DNP 835 Assignment: Quality and Sustainability Paper Part 1

DNP 835 Assignment: Quality and Sustainability Paper Part 1

DNP 835 Assignment: Quality and Sustainability Paper Part 1

Assessment Description

This assignment will be completed in two parts, which will be synthesized into a final paper.

The purpose of this assignment is to investigate a quality and/or safety issue in a health care entity. You will use the issue and health care entity that you select in this assignment for Part 2 of the paper and for the sustainability assignments. You may use an issue identified at the practice site in your DPI Project.

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General Guidelines:

Use the following information to ensure successful completion of the assignment:

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.
This assignment requires that you support your position by referencing six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.
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.
Directions:

Write a paper (1,500-1,750 words) discussing the role of quality or safety in nursing practice. Include the following:

In your own words, define quality and safety measures and describe their relationship and role in nursing practice today.
Create a table that identifies three barriers, and three facilitators or methods for addressing the barriers, in today’s health care that impact both patient outcomes and organizational outcomes. Evaluate two of the barriers and provide solutions for how health care organizations can overcome them. Describe two of the facilitators or methods and explain how the facilitators or methods will assist overcoming or reducing barriers. Attach the table as an appendix to your paper.
Identify a health care entity. Provide an overall description of this entity without using the real name (e.g., location, size, profit or nonprofit, years in operation). In addition to not using the name of the health care entity, do not use the name of any person described.
Select a specific contemporary quality and/or safety issue that is measured at the health care entity and explain how that measure is applied in nursing practice. You will use this selected issue for all quality and sustainability assignments.
Describe the current quality and/or safety program the health care entity has in place to address the quality and/or safety issue you selected. Describe the key quality measures or components currently used to analyze the health care program’s outcome. Discuss what is working and what is not working.
Summarize the specific variables used to track improvement of the health care quality and/or safety program’s outcome.
Quality and Sustainability Paper: Part 1 – Rubric

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GRID

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Rubric Criteria
Total

125 points

Criterion

1. Unsatisfactory

2. Insufficient

3. Approaching

4. Acceptable

5. Target

Six to Eight Scholarly Research Sources

Six to Eight Scholarly Research Sources

0 points

None of the required elements (minimum of six topic-related scholarly research sources and six in-text citations) are present.

5 points

Not all required elements are present. One or more elements are missing, or included sources are not scholarly research or topic-related.

5.5 points

All required elements are present. Scholarly research sources are topic-related, but the source and quality of one or more references is questionable.

5.75 points

All required elements are present. Scholarly research sources are topic-related and obtained from reputable, professional sources.

6.25 points

All required elements are present. Scholarly research sources are topic-related and obtained from highly respected, professional, original sources.

Contemporary Quality and/or Safety Issue at Health Care Entity

A contemporary quality or safety issue measured at the selected health care entity is identified. Explanation for how measure applies to nursing practice.

0 points

A contemporary quality and/or safety issue measured at the selected health care entity, and an explanation for how the measure apples to nursing practice, is omitted.

10 points

The quality and/or safety issue identified is not a relevant issue for contemporary nursing. The explanation for the identified quality and/or safety issue is incomplete.

11 points

A generally relevant contemporary quality and/or safety issue measured at the health care entity is selected. The issue is summarized but some aspects are vague. A general explanation for how the measure is applied in nursing practice is presented. There are some inaccuracies. More information is needed to adequately support the explanation.

11.5 points

A relevant contemporary quality and/or safety issue measured at the health care entity is selected; The issue is adequately described. An explanation for how the measure is applied in nursing practice is presented. Some detail is needed for clarity or accuracy.

12.5 points

A highly relevant contemporary quality and/or safety issue measured at the health care entity is selected; the issue is thoroughly described. A well-supported explanation for how the measure is applied in nursing practice is presented.

Thesis, Position, or Purpose

Communicates reason for writing and demonstrates awareness of audience.

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

5 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

5.5 points

The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.

5.75 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

6.25 points

The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.

Quality and/or Safety Measures

Define quality and safety measures. Describe relationship and role of measures in nursing practice.

0 points

Narrative does not utilize quality and safety; the relationship to nursing practice is not described.

10 points

The definition of quality and safety is inaccurate, incomplete, or lacks support. A relationship between quality and safety and nursing practice is not established. The narrative demonstrates a minimal understanding of quality and safety.

11 points

The representation of quality and safety is accurate but lacks specific elements important to quality and safety. A general relationship to nursing practice is established, but the role of quality and safety in nursing practice is unclear or does not represent nursing practice today.

11.5 points

Quality and safety are accurately described in the words of the learner. The role and relationship to nursing practice is adequately established. The narrative demonstrates an understanding of quality and safety.

12.5 points

Quality and safety are accurately and thoroughly described in the words of the learner. The role and relationship to nursing practice is clearly established. The narrative demonstrates a functional understanding of quality and safety.

Barriers and Facilitators/Methods Table

Three barriers and three facilitators or methods to address barriers in contemporary health care impacting both patient and organizational outcomes. Solutions for how organizations can overcome two of the barriers, and how two of the facilitators or methods will assist to reduce or overcome barriers. Table is attached in appendix to paper.

0 points

Three barriers, and three facilitators or methods to address the barriers, in contemporary health care impacting both patient and organizational outcomes are omitted.

10 points

The barriers, and facilitators or methods for addressing the barriers, are incomplete. Overall, these are not relevant to contemporary health care or they do not impact both patient and organizational outcomes. A table is not used to present the findings; or a table is used but is not attached in an appendix to the paper.

11 points

Three barriers and three facilitators or methods to address the barriers are identified, but one of the selected items is not relevant to contemporary nursing practice. Solutions for how organizations can overcome two of the barriers, and how two of the facilitators or methods will assist to reduce or overcome barriers, are summarized. A table is used to present the findings, but some aspects are vague. The table is attached in an appendix to the paper.

11.5 points

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Three barriers and three facilitators or methods to address the barriers in contemporary health care impacting both patient and organizational outcomes are identified. Solutions for how organizations can overcome two of the barriers, and how two of the facilitators or methods will assist to reduce or overcome barriers, are adequately discussed. The barriers and facilitators or methods are generally relevant to contemporary nursing practice and are presented clearly on the table. The table is attached in an appendix to the paper.

12.5 points

Three barriers and three facilitators or methods to address the barriers in contemporary health care impacting both patient and organizational outcomes are clearly identified. Solutions for how organizations can overcome two of the barriers, and how two of the facilitators or methods will assist to reduce or overcome barriers, are thoroughly discussed. The barriers and facilitators or methods are highly relevant to contemporary nursing practice and are presented using a well-organized table. The table is attached in an appendix to the paper.

Current Quality and/or Safety Program at Health Care Entity and Quality Measured in Place

Current quality and/or safety program at heath care entity to address selected issue. Key quality measures and/or components needed to analyze health care program outcomes are described.

0 points

The current quality and/or safety program the heath care entity has in place to address the selected issue is not described. The description of the key quality measures and/or components needed to analyze the selected health care program outcomes is omitted.

15 points

The current quality and/or safety program the heath care entity has in place to address the selected issue is partially described. The description of the key quality measures and/or components needed to analyze the selected health care program outcomes is incomplete. It is unclear what is and what is not working.

16.5 points

The current quality and/or safety program the heath care entity has in place to address the selected issue is outlined. General quality measures and/or components needed to analyze the selected health care program outcomes is generally described. An outline of what is and is not working is presented. More information or rationale is needed.

17.25 points

The current quality and/or safety program the heath care entity has in place to address the selected issue is adequately described. Key quality measures and/or components needed to analyze the selected health care program outcomes are adequately described. A discussion of what is and is not working is presented. Some detail is needed for clarity or accuracy.

18.75 points

The current quality and/or safety program the heath care entity has in place to address the selected issue is thoroughly described. Key quality measures and/or components needed to analyze the selected health care program outcomes are thoroughly described. A discussion of what is and is not working is clearly presented. The narrative is well supported and provides rationale for the measures and/or components identified.

Format/Documentation

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,

0 points

Appropriate format is not used. No documentation of sources is provided.

7 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

7.7 points

Appropriate format and documentation are used, although there are some obvious errors.

8.05 points

Appropriate format and documentation are used with only minor errors.

8.75 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.

Evidence

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

5 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

5.5 points

Relevant evidence that includes other perspectives is used.

5.75 points

Specific and appropriate evidence is included. Other perspectives are integrated.

6.25 points

Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.

Development, Structure, and Conclusion

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

5 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

5.5 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

5.75 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.

6.25 points

The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.

Variables for Tracking Improvement

Specific variables used to track improvement of heath care outcome.

0 points

The specific variables used to track improvement of the health care program outcome are not presented.

10 points

Variables used to track improvement of the health care program outcome are only partially presented.

11 points

General variables used to track improvement of the health care program outcome are presented. More information is needed. Some aspects are vague.

11.5 points

Variables used to track improvement of the health care program outcome are outlined. Some detail is needed for clarity.

12.5 points

The specific variables used to track improvement of the health care program outcome are clearly outlined.

Mechanics of Writing

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

8 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

8.8 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

9.2 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

10 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

Health Care Entity

Description of identified health care entity.

0 points

A health care entity is omitted.

10 points

A health care entity is vaguely identified; the name of the organization or individuals in the organization are used. The description of the entity is incomplete.

11 points

A health care entity is outlined without naming the entity or any individual. The outline includes general detail. More information is needed to adequately present the health care entity.

11.5 points

A health care entity is adequately described without naming the entity or any individual. The description includes many key details such as location, size, profit or nonprofit status, and years in operation. Some detail is needed for clarity or accuracy.

12.5 points

A health care entity is thoroughly described without naming the entity or any individual. The description includes location, size, profit or nonprofit status, years in operation, and other necessary details. The description provides insight into the health care entity.