NR584NP WEEK 4 response to Faculty and to a Peer post

Hello writer 
please use single line spacing to respond to each post in 300 or less words in single line spacing . thanks 
 
week 4 question is 
General Instructions
Advanced practice nurses apply continuous quality improvement (CQI) processes to improve client-centered outcomes. Select one of the following client-centered care initiatives that you would like to improve in your practice area: client clinical outcomes, client satisfaction, care coordination during care transitions, or specialty consultations for clients.   
Include the following sections:

Application of Course Knowledge: Answer all questions/criteria with explanations and detail.

 

Identify the selected client-centered care initiative and describe its application to your future practice.
Select one CQI framework that can be applied to the selected initiative. Explain each step of the framework.
Describe how the framework can improve client-centered care for the selected initiative.
Describe how you would involve interprofessional team members in the CQI process.

Integration of Evidence: Integrate relevant scholarly sources as defined by program expectationsLinks to an external site.:

 

Cite a scholarly source in the initial post.
Cite a scholarly source in one faculty response post.
Cite a scholarly source in one peer post.
Accurately analyze, synthesize, and/or apply principles from evidence with no more than one short quote (15 words or less) for the week.
Include a minimum of two different scholarly sources per week. Cite all references and provide references for all citations.

Engagement in Meaningful Dialogue: Engage peers and faculty by asking questions, and offering new insights, applications, perspectives, information, or implications for practice.

 

Peer Response: Respond to at least one peer.
Faculty Response: Respond to at least one faculty post.
Communicate using respectful, collegial language and terminology appropriate to advanced nursing practice

Peer post Robin Cassidy 
 
May 26 7:27pm| Last reply May 27 10:36am
Reply from Robin Cassidy

Client satisfaction is one of the client-centered care initiatives. Client satisfaction has become an increasingly important factor in healthcare. Some issues that can negatively effect client satisfaction are long wait times, unclear instructions regarding medications or procedures, and/or miscommunication amongst the healthcare team resulting in unnecessary or redundant labs, tests, or procedures. Not only does client satisfaction lead to increased compliance and better outcomes, it also determines the rate of reimbursement from insurance companies. These are just a few reasons that client satisfaction is so important to my future practice as an APN.
One CQI framework that can be applied to the client satisfaction initiative is Plan-Do-Study-Act (PDSA). PDSA “Has a unique goal-oriented outcome that has been applied to healthcare to streamline and optimize processes” (Barr and Brannan, 2024). The steps are:

*Plan- This step involves identifying the change and predicting the outcomes of the implemented change.
*Do- This step is the actual implementation of the actions of the plan.
*Study- This step involves analyzing all the data received during the “Do” portion of the PDSA framework and comparing the results to any predictions that were made.
*Act- This step involves deciding whether to implement the change as is or to make further adjustments before implementation.
3. PDSA can improve client-centered care for client satisfaction by ensuring care is tailored to the client needs and making adjustments    whenever necessary. PDSA usually involves easily implemented, small scale changes at a time. This procedure helps to mitigate the risk of a large-scale change that may lead to negative impacts on client satisfaction.
4. Involvement of interprofessional team members in the CQI process is paramount to its success. Clearly defining tasks and open communication is necessary amongst the team throughout the entire process. Leadership must be involved in order to provide resources such as appropriate staff, funding, and technology needed to implement any change, (Barr and Brannan, 2024).
 
Reference
 
Barr, E., & Brannan, G. D. (2024, January 11).Quality Improvement Methods (LEAN, PDSA, SIX SIGMA). StatPearls – NCBI Bookshelf.
          https://www.ncbi.nlm.nih.gov/books/NBK599556/
 
DR Coleman post 
 
Class,
Since the 1999 report by the Institute of Medicine, “To Err is Human”, medical errors were brought front and center. The entire healthcare community was called to address these errors by focusing on improving patient safety and quality. CQI efforts emerged. A key to CQI is it is a “progressive” and “incremental” process focused on quality and safe patient care. CQI can cause strong changes or changes can be gradual. CQI is done so outcomes can be measured with definable metrics. Often CQI initiatives focus on areas such as reducing costs, reducing wait-times, increasing patient and staff satisfaction. When we pause and consider satisfaction as a key indicator or metric, we align another concept of patient-(client) centered care.
CQI does not occur in silo. It takes nurses to be key members to drive initiatives. Consider your future role as an NP. Letâ€s consider an example. You are a mental health NP working in an outpatient setting. A major complaint is the waiting times for getting an appointment with a provider. You decided to work in this setting because you wanted to improve access to mental health care in your community.
In beginning the process of CQI, you want to develop a team approach to addressing the concern. Once the team is established, you will begin the process of reviewing indicators, such as time, resources, and policies.

Identify who you would want as part of this QI initiative. Consider all possible members within the healthcare setting as well as within the community (stakeholders).
Explain your rationales for each member of your team.
Identify indicators you and your team would focus on to address the concern and provide a rationale.

Dr. Colema

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