quality of healthcare

You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of the most current National Patient Safety Goals found at the link below.

National Patient Safety Goals-The Joint CommissionLinks to an external site.

You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission’s revisit in six(6) months.

EBP question

 Two to three page 

Details:

  1. Selecting EBP Model for your EBP Question 
    Select one of the common EBP models that you think it best fits your PICOT question and then explain/justify your selection considering the following:  

    • The clarity and conciseness of the model’s concepts and organization  
    • The diagrammatic representation of the model and the ability to assimilate the concepts and organizes the step of the desired EBP changes 
    • The comprehensiveness of the model from the beginning stages to implementation and evaluation of outcomes 
    • The easiness of the use when concepts are applied to direct EBP changes and practice issues in clinical settings 
    • The flexibility of the model to be applied to various populations of patients, EBP projects, initiatives, and programs 
    • The use and popularity of the model in the published literature 
    • This assignment should be no more than 2-3 pages (not including the title or references pages).     
      Common EBP Models: 
    1. The Stetler Model of Evidence-Based Practice  
    2. The Iowa Model of Evidence-Based Practice to promote quality care 
    3. The Model for Evidence-Based Practice Change  
    4. The Advancing Research and Clinical practice through close Collaboration (ARCC) model for implementation and sustainability of EBP  
    5. The Promoting Action on Research Implementation in Health Services (PARIHS) framework  
    6. The Clinical Scholar model  
    7. The Johns Hopkins Nursing Evidence-Based Practice model  
    8. The ACE Star Model of Knowledge Transformation 

Power Point

 Introduction (1 slide)

  1. Reflect on the ethics of the workplace (2-3 slides) 
  • What ethics theory was mainly followed: utilitarianism, duty, deontology, egalitarianism, right, and virtues?
  • What ethical principle (justice, beneficence, non-maleficence, autonomy) influenced the practice?
  • How did the practiced ethics affect the patient’s outcomes?
  • How would you handle the scenario ethically? Similarly or differently?
  1. Reflect on the financial management (2-3 slides)
  • How did the finances affect the healthcare decision in the scenario?
  • What financial, billing, or reimbursement practices would you support or disagree with, and why?
  1. Reflect on the politics and policies  (2-3 slides)
  • Identify a practice you would want to change and describe how you would propose and lead collaborative/interprofessional effort using one of the leadership models to create the desired change.
  1. References (1 slide)- Include 2–3 scholarly resources in APA Style. Examples of scholarly sources include professional journal articles and books obtained from library databases, national guidelines, and informatics organizations published within the last five years.

Be succinct. Your presentation should be 8-10 slides

executive summary

One of the most important skills for a nurse executive to have is the ability to write an executive summary. An executive summary is a concise yet thorough accounting of a larger report or proposal for change. For example, when an institution has an accreditation visit, many criteria must be met. Therefore, the report received from the accreditors will be lengthy. The stakeholders, i. e., higher-level leaders, will need to be given a report that contains key areas of concern, the impact of the issue on organizational operations and the quality of health care delivery, what is proposed for correcting the issue and the organizational impact of the intervention. The executive summary is based on the evidence found in the report and other factors.

Case Scenario
As the chief quality and safety officer, you have been leading the initiative for the healthcare system to obtain MagnetT status from the American Nurses Credentialing Center (ANCC). The facility applied, was visited, and has received the report. The report identifies a deficiency (or deficiencies) in one of the Five Magnet Model* components. A solution must be implemented that shows improvement in the area within the next six months, at which time another visit will be scheduled.

For this assignment, you will create an executive summary of the report addressed to the board of directors of the healthcare facility. You will choose a Force of Magnetism within one of the MagnetT model components for your focus. The executive summary will include all the following: (1) a description of one of the five Magnet components within which a deficiency (or deficiencies) exists, (2) the specific “Force of Magnetism” that is deficient, (3) the criterion used by the examiners to the indicate the deficiency and the evidence/metric used, (4) an analysis of their findings and possible solutions to resolve the issue, and (5) the impact of the deficiency and recommended solutions on the organization. 

The Five Magnet Model Components* are listed below. Choose one of these upon which to focus your…… The link to the ANCC website where these components are described is provided at the beginning of the assignment. Within each component, the “Forces of Magnetism” are listed. The description of how these are measured, or the evidence examined to determine compliance, is also generally described on the web page. Choose one of the Forces to explore more deeply and describe how your facility was deficient. From this, you will be able to propose two potential solutions to address the deficiency found by the examiners. In your description of criteria/findings, you will need to identify the specific criteria used and the evidence of the deficiency.

Magnet Model Components:

  • Transformational Leadership
        Force #1: Quality of Nursing Leadership
        Force #3: Management Style
  • Structural Empowerment
        Force #2: Organizational Structure
        Force #4: Personnel Policies and Programs
        Force #10: Community and Healthcare Organization
        Force #12: Image of Nursing
        Force #14: Professional Development
  • Exemplary Professional Practice
        Force #5: Professional Models of Care
        Force #8: Consultation and Resources
        Force #9: Autonomy
        Force #11: Nurses as Teachers
        Force #13: Interdisciplinary Relationships
  • New Knowledge, Innovations & Improvements
        Force #7: Quality Improvement
  • Empirical Quality Results
        Force #6: Quality of Care