NURS 8302 Full Course Discussions & Assignments (Week 1-11)

NURS 8302 Week 1 Discussion: QUALITY AND SAFETY IN HEALTHCARE AND NURSING PRACTICE

How will you, as a future DNP-prepared nurse, keep patients safe? This is a multi-layered question with many different answers. Yet, it is important to note that as the nurse leader, quality and safety measures are at the forefront of how you deliver nursing practice.

Quality and safety measures are integral components in healthcare. According to Nash et al. (2019), “Around the end of the twentieth century and the start of the twenty-first, a number of reports presented strong evidence of widespread quality deficiencies and highlighted a need for substantial change to ensure high-quality care for all patients” (p. 5). Understanding the prominence of error, it is important to consider your role as a DNP-prepared nurse.

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For this Discussion, take a moment to consider your experience with quality and safety in your nursing practice. Reflect on your experience and consider how your role may support quality and safety measures.

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Reference:

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:

Review the Learning Resources for this week.

Reflect on your experience with nursing practice, specifically as it relates to the function of quality and safety. For example, consider whether your current organization supports quality and safety. How might your role help to support these measures in your organization or nursing practice?

BY DAY 3 OF WEEK 1

Post a brief description of any previous experience with quality and safety. Then, explain how your role as the DNP-prepared nurse represents a function of quality and safety for nursing practice and healthcare delivery. Be specific and provide examples.

BY DAY 5 OF WEEK 1

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or suggesting an additional alternative perspective on quality and safety.

NURS 8302 Week 2 Discussion: QUALITY INDICATORS

Florence Nightingale introduced research to the field of nursing, and with this introduction, a focus on improving patient care has continued to be at the forefront of nursing practice. Improving patient care lends itself to the study of quality care and patient safety, and nurse-sensitive quality indicators highlight the elements of healthcare in which patients are directly impacted by the care provided by nurses.

What are nurse-sensitive indicators? What elements of a patient’s care are directly impacted by the role and delivery of care of nurses? How might these nurse-sensitive indicators change healthcare delivery and the nursing profession for a future DNP-prepared nurse?

For this Discussion, you will explore your understanding of nurse-sensitive indicators of quality by reflecting on those quality indicators that may pertain most to your practice setting. You will conduct a literature search for articles that address these quality indicators and reflect on the connections between the quality indicators and quality improvement theories and philosophies.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

Chapter 3, “Variation in Medical Practice and Implications for Quality” (pp. 75–101)

Chapter 7, “Health Information Technology in Healthcare Quality and Safety: Prevention, Identification, and Action” (pp. 189–211)

Agency for Healthcare Research and Quality. (n. d.). Topic: Quality indicatorsLinks to an external site. (QIs). https://www.ahrq.gov/topics/quality-indicators-qis.html

American College of Surgeons. (2021). ACS National Surgical Quality Improvement ProgramLinks to an external site. (ACS NSQIP). https://www.facs.org/quality-programs/acs-nsqip?

American Nurses Association. (n. d.). Nursing qualityLinks to an external site.. https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality/

Centers for Medicare and Medicaid Services. (2011). Quality of care centerLinks to an external site.. https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center

National Quality ForumLinks to an external site.. (2021). https://www.qualityforum.org/Home.aspx

Polonsky, M. (2019). High-reliability organizations: The next frontier in healthcare quality and safetyLinks to an external site.. Journal of Healthcare Management, 64, 213-221. https://doi.org/10.1097/JHM-D-19-00098

The Leapfrog GroupLinks to an external site.. (n. d.). https://www.leapfroggroup.org/

Vermont Oxford Network. (n. d.). Databases and reportingLinks to an external site.. https://public.vtoxford.org/data-and-reports/

TO PREPARE:

Review the Learning Resources on quality indicators for this week. Focus on those quality indicators that most pertain to your practice setting.

Consider the influence of early quality improvement theories and philosophies on the development of those quality indicators.

Using the Walden Library, locate at least two scholarly research articles to focus on, for this Discussion, that discuss how quality indicators may influence your practice setting.

Select one definition of quality published by any peer-reviewed source that particularly resonates with your thinking about quality.

Identify and select at least two nurse-sensitive indicators of quality related to patient care. Note: Do not select nurse-sensitive indicators related to staffing.

BY DAY 3 OF WEEK 2

Post a brief description of the two nurse-sensitive indicators of quality that you selected. Analyze the influence of early quality improvement theories and philosophies on the development of the quality indicators you selected. Be specific. Then, cite the two (2) nursing research articles you selected, and explain how these indicators may influence your practice setting. Be specific and provide examples.

BY DAY 6 OF WEEK 2

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding on your colleague’s post and explaining how the quality indicators selected by your colleague may influence your practice setting.

NURS 8302 Week 3 Discussion: IDENTIFYING PRACTICE GAPS FOR QUALITY IMPROVEMENT

What should be happening in practice? What is happening or observed in practice?

These two questions help to identify where quality improvement practice gaps might exist in nursing practice. If we know what should be happening does not coincide with what is happening, we know there is an issue, or more appropriately, a practice gap.

A practice gap is the difference between a desirable or achievable state of practice and current reality. For example, a common gap in practice in healthcare organizations today, are healthcare associated infections (HAIs), such as central line associated blood stream infections (CLABSIs), or catheter associated urinary tract infections (CAUTIs).

The ongoing identification of practice gaps is critical to quality improvement and involves identifying the current state, comparing that current state to the desired state, identifying the causes of the gaps in practice, and validating those gaps to develop a process for improvement.

For this Discussion, reflect on quality improvement practice gaps that may exist in your practice or organization. Consider what quality improvement methods and/or tools might be useful in improving this practice gap. Then, think about how you might address these challenges and what strategies you might implement as a future DNP-prepared nurse.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

Chapter 4, “Data Collection” (pp. 107–26)

Chapter 5, “Statistical Tools for Quality Improvement” (pp. 127–169)

Agency for Healthcare Research and Quality. (2018)). Key driver 2Links to an external site.: Implement a data-driven quality improvement process to integrate evidence into practice procedures. https://www.ahrq.gov/evidencenow/tools/keydrivers/implement-qi.html

Required Media

Institute for Healthcare Improvement. (n.d.). Quality improvement essentials toolkitLinks to an external site. [Multimedia file]. http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx

TO PREPARE:

Review the Learning Resources on tools and methods for quality improvement.

Reflect on a potential quality improvement practice gap, you have seen in your practice or organization, which you might consider using for your DNP project.

Consider the tools and methods you might use to address this quality improvement practice gap.

BY DAY 3 OF WEEK 3

Post a brief explanation of how you would identify a quality improvement practice gap in your practice or organization. Describe a potential quality improvement practice gap you might use for your DNP project, and explain why. Then, explain at least two types of tools and/or methods you might use to address this quality improvement practice gap, and explain why. Be specific and provide examples.

BY DAY 6 OF WEEK 3

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post and suggesting alternative tools and/or methods your colleague might consider using to address the quality improvement practice gap they selected.

NURS_8302_Week3_Discussion_Rubric

NURS_8302_Week3_Discussion_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeMain Posting: Response to the Discussion question is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current scholarly sources.
44 to >39.0 pts

Excellent 90%–100%

Thoroughly responds to the Discussion question(s). Is reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module and current scholarly sources. No less than 75% of post has exceptional depth and breadth. Supported by at least three current scholarly sources that are correctly cited and formatted.

39 to >34.0 pts

Good 80%–89%

Responds to most of the Discussion question(s). Is somewhat reflective with critical analysis and synthesis representative of knowledge gained from the course readings for the module. 50% of the post has exceptional depth and breadth. Supported by at least three scholarly sources that are correctly cited and formatted.

34 to >30.0 pts

Fair 70%–79%

Responds to some of the Discussion question(s). One to two criteria are not addressed or are superficially addressed. Is somewhat lacking reflection and critical analysis and synthesis. Somewhat represents knowledge gained from the course readings for the module. Supported by fewer than two scholarly sources that are correctly cited and formatted.

30 to >0 pts

Poor 0%–69%

Does not respond to the Discussion question(s). Lacks depth or superficially addresses criteria. Lacks reflection and critical analysis and synthesis. Does not represent knowledge gained from the course readings for the module. Contains only one or no scholarly sources.
44 pts

This criterion is linked to a Learning OutcomeMain Posting: Writing
6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

Written clearly and concisely. May contain one to two grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Written somewhat clearly and concisely. May contain more than two spelling or grammatical errors. Contains some APA formatting errors. Edits are needed to follow standards for Standard Academic English.

3 to >0 pts

Poor 0%–69%

Not written clearly or concisely. Contains more than two spelling or grammatical errors. Does not adhere to current APA manual writing rules and style. Does not follow Standard Academic English for most of the post.
6 pts

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation
10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.
10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

Response exhibits critical thinking and application to practice settings. Responds to questions posed by faculty. Uses scholarly sources to support ideas. Demonstrates synthesis and understanding of learning objectives. Scholarly sources are correctly cited and formatted.

8 to >7.0 pts

Good 80%–89%

Response has some depth and may exhibit critical thinking or application to practice setting. Uses scholarly sources to support ideas. Demonstrates a beginning synthesis and understanding of learning objectives. Scholarly sources are correctly cited and formatted.

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing
6 to >5.0 pts

Excellent 90%–100%

Communication is professional and respectful to colleagues. Response to faculty questions is fully answered, if posed. Provides clear, concise opinions and ideas that are supported by two or more scholarly sources. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by at least two scholarly sources. Response is written in Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation
5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.

5 pts

Total Points: 100

NURS 8302 Week 4 Assignment 1: APPLYING PROJECT MANAGEMENT APPROACHES FOR A QUALITY IMPROVEMENT PRACTICE GAP

Project management allows for a clear and focused workflow to approach an issue or task. These approaches streamline a process, allow for checks and balances, and ensure all stakeholders are active participants in the process. Project management approaches often utilize SMART objectives to define and set the objectives for the project.

Each letter of the acronym SMART defines a different criterion for the objective. A SMART objective is specific, measurable, assignable, realistic, and timely. These objectives help to steer the work and direct the stakeholders to the completion of the project.

For this Assignment, you will reflect on project management approaches that could be used to address a quality improvement practice gap. You will develop SMART objectives for the planning and execution of a quality improvement project, and will consider potential project management approaches or activities that could be used in executing this project.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.

Chapter 3, “Design/Implementation: Project Management—Phase 1” (pp. 49–74)

Chapter 4, “Planning: Project Management—Phase 2” (pp. 75–120)

Chapter 5, “Implementation/Execution—Phase 3” (pp. 121–146)

Institute for Healthcare Improvement. (n.d.). Project planning formLinks to an external site.. http://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx

Required Media

Institute for Healthcare Improvement. (n.d.). RCA2: Improving root cause analyses and actions to prevent harmLinks to an external site. [Multimedia file]. http://www.ihi.org/resources/Pages/Tools/RCA2-Improving-Root-Cause-Analyses-and-Actions-to-Prevent-Harm.aspx

TO PREPARE:

Review the Learning Resources for this week, and consider the approaches of project management.

Refer to the Week 3 Discussion, and reflect on the quality improvement practice gap you identified.

Consider how you might apply the project management approaches examined this week to address the quality improvement practice gap you identified.

Think about how you might develop SMART objectives for the planning and execution of a project to address the quality improvement practice gap you identified.

Utilize the Walden University writing center setting SMART goals academic guide to develop your goals. This resource includes the SMART goal criteria, example goals, and a template for you to develop your own academic, professional, and personal SMART goals. https://academicguides.waldenu.edu/academic-skills-center/success-strategies/mindset-wellness/smart-goalsLinks to an external site.

Consider any other project management approaches or activities you might recommend using for your project that will address the quality improvement practice gap you identified.

THE ASSIGNMENT: (2–3 PAGES)

Briefly describe the quality improvement practice gap you identified in your nursing practice or organization. Be specific.

Develop at least two SMART objectives you might apply in the project planning phase or execution phase to address the quality improvement practice gap you identified.

Recommend at least two project management activities you would use for your project, addressing the quality improvement practice gap you identified. Explain your justification for why these activities would provide the best support. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632)Links to an external site.. All papers submitted must use this formatting.

BY DAY 7

Submit your Assignment by Day 7 of Week 4.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK4Assgn1_LastName_Firstinitial

Then, click on Start Assignment 1 near the top of the page.

Next, click on Upload File and select Submit Assignment 1 for review.

Rubric

NURS_8302_Week4_Assignment1_Rubric

NURS_8302_Week4_Assignment1_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeBriefly describe the quality improvement practice gap you identified in your nursing practice or organization. Be specific.

25 to >22.0 pts

Excellent

The response accurately and clearly describes in detail the quality improvement practice gap identified in their nursing practice or organization…. The response provides accurate and specific details that fully support the selection of the quality improvement practice gap identified.

22 to >19.0 pts

Good

The response accurately describes the quality improvement practice gap identified in their nursing practice or organization…. The response provides accurate details that support the selection of the quality improvement practice gap identified.

19 to >17.0 pts

Fair

The response inaccurately or vaguely describes the quality improvement practice gap identified in their nursing practice or organization…. The response provides inaccurate or vague details that may support the selection of the quality improvement practice gap identified.

17 to >0 pts

Poor

The response inaccurately and vaguely describes the quality improvement practice gap identified in their nursing practice or organization, or it is missing…. The response provides inaccurate and vague details that do not support the selection of the quality improvement practice gap identified, or it is missing.
25 pts

This criterion is linked to a Learning OutcomeDevelop at least two SMART objectives you might apply in the project planning phase or execution phase to address the quality improvement practice gap you identified.
35 to >31.0 pts

Excellent

The response accurately and completely develops two SMART objectives that comprehensively address the quality improvement gap identified.

31 to >27.0 pts

Good

The response accurately develops two SMART objectives to address the quality improvement gap identified.

27 to >24.0 pts

Fair

The response inaccurately or vaguely develops two SMART objectives to address the quality improvement gap identified. OR The response develops less than two SMART objectives.

24 to >0 pts

Poor

The response inaccurately and vaguely develops two SMART objectives to address the quality improvement gap identified, or it is missing.
35 pts

This criterion is linked to a Learning OutcomeRecommend at least two project management activities you would use for your project addressing the quality improvement practice gap you identified, and explain your justification for why these activities would provide the best support. Be specific, and provide examples.

25 to >22.0 pts

Excellent

The response accurately and clearly describes in detail two project management activities to address the quality improvement practice gap identified…. The response includes relevant, specific, and appropriate examples that fully support the justification for the use of project management activities to address the quality improvement practice gap identified.

22 to >19.0 pts

Good

The response accurately describes two project management activities to address the quality improvement practice gap identified…. The response includes relevant, specific, and accurate examples that support the justification for the use of project management activities to address the quality improvement practice gap identified.

19 to >17.0 pts

Fair

The response inaccurately or vaguely describes two project management activities to address the quality improvement practice gap identified…. OR… The response recommends less than two project management activities. … The response includes inaccurate and irrelevant examples that may support the justification for the use of project management activities to address the quality improvement practice gap identified.

17 to >0 pts

Poor

The response inaccurately and vaguely describes two project management activities to address the quality improvement practice gap identified, or it is missing…. The response includes inaccurate and vague examples that do not support the justification for the use of project management activities to address the quality improvement practice gap identified, or it is missing.

25 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria.
5 to >4.0 pts

Excellent

Paragraphs and sentences follow writing standards for flow, continuity, and clarity…. A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 to >3.0 pts

Good

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 80% of the time. Purpose, introduction, and conclusion of the assignment is stated, yet is brief and not descriptive.

3 to >2.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

2 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

2 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – The paper follows correct APA format for title page, headings, font, spacing, margins, indentations, page numbers, parenthetical/in-text citations, and reference list.

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.0 pts

Good

Contains a few (1 or 2) APA format errors.

3 to >2.0 pts

Fair

Contains several (3 or 4) APA format errors.

2 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

NURS 8302 Week 4 Assignment 2: TOOLS FOR MEASURING QUALITY

How do we determine quality? Quality in other areas of our lives can be subjective, so how do we ensure—specifically as it relates to our nursing practice—that quality is clearly defined and measurable?

Tools for measuring quality are used to assess the value measured, collected, or compared. These tools allow for subjectivity to be replaced with objectivity through data, formula, ranking, and analysis.

For this Assignment, you will explore at least three rate-based measures of quality. You will deconstruct each measure to explore your understanding of the measure, its importance, and its impact on patient safety, cost of healthcare, and overall quality of healthcare.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:

Review the Learning Resources, for this week, and reflect on tools for measuring quality in nursing practice.

Select three rate-based measurements of quality that you would like to focus on for this Assignment.

Note: These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the patient’s experience of care. For the purposes of this Assignment, an analysis of staffing levels is not permitted.

You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose only one of the three measures to be some form of patient satisfaction measure.

Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the measures were collected, and how these measures are communicated to both internal and external stakeholders.

Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance.

Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of healthcare, and overall quality of healthcare.

THE ASSIGNMENT: (8–10 PAGES)

Describe the three rate-based measures of quality you selected, and explain why.

Deconstruct each rate-based measure to include the following:

Describe the definition of the measure.

Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula used to construct the rate, etc.).

Explain how the data for this measure are collected.

Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a percentile ranking. Be specific.

Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.

Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be specific and provide examples.

Describe the importance of each rate-based measure to a chosen clinical organization and setting.

Using the websites and resources, you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health plan, an outpatient clinic, or private office; a total population of patient types is also acceptable, but please be specific as to the setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings.

Note: Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the Instructor for guidance. You do not need actual data from a given organization to complete this Assignment.

Explain how each rate-based measure (you selected) relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific and provide examples.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.

BY DAY 7

Submit your Assignment by Day 7 of Week 4.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK4Assgn2_LastName_Firstinitial

Then, click on Start Assignment 2 near the top of the page.

Next, click on Upload File and select Submit Assignment 2 for review.

Rubric

NURS_8302_Week4_Assignment2_Rubric

NURS_8302_Week4_Assignment2_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeDescribe the three rate-based measures of quality you selected, and explain why.

20 to >17.0 pts

Excellent

The response accurately and clearly describes in detail three rate-based measures of quality…. The response provides accurate and specific details that fully support the selection of the three rate-based measures described.

17 to >15.0 pts

Good

The response accurately describes three rate-based measures of quality…. The response provides accurate details that support the selection of the three rate-based measures described.

15 to >13.0 pts

Fair

The response inaccurately or vaguely describes three rate-based measures of quality…. OR… The response describes less than three rate-based measures of quality…. The response provides inaccurate or vague details that may support the selection of the rate-based measures described.

13 to >0 pts

Poor

The response inaccurately and vaguely describes three rate-based measures of quality, or it is missing…. The response provides inaccurate and vague details that do not support the selection of the rate-based measures described, or it is missing.

20 pts

This criterion is linked to a Learning OutcomeDeconstruct each rate-based measure to include the definition of each measure, explanation of the numerical description of how the measure is constructed, explanation of how the data is collected, description of how the measure is compared externally, explanation of whether or not the measure is risk adjusted, and a description of the how goals might be set for each measure. Be specific, and provide examples.

25 to >22.0 pts

Excellent

The response accurately and clearly explains in detail each of the three rate-based measures…. The response accurately and clearly explains all elements of each measure, including: the definition of the measure, explanation of the numerical description, explanation of how the data is collected, description of how the measure is compared, explanation of risk, and description of goals…. The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the three rate-based measures described.

22 to >19.0 pts

Good

The response accurately explains each of the three rate-based measures…. The response accurately explains the elements of each measure, including: the definition of the measure, explanation of the numerical description, explanation of how the data is collected, description of how the measure is compared, explanation of risk, and description of goals…. The response includes relevant, specific, and accurate examples that support the explanations provided for each of the three rate-based measures described.

19 to >17.0 pts

Fair

The response inaccurately or vaguely explains each of the three rate-based measures…. The response inaccurately or vaguely explains the elements of each measure…. The response includes inaccurate and irrelevant examples that may support the explanations provided for each of the three rate-based measures described.

17 to >0 pts

Poor

The response inaccurately or vaguely explains each of the three rate-based measures, or it is missing…. The response inaccurately or vaguely explains the elements of each measure, or it is missing…. The response includes inaccurate and vague examples that do not support the explanations provided for each of the three rate-based measures described, or it is missing.

25 pts

This criterion is linked to a Learning OutcomeDescribe the importance of each measure to a chosen clinical organization and setting. Be specific as to the setting.
20 to >17.0 pts

Excellent

The response accurately and clearly explains in detail the importance of each measure to a chosen clinical organization and setting. … The response provides accurate and specific details that fully support the selection of the three rate-based measures and the clinical organization or setting described.

17 to >15.0 pts

Good

The response accurately explains the importance of each measure to a chosen clinical organization and setting. … The response provides accurate details that support the selection of the three rate-based measures and the clinical organization or setting described.

15 to >13.0 pts

Fair

The response inaccurately or vaguely explains the importance of each measure to a chosen clinical organization and setting. … The response inaccurately or vaguely provides details that may support the selection of the three rate-based measures and the clinical organization or setting described.

13 to >0 pts

Poor

The response inaccurately and vaguely explains the importance of each measure to a chosen clinical organization and setting, or it is missing…. The response inaccurately and vaguely provides details that do not support the selection of the three rate-based measures and the clinical organization or setting described, or it is missing.

20 pts

This criterion is linked to a Learning OutcomeExplain how each rate-based measure you selected relates to patient safety, to the cost of poor quality, and to the overall cost of healthcare delivery. Be specific, and provide examples
20 to >17.0 pts

Excellent

The response accurately and clearly explains in detail how each rate-based measure relates to patient safety, cost of poor quality, and overall cost of healthcare delivery…. The response includes relevant, specific, and appropriate examples that fully support the explanations provided for each of the rate-based measures described.

17 to >15.0 pts

Good

The response accurately explains how each measure relates to patient safety, cost of poor quality, and overall cost of healthcare delivery…. The response includes relevant, specific, and accurate examples that support the explanations provided for each of the rate-based measures described.

15 to >13.0 pts

Fair

The response inaccurately or vaguely explains how each measure relates to patient safety, cost of poor quality, and overall cost of healthcare delivery…. The response includes inaccurate and irrelevant examples that may support the explanations provided for each of the rate-based measures described.

13 to >0 pts

Poor

The response inaccurately and vaguely explains how each measure relates to patient safety, cost of poor quality, and overall cost of healthcare delivery, or it is missing…. The response includes inaccurate and vague examples that do not support the explanations provided for each of the rate-based measures described, or it is missing.
20 pts

Excellent

4 to >3.5 pts

Good

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100

NURS 8302 Week 5 Discussion: MEASUREMENT SYSTEMS AND METHODS

You are a DNP-prepared nurse working at a hospital focused on improving patient satisfaction. After receiving care at your hospital, patients are provided a scorecard to survey their patient experience. The patient surveys range in questions from wait time to effectiveness of care, and these surveys provide your hospital with a scorecard indicating how the hospital is performing against these metrics. Upon reviewing the scorecards, you are able to highlight areas of improvement and areas of success, however, you find the responses are often difficult to analyze, as there are a wide range of responses, and there are many variables.The process of constructing a balanced scorecard for the tracking of patient satisfaction can be controversial. For example, a hospital’s patient satisfaction scorecard provides a snapshot of gathered data for the hospital, but the data may be out of context, which makes it difficult to identify specific problems. It is evident that both scorecards and dashboards have a place in the healthcare setting; however, will all organizations and accrediting bodies agree on the aspects of implementation, data analysis, and levels of effectiveness?

For this Discussion, you will explore key indicators involved with the use of scorecards and dashboards for tracking organizational performance. Reflect on a particular healthcare organization or nursing practice with an established scorecard or dashboard measuring patient experience.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

Chapter 9, “The Patient Experience” (pp. 233–251)

Centers for Medicare and Medicaid Services. (2020). HCAHPS: Patients’ perspectives of care surveyLinks to an external site.. https://www.cms.gov/Medicare/Quality-Initiatives-Patient-Assessment-Instruments/HospitalQualityInits/HospitalHCAHPS

Walden University, LLC. (2021). DNP Project Faculty advisor and site identification—matching request formLinks to an external site.. https://laureateone.my.salesforce-sites.com/form

Document: Organization Meeting Summary (Word document)Download Organization Meeting Summary (Word document)

TO PREPARE:

Review the Learning Resources for this week, and reflect on how a healthcare organization or nursing practice setting uses scorecards and dashboards.

Select any healthcare organization or nursing practice setting that has an established scorecard or dashboard measuring patient experience and improvement goals.

Be sure to obtain an example of the scorecard or dashboard from the healthcare organization or nursing practice setting (you selected) for this Discussion.

Reflect on how these measurement systems and measurement methods may impact organizational goal setting in the areas of overall performance and financial stability.

Explore the key indicators involved with scorecards and dashboards, as well as the external quality standards to which they are compared.

Reflect on what the metrics used in the balanced scorecards and dashboards might mean to your specific organization and/or nursing practice. Has your organization established goals for these or similar metrics and are they currently being met? Why, or why not?

BY DAY 3 OF WEEK 5

Post a brief description of the healthcare organization or nursing practice setting you selected. Summarize the measures on the scorecard or dashboard in which patient experience of care is measured, tracked, and used to set improvement goals. Be specific. Explain whether goals at your organization are established, for these metrics you reviewed, and whether or not they are currently being met. Then, describe the potential impacts of meeting or not meeting these metrics for your healthcare organization, and explain why. Be specific and provide examples.

BY DAY 6 OF WEEK 5

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative interpretation of the patient experience measures described by your colleague as they might relate to your specific practice or organization.

NURS_8302_Week5_Discussion_Rubric

Criteria Ratings Pts

44 to >39.0 pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

6 pts

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation
10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date

10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation
5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

NURS 8302 Week 6 Discussion: QUALITY IMPROVEMENT INITIATIVE

Your organization has recently discovered there have been too frequent errors in medication distribution. After launching an investigation in the matter, and discovering the reasons for the errors, your organization is ready to launch a quality improvement initiative. What might this initiative entail? What is included, and how will it assist in eliminating these errors?

The purpose of the Quality Improvement (QI) Plan is to provide a formal ongoing process by which the organization and stakeholders utilize objective measures to monitor and evaluate the quality of services—both clinical and operational—provided to the patients. The QI Plan, which often addresses general medical behavioral health and oral healthcare and services, defines and facilitates a systematic approach to identify and pursue opportunities to improve services and resolve identified problems (Health Resources and Services Administration, 2011).

For this Discussion, review the Learning Resources. Then, reflect on how adverse events impact your organization and/or nursing practice. Consider the use of quality improvement initiative in the error rate, using scholarly articles to analyze.

Reference:

U. S. Department of Health and Human Services Health Resources and Services Administration. (2011). Developing and implementing a QI plan. https://www.hrsa.gov/sites/default/files/quality/toolbox/508pdfs/developingqiplan.pdf

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Agency for Healthcare Research and Quality. (2022). Primary care practice facilitation curriculumLinks to an external site.. https://www.ahrq.gov/ncepcr/tools/transform-qi/deliver-facilitation/curriculum/index.html

Association of Maternal and Child Health Programs. (2017). Quality improvement in maternity care via project ECHOLinks to an external site.. https://amchp.org/wp-content/uploads/2021/05/Project-ECHO_Practice-Handout_Emerging.pdf

Knox, L., & Brach, C. (2015). Module 20. Creating quality improvement teams and QI plansLinks to an external site.. In, Primary care practice facilitation curriculumLinks to an external site.. Agency for Healthcare Research and Quality. https://www.ahrq.gov/sites/default/files/wysiwyg/ncepcr/tools/PCMH/pcpf-module-20-creating-qi-teams.pdf

Walden University, LLC. (2021). Doctoral committee matching formLinks to an external site..

Document: Organizational Culture Assessment Tool (Word document)Download Organizational Culture Assessment Tool (Word document)

Document: Organization Meeting Summary (Word document)Download Organization Meeting Summary (Word document)

TO PREPARE:

Review the Learning Resources for this week, and reflect on the types of quality improvement (QI) initiatives that might be most relevant to your healthcare organization or nursing practice.

Select a QI initiative, you are most familiar with, that has received support from your senior leaders in your healthcare organization or nursing practice.

Consider how adverse events are handled in your healthcare organization or nursing practice. Reflect on how this may impact the public—as well as the internal—perspective on healthcare quality.

Find a scholarly article or one from the public press, published within the last 5 years, that recounts a serious error. Reflect on this error, and consider how it may relate to your healthcare organization or nursing practice.

BY DAY 3 OF WEEK 6

Post a brief explanation of the QI initiative you selected, and why. Be specific. Explain how adverse events are handled in your healthcare organization or nursing practice, including an explanation of how this may impact both public and internal perspectives on healthcare quality. Then, briefly describe the error rate from the article you selected, and explain how this may relate to your healthcare organization or nursing practice. Be specific and provide examples.

BY DAY 6 OF WEEK 6

NURS_8302_Week6_Discussion_Rubric

Criteria Ratings Pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

44 pts

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation

10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.

10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.

5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

NURS 8302 Week 6 Assignment 1: ORGANIZATIONAL CULTURE ASSESSMENT TOOL

Your organization is ready to implement a quality improvement initiative; however, it is becoming increasingly clear that perhaps not everyone is on board with the proposal.

What could be contributing to this potential resistance? How might organizational culture impact or influence the ability to engage in quality improvement initiatives?

Organizational culture is the shared way of thinking or feeling in a given organization. This culture creates the dynamic for a willingness to change and/or improve. For example, if an organizational culture is one in which change is welcomed to improve and all voices are encouraged to be shared, the implementation of a quality improvement initiative will likely be accepted and supported. However, if an organizational culture is one in which the acknowledgement of mistakes are penalized and only leadership voices are respected, the implementation of a quality improvement initiative may be met with hesitation and skepticism.

For this Assignment, you will consider the impact of cultural and organizational readiness as it relates to the implementation of quality improvement initiatives. You will consider the leadership strategies needed to support these measures and complete an Organizational Culture Assessment Tool.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Walden University, LLC. (2021). Doctoral committee matching formLinks to an external site..

Document: Organizational Culture Assessment Tool (Word document)Download Organizational Culture Assessment Tool (Word document)

Document: Organization Meeting Summary (Word document)

TO PREPARE:

Review the Learning Resources regarding the implementation of quality improvement initiatives.

Consider what stakeholders must be present to implement these initiatives, and reflect on the leadership strategies needed for success in promoting quality improvement initiatives in healthcare organizations and nursing practice.

Select a healthcare organization or nursing practice (with which you are familiar) to complete the Organizational Culture Assessment Tool.

THE ASSIGNMENT: (2–3 PAGES)

Complete the Organizational Culture Assessment Tool for the healthcare organization or nursing practice you selected. Then, address the following:

What is the state of cultural/organizational readiness for quality improvement?

Is the organizational culture present for quality improvement?

What leadership strategies are present in the organization to support quality improvement, positive patient experiences, and healthcare quality?

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.

BY DAY 7

Submit your completed Organizational Culture Assessment Tool and the responses to the prompts for this Assignment by Day 7 of Week 6.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK6Assgn1_LastName_Firstinitial

Then, click on Start Assignment 1 near the top of the page.

Next, click on Upload File and select Submit Assignment 1 for review.

Rubric

NURS_8302_Week6_Assignment1_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeComplete the Organizational Culture Assessment Tool for the healthcare organization or nursing practice selected.
10 to >8.0 pts

Excellent

A fully completed Organizational Culture Assessment Tool for the healthcare organization or nursing practice selected is submitted.

8 to >7.0 pts

Good

A mostly completed Organizational Culture Assessment Tool for the healthcare organization or nursing practice selected is submitted.

7 to >6.0 pts

Fair

An inaccurate or incomplete Organizational Culture Assessment Tool for the healthcare organization or nursing practice selected is submitted.

6 to >0 pts

Poor

An inaccurate and incomplete Organizational Culture Assessment Tool for the healthcare organization or nursing practice selected is submitted, or it is missing.

10 pts

This criterion is linked to a Learning OutcomeAssess the state of cultural/organizational readiness for quality improvement.
25 to >22.0 pts

Excellent

The response accurately and clearly explains in detail an assessment of the state of cultural/organizational readiness for quality improvement.

22 to >19.0 pts

Good

The response accurately explains and assesses the state of cultural/organizational readiness for quality improvement.

19 to >17.0 pts

Fair

The response inaccurately or vaguely explains and assesses the state of cultural/organizational readiness for quality improvement.

17 to >0 pts

Poor

The response inaccurately and vaguely explains and assesses the state of cultural/organizational readiness for quality improvement, or it is missing.
25 pts

This criterion is linked to a Learning OutcomeAssess whether organizational culture is present for quality improvement.

25 to >22.0 pts

Excellent

The response accurately and clearly explains in detail an assessment of whether organizational culture is present for quality improvement.

22 to >19.0 pts

Good

The response accurately explains an assessment of whether organizational culture is present for quality improvement.

19 to >17.0 pts

Fair

The response inaccurately or vaguely explains an assessment of whether organizational culture is present for quality improvement.

17 to >0 pts

Poor

The response inaccurately and vaguely explains an assessment of whether organizational culture is present for quality improvement, or it is missing.
25 pts

This criterion is linked to a Learning OutcomeIdentify and assess leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality.
25 to >22.0 pts

Excellent

The response comprehensively assesses and fully identifies leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality.

22 to >19.0 pts

Good

The response identifies and assesses leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality.

19 to >17.0 pts

Fair

The response inaccurately or vaguely identifies, and may assess, the leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality.

17 to >0 pts

Poor

The response inaccurately and vaguely identifies the leadership strategies present in the organization to support quality improvement, positive patient experiences, and healthcare quality, or it is missing.
25 pts

Excellent

4 to >3.5 pts

Good

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity < 60% of the time…. No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

5 to >4.0 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.

5 pts

Total Points: 100

NURS 8302 Week 6 Assignment 2: DNP PROJECT FACULTY ADVISOR AND SITE IDENTIFICATION—MATCHING REQUEST FORM

For this Assignment, you will:

Complete the one-page PROJECT SUMMARY for this assignment including the following information for the planned DNP Project:

Planned Project Title

Organization (site name/type of setting)

Location (city, state, and/or country)

Practice gap or practice change

Proposed Type of Project (clinical practice guideline, staff education, quality improvement initiative)

Complete the Doctoral Committee Matching form (and upload the PROJECT SUMMARY paper) using this link.Links to an external site.

Submit the one-page PROJECT SUMMARY and a screenshot of the confirmation for the assignment (i.e., Thank you. You have successfully submitted your capstone committee member request form.)

Note: You will submit this form using the link provided above or in the Learning Resources for this week. Follow the submission and grading directions below to submit a copy of the confirmation email of your DNP Project Advisor and Site Identification—Matching Request Form (you will receive an email that the form was received). To receive credit for this Assignment submission, upload a copy of the email that verifies that your submission of the form was received.

COMPLETION OF THIS ASSIGNMENT IS REQUIRED TO MEET THE CLINICAL REQUIREMENTS OF THIS COURSE AND EARN A PASSING GRADE IN NURS 8302.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK6Assgn2_LastName_Firstinitial

Then, click on Start Assignment 2 near the top of the page.

Next, click on Upload File and select Submit Assignment 2 for review.

Rubric

NURS_8302_Week6_Assignment2_Rubric

NURS_8302_Week6_Assignment2_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeThis criterion is linked to a Learning Outcome Complete the DNP Project Committee Request Form.

20 to >0.0 pts

Excellent

A completed DNP Committee Request Form is submitted and includes site and a possible project information.

0 pts

Fair

0 pts

Good

0 pts

Poor

A DNP Request Form is not submitted, or it is missing information.

20 pts

Total Points: 20

ORDER A CUSTOMIZED, PLAGIARISM-FREE NURS 8302 Full Course Discussions & Assignments (Week 1-11) HERE

NURS 8302 Week 6 Assignment 3: CLINICAL: ORGANIZATION MEETING SUMMARY

Preparation to begin your DNP Project begins with the meeting with an organization to explore a gap in practice or a practice change that you might address as your DNP Project. Preparing for this meeting includes following the instructions in your NURS 8302 course and reviewing the guidelines for your practicum assignment 1.

By Day 7 of Week 6, you will complete a 4–5-page paper that addresses the content for your organization meeting summary. As a guide, you can use the APA 7 template for writing graduate papers found at https://academicguides.waldenu.edu/writingcenter/templates/general

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Walden University, LLC. (2021). Doctoral committee matching formLinks to an external site..

Document: Organizational Culture Assessment Tool (Word document)Download Organizational Culture Assessment Tool (Word document)

Document: Organization Meeting Summary (Word document)Download Organization Meeting Summary (Word document)

To Prepare:

Review and access the Organization Meeting Summary template provided in the Learning Resources.

Consider your responses to the prompts and guiding questions provided on the Organization Meeting Summary template.

The Assignment: (4-5 pages)

Using the Organization Meeting Summary template as a guide, address the following:

Introduction

Identify the organization, location, and participants at the meeting. Indicate the role each person plays in the organization.

How did you first approach the organization?

Why did you select this organization?

Does the organization have a key person for the organization who oversees students doing DNP projects?

If there is no key person, who represented nursing and/or nursing students at the meeting.

Describe the DNP Project

Describe exactly what you did to explain the DNP project process at Walden University.

What questions did the participants have and how did you respond?

How did you and the organization identify possible gaps in practice or practice changes that might be addressed by the DNP project.

Describe the gap or problem and cite two sources that justify the gap or problem in nursing.

What approach (clinical practice guideline, staff education, quality improvement initiative) did you discuss to address a practice gap or practice change?

What questions did the organization representatives have, and what were your responses?

How does the proposed practice change support positive social change, diversity, equity, and inclusion?

Project Team

Who would be the key stakeholders and potential team members (e.g. organization leader, project mentor) for a project to address gap in practice or practice change?

Next Steps

Describe the information that you provided to the organization regarding the next steps in the process.

What questions were asked?

What responses did you have?

What decisions were made?

Evidence

Explore three sources of current evidence (no older than five (5) years) that could support the project initiative. You may include the two citations you cited under the Describe the DNP Project section.

Summary

Summarize the strengths and weaknesses of the meeting.

What would you have done differently?

What additional information do you need before you meet with your faculty advisor in NURS 8702, project mentoring course.

BY DAY 7

Submit your Assignment by Day 7 of Week 6.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK6Assgn3_LastName_Firstinitial

Then, click on Start Assignment 3 near the top of the page.

Next, click on Upload File and select Submit Assignment 3 for review.

Rubric

NURS_8302_Week6_Assignment3_Rubric

NURS_8302_Week6_Assignment3_Rubric
Criteria Ratings Pts

This criterion is linked to a Learning OutcomeIntroduction
10 to >8.0 pts

Full Marks

The response accurately and clearly explains in detail the organization, location, and participants at the meeting, the role each person plays in the organization how you first approached the organization, why you selected this organization, a key person for the organization who oversees students doing DNP projects and if there is no key person, who represented nursing and/or nursing students at the meeting.

8 to >6.0 pts

Good

The response accurately explains the organization, location, and participants at the meeting, the role each person plays in the organization how you first approached the organization, why you selected this organization, a key person for the organization who oversees students doing DNP projects and if there is no key person, who represented nursing and/or nursing students at the meeting.

6 to >4.0 pts

Fair

The response inaccurately or vaguely explains the organization, location, and participants at the meeting, the role each person plays in the organization how you first approached the organization, why you selected this organization, a key person for the organization who oversees students doing DNP projects and if there is no key person, who represented nursing and/or nursing students at the meeting.

4 to >0 pts

Poor

The response inaccurately and vaguely explains the organization, location, and participants at the meeting, the role each person plays in the organization how you first approached the organization, why you selected this organization, a key person for the organization who oversees students doing DNP projects and if there is no key person, who represented nursing and/or nursing students at the meeting.

10 pts

This criterion is linked to a Learning OutcomeDescribe the DNP Project

15 to >12.0 pts

Full Marks

The response comprehensively and fully describes in detail exactly what you did to explain the DNP project process at Walden University and includes the following information: What questions did the participants have and how did you respond? How did you and the organization identify possible gaps in practice or practice changes that might be addressed by the DNP project. Describe the gap or problem and cite two sources that justify the gap or problem in nursing. What approach (clinical practice guideline, staff education, quality improvement initiative) did you discuss to address a practice gap or practice change? What questions did the organization representatives have, and what were your responses? How does the proposed practice change support positive social change, diversity, equity, and inclusion?

12 to >9.0 pts

Good

The response describes what you did to explain the DNP project process at Walden University and includes the following information: What questions did the participants have and how did you respond? How did you and the organization identify possible gaps in practice or practice changes that might be addressed by the DNP project. Describe the gap or problem and cite two sources that justify the gap or problem in nursing. What approach (clinical practice guideline, staff education, quality improvement initiative) did you discuss to address a practice gap or practice change? What questions did the organization representatives have, and what were your responses? How does the proposed practice change support positive social change, diversity, equity, and inclusion?

9 to >5.0 pts

Fair

The response inaccurately or vaguely describes exactly what you did to explain the DNP project process at Walden University and includes the following information: What questions did the participants have and how did you respond? How did you and the organization identify possible gaps in practice or practice changes that might be addressed by the DNP project. Describe the gap or problem and cite two sources that justify the gap or problem in nursing. What approach (clinical practice guideline, staff education, quality improvement initiative) did you discuss to address a practice gap or practice change? What questions did the organization representatives have, and what were your responses? How does the proposed practice change support positive social change, diversity, equity, and inclusion?

5 to >0 pts

Poor

The response inaccurately and vaguely describes exactly what you did to explain the DNP project process at Walden University and includes the following information: What questions did the participants have and how did you respond? How did you and the organization identify possible gaps in practice or practice changes that might be addressed by the DNP project. Describe the gap or problem and cite two sources that justify the gap or problem in nursing. What approach (clinical practice guideline, staff education, quality improvement initiative) did you discuss to address a practice gap or practice change? What questions did the organization representatives have, and what were your responses? How does the proposed practice change support positive social change, diversity, equity, and inclusion?
15 pts

This criterion is linked to a Learning OutcomeProject Team

15 to >12.0 pts

Full Marks

The response accurately and comprehensively explains in detail the key stakeholders and potential team members e.g., organization leader, project mentor for a project to address a gap in practice or practice change.

12 to >9.0 pts

Good

The response accurately explains the key stakeholders and potential team members e.g., organization leader, project mentor for a project to address a gap in practice or practice change.

9 to >5.0 pts

Fair

The response inaccurately or vaguely explains the key stakeholders and potential team members e.g., organization leader, project mentor for a project to address a gap in practice or practice change.

5 to >0 pts

Poor

The response inaccurately and vaguely explains the key stakeholders and potential team members e.g., organization leader, project mentor for a project to address a gap in practice or practice change.
15 pts

This criterion is linked to a Learning OutcomeNext Steps
15 to >12.0 pts

Full Marks

The response accurately and comprehensively explains in detail the information that you provided to the organization regarding the next steps in the process including responses to the following questions: What questions were asked? What responses did you have? What decisions were made?

12 to >9.0 pts

Good

The response accurately explains the information that you provided to the organization regarding the next steps in the process including responses to the following questions: What questions were asked? What responses did you have? What decisions were made?

9 to >5.0 pts

Fair

The response inaccurately or vaguely explains the information that you provided to the organization regarding the next steps in the process including responses to the following questions: What questions were asked? What responses did you have? What decisions were made?

5 to >0 pts

Poor

The response inaccurately and vaguely explains the information that you provided to the organization regarding the next steps in the process including responses to the following questions: What questions were asked? What responses did you have? What decisions were made?

15 pts

This criterion is linked to a Learning OutcomeEvidence

15 to >12.0 pts

Full Marks

The response accurately and comprehensively explains in detail Three sources of current evidence (no older than five (5) years that support the project initiative.

12 to >9.0 pts

Good

The response accurately explains three sources of current evidence (no older than five (5) years that support the project initiative.

9 to >5.0 pts

Fair

The response inaccurately or vaguely explains three sources of current evidence (no older than five (5) years that support the project initiative.

5 to >0 pts

Poor

The response inaccurately and vaguely explains three sources of current evidence (no older than five (5) years that support the project initiative.
15 pts

This criterion is linked to a Learning OutcomeSummary

15 to >12.0 pts

Full Marks

The response accurately and comprehensively explains in detail the following: the strengths and weaknesses of the meeting. What would you have done differently? What additional information do you need before you meet with your faculty advisor in NURS 8702, project mentoring course.

12 to >9.0 pts

Good

The response accurately explains the following: the strengths and weaknesses of the meeting. What would you have done differently? What additional information do you need before you meet with your faculty advisor in NURS 8702, project mentoring course.

9 to >5.0 pts

Fair

The response inaccurately or vaguely explains the following: the strengths and weaknesses of the meeting. What would you have done differently? What additional information do you need before you meet with your faculty advisor in NURS 8702, project mentoring course.

5 to >0 pts

Poor

The response inaccurately and vaguely explains the following: the strengths and weaknesses of the meeting. What would you have done differently? What additional information do you need before you meet with your faculty advisor in NURS 8702, project mentoring course.
15 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting—Paragraph Development and Organization: Paragraphs make clear points that support well-developed ideas, flow logically, and demonstrate continuity of ideas. Sentences are carefully focused—neither long and rambling nor short and lacking substance. A clear and comprehensive purpose statement and introduction is provided which delineates all required criteria
5 to >4.0 pts

Full Marks

Paragraphs and sentences follow writing standards for flow, continuity, and clarity A clear and comprehensive purpose statement, introduction, and conclusion is provided which delineates all required criteria.

4 to >3.5 pts

Good

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation.

5 to >4.0 pts

Full Marks

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.
5 pts

Full Marks

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100

NURS 8302 Week 7 Discussion: STRATEGIES FOR BUILDING EFFECTIVE TEAMS

You have been assigned to work on a team to support a new quality improvement initiative at your nursing practice. The initiative is designed to support and improve patient care, and the team is tasked with leading the initiative. The team is comprised of the best and the brightest the nursing practice has to offer, selecting only the leaders of each department. However, after the first team meeting, you discover the team dynamics might lead to more argument than action.

If this concern manifests this early in the planning process of a quality improvement initiative, is this team the most effective for this task? What strategy might work best to ensure that the right team is composed for the task ahead?

Working in teams provides an important benefit to addressing a problem. A team can provide nuanced ideas and strategies that might be missed by working individually. Teams help to lessen the load on an individual, as well as provide different perspectives to spark ideas. However, working in teams is not without its challenges.

A mix of personalities, experiences, and styles can make or break a team, so what are the best ways to build an effective team? What strategies can be utilized to minimize any adverse effects of working in teams?

For this Discussion, consider what makes an effective team. What strategies might you use to build an effective team? Who might need to be included in a team? Consider the use of teams for quality improvement, and analyze what would make an effective team for a quality improvement initiative.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.

Chapter 10, “Safety Science and High Reliability Organizing” (pp. 253–278)

Chapter 12, “Creating Alignment: Quality Measures and Leadership” (pp. 301–327)

Agency for Healthcare Research and Quality. (2017). Forming a comprehensive unit-based safety program team: Facilitator guide.Links to an external site. https://www.ahrq.gov/hai/tools/mvp/modules/cusp/forming-cusp-team-fac-guide.html

Agency for Healthcare Research and Quality. (2017). Learn about the comprehensive unit-based safety program for perinatal safety: Facilitator guideLinks to an external site.. https://www.ahrq.gov/hai/tools/perinatal-care/modules/teamwork/learn-about-cusp-fac-guide.html

Institute for Healthcare Improvement. (n.d.). Science of improvement: Forming the teamLinks to an external site.. http://www.ihi.org/resources/Pages/HowtoImprove/ScienceofImprovementFormingtheTeam.aspx

National Rural Health Resource Center. (n. d.). Quality improvement teamsLinks to an external site.. https://www.ruralcenter.org/sites/default/files/rhpi/help/QI%20Team%20Process.pdf

TO PREPARE:

Review the Learning Resources for this week, and consider the potential impact and role of teams in quality improvement.

Reflect on potential strategies for building effective teams in promoting quality improvement initiatives for nursing practice and/or healthcare organizations.

Consider the type of stakeholders that might comprise these teams and potential challenges for “earning a seat at the table” of such a quality improvement team.

BY DAY 3 OF WEEK 7

Post a brief explanation of a strategy you might recommend for building effective teams to support a quality improvement initiative in your healthcare organization or nursing practice. Be specific. Briefly describe the stakeholders you would recommend to make up this quality improvement team, and explain why. Be sure to define the roles of the members making up the quality improvement team. Then, explain any potential challenges or considerations you should keep in mind that may affect who might “earn a seat at the table” to comprise this team. Be specific and provide examples.

BY DAY 6 OF WEEK 7

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative strategy recommendation and/or alternative stakeholders to take part in the quality improvement team described by your colleague.

NURS_8302_Week7_Discussion_Rubric

Criteria Ratings Pts

44 to >39.0 pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

44 pts

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

6 pts

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation

10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.

10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation
5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation
5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

NURS 8302 Week 8 Discussion: QUALITY IMPROVEMENT MODELS

What is the best way to implement quality improvement? What particular strategies and/or models should be used when developing a plan? Throughout the past 7 weeks, you have explored quality improvement in healthcare and nursing practice, and you will continue this exploration by analyzing specific quality improvement models. What models might work best in your nursing practice or healthcare organization?

Healthcare is complex and varied; therefore, quality improvement cannot be a one-sized fits all approach. To fit the complex and varied needs of an organization, there are multiple strategies and methods to implement quality improvement.

For this Discussion, select one quality improvement model to explore and analyze. Using the selected model, consider how this model might be implemented in your healthcare organization or nursing practice. Examine the effectiveness of this model and consider how this model might be applied to address impacts to adverse events for nursing practice.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

TO PREPARE:

Review the Learning Resources for this week, and reflect on the different quality improvement models presented.

Select one quality improvement model from the following to focus on for this Discussion:

Root Cause Analysis (RCA)

Lean

Plan, Do, Study, Act (PDSA)

Reflect on the quality improvement model you selected, and consider how it might be implemented in your healthcare organization or nursing practice.

BY DAY 3 OF WEEK 8

Post a brief explanation of the quality improvement model you selected, including a description of the components that make up this model. Be specific. Then, explain how this quality improvement model might be implemented in you healthcare organization or nursing practice in response to an adverse event requiring quality improvement. Be specific and provide examples.

BY DAY 6 OF WEEK 8

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days who selected a different quality improvement model than you. Suggest an additional strategy on how your colleague may implement the quality improvement model they selected in their healthcare organization or nursing practice.

NURS_8302_Week8_Discussion_Rubric

Criteria Ratings Pts

44 to >39.0 pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

44 pts

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation

10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts
Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.

10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.

5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation
5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

NURS 8302 Week 9 Assignment: LEADERSHIP ASSESSMENT

What personal strengths do you have that would make you an effective nurse leader? What potential gaps might you need to address to improve your ability to be an effective nurse leader?

As a future DNP-prepared nurse, you will be called upon as a leader in your field, a leader in your practice, and a leader in your organization. Throughout your program of study, you will develop the skills, strategies, and knowledge to not only harness this role successfully but to do so at a high level of achievement and performance.

However, everyone must acknowledge both their own strengths and weaknesses, as a leader, and identify potential areas of improve to enhance these capabilities.

For this Assignment, you will explore your strengths and potential gaps based on the nurse leadership competencies provided. Review the competencies that best fit into your current nursing role (nurse executive competencies, system CNE competencies etc…). Reflect on potential goals you might set to improve as a nurse leader. You will also reflect on how this goal setting and self-examination will not only improve your nursing practice but also your healthcare organization.

Note: Access the AONL Nurse Leader Competencies from the Learning Resources link. Download the AONL Nurse Leader Core Competencies and review the pdf document to complete the Week 9 Assignment. You do not need to access and pay for the nurse leader skill assessment at the end of the competencies list provided.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

American College of Healthcare Executives. (2017). The healthcare executive’s role in ensuring quality and patient safetyLinks to an external site.[Policy statement]. https://www.ache.org/about-ache/our-story/our-commitments/policy-statements/healthcare-executives-role-in-ensuring-quality-and-safety

American Organization for Nursing Leadership. (n.d.). AONL nurse leader competenciesLinks to an external site.. https://www.aonl.org/resources/nurse-leader-competencies

Feldman, S. S., Buchalter, S., Zink, D., Slovensky, D. J., & Hayes, L. W. (2019). Training leaders for a culture of quality and safety. Leadership in Health ServicesLinks to an external site., 32(2), 251–263. https://doi.org/10.1108/LHS-09-2018-0041

International Hospital Federation. (2015). Leadership competencies for healthcare services managersLinks to an external site.. https://www.ache.org/-/media/ache/about-ache/leadership_competencies_healthcare_services_managers.pdf

Johannessen, T., Ree, E., Strømme, T., Aase, I., Bal, R., & Wiig, S. (2019). Designing and pilot testing of a leadership intervention to improve quality and safety in nursing homes and home care (the SAFE-LEAD intervention). BMJ OpenLinks to an external site., 9(6), 1–12. https://doi.org/10.1136/bmjopen-2018-027790

The Joint Commission. (2017). The essential role of leadership in developing a safety culture. Sentinel Event AlertLinks to an external site., 57, 1–8. https://www.jointcommission.org/-/media/tjc/documents/resources/patient-safety-topics/sentinel-event/sea-57-safety-culture-and-leadership-final2.pdf

TO PREPARE:

Review the nurse leadership competencies presented in the Learning Resources for this week.

Reflect on these competencies, and consider your own personal strengths and potential gaps in relation to these competencies.

Consider potential goals for your leadership development in relation to the nurse leadership competencies presented.

THE ASSIGNMENT: (4–5 PAGES)

Explain your self-assessment in relation to the nurse leadership competencies. Be sure to identify your strengths and potential gaps in relation to these competencies.

Describe at least four goals for nurse leadership development that you would like to pursue, given the results of your self-assessment. Be specific.

Explain why these goals are pertinent to your development as a nurse leader. How will developing these leadership competencies support your healthcare organization or nursing practice? Be specific.

Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The Sample Paper provided at the Walden Writing Center provides an example of those required elements (available at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632Links to an external site.). All papers submitted must use this formatting.

BY DAY 7

Submit your Assignment by Day 7 of Week 9.

SUBMISSION INFORMATION

Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts from the Start Here area.

To submit your completed assignment, save your Assignment as WK9Assgn_LastName_Firstinitial

Then, click on Start Assignment near the top of the page.

Next, click on Upload File and select Submit Assignment for review.

Rubric

NURS_8302_Week9_Assignment_Rubric

Criteria Ratings Pts

This criterion is linked to a Learning OutcomeExplain your self-assessment in relation to the nurse leadership competencies. Be sure to identify your strengths and potential gaps in relation to these competencies.
35 to >31.0 pts

Excellent

The response accurately and clearly explains in detail the self-assessment in relation to the nurse leadership competencies. … The response includes an accurate and complete identification of the strengths and potential gaps in relation to the nurse leadership competencies.

31 to >27.0 pts

Good

The response accurately explains the self-assessment in relation to the nurse leadership competencies…. The response includes an accurate identification of the strengths and potential gaps in relation to the nurse leadership competencies.

27 to >24.0 pts

Fair

The response inaccurately or vaguely explains the self-assessment in relation to the nurse leadership competencies…. The response includes inaccurate or vague identification of the strengths and potential gaps in relation to the nurse leadership competencies.

24 to >0 pts

Poor

The response inaccurately and vaguely explains the self-assessment in relation to the nurse leadership competencies, or it is missing…. The response includes inaccurate and vague identification of the strengths and potential gaps in relation to the competencies nurse leadership competencies, or it is missing.

35 pts

This criterion is linked to a Learning OutcomeDescribe at least four goals for nurse leadership development that you would like to pursue, given the results of your self-assessment. Be specific.
25 to >22.0 pts

Excellent

The response comprehensively and fully describes in detail four goals for leadership development.

22 to >19.0 pts

Good

The response describes four goals for leadership development.

19 to >17.0 pts

Fair

The response inaccurately or vaguely describes four goals for leadership development…. OR… The response describes less than four goals.

17 to >0 pts

Poor

The response inaccurately and vaguely describes four goals for leadership development, or it is missing
25 pts

This criterion is linked to a Learning OutcomeExplain why these goals are pertinent to your development as a nurse leader. Explain how the development of these leadership competencies support your healthcare organization or nursing practice. Be specific.
25 to >22.0 pts

Excellent

The response accurately and comprehensively explains in detail how the goals outlined are pertinent to the development of a nurse leader. … The response clearly and accurately explains in detail how these competencies support their healthcare organization or nursing practice.

22 to >19.0 pts

Good

The response accurately explains how the goals outlined are pertinent to the development of a nurse leader…. The response explains how these competencies support their healthcare organization or nursing practice.

19 to >17.0 pts

Fair

The response inaccurately or vaguely explains how the goals outlined are pertinent to the development of a nurse leader…. The response inaccurately or vaguely explains how these competencies support their healthcare organization or nursing practice.

17 to >0 pts

Poor

The response inaccurately and vaguely explains how the goals outlined are pertinent to the development of a nurse leader, or it is missing…. The response inaccurately and vaguely explains how these competencies support their healthcare organization or nursing practice, or it is missing.
25 pts

5 to >4.0 pts

Excellent

4 to >3.5 pts

Good

3.5 to >3.0 pts

Fair

Paragraphs and sentences follow writing standards for flow, continuity, and clarity 60%–79% of the time. … Purpose, introduction, and conclusion of the assignment is vague or off topic.

3 to >0 pts

Poor

Paragraphs and sentences follow writing standards for flow, continuity, and clarity less than 60% of the time…. No purpose statement, introduction, or conclusion was provided.
5 pts

This criterion is linked to a Learning OutcomeWritten Expression and Formatting – English writing standards: Correct grammar, mechanics, and proper punctuation
5 to >4.0 pts

Excellent

Uses correct grammar, spelling, and punctuation with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) grammar, spelling, and punctuation errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) grammar, spelling, and punctuation errors.

3 to >0 pts

Poor

Contains many (≥ 5) grammar, spelling, and punctuation errors that interfere with the reader’s understanding.

5 pts

Excellent

Uses correct APA format with no errors.

4 to >3.5 pts

Good

Contains a few (1 or 2) APA format errors.

3.5 to >3.0 pts

Fair

Contains several (3 or 4) APA format errors.

3 to >0 pts

Poor

Contains many (≥ 5) APA format errors.
5 pts

Total Points: 100

NURS 8302 Week 10 Discussion: LEADERSHIP FOR CHANGE

What are the characteristics of a transformational leader?

As you have examined this week, a transformational leader is a leader who is able to inspire change and bring out the best in those around them. However, what characteristics does this leader have? Perhaps a transformational leader is trustworthy, inspiring, and charismatic? Perhaps this leader leads with integrity, respect, and empathy? Perhaps this leader is team-focused, encouraging, and positive?

How would you define a transformational leader, and when might you have experienced this type of leadership?

For this Discussion, consider the role of transformational leadership for change. Explore the need for transformational leaders, and describe experiences you may have had with these leaders. Additionally, analyze how these leaders might enhance quality improvement in healthcare organizations and nursing practice.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.

Chapter 1, “Basic Project Management for Advanced Practice Nurses and Healthcare Professionals” (pp. 3–16)

Chapter 2, “Advanced Practice Nurse Role Descriptions and Application of Project Management Concepts” (pp. 17–46)

Albert, N. M. (2018). Operationalizing a nursing innovation center within a health care system. Nursing Administration QuarterlyLinks to an external site., 42(1), 43–53. https://doi.org/10.1097/NAQ.0000000000000266

TO PREPARE:

Review the Learning Resources for this week, and reflect on potential leadership strategies for promoting change in healthcare organizations and nursing practice.

Consider the potential impact of project management for supporting transformational leadership approaches for promoting change in organizations.

Reflect on the relationship between transformational change, leadership strategies, and the need for quality improvement in your healthcare organization or nursing practice.

BY DAY 3 OF WEEK 10

Post a brief explanation of the relationship between transformational leadership for change and the need for quality improvement. Share any experiences you may have of transformational leadership in your healthcare organization or nursing practice. Then, describe how you would recommend the application of project management approaches to support transformational leadership practices for the promotion of a quality improvement initiative in your healthcare organization or nursing practice. Be sure to include any short- and long-term milestones or goals associated with the quality improvement initiative described. Be specific and provide examples.

BY DAY 6 OF WEEK 10

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative recommendation on using project management approaches for leading quality improvement efforts in your colleague’s healthcare organization or nursing practice.

NURS_8302_Week10_Discussion_Rubric

NURS_8302_Week10_Discussion_Rubric
Criteria Ratings Pts

44 to >39.0 pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

6 pts

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation

10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.

10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing
6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.
5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.

9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing
6 to >5.0 ps

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

NURS 8302 Week 11 Discussion: EVALUATING AND SUSTAINING CHANGE

Change is the law of life.

– John F. Kennedy

Change is inevitable. There is no getting around it, but that does not mean change always has to be negative. Society often places a negative connotation to change, but what if the change is for the best? What if change is what sustains growth and encourages improvement?

In nursing practice, change is unavoidable. How should change be evaluated, maintained, and sustained in nursing practice? What role does leadership have in change management? Consider the role of change management in nursing, and reflect on how change management may differ from change leadership.

For this Discussion, compare change management and change leadership. Reflect on the potential impact of leadership approaches on change, and consider how leadership may influence change in healthcare organizations and nursing practice.

RESOURCES

Be sure to review the Learning Resources before completing this activity.

Click the weekly resources link to access the resources.

WEEKLY RESOURCES

LEARNING RESOURCES

Required Readings

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.

Chapter 6, “Monitoring and Controlling: Project Management—Phase 4” (pp. 145–168)

Kotter, J. (n.d.). The 8-step process for leading changeLinks to an external site.. https://www.kotterinc.com/8-steps-process-for-leading-change/

Required Media

Kotter, J. (2012, February 6). Change management vs change leadership—what’s the difference?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=2ssUnbrhf_U&t=46s

LEARNING RESOURCES

Required Readings

Sipes, C. (2020). Project management for the advanced practice nurse (2nd ed.). Springer Publishing Company.

Chapter 6, “Monitoring and Controlling: Project Management—Phase 4” (pp. 145–168)

Kotter, J. (n.d.). The 8-step process for leading changeLinks to an external site.. https://www.kotterinc.com/8-steps-process-for-leading-change/

Required Media

Kotter, J. (2012, February 6). Change management vs change leadership—what’s the difference?Links to an external site. [Video]. YouTube. https://www.youtube.com/watch?v=2ssUnbrhf_U&t=46s

TO PREPARE:

Review the Learning Resources for this week, and reflect on the mechanisms available to evaluate change in healthcare organizations and nursing practice.

How is change management related to change leadership?

Consider how leadership approaches may contribute to evaluation processes for change management, as well as for the support of sustaining changes in healthcare organizations and nursing practice.

What does it mean to sustain changes in healthcare organizations or nursing practice, and how might leadership support these aims?

Reflect on when you should stop measuring change in an organization, and why.

BY DAY 3 OF WEEK 11

Post a brief comparison between change management and change leadership. Be specific. Explain how leadership approaches may relate to processes for evaluation of and sustainment of change in a healthcare organization or nursing practice. Then, explain the function of leadership in evaluating, maintaining, and sustaining change. What is the influence of leadership on these aims? Be sure to include a brief explanation of whether you should stop measuring change in an organization, and explain why. Be specific and provide examples.

BY DAY 6 OF WEEK 11

Read a selection of your colleagues’ responses and respond to at least two of your colleagues on two different days by expanding upon your colleague’s post or offering an alternative perspective on the influence of leadership in evaluating, maintaining, and sustaining change in an organization.

NURS_8302_Week11_Discussion_Rubric

NURS_8302_Week11_Discussion_Rubric
Criteria Ratings Pts

Excellent 90%–100%

39 to >34.0 pts

Good 80%–89%

34 to >30.0 pts

Fair 70%–79%

30 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Writing

6 to >5.0 pts

Excellent 90%–100%

Written clearly and concisely. Contains no grammatical or spelling errors. Adheres to current APA manual writing rules and style. Response is effectively written in Standard Academic English.

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

3 to >0 pts

Poor 0%–69%

This criterion is linked to a Learning OutcomeMain Posting: Timely and full participation
10 to >8.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts main Discussion by due date.

8 to >7.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts main Discussion by due date.

7 to >6.0 pts

Fair 70%–79%

Posts main Discussion by due date.

6 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post main Discussion by due date.
10 pts

This criterion is linked to a Learning OutcomeFirst Response: Post to colleague’s main post that is reflective and justified with scholarly sources.
9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeFirst Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.
6 pts

This criterion is linked to a Learning OutcomeFirst Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. … Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. … Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. … Does not post by due date.

5 pts

This criterion is linked to a Learning OutcomeSecond Response: Post to colleague’s main post that is reflective and justified with scholarly sources.

9 to >8.0 pts

Excellent 90%–100%

8 to >7.0 pts

Good 80%–89%

7 to >6.0 pts

Fair 70%–79%

Response is on topic and may have some depth. Minimal or no scholarly sources provided.

6 to >0 pts

Poor 0%–69%

Response may not be on topic and lacks depth. No sources.
9 pts

This criterion is linked to a Learning OutcomeSecond Response: Writing

6 to >5.0 pts

Excellent 90%–100%

5 to >4.0 pts

Good 80%–89%

Communication is mostly professional and respectful to colleagues. Response to faculty questions is mostly answered, if posed. Provides opinions and ideas that are supported by few at least two scholarly sources…. Response is written in Standard Academic English.

4 to >3.0 pts

Fair 70%–79%

Response posed in the Discussion may lack effective professional communication. Response to faculty questions is minimally addressed, if posed. Few or no scholarly sources are cited.

3 to >0 pts

Poor 0%–69%

Responses posted in the Discussion lack effective communication. Response to faculty questions is missing. No scholarly sources are cited.

6 pts

This criterion is linked to a Learning OutcomeSecond Response: Timely and full participation

5 to >4.0 pts

Excellent 90%–100%

Meets requirements for timely, full, and active participation. Posts by due date.

4 to >3.0 pts

Good 80%–89%

Meets requirements for full participation. Posts by due date.

3 to >2.0 pts

Fair 70%–79%

Posts by due date.

2 to >0 pts

Poor 0%–69%

Does not meet requirements for full participation. Does not post by due date.
5 pts

Total Points: 100

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