assertions, using current APA style

Requirements:

• Font and font size: Appropriate size and weight for a presentation, generally 2428 points for headings; no smaller than 18 points for bullet-point text. Use a suitable professional typeface, such as Times or Arial, throughout the presentation.
• Length of presentation: No more than five minutes. Add detailed speaker notes to fully support the content of the poster presentation. Speaker notes must match the audio.
• Number of references: Cite a minimum of 35 sources of current scholarly or professional evidence that support your evaluation, recommendations, and plans. Current source material is defined as no older than five years unless it is a seminal work.
• APA formatting: Resources and citations are formatted according to current APA style.

Kindly pay detailed attention requirements and Rubric

After studying , discuss a very brief description (one paragraph for the group session do NOT include the actual 12-steps) to include the following:

• Official name of the program or group you observed.
• When and where did you go to the group?
• Why did you choose this specific meeting?
• Brief history of program or group MUST CITE you obtained this information somewhere. If you obtained information during the meeting, cite IN the paper personal communication (not on the Reference page).
• Criteria for client entrance into program or group.
• Describe the demographics of the group. (ie., age, gender, ethnicity, number of members)
• Organizations goals of program or group.

The main body of the paper should address:

• Your objective impression of the program or group in meeting the clients needs and your rationale.
• Identify two or more therapeutic factors observed. Provide a detailed description of these factors.
• In your opinion, was the group process (leadership style, established norms, etc.) effective?
• Were there any patient management issues, and how were they handled?
• Describe your feelings about this group and how it enriched you.
• Would you refer future clients to this group?

Submission Instructions:

• Your initial post should be at least 250-500 words, formatted and cited in current APA style.
• Provide support for your work from at least 2 academic sources less than 5 years old.
• Your initial post is worth 8 points.
• You should respond to at least two of your peers by extending, refuting/correcting, or adding additional nuance to their posts. Your reply posts are worth 2 points. (1 point per response)
• All replies must be constructive and use literature where possible.
• Please post your initial response by 11:59 PM ET Thursday, and comment on the posts of two classmates by 11:59 PM ET Sunday.
• You can expect feedback from the instructor within 48 to 72 hours from the Sunday due date.

1 discussion and 2 peer reviews