Hospital Emergency Department Improvement 

Hospital Emergency Department Improvement

Order ID	53003233773
Type	Essay
Writer Level	Masters
Style	APA
Sources/References	4
Perfect Number of Pages to Order	5-10 Pages

Description/Paper Instructions

Hospital Emergency Department Improvement Presentation

“Nurses should take responsibility for their personal and professional growth by continuing their education and seeking opportunities to develop and exercise their leadership skills” The PDSA project will provide the student the experience to initiate and coordinate planned change in a health care organization. The purpose of this assignment is to engage the student in analysis of an evidence-based practice scenario within their clinical experiences. The assignment will be divided into four phases:

#1). Part I: Plan

I plan to: Here you will write a concise statement of what you plan to do Example: “I plan to: test a process of giving out satisfaction surveys and getting them filled out and back to us”.

I hope this produces: Here you can put a measurement or an outcome that you hope to achieve. Example: I hope this produces at least 25 completed surveys per week during this campaign.

#2). Steps to execute: Here is where you will write the steps that you are going to take in this cycle. You will want to include the following:

• Problem Identification: Identify a clinical problem that you observed in the clinical site. Digging up clinical problems can start with observations of clinical practice on your unit, asking staff about the problems they face when delivering care, looking through policies and procedures and guidelines of care to assess if there is a standard or policy to improve practice. Talking with patients about their perceptions of the care they are receiving and asking clinical questions that address the clinical implication of the observation. Is there a problem, a patient or a population there is negatively affected by the present standard of practice? Once this P factor is determined without a present resolution, then a clinical question should be developed using the PICOT process.
• The population this could be a patient, a problem, a population, a unit, a division, or organization problem.
• The time limit that you are going to do this project—remember, it does not have to be long, just long enough to get your results. You may set a time limit of 1 week but find out after 4 hours that it does not work. You can terminate the cycle at that point because you got your results.
• Review of literature: What level of knowledge is out there to address the problem, are there any evidence-based guidelines already published. Most of the literature reviewed should utilize systematic reviews, meta-analysis, or clinical 11 Updated December, 2020 guidelines. Individual studies review expert opinion articles and clinical articles can be used as supportive literature for clinical issues with limited research.

Example: Steps to execute

1. Problem and population same day post-surgical patients do not answer the survey about satisfaction with services.
2. Found that if surveys are easily accessible the response may be increased.
3. We will display the surveys at the checkout desk.
4. The checkout attendant will encourage the patient to fill out a survey and put it in the box next to the surveys.
5. We will try this for 1 week.

#3). Part II: Do After you have your plan, you will execute it or set it in motion. During this implementation, you will be keen to watch what happens once you do this. What did you observe? Here you will write down observations you have during your implementation. This may include how the patients react, how the nurses react, how it fit in with your organizational system. You will ask, “Did everything go as planned?” “Did I have to modify the plan?”

Example: What did you observe?

• We noticed that patients often had other things to attend to at this time, like making an appointment or paying for services and did not feel they could take on another task at this time.
• The checkout area can get busy and backed up at times.
• The checkout attendant often remembered to ask the patient if they would like to fill out a survey.

Part III: Study After implementation you will study the results. What did you learn? Did you meet your measurement goals? Here you will record how well it worked, if you met your goal.

Example: We only had 8 surveys returned at the end of the week. This process did not work well. 12 Updated December, 2020 Part IV: Act What did you conclude from this cycle? Here you will write what you came away with for this implementation, whether it worked or not. And if it did not work, what you can do differently in your next cycle to address that. If it did work, are you ready to spread it across your entire practice?

Example: Patients did not want to stay to fill out the survey once their visit was over. We need to give patients a way to fill out the survey when they have time. We will encourage them to fill it out when they get home and offer a stamped envelope to mail the survey back to us. Dissemination: This section will be the materials used to disseminate your project findings to the clinical agency.

Presentation overview of the problem, evidence, and proposed plan, results, and recommendation. The presentation should include:

1. a) Actual PowerPoint slides of effective communication of project.
2. b) 2-3 discussion questions prepared by students to pose to their audience to generate discuss about the project and potential for implementation

 

 

Mock Telehealth Scenario between a Nurse and a Patient

Using Telehealth to improve patient outcomes. Telehealth is the use of technology in healthcare diagnostics and healthcare delivery. Telehealth has been shown to increase access to care, improve patient care outcomes, reduce costs, better utilize healthcare resources, and be highly satisfying to patients and healthcare consumers.

This assignment explores the use of telehealth technologies and the application to nursing practice. Create a video demonstration that involves a nurse-patient scenario. For example, nurses providing patient education and health promotion via telehealth. Imagine you are discharging a patient from your unit that resides long distance away. This patient will be followed at home using remote monitoring. Assume this patient has never heard of telehealth. What information would be important for the nurse to convey about telehealth.

The telehealth demonstration should be between 10 – 15 minutes in duration. Here are some examples of activities you may engage with a patient

• Training patients in the use of technology to strengthen their social network.
• Providing health education remotely.
• Monitoring body functions and lifestyle.
• Providing psychosocial support.
• Encouraging patients to undertake health promotion activities. 14 Updated December, 2020
• Instructing patients and family care givers in self-care
• Medication reconciliation to assess for high-risk medications.
• Assessing patient capacity to use telehealth and educating them.
• Evaluating and adjusting the patient plan of care.
• Coordination of care with the use of telehealth technology.
• Monitoring patient outcomes via telehealth. In telenursing, the nurse needs to be aware of: · Words/language used · Tone and tempo of speech · Facial expressions and physical body language (video conferencing). · A close attention to the patient’s subjective notations. Resources: · TeleNurse Health Minute  · I Am a Telehealth Nurse | Cincinnati Children’s  · Telehealth Resource Center http://www.telehealthresourcecenter.org/· Telehealth as a Tool for Nursing  · John Hopkins Telemedicine: https://www.hopkinsmedicine.org/telemedicine/

Example of nurse-patient dialogue:

Nurse Patient My name is Denise. Can I speak to Margaret Brown please? This is Margaret Brown. Who are you and what do you want? My name is Denise Jordan. I am a nurse with your health plan. They have identified you as a person who would benefit from participating in a health promotion program What? My health plan identified me as someone who would benefit from what? I’m not sick This has nothing to do with you being sick.

A health promotion program is one that works with the patient to take active steps to prevent the development of a health problem in the future. So what’s this going to cost or how much more are my monthly premiums going to go up because of this? 15 Updated December, 2020 This is part of your health plan. The cost for this is already included in your monthly premium. But I am not sick, why do I need this? Your health plan has identified you as someone who is healthy. You don’t use your benefits and as an added bonus, you have access to nurses to answer your questions and make sure that you are taking advantage of all of the steps available to keep you as healthy as possible

Hospital Emergency Department Improvement

RUBRIC QUALITY OF RESPONSE NO RESPONSE POOR / UNSATISFACTORY SATISFACTORY GOOD EXCELLENT Content (worth a maximum of 50% of the total points) Zero points:  Student failed to submit the final paper. 20 points out of 50:  The essay illustrates poor understanding of the relevant material by failing to address or incorrectly addressing the relevant content; failing to identify or inaccurately explaining/defining key concepts/ideas; ignoring or incorrectly explaining key points/claims and the reasoning behind them; and/or incorrectly or inappropriately using terminology; and elements of the response are lacking. 30 points out of 50:  The essay illustrates a rudimentary understanding of the relevant material by mentioning but not full explaining the relevant content; identifying some of the key concepts/ideas though failing to fully or accurately explain many of them; using terminology, though sometimes inaccurately or inappropriately; and/or incorporating some key claims/points but failing to explain the reasoning behind them or doing so inaccurately.  Elements of the required response may also be lacking. 40 points out of 50:  The essay illustrates solid understanding of the relevant material by correctly addressing most of the relevant content; identifying and explaining most of the key concepts/ideas; using correct terminology; explaining the reasoning behind most of the key points/claims; and/or where necessary or useful, substantiating some points with accurate examples.  The answer is complete. 50 points:  The essay illustrates exemplary understanding of the relevant material by thoroughly and correctly addressing the relevant content; identifying and explaining all of the key concepts/ideas; using correct terminology explaining the reasoning behind key points/claims and substantiating, as necessary/useful, points with several accurate and illuminating examples.  No aspects of the required answer are missing. Use of Sources (worth a maximum of 20% of the total points). Zero points:  Student failed to include citations and/or references. Or the student failed to submit a final paper. 5 out 20 points:  Sources are seldom cited to support statements and/or format of citations are not recognizable as APA 6th Edition format. There are major errors in the formation of the references and citations. And/or there is a major reliance on highly questionable. The Student fails to provide an adequate synthesis of research collected for the paper. 10 out 20 points:  References to scholarly sources are occasionally given; many statements seem unsubstantiated.  Frequent errors in APA 6th Edition format, leaving the reader confused about the source of the information. There are significant errors of the formation in the references and citations. And/or there is a significant use of highly questionable sources. 15 out 20 points:  Credible Scholarly sources are used effectively support claims and are, for the most part, clear and fairly represented.  APA 6th Edition is used with only a few minor errors.  There are minor errors in reference and/or citations. And/or there is some use of questionable sources. 20 points:  Credible scholarly sources are used to give compelling evidence to support claims and are clearly and fairly represented.  APA 6th Edition format is used accurately and consistently. The student uses above the maximum required references in the development of the assignment. Grammar (worth maximum of 20% of total points) Zero points:  Student failed to submit the final paper. 5 points out of 20:  The paper does not communicate ideas/points clearly due to inappropriate use of terminology and vague language; thoughts and sentences are disjointed or incomprehensible; organization lacking; and/or numerous grammatical, spelling/punctuation errors  10 points out 20:  The paper is often unclear and difficult to follow due to some inappropriate terminology and/or vague language; ideas may be fragmented, wandering and/or repetitive; poor organization; and/or some grammatical, spelling, punctuation errors 15 points out of 20:  The paper is mostly clear as a result of appropriate use of terminology and minimal vagueness; no tangents and no repetition; fairly good organization; almost perfect grammar, spelling, punctuation, and word usage. 20 points:  The paper is clear, concise, and a pleasure to read as a result of appropriate and precise use of terminology; total coherence of thoughts and presentation and logical organization; and the essay is error free. Structure of the Paper (worth 10% of total points) Zero points:  Student failed to submit the final paper. 3 points out of 10: Student needs to develop better formatting skills. The paper omits significant structural elements required for and APA 6th edition paper. Formatting of the paper has major flaws. The paper does not conform to APA 6th edition requirements whatsoever. 5 points out of 10: Appearance of final paper demonstrates the student’s limited ability to format the paper. There are significant errors in formatting and/or the total omission of major components of an APA 6th edition paper. They can include the omission of the cover page, abstract, and page numbers. Additionally the page has major formatting issues with spacing or paragraph formation. Font size might not conform to size requirements.  The student also significantly writes too large or too short of and paper 7 points out of 10: Research paper presents an above-average use of formatting skills. The paper has slight errors within the paper. This can include small errors or omissions with the cover page, abstract, page number, and headers. There could be also slight formatting issues with the document spacing or the font Additionally the paper might slightly exceed or undershoot the specific number of required written pages for the assignment. 10 points: Student provides a high-caliber, formatted paper. This includes an APA 6th edition cover page, abstract, page number, headers and is double spaced in 12’ Times Roman Font. Additionally, the paper conforms to the specific number of required written pages and neither goes over or under the specified length of the paper.
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