NRS 451VN Topic 3 Assignment: Quality Improvement Plan Nursing Leadership and Management
NRS 451VN Topic 3 Assignment: Quality Improvement Plan Nursing Leadership and Management
NRS 451VN Topic 3 Assignment Quality Improvement Plan Nursing Leadership and Management Sample
Nurses and nurse leaders implement diverse quality improvement (QI) initiatives with the aim of improving overall quality care and patient outcomes. Injuries like hip fractures and head fractures emanate from fall incidents, especially among elderly patients in nursing facilities. Imperatively, developing quality improvement initiatives to reduce and prevent falls and injuries occurring within clinical care settings is essential for nurses to deliver quality patient care and attain better outcomes. Nurses need knowledge and understanding about factors that make patients susceptible to falls and develop interventions that can reduce and prevent their occurrence (Zhao et al., 2019). The purpose of this paper is to present a fall prevention and injury reduction proposal for the facility to deal with the issue by training nurses as the target population. The proposal highlights the benefits of this initiative and its evaluation to ascertain efficacy and effectiveness.
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Purpose of the Quality Improvement Initiative
Falls are some of the most dangerous events in hospitals and lead to adverse effects on patients. Fall prevention becomes important since three percent of all hospitalized patients experience them. Thirty percent of these falls result in injuries, some which may be fatal like head injuries. Falling also delays one’s treatments keeps them longer in hospitals which translates to increased cost of care. The purpose of this quality improvement initiative is to offer sufficient information to nurses on ways to prevent falls and reduce injuries associated with them. Falls are a major safety concern for patients in all care settings, especially in acute care facilities. Studies show that preventing falls is essential in increasing positive patient outcomes and provider satisfaction (Morris et al., 2022). Knowing and implementing evidence-based practice (EBP) programs like the Centers for Disease Control and Prevention (2021) (CDC)’s STEADI (Stopping Elderly Accidents, Deaths, and Injuries), can help nurses to reduce and prevent the susceptibility of patients from falling and attaining long-term injuries that can cause disabilities.
Target Population or Audience
Nurses remain the frontline care providers who develop and implement initiatives aimed at reducing and preventing falls in their settings. As such, this quality improvement initiative targets nurses as the primary care providers and those closest to patients in their care settings. Nurses are patient advocates and the closest among healthcare workers (HCWs) and patients listen to them more than they can to other providers. Ensuring that nurses have sufficient knowledge and understanding as well as ways to implement these interventions is essential to preventing their occurrence. Falls lead to poor patient outcomes and offering training to nurses will provide increased yet significant benefits to the facility, patients and even nurses as well as other providers (Xia et al., 2022). Practitioners who attend to elderly patients and those with fragility due to their conditions will be the main target of this initiative aimed at scaling their abilities and competencies to address falls while on duty.
Benefits of the Quality Improvement Initiative
This initiative to reduce and prevent falls will accrue significant benefits to different stakeholders, from patients to their families, nurses, and the healthcare organization as well as the entire healthcare system. The initiative will focus on lowering the type and severity of medical conditions related to falls like fractures, bruises, and lacerations that may occur in mild situations. Furthermore, the initiative will reduce the possibility of intracranial bleeding as well as head trauma in severe cases. Through these approaches, patients will get fast recovery and shorten their stays in hospitals as well as the cost of care. Additionally, the fall prevention initiative will confer benefits to the family members of the patients as they will be pleased to see their people have lively sessions. Falls reduce one’s activities of daily living and impair their capacity to perform them independently (Morris et al., 2022). Consequently, families with such patients must take care of them upon their discharge before they attain full levels of recovery. Therefore, implementing the fall prevention initiative will offer benefits to the families as they not have to get time to care for their loved ones upon their discharge.
The final beneficiaries of this initiative will be healthcare providers as they spend most of their time with patients an attend to them due to their sustained injuries as a result of the falls. Introducing the initiative will allow the providers to offer the best care and have sufficient energy and time for all patients leading to quality care provision for them.
Inter-Professional Collaboration in Implementing Fall Prevention Initiative
The implementation of this initiative needs collaboration from different healthcare workers. These include primary care providers like nurses and physicians who will develop collaborations with physiotherapists to treat patients with fall injuries. The physiotherapists role would be to prevent falls among the patients and also help those with injuries to exercise (Heng et al., 2021). The physiotherapists and nurses will also provide patient education on different pain management approaches. Nurses will also collaborate with physicians and surgeons by producing daily reports on the progress of such patients for effective actions and decisions to improve care and recovery efforts.
Budget Requirements and Justification of Costs
Resources, especially funds will be needed to implement the fall prevention initiatives. Further, nurses and other providers can only prevent and reduce falls when they are aware of the factors that increase risk for falling. They will need fall prediction tools to evaluate the possibility and probability of one falling (Heng et al., 2020) The acquisition of these tools requires funds and requisite training on their use. Tools like physical functioning model will allow nurses to have a better prediction of the falls among patients. Imperatively, the initiative requires an initial allocation of about $20,000. The budget cost will cover all components of the initiative and allow its logical implementation.
Evaluation of the Initiative
The efficacy and effectiveness of this initiative will be assessed based on the outcomes of the falls in the facility. The evaluation will entail recording figures before the implementation and after. A decrease in cases of different types of injuries and fall incidences will indicate that the program is effective. A reduction in severe cases of falls and need for longer stays in the facility will also show that the program is effective (Morris et al., 2022). Having sufficient knowledge and tools to deal with falls among nurses will also demonstrate the effectiveness of the initiative.
Conclusion
Fall prevention initiative are essential aspects of quality improvement initiatives in diverse healthcare settings. These initiatives reduce the cost of care associated with the injuries and other adverse events emanating from falls, particularly among elderly patients. Therefore, this initiative will help nurses and patients as well as their families and healthcare facilities to lower the susceptibility to falls among patients.
References
Centers for Disease Control and Prevention (CDC). (2021). STEADI—Older Adult Fall
Prevention: Inpatient Care. https://www.cdc.gov/steadi/inpatient-care.html
Heng, H., Slade, S. C., Jazayeri, D., Jones, C., Hill, A. M., Kiegaldie, D., … & Morris, M. E.
(2021). Patient perspectives on hospital falls prevention education. Frontiers in public health, 9, 592440. https://doi.org/10.3389/fpubh.2021.592440
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A. M., & Morris, M. E. (2020). Hospital
falls prevention with patient education: a scoping review. BMC geriatrics, 20(1), 1-12. DOI: https://doi.org/10.1186/s12877-020-01515-w
Morris, M. E., Webster, K., Jones, C., Hill, A. M., Haines, T., McPhail, S., … & Cameron, I.
(2022). Interventions to reduce falls in hospitals: a systematic review and meta-analysis. Age and ageing, 51(5), afac077. https://doi.org/10.1093/ageing/afac077
Xia, L., Zheng, Y., Lin, Z., Chen, P., Mei, K., Zhao, J., … & Gu, Z. (2022). Gap between risk
factors and prevention strategies? A nationwide survey of fall prevention among medical and surgical patients. Journal of Advanced Nursing, 78(8): 2472-2481. https://doi.org/10.1111/jan.15177
Zhao, Y. L., Bott, M., He, J., Kim, H., Park, S. H., & Dunton, N. (2019). Evidence on fall and
injurious fall prevention interventions in acute care hospitals. JONA: The Journal of Nursing Administration, 49(2), 86-92. DOI: 10.1097/NNA.0000000000000715
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Assessment Description
In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (750-1,000 words) to present to the board, from which the board will make its decision to fund your program or project. Include the following:
The purpose of the quality improvement initiative.
The target population or audience.
The benefits of the quality improvement initiative.
The interprofessional collaboration that would be required to implement the quality improvement initiative.
The cost or budget justification.
The basis upon which the quality improvement initiative will be evaluated.
You are required to cite a minimum of three peer-reviewed sources to complete this assignment. Sources must be published within the last 5 years, appropriate for the assignment criteria, and relevant to nursing practice.
Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required.
This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.
DEAR WRITER,
For my executive summary assignment my idea for quality improvement in my workplace is Fall Prevention and Injury Reduction.
TARGET POPULATION- NURSES