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HLT 306V Advanced Patient Care

HLT 306V Advanced Patient Care

HLT 306V Advanced Patient Care Full Course Discussions GCU

HLT 306V Topic 1 DQ 1

Alma Faulkenberger is an 85-year-old female outpatient sitting in the waiting room awaiting an invasive pelvic procedure. The health care professional who will assist in her procedure enters the room and calls “Alma.” There is no reply so the professional retreats to the work area HLT 306V Advanced Patient Care.

Fifteen minutes later the professional returns and calls “Alma Frankenberg.” Still no reply, so he leaves again. Another 15 minutes pass and the professional approaches Alma and shouts in her ear, “Are you Alma Frankenberg?” She replies, “No I am not, and I am not deaf either, and when you get my name correct I will answer you.”

Using the topic 1 materials, develop a plan to help Alma be compliant with the procedure and post-treatment medication. Also, describe the approach you would take to patient education in this case.

HLT 306V Advanced Patient Care Topic 1 DQ 2

How would you use collaboration to assist in compliance with a patient as difficult as Alma?

HLT 306V Topic 2 DQ 1

Sister Mary is a patient in Level 2 Emergency Department. She must have a neural examination, physical assessment, radiographs of her facial bones, and a computed tomography scan of the head. Taking into consideration that she is a Roman Catholic nun, what would be the ideal course of patient education as this woman progresses from department to department?

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HLT 306V Topic 2 DQ 2

What possible reservations could a health care professional have in working with Sister Mary? (Discuss the psychosocial responses the professional might have.)

HLT 306V Advanced Patient Care Topic 3 DQ 1

Discuss a patient of another culture. How can the health care professional communicate in presenting patient education? Consider language, family, cultural differences, and method of communication.

HLT 306V Topic 3 DQ 2

Compare and contrast culture, ethnicity, and acculturation.

HLT 306V Advanced Patient Care Topic 4 DQ 1

How has the patient’s control over his own health care changed?

HLT 306V Topic 4 DQ 2

What part does negotiation play in patient education?

HLT 306V Topic 5 DQ 1

Using the NIH website, how would you describe CAM and the typical person who uses CAM?

HLT 306V Advanced Patient Care Topic 5 DQ 2

What are the percentages of people using CAM with prayer and those who do not?

HLT 306V Full Course Assignments GCU

HLT 306V Advanced Patient Care Topic 1 Homework GCU

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define patient compliance and explain its importance in your field.
2. Identify the health care professionals’ role in compliance and give examples of ways in which the health care professional may actually contribute to noncompliance.
3. Compare compliance and collaboration.
4. Compare and contrast patient education in the past with that practiced today.
5. Explain the importance of professional commitment in developing patient education as a clinical skill.
6. Explain the three categories of learning and how they can be used in patient education.
7. List three problems that may arise in patient education and how they would be solved?
8. List some methods of documentation of patient education.

HLT 306V Topic 2 Stages of Life Essay and Interview

Write a 500?750?word essay on the Stages?of?Life and the influence of age in health care from a patient’s perspective. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested questions:

1. Do you feel that your stage?of?life had any effect on your interaction with health care professionals?
2. Which areas of the hospital or clinic were most concerned with your well?being and feelings?
3. Was your family with you during this hospital stay or outpatient visit?
4. Was your family included in your treatment, such as post?procedure instructions?

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

HLT 306V Topic 2 Homework GCU

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Give examples of psychosocial factors that affect the health care professional and the effect those factors could have on patient education.
2. Give examples of psychosocial factors that affect the patient and the effect those factors could have on patient education.
3. Explain what is meant by personality styles and give examples of approaches that could be used to help the patient. Include self-perception as a factor.
4. List the steps in adjustment to illness and how the patient copes with each step.
5. Explain the health professional’s role in teaching the patient at different life stages.
6. Define the role of the family in patient education.
7. How might the family influence the compliance of the patient and what measures can the health care professional use in communication with the family?

HLT 306V Advanced Patient Care Topic 3 Homework GCU

Write a 650-1300 word response to the following questions:

1. Explain multicultural communication and its origins.
2. Compare and contrast culture, ethnicity, and acculturation.
3. Explain how cultural and religious differences affect the health care professional and the issues that can arise in cross-cultural communications.
4. Discuss family culture and its effect on patient education.
5. List some approaches the health care professional can use to address religious and cultural diversity.
6. List the types of illiteracy.
7. Discuss illiteracy as a disability.
8. Give examples of some myths about illiteracy.
9. Explain how to assess literacy skills and evaluate written material for readability.
10. Identify ways a health care professional may establish effective communication.
11. Suggest ways the health care professional can help a patient remember instructions.

This assignment is to be submitted as a Microsoft Word document.

HLT 306V Advanced Patient Care Topic 4 Homework GCU

Write a short (50-100-word) paragraph response for each question. This assignment is to be submitted as a Microsoft Word document.

1. Define negotiation as it applies to patient education.
2. Explain how the change in the patient’s status through the years has affected patient education.
3. List the pros and cons of negotiation.
4. Describe the general conditions that would be included in a patient contract.
5. Discuss old age and the baby boomer. HLT 306V Advanced Patient Care
6. List several generational, religious, and cultural differences between the 30-year-old health care professional and the elderly patient.
7. Explain some of the barriers to patient education of the elderly and discuss their special needs.
8. List ways to best approach patient education of the elderly.
9. Discuss some cultural and religious beliefs about death that you have encountered.
10. Explain why it is important to discuss death and dying with the elderly patient and what the impact is on all involved.
11. Explain how to teach a patient with a life-threatening illness.

HLT 306V Topic 4 Older Adults Patient Education Issues Essay and Interview

Write a 500?750?word essay on the influence patient education has in health care using the experiences of a patient. Interview a friend or family member about that person’s experiences with the health care system. You may develop your own list of questions.

Suggested interview questions:

1. Did a patient education representative give you instructions on how to care for yourself after your illness or operation? HLT 306V Advanced Patient Care
2. Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?
3. Who assisted you at home after your illness or operation?
4. Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

You are required to submit this assignment to LopesWrite. Refer to the LopesWrite Technical Support articles for assistance.

Older Adults Patient Education Issues Essay and Interview Example

Nurses must spend more time with patients to improve healthcare outcomes. The contact between the teaching nurse and the elderly patient must be energetic, motivated, and attentive to the particular patient’s requirements (Paterick et al., 2019). Elderly patients and their caregivers need to participate in vigorous, hearty interactions with nurses to reap the advantages of nurse health education.

Elderly patient education results in self-care interventions, which have resulted in verified increases in self-efficacy. One’s feeling of self-efficacy influences how one handles health-related objectives, tasks, and problems. Clinical advantages have been shown in trials of lifestyle intervention in aged individuals with diabetes, coronary heart disease, heart failure, and rheumatoid arthritis (Paterick et al., 2019).

I interviewed my 79-year-old grandmother, an older patient who underwent hip replacement surgery two weeks ago and may benefit from patient education on how to appropriately care for the surgical site, how to use crutches or a walker, and how to undertake exercises to enhance mobility and avoid complications.

1.   Did a patient education representative give you instructions on how to care for yourself after your illness or operation?

The patient education representative asked for my son and gave him all the instructions on how to take care of me after surgery. My son told me it was important to take my antihypertensive medications and antibiotics to keep away infection, especially on the incision site. The nurse did not say much to me and was only concerned if I felt any pain, and gave me pain medications.

Giving patients clear and precise instructions on how to care for themselves after surgery can help them heal faster and avoid complications. This entails instructions on how to care for the incision site, manage pain, utilize assistive devices, and when to seek medical attention if there are any problems. Post-operative care education is especially critical for senior patients, as their recovery time may be delayed and they may be at a higher risk of problems (Powers et al., 2020). In addition to post-operative treatment, nurses may also give advice on lifestyle modifications and good practices that help aid recovery, reduce problems, and enhance general health.

2. Did a health care professional, pharmacist, nurse, doctor, or elder counselor advise you on your medication, diet, or exercise?

The nurse told me that she had explained everything to my son and that my son should organize for a physical therapist to visit me after 3 weeks to start physical therapy. She mentioned that I should avoid foods high in fat and salt. My son has changed our dietary habits to involve vegetables. He also gives me vitamin D and calcium supplements that I believe were prescribed. We try to talk at least 3 times a day around the house, stating that the nurse instructed him to do so.

Medication management is a crucial element of healthcare, and nurses play an important role in ensuring that patients receive the correct prescriptions and doses. They should counsel patients on how to use their prescriptions properly, including any potential adverse effects and combinations with other medications or supplements (Chen et al., 2019).

Diet and exercise are also significant aspects of general health and well-being, and healthcare experts should advise patients on how to maintain a good diet and exercise routine (Chen et al., 2019). Healthcare practitioners should give tailored suggestions for senior patients who may have distinct nutritional demands or physical limitations depending on their unique needs and skills.

3. Who assisted you at home after your illness or operation?

My son and his wife were always home with me. They took turns in taking care of me and I feel satisfied.

Following an illness or surgery, elderly patients may require assistance with everyday activities, which can be offered by family members, friends, or professional home healthcare services (Fowler et al., 2019). Home healthcare services include visiting nurses, physical therapists, occupational therapists, and other healthcare specialists who may provide therapy and help at the patient’s home. Home health care services teach patients and their families how to care for themselves following surgery and how to manage symptoms and avoid complications. They can also monitor the patient’s progress and communicate with the primary care provider.

4. Do you know of any assistance services, i.e., food, transportation, medication, that would help you stay in your home as you get older?

I know of a nursing home where my son used to take me when he was busy at work. I could either go there, or they would send someone over.

As people age, they may need more help to retain their freedom and remain at home, such as food delivery services, transportation services, home care services, home health care services, and in-home care organizations.

Conclusion

Patient education is critical in healthcare. Healthcare professionals must advise patients, particularly the elderly, on medication, diet, and exercise. This guideline can help patients obtain the right care, maintain their general health and well-being, and avoid problems. Geriatric services that may help older individuals stay in their homes. These programs can assist older persons in maintaining their independence while also improving their quality of life. It is critical to conduct research and consult with local groups and government agencies to determine what services are available in the region.

HLT 306V Advanced Patient Care References

Chen, X., Maguire, B., Brodaty, H., & O’Leary, F. (2019). Dietary patterns and cognitive health in older adults: A systematic review. Journal of Alzheimer’s Disease: JAD, 67(2), 583–619. https://doi.org/10.3233/JAD-180468

Fowler, A. J., Abbott, T. E. F., Prowle, J., & Pearse, R. M. (2019). Age of patients undergoing surgery. The British Journal of Surgery, 106(8), 1012–1018. https://doi.org/10.1002/bjs.11148

Paterick, T. E., Patel, N., Tajik, A. J., & Chandrasekaran, K. (2019). Improving health outcomes through patient education and partnerships with patients. Proceedings (Baylor University. Medical Center), 30(1), 112–113. https://doi.org/10.1080/08998280.2017.11929552

Powers, M. A., Bardsley, J. K., Cypress, M., Funnell, M. M., Harms, D., Hess-Fischl, A., Hooks, B., Isaacs, D., Mandel, E. D., Maryniuk, M. D., Norton, A., Rinker, J., Siminerio, L. M., & Uelmen, S. (2020). Diabetes self-management education and support in adults with Type 2 diabetes: A consensus report of the American diabetes association, the Association of diabetes care & education specialists, the Academy of Nutrition and Dietetics, the American Academy of family physicians, the American Academy of PAs, the American association of nurse practitioners, and the American pharmacists association. Diabetes Care, 43(7), 1636–1649. https://doi.org/10.2337/dci20-0023

HLT 306V Advanced Patient Care Topic 5 Homework GCU

Write a short (50-100-word) paragraph response for each question posed below. Submit this assignment as a Microsoft Word document.

1. Define CAM.
2. Describe the patient who uses CAM the most.
3. List some common misconceptions about CAM.
4. Identify methods of including the use of CAM in patient education.
5. Discuss the safe use of CAM.
6. List ways in which conventional medicine and CAM can be integrated.
7. Define ethical theories, ethical principles, and values.
8. Provide examples of ethical issues in patient education and compliance, and describe ways in which an effective professional/patient relationship and a poor health professional/patient relationship can impact these issues.
9. Explain what is meant by “ethical patient education practices”.
10. Explain the purpose of informed consent.
11. Discuss what factors determine the patient’s ability to give informed consent.
12. Compose a sample informed consent form. .
13. Discuss the process of communication to use with the patient and the family when obtaining informed consent.

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HLT 308V All Weeks Assignment Paper

HLT308V

Week 1 – Elements of a Risk Management Program

HLT 308V All Weeks Assignment Paper Details:

In 1,000-1,250 word paper, conduct a review of the risk management program for new employees in a health organization. Include the following:

1. Explain the steps for presenting a risk management program to new employees.
2. Evaluate the presentation for compliance with the American Society of Healthcare Risk Management (ASHRM).
3. Propose recommendations for inclusion in the program or changes that you would make to further improve the program or meet compliance.
4. Examine the administrative process of management the risk program.
5. Support your analysis with three peer-reviewed references, which may include your textbook.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. HLT 308V All Weeks Assignment Paper

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. HLT 308V All Weeks Assignment Paper

CLICK HERE TO ORDER YOUR HLT 308V All Weeks Assignment Paper

Week 2 – Risk Management Assessment

Details:

This assignment builds on the review of risk management in the “Elements of a Risk Management Program” assignment. HLT 308V All Weeks Assignment Paper

In a 1,250-1,500-word paper, discuss techniques for maintaining a successful risk management program by doing the following:

1. Refer to chapter 7, “Techniques for Managing Safety,” in Risk Management in Healthcare Institutions: Limiting Liability and Enhancing Care.
2. Identify two major categories of risk in your health care organization.
3. Explain how you would apply the three elements of risk management that you selected in the “Elements of a Risk Management Program” assignment.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required HLT 308V All Weeks Assignment Paper.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin. HLT 308V All Weeks Assignment Paper

 

Week 3 – Collaborative Learning Community: Educational Program on Risk Management: Outline of Topic

Details:

This is a CLC assignment.

CLC groups will develop an outline for a presentation on risk management based on the previous “Risk Management Assessment” assignment. This outline will form the basis for the PowerPoint presentation assigned in Topic 5. HLT 308V All Weeks Assignment Paper

The 700-750-word outline will cover a topic chosen in the previous “Risk Management Assessment” assignment and include three objectives.

APA format is not required, but solid academic writing is expected.

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Week 4 – Organizational Risk Management Interview

Details:

Interview a health care provider on how an organization can prevent the spread of infectious disease within the facility. Include the following:

1. Identification of the challenges the organization faces in controlling infectious diseases.
2. Risk management strategies used in the organization’s infection control program, along with specific examples. HLT 308V All Weeks Assignment Paper
3. Monitoring and maintaining the risk management program.
4. Based on the interview, provide your impression of the organization’s risk management program. Support your rationale by citing references.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required. HLT 308V All Weeks Assignment Paper

You are required to submit this assignment to Turnitin. Refer to the directions in the Student Success Center. Only Word documents can be submitted to Turnitin.

Week 5 – Collaborative Learning Community: Educational Program on Risk Management Presentation

Details:

This is a CLC assignment.

Create a PowerPoint presentation on one of the selected categories of risk identified in the “Educational Program on Risk Management: Outline of Topic” assignment.

The 20-25 slide presentation will consist of:

1. Introduction.
2. Objectives of the educational session.
3. A description of the three major elements of the selected topic.
4. Data to support the need for educational session.
5. Strategies for implementation.
6. How you will evaluate the educational session.
7. Speaker notes.
8. Citations from six references to support the topic.

While APA format is not required for the body of this assignment, solid academic writing is expected, and in-text citations and references should be presented using APA documentation guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.

You are not required to submit this assignment to Turnitin, unless otherwise directed by your instructor. If so directed, refer to the Student Success Center for directions. Only Word documents can be submitted to Turnitin. HLT 308V All Weeks Assignment Paper

HLT-362 Topic 3: Clinical Inquiry and Hypothesis Testing

Assessment Description

Search the GCU Library and find two new health care articles that use quantitative research. Do not use articles from a previous assignment, or articles that appear in the topic Resources or textbook.

Complete an article analysis for each using the “Article Analysis: Part 2” template.

Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 2,” for an example of an article analysis.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

Two Quantitative Articles

Criteria Description

Two Quantitative Articles

Two articles are presented. Both articles are based on quantitative research.

Article Citation and Permalink

Criteria Description

Article Citation and Permalink

Article citation and permalink are presented. Article citation is accurately presented in APA format. Page numbers are accurate and used in all areas when citing information.

Broad Topic Area/Title

Criteria Description

Broad Topic Area/Title

Broad topic area and title are fully presented and accurate.

Hypothesis

Criteria Description

Hypothesis

Hypothesis is accurate and clearly defined.

Independent and Dependent Variable Type and Data for Variable

Criteria Description

Independent and Dependent Variable Type and Data for Variable

Variable types and data for variables are presented and accurate.

Population of Interest for the Study

Criteria Description

Population of Interest for the Study

Population of interest for the study is presented and accurate.

Sample

Criteria Description

Sample

Sample is presented and accurate. Page citation for sample information is provided.

Sampling Method

Criteria Description

Sampling Method

Sampling method is presented and accurate.

How Was Data Collected

Criteria Description

How Was Data Collected

The means of data collection are presented and accurate. Page citation for sample information is provided.

Mechanics of Writing

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

The writer is clearly in command of standard, written, academic English.

REFERENCES MUST BE BETWEEN 2018-2022

Chapter 12: Test of Means

Read “Chapter 12: Test of Means” and watch the associated videos, by Lane, from Online Statistics Education: An Interactive M

… Read More

http://onlinestatbook.com/2/tests_of_means/testing_means.html

Article Analysis 2

Use the “Article Analysis 2” template to complete the Article Analysis 2 assignment.

HLT-362V-RS3-ArticleAnalysis-2-Template.docx

Probability, Clinical Decision Making and Hypothesis Testing

Read “Probability, Clinical Decision Making and Hypothesis Testing,” by Banerjee, Jadhave, and Bhawalker, from Industrial Psy

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3016704/

Understanding Null Hypothesis Testing

Read “Understanding Null Hypothesis Testing,” by Jhangiani and Chiang, from the online eBook, Research Methods in P

… Read More

Understanding Null Hypothesis Testing

Probability, Proof, and Clinical Significance

Read “Probability, Proof, and Clinical Significance,” by Skelly, from Evidence-Based Spine-Care Journal (2011).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3506143/

Hypothesis Testing, Type I and Type II Errors

Read “Hypothesis Testing, Type I and Type II Errors,” by Banerjee, Chitnis, Jadhay, Bhawalkar, and Chaudhury, from Industrial

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2996198/

Applied Statistics for Health Care

Read Chapter 3 in Applied Statistics for Health Care.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/applied-statistics-for-health-care_1e.php HLT-362V Quality Improvement Proposal Sample

Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial

Review “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomis

… Read More

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0020748913000941

Chapter 6: Research Design

Read “Chapter 6: Research Design” and watch the associated videos, by Lane, from Online Statistics Education: An Interactive 

… Read More

http://onlinestatbook.com/2/research_design/contents.html

Article Analysis Example 2

Review this document in conjunction with the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COP

… Read More

HLT-362V-RS3-ArticleAnalysisExample-2.docx

Identifying the Differences Between Quality Improvement, Evidence-Based Practice, and Original Research

Read “Identifying the Differences Between Quality Improvement, Evidence-Based Practice, and Original Research,” by Baker et al.,

… Read More

https://www.jenonline.org/article/S0099-1767(13)00605-3/pdf

Statistical Versus Clinical Significance in Nursing Research

Read “Statistical Versus Clinical Significance in Nursing Research,” by El-Masri, from Canadian Journal of Nursing Research

… Read More

https://journals.sagepub.com/stoken/default+domain/49wntTs5dFgrX94WR3q6/full

Chapter 11: Logic of Hypothesis Testing

Read “Chapter 11: Logic of Hypothesis Testing,” and watch the associated videos by Lane, from Online Statistics Education: An HLT-362V Quality Improvement Proposal Sample

… Read More

http://onlinestatbook.com/2/logic_of_hypothesis_testing/logic_hypothesis.html

The Visual Learner: Statistics

Refer to the “Visual Learner: Statistics” to learn more about the statistical calculations presented in this topic.

http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Chapter 10: Estimation

Read “Chapter 10: Estimation” and watch the associated videos, by Lane, from Online Statistics Education: An Interactive Mult

… Read More

http://onlinestatbook.com/2/estimation/estimation.html

The Difference Between Quality Improvement, Evidence-Based Practice, and Research

Read “The Difference Between Quality Improvement, Evidence-Based Practice, and Research,” by Ginex, from ONS Voice 

… Read More

https://voice.ons.org/news-and-views/oncology-research-quality-improvement-evidence-based-practice

HLT 362 Week 1 Statistics Assignment

Assessment Description

Statistical application and the interpretation of data is important in health care. Review the statistical concepts covered in this topic. In a 750-1,000 word paper, discuss the significance of statistical application in health care. Include the following:

1. Describe the application of statistics in health care. Specifically discuss its significance to quality, safety, health promotion, and leadership.
2. Consider your organization or specialty area and how you utilize statistical knowledge. Discuss how you obtain statistical data, how statistical knowledge is used in day-to-day operations and how you apply it or use it in decision making.

Three peer-reviewed, scholarly or professional references are required.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is not required HLT-362V Quality Improvement Proposal Sample.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

REFERENCES MUST BE BETWEEN 2019-2023

Rubric Criteria

Application of Statistics in Health Care (quality, safety, health promotion, leadership

Application of statistics in health care is described in detail. The significance to quality, safety, health promotion, and leadership is described thoroughly for all criteria. Strong information and rationale is provided to fully illustrate the application of statistics, and its significance, to health care and the specific areas.

Application of Statistical Knowledge to Organization or Specialty Area30 points

Criteria Description

Application of Statistical Knowledge to Organization or Specialty Area

Application of statistical knowledge to organization or specialty area is thoroughly discussed. How statistical data are obtained, used in day-to-day operations, or applied in decision making is described in detail. The ability to understand and apply statistical data is clearly demonstrated. HLT-362V Quality Improvement Proposal Sample

Thesis Development and Purpose

Thesis is comprehensive and contains the essence of the paper. Thesis statement makes the purpose of the paper clear.

Argument Logic and Construction

Criteria Description

Argument Logic and Construction

Clear and convincing argument presents a persuasive claim in a distinctive and compelling manner. All sources are authoritative.

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

Writer is clearly in command of standard, written, academic English.

Paper Format 

Criteria Description

Paper Format (use of appropriate style for the major and assignment)

All format elements are correct.

Documentation of Sources

Criteria Description

Documentation of Sources (citations, footnotes, references, bibliography, etc., as appropriate to assignment and style)

Sources are completely and correctly documented, as appropriate to assignment and style, and format is free of error.

RESOURCES

Applied Statistics for Health Care

Read Chapter 1 in Applied Statistics for Health Care.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/applied-statistics-for-health-care_1e.php

Health Topics: Health Statistics

Explore the Health Statistics page of the MedlinePluse website.

https://medlineplus.gov/healthstatistics.html

Nominal, Ordinal, Interval Ratio: Examples

Read “Nominal, Ordinal, Interval Ratio: Examples,” by Stephanie (2014), located on the Statistics How To website.

https://www.statisticshowto.datasciencecentral.com/nominal-ordinal-interval-ratio/

Data and Statistics

Explore the Data and Statistics page of the Centers for Disease Control and Prevention (CDC) website.

https://www.cdc.gov/datastatistics/index.html

HLT-362V Quality Improvement Proposal Sample Introduction

Read “Introduction,” and watch the associated videos by Lane, Hebl, Osherson, and Zeimer, from Online Statistics Educati

… Read More

http://onlinestatbook.com/2/introduction/introduction.html

Evidence-Based Practice for Nursing: Levels of Evidence

Read “Evidence-Based Practice for Nursing: Levels of Evidence,” located on the Northern Virginia Community College website.

https://libguides.nvcc.edu/c.php?g=361218&p=2439383

HLT-362V Quality Improvement Proposal Sample Health

Explore Health page of the United States Census Bureau website.

https://www.census.gov/topics/health.html

Quality Data Critical to Healthcare Decision-Making

Read “Quality Data Critical to Healthcare Decision-Making,” by Nicholson and Penney (2004), located on the American Health Inform

… Read More

http://library.ahima.org/doc?oid=106428#.XHmI_KB7mUk

Measuring the Quality of Healthcare in the U.S.

Read “Measuring the Quality of Healthcare in the U.S.,” by Claxton, Cox, Gonzales, Kamal, and Levitt (2015), located on the Peter

… Read More

Measuring the quality of healthcare in the U.S.

Fundamentals of Statistics 1: Basic Concepts :: Nominal, Ordinal, Interval and Ratio

Read “Fundamentals of Statistics 1: Basic Concepts :: Nominal, Ordinal, Interval and Ratio,” located on the Usable Stats website.

… Read More

http://www.usablestats.com/lessons/noir

Health Statistics

Explore the Health Statistics page of the MedlinePlus website.

https://medlineplus.gov/healthstatistics.html

The Visual Learner: Statistics

Refer to the “Visual Learner: Statistics” to learn more about the statistical calculations presented in this topic.

http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

HLT 362 Week 1 Article Analysis 1

Assessment Description

The interpretation of research in health care is essential to decision making. By understanding research, health care providers can identify risk factors, trends, outcomes for treatment, health care costs and best practices. To be effective in evaluating and interpreting research, the reader must first understand how to interpret the findings. You will practice article analysis in Topics 2, 3, and 5.

For this assignment:

• Search the GCU Library and find three different health care articles that use quantitative research. Do not use articles that appear in the topic Resources or textbook. Complete an article analysis for each using the “Article Analysis 1” template.
• Refer to the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial,” in conjunction with the “Article Analysis Example 1,” for an example of an article analysis.
• While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.
• This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.
• You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Rubric Criteria

Three Quantitative Articles

Criteria Description

Three Quantitative Articles

Three articles are presented. All three articles are based on quantitative research.

Article Citation and Permalinka 2

Criteria Description

Article Citation and Permalinka 2

Article citation and permalink are presented. Article citation is accurately presented in APA format. Page numbers are accurate and used in all areas when citing information.

Broad Topic Area/Title

Criteria Description

Broad Topic Area/Title

Broad topic area and title are fully presented and accurate.

Independent and Dependent Variables and Type of Data for Variables

Criteria Description

Independent and Dependent Variables and Type of Data for Variables

Variable types and data for variables are presented and accurate.

Population of Interest for the Study

Criteria Description

Population of interest for the study is presented and accurate.

Criteria Description

Sample is presented and accurate.

Sampling Method

Criteria Description

Sampling method is presented and accurate.

Descriptive Statistics

Criteria Description

Descriptive Statistics (mean, median, mode; standard deviation) (Identify examples of descriptive statistics in the article.)

Inferential Statistics (Identify examples of inferential statistics in the article.)

Criteria Description

Inferential Statistics (Identify examples of inferential statistics in the article.)

Mechanics of Writing

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, and language use)

The writer is clearly in command of standard, written, academic English.

REFERENCES MUST BE BETWEEN 2018-2022

Ten Scientific Questions to Ask About Scientific Studies

Read “Ten Scientific Questions to Ask About Scientific Studies,” by Smith, from Greater Good Magazine (2015).

https://greatergood.berkeley.edu/article/item/10_questions_to_ask_about_scientific_studies

Sampling Methods in Clinical Research: an Educational Review

Read “Sampling Methods in Clinical Research: an Educational Review,” by Elfil and Negida, from Emergency (2017).

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5325924/

Applied Statistics for Health Care

Read Chapter 2 in Applied Statistics for Health Care.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/applied-statistics-for-health-care_1e.php

Article Analysis 1

Use the Article Analysis 1? template to complete the Article Analysis 1 assignment.

HLT-362V-RS2-ArticleAnalysis-1-Template.docx

Article Analysis Example 1

Review this document in conjunction with the “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COP

… Read More

HLT-362V-RS2-ArticleAnalysisExample-1.docx

Chapter 9: Sampling Distributions

Read “Chapter 9: Sampling Distributions,” and watch the associated videos by Utens et al., from Online Statistics Educa

… Read More

http://onlinestatbook.com/2/sampling_distributions/sampling_distributions.html

Eight Questions to Ask When Interpreting Academic Studies: A Primer for Media

Read “Eight Questions to Ask When Interpreting Academic Studies: A Primer for Media,” by Feldman and Wihbey (2015), located on th

… Read More

https://journalistsresource.org/tip-sheets/research/interpreting-academic-studies-primer-media/

Chapter 8: Strategies for Sampling

Read “Chapter 8: Strategies for Sampling,” by Morse, from the online eBook, Qualitative Nursing Research: A Contemporary

… Read More

https://methods-sagepub-com.lopes.idm.oclc.org/book/qualitative-nursing-research/n16.xml

Research 101: Descriptive Statistics

Read “Research 101: Descriptive Statistics,” by Conner and Johnson, from American Nurse Today (2017).

https://www.americannursetoday.com/research-101-descriptive-statistics/

The Visual Learner: Statistics

Refer to the “Visual Learner: Statistics” to learn more about the statistical calculations presented in this topic.

http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised Controlled Trial

Read “Patient Preference and Satisfaction in Hospital-at-Home and Usual Hospital Care for COPD Exacerbations: Results of a Randomised

… Read More

https://www-sciencedirect-com.lopes.idm.oclc.org/science/article/pii/S0020748913000941

HLT 362 Week 5 Article Analysis and Evaluation of Research Ethics

Article Analysis and Evaluation of Research Ethics Example

Article Citation and Permalink

(APA format)

Article 1

Fritz, B. A., King, C. R., Mehta, D., Somerville, E., Kronzer, A., Ben Abdallah, A., Wildes, T., Avidan, M. S., Lenze, E. J., Stark, S., & ENGAGES Research Group. (2022). Association of a perioperative multicomponent fall prevention intervention with falls and quality of life after elective inpatient surgical procedures. JAMA Network Open, 5(3), e221938. https://doi.org/10.1001/jamanetworkopen.2022.1938

PointDescriptionBroad Topic Area/TitleFalls Among Hospitalized PatientsProblem Statement

(What is the problem research is addressing?)

Up to 4 percent of patients during their inpatient stay, the experience falls after elective inpatient surgical procedures. Upon discharge, this percentage rises threefold among these patients in their first year after elective inpatient surgical procedures (Fritz et al., 2022). These falls have a significant impact on the patient’s life quality, finances, and safety and thus need to be addressed.Purpose Statement

(What is the purpose of the study?)

The authors of this study used a multicomponent intervention that included patient education, a home medication review by a specialist, and an assessment of home safety. This study aimed at assessing whether this multicomponent intervention was associated with patient fall incidence reduction in patients who had undergone elective inpatient surgical proceduresResearch Questions

(What questions does the research seek to answer?)

This study’s research questions sought to find answers to whether an intervention that incorporates patient education, specialist’s medication review at home, and identification of hazards in the patient’s home environment could be associated with reductions in patient falls during the first year after an elective inpatient surgical procedure.Define Hypothesis

(Or state the correct hypothesis based upon variables used)

Effects of falls among hospitalized patients are multifactorial, multifaceted and have physical, emotional, financial, and functional consequences on the quality of life of the affected patients. Elective inpatient surgical procedures add to these risks in the postoperative period. The preoperative and postoperative periods is an opportunity to offer multicomponent strategies to prevent fall and minimize fall risks. Identify Dependent and Independent Variables and the Type of Data for the VariablesThe dependent variable in this study was the incidence of patient falls in the first year after elective surgery reported by the patient. This study also had secondary dependent variables such as quality of life scores by the Veterans RAND tool. The application of the multicomponent fall prevention intervention was the independent variable.The population of Interest for StudyThe study population was a group of adult patients who had undergone general anesthesia before an elective inpatient surgical procedure and had at least 2-day hospital stays.SampleThe study sampled a total of 1396 patients from two different studies assigned into intervention and control groups. The 698 patients were from the ENGAGES indicates Electroencephalography Guidance of Anesthesia to Alleviate Geriatric Syndromes clinical trial study, while the other 698 patients in the control groups were from the d SATISFY-SOS, Systematic Assessment and Targeted Improvement of Services Following Yearly Surgical Outcomes Surveys cohort study and had met the inclusion criteria same as those in the intervention group.Sampling MethodA non-random sampling, quota sampling, the method was used to select eligible participants from the intervention and control patient pools.Identify Data Collection

Identify how data were collected

Data on the primary outcome variable was collected through patient surveys that were administered for baseline assessment during the first postoperative month and also after the first postoperative year in both groups. These surveys were sent through email, and those who did not respond were followed by phone. The secondary variable, quality of life, was assessed using the Veterans RAND 12-item health survey tool. This tool had both mental and physical assessment items.Summarize Data Collection ApproachThe data collection approach was biphasic, with baseline data for primary outcomes assessed for compression purposes at the study end. The quality of life assessment was done a month before the procedure and one year after the surgical procedure. This data collection approach transformed quality types of data into objective quantitative data for analysisDiscuss Data Analysis

Include what types of statistical tests were used for the variables.

Logistical regression analysis was used to analyze the propensity scores that were used to match the intervention and control group participant data. Pearson ?2 or Wilcoxon rank sum tests were used as appropriate to examine whether the matched cohorts had confounders. Comparative analyses were indicted for outcome variables for both cohorts. Null hypothesis significance testing (NHST) was used for these comparisons.Summarize Results of the StudyFall incidence in the intervention groups after one year was 32.7% (228 of 698) and the incidence in the control groups was 32.2% (225 of 698). Cooperative analysis and significance testing. These differences were statistically insignificant at a 95% confidence interval. However, quality of life scores in the intervention groups was higher than that in the control groups.Summary of Assumptions and Limitations

Identify the assumptions and limitations of the article.

Report other potential assumptions and limitations of your review not listed by the author.

This study had a multidisciplinary approach in the implementation of the intervention that increased the likelihood of success of each intervention. The study sued a large sample size that increased the accuracy of results, reduced the margin of error, and enabled the identification of outlier values. Despite these strengths, this study had limitations because it was a single-center study, thus limiting the generalizability of the findings. Selection and recall bias are potential limitations due to the sampling method and periodical data collection methods applied in this study.

 

Ethical Considerations

Evaluate the article and identify potential ethical considerations that may have occurred when sampling, collecting data, analyzing data, or publishing results. Summarize your findings below in 250-500 words. Provide rationale and support for your evaluation.

This study used an approach that did not involve true experiments making it ethically appropriate for vulnerable patients. The lack of intervention used in the control groups showed lower benefits in their life quality during the study period. A potential ethical consideration arises because withholding this intervention (that would be reasoned as clinically beneficial) for the control groups on a nonrandom basis was biased and unethical (Handley et al., 2018). Therefore, the causal association is limited by the nonrandom assignment of patients, undermining the principle of fairness because the participants did not get an equal chance of selection. Another ethical consideration in this method was the potential harm from the intentional withholding of an intervention that was viewed as beneficial to the patient’s quality of life.

Other general considerations in this study would be patient data confidentiality, privacy, and security owing to the study approach used. Sharing of patient data from the two studies to this study would jeopardize confidentiality. Even if protected health information were encrypted, the authors of this study would require to follow them up. This would have required personal patient data, thus the need to disclose them to a third party. The patients thus would lack autonomy in the use of their data. The study was limited in external validity partially due to being a single-center study. The presence of confounders such as exercise that would have improved the quality of life of the patients in the intervention groups would have led to inferential bias that limits the external validity of this study (Lewis, 2020). Nevertheless, the quality of evidence and the level of evidence in the hierarchy are higher making. Despite the aforementioned limitations, this study still has many methodological strengths

HLT 362 Week 5 Article Analysis and Evaluation of Research Ethics References

Fritz, B. A., King, C. R., Mehta, D., Somerville, E., Kronzer, A., Ben Abdallah, A., Wildes, T., Avidan, M. S., Lenze, E. J., Stark, S., & ENGAGES Research Group. (2022). Association of a perioperative multicomponent fall prevention intervention with falls and quality of life after elective inpatient surgical procedures. JAMA Network Open, 5(3), e221938. https://doi.org/10.1001/jamanetworkopen.2022.1938

Handley, M. A., Lyles, C. R., McCulloch, C., & Cattamanchi, A. (2018). Selecting and improving quasi-experimental designs in effectiveness and implementation research. Annual Review of Public Health, 39(1), 5–25. https://doi.org/10.1146/annurev-publhealth-040617-014128

Lewis, J. (2020). Experimental design: Ethics, integrity, and the scientific method. In Handbook of Research Ethics and Scientific Integrity (pp. 459–474). Springer International Publishing. https://doi.org/10.1007/978-3-030-16759-2_19

HLT 362 Week 5 Article Analysis and Evaluation of Research Ethics Instructions

Search the GCU Library and find one new health care article that uses quantitative research. Do not use an article from a previous assignment, or that appears in the topic Resources or textbook.

Complete an article analysis and ethics evaluation of the research using the “Article Analysis and Evaluation of Research Ethics” template. See Chapter 5 of your textbook as needed, for assistance.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion. 

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

HLT 362 Week 5 Assignment 2 Summary and Descriptive Statistics

Assessment Description

There is often the requirement to evaluate descriptive statistics for data within the organization or for health care information. Every year the National Cancer Institute collects and publishes data based on patient demographics. Understanding differences between the groups based upon the collected data often informs health care professionals towards research, treatment options, or patient education.

Using the data on the “National Cancer Institute Data” Excel spreadsheet, calculate the descriptive statistics indicated below for each of the Race/Ethnicity groups. Refer to your textbook and the topic Resources, as needed, for assistance in with creating Excel formulas.

Provide the following descriptive statistics:

1. Measures of Central Tendency: Mean, Median, and Mode
2. Measures of Variation: Variance, Standard Deviation, and Range (a formula is not needed for Range).
3. Once the data is calculated, provide a 150-250 word analysis of the descriptive statistics on the spreadsheet. This should include differences and health outcomes between groups.

APA style is not required, but solid academic writing is expected HLT-362V Quality Improvement Proposal Sample.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are not required to submit this assignment to LopesWrite.

Rubric Criteria

Measures of Central Tendency

Criteria Description

Measures of Central Tendency (Mean, Median and Mode)

Measures of central tendency are calculated.

Measures of Variation 

Criteria Description

Measures of Variation (Variance, Standard Deviation and Range)

Measures of central variation are calculated for variance and standard deviation. Range is identified.

Analysis of Descriptive Statistics

Criteria Description

Analysis of Descriptive Statistics

Analysis of the descriptive statistics for differences and health outcome recommendations between the groups is extremely thorough and accurate and includes substantial explanation and supporting details.

Excel Formulas

Criteria Description

Excel Formulas

Excel formulas are complete and correct for all problems.

Mechanics of Writing

Criteria Description

Mechanics of Writing (includes spelling, punctuation, grammar, language use)

references must be between 2018-2022

Resources

Chapter 2. Health Databases and Health Database Organizations: Uses, Benefits, and Concerns

Read “Chapter 2. Health Databases and Health Database Organizations: Uses, Benefits, and Concerns,” by Donaldson and Lohr, from t

… Read More

https://www.ncbi.nlm.nih.gov/books/NBK236556/

Article Analysis and Evaluation of Research Ethics

Use the “Article Analysis and Evaluation of Research Ethics” template to complete the Article Analysis and Evaluation of Research

… Read More

HLT-362V-RS5-ArticleAnalysisEthicalEval-Template.docx

Ethics in Medical Research and Publication

Read “Ethics in Medical Research and Publication,” by Masic, Hodzic, and Mulic, from International Journal of Preventative Me

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4192767/

Challenges in Conducting Qualitative Research in Health: A Conceptual Paper

Read “Challenges in Conducting Qualitative Research in Health: A Conceptual Paper,” by Khankeh, Ranjbar, Khorasani-Zavareh, Zargh

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4700679/

Ethical Challenges of Researchers in Qualitative Studies: The Necessity to Develop a Specific Guideline

Read “Ethical Challenges of Researchers in Qualitative Studies: The Necessity to Develop a Specific Guideline,” by Sanjari, Bahra

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4263394/

The Visual Learner: Statistics

Refer to the “Visual Learner: Statistics” to learn more about the statistical calculations presented in this topic.

http://lc.gcumedia.com/hlt362v/the-visual-learner/the-visual-learner-v2.1.html

Secondary Data Analysis: Ethical Issues and Challenges

Read “Secondary Data Analysis: Ethical Issues and Challenges,” by Tripathy, from Iranian Journal of Public Health (2013)

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4441947/

Using Epidemiological Data to Guide Clinical Practice: Review of Studies on Cardiovascular Disease and Use of Combined Oral Contraceptives

Read “Using Epidemiological Data to Guide Clinical Practice: Review of Studies on Cardiovascular Disease and Use of Combined Oral Con

… Read More

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC28503/

Applied Statistics for Health Care

Read Chapter 5 in Applied Statistics for Health Care.

https://www.gcumedia.com/digital-resources/grand-canyon-university/2018/applied-statistics-for-health-care_1e.php

What Are the Major Ethical Issues in Conducting Research? Is There a Conflict Between the Research Ethics and the Nature of Nursing?

Read “What Are the Major Ethical Issues in Conducting Research? Is There a Conflict Between the Research Ethics and the Nature of Nur

… Read More

http://www.hsj.gr/medicine/what-are-the-major-ethical-issues-in-conducting-research-is-there-a-conflict-between-the-research-ethics-and-the-nature-of-nursing.php?aid=3485

Excel for Windows Training

Review the “Excel for Windows Training” modules, located on the Microsoft Office website, and use them as resources for the Summa

… Read More

https://support.office.com/en-us/article/excel-for-windows-training-9bc05390-e94c-46af-a5b3-d7c22f6990bb

National Cancer Institute Data

Use the “National Cancer Institute Data” Excel spreadsheet to complete the Summary and Descriptive Statistics assignment

From the computations, the White has the largest mode of 65.8 for the years 2004 and 2006

According to the data, black people have the highest risk of lung and bronchial cancer with a mean and median of 70.07 and 71.40, respectively, whereas Hispanics have the lowest risk with a mean and median of 31.49 and 32.10, respectively.

For the various years, the range is likewise highest among Blacks (21.60), showing that the trend of Cancer risk has been much higher.

The Asians have the lowest standard deviation and variance (2.38, 5.68), indicating that the trend of cancer diagnosis has not changed much over time when compared to other races. The Blacks have the highest standard deviation and variance (6.74, 45.42)

HLT 362 Week 4 Quality Improvement Proposal Paper
Sample

Quality Improvement Proposal

This paper will provide an overview of a common problem associated with extended turn over time that occurs in operating rooms (ORs) across the nation.  It will also provide an explanation as to why a quality improvement initiative is needed to reduce the overall average turn over time.  This paper will also discuss how previous research demonstrates support for a quality improvement initiative to help alleviate this problem.

Additionally, this paper will discuss the steps necessary to implement a quality improvement initiative in the OR, as well as how the quality improvement initiative will be evaluated.  Lastly, this paper will identify the variables associated with this quality improvement initiative, test a hypothesis and provide a statistical test that can be used to prove the quality improvement initiative was successful.

Extended Turnover Time

Turnover time can be defined as the “procedure finish” time of the preceding surgical case to “procedure start” time of the following surgical case. By decreasing the overall turnover time, the throughput of the operating room should increase allowing the department to function more efficiently increase the hospitals total revenue.

Several different factors may contribute to an extended turnover time.  Some of these factors include lack of ancillary staff, poorly designed preference cards, challenging physical layout of the department, and lack of crucial equipment and supplies.

Need for a Quality Improvement Initiative

Quality improvement is defined by the Department of Health and Human Services and consists of “systematic and continuous actions that lead to measurable improvement in health services and the health status of targeted groups ( Helbig, 2018, para 28).

A decrease in turnover time is one of the essential contributors to surgical patients’ satisfaction.  The turnover time should consist of a balance between ensuring patient safety as well as increasing efficiency. Although as facilities try to achieve lessened turnover times, they may however have a higher cost attributed to them as the process will require additional ancillary personnel. 

Supporting Previous Research

Previous research has demonstrated the need for and support for approaches intended to lessen turnover times. Majbah Uddin, Robert Allen, and Nathan Huynh measured operating room turnover time using a mobile application in their study

They wanted to find out how well a mobile app created in collaboration with medical workers could monitor and cut down on OR turnover time. According to their study, the mobile application acted as a data gathering tool as well as a visual management tool, enabling them to continuously enhance the turnover process and support a more quick turnover.

Another study was conducted by six health care professionals ranging from doctors to nurses working together to determine if the Elective Change of Surgeon During the OR Day Has an Operationally Negligible Impact on Turnover Time.

The purpose of this study was “to compare turnover times for a series of elective cases with surgeons following themselves to turnover times for a series of previously scheduled, elective procedures where the following surgeon differed from the preceding surgeon” (Austin, Lam, Shin, Daily, Dunn, & Warren, 2014, para 1). Their research concluded that the turnover time for switching surgeons is definitely greater than that of the turnover time for the same surgeon. 

A third study researched as part of the backing for a quality improvement proposal is titled Factors Affecting Hand Surgeon Operating Room Turnover Time, which was conducted by eight health care professionals. The purpose of their study was to identify factors that contributed to hand surgeon turnover times.

Their research results noted that turnover time was considerably less when the surgeon remained in the OR and participated in the turnover as well as incentivizing the OR staff HLT-362V Quality Improvement Proposal Sample.

Necessary Steps for Quality Improvement Initiative

By applying a few fundamental steps to the turnover process, a reduction in overall turnover time can be accomplished.  Some of these steps include involvement by all staff members, strategically assessing the physical layout of the hospital, centrally locating the ORs inventory, assign a person to each task performed, and ensure physician preference cards are updated/accurate.

Additional necessary steps may include discussions with anesthesia providers on limiting lunch break, promoting surgeon punctuality, and setting a realistic and achievable target goal.

Quality Improvement Initiative Evaluation

One concrete way to evaluate the quality improvement initiative is by conducting quantitative research.  Quantitative research is “performed by evaluating numbers and numeric variables that result in measurable data” (Helbig, 2018, para 15).

After implementing all essential steps necessary a reduction in the mean turnover time should be noted.  Qualitative research can also be conducted to measure the effectiveness of the newly designed steps.  Physician satisfaction as well as patient safety can be measured using a survey to help determine the quality improvement effectiveness.

Statistics Application-Variables

Variables are defined as A data item such as characteristics, numbers, properties, or quantities that can be measured or counted. The value of the data item can vary or be manipulated from one entity to another. There are three different types of variables—dependent, independent, and extraneous (Ambrose, 2018, para 13). The dependent variable for studies associated with OR efficiency and throughput is Turnover Time.

Experimental variables that can be manipulated during this improvement proposal that will have a direct effect on the dependent variable include ancillary personnel involved, equipment and resource availability such as turn over packs and the application of a recommended practices for systematically cleaning the OR.  “As part of the process for rapid room turnovers, a developed system for “room turnover packs” should be created. These packs should consist of the OR table/bedsheet, the draw sheet, the kick bucket liners, and the various hamper liners” (Dean, 2015, para 24)

Hypothesis Testing

A well-written hypothesis gives directions for conducting the study. The hypothesis is a prediction of what will happen between the two variables. The hypothesis will identify both the independent and dependent variable (Ambrose, 2018, para 8). A hypothesis that can be used to during the quality improvement proposal related to the OR is; Increasing ancillary staff reduces turnover time.  To determine if this hypothesis is true, a correlation must be established between the ancillary staff and the essential role they play during turnovers. “A correlation indicates a mutual relationship or interdependence between two or more things” (Ambrose, 2018, para 9).

A null hypothesis that can help establish the lack of relationship between variables for this proposal is; There is no relationship between increasing ancillary staff and reducing turnover times.

Statistical Test

One way to determine the success of this quality improvement proposal would be to utilize a statistical test.  The test would involve a sample number of five hospital, each containing at least eight (8) OR’s.  To ensure accuracy the various hospitals  should be conducting similar surgery types and have a similar trauma designation. One hospital will be the control for this study by not changing any of their current procedures for turnover.

Two hospitals will adapt the necessary steps to reduce their tu rnover, and the last two will adapt only 1 step listed to reduce turnover times.  Turnover time  will be defined as the time from when the previous patient left the OR until the subsequent patient entered the OR.  The study should be conducted for a period of four months to allow staff to develop a routine with the implementation of turnover time reducing steps.

After the four months are completed, and the data is analyzed, the overall mean turnover time should be less for hospitals that implemented some or all of the necessary steps.  Ensuring that this study has a high confidence interval should reduce the margin for error.

Conclusion

Quality improvement strategies vary in their purpose and design. One such strategy is the Plan-Do-Study-Act (PDSA) cycle. June Helbig best explains this process as “once a problem has been identified, a plan is created to observe the problem and collect data (plan). After the plan has been made, it is tested on a small sample (do), and the data collected is analyzed (study). After the data is studied, changes are made based on what was learned (act)” (Helbig, 2018, para 27). Implementing essential steps is an excellent way to decrease overall turnover time ensuring the quality improvement proposal has been accomplished.

HLT-362V Quality Improvement Proposal Sample References

Ambrose, J. (2018). Applied Statistics for Health Care: Clinical Inquiry and Hypothesis Testing. Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/3

Austin, T. M., Lam, H. V., Shin, N. S., Daily, B. J., Dunn, P. F., & Sandberg, W. S. (2014). Elective change of surgeon during the OR day has an operationally negligible impact on turnover time. Journal of Clinical Anesthesia, 26(5), 343-349.

Dean, A. (2015). 8 Steps to Achieve 7-10 Minute Turnover Times in an ASC. Retrieved from https://www.beckersasc.com/asc-turnarounds-ideas-to-improve-performance/8-steps-to-achieve-7-10-minute-turnover-times-in-an-asc.html

Gottschalk, M. B., Hinds, R. M., Muppavarapu, R. C., Brock, K., Sapienza, A., Paksima, N., . . . Yang, S. S. (2016). Factors Affecting Hand Surgeon Operating Room Turnover Time. Hand, 11(4), 489-494.

Helbig, J. (2018). Applied Statistics for Health Care: Statistics Analysis. Retrieved from https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4

Uddin, M., Allen, R., Huynh, N., Vidal, J. M., Taaffe, K. M., Fredendall, L. D., & Greenstein, J. (2018). Assessing operating room turnover time via the use of mobile application. MHealth, 4, 12-12.

HLT-362V Quality Improvement Proposal Question Description

Identify a quality improvement opportunity in your organization or practice. In a 1,250-1,500 word paper, describe the problem or issue and propose a quality improvement initiative based on evidence-based practice. Apply “The Road to Evidence-Based Practice” process, illustrated in Chapter 4 of your textbook, to create your proposal.

Include the following:

1. Provide an overview of the problem and the setting in which the problem or issue occurs.
2. Explain why a quality improvement initiative is needed in this area and the expected outcome.
3. Discuss how the results of previous research demonstrate support for the quality improvement initiative and its projected outcomes. Include a minimum of three peer-reviewed sources published within the last 5 years, not included in the course materials or textbook, that establish evidence in support of the quality improvement proposed.
4. Discuss steps necessary to implement the quality improvement initiative. Provide evidence and rationale to support your answer.
5. Explain how the quality improvement initiative will be evaluated to determine whether there was improvement.
6. Support your explanation by identifying the variables, hypothesis test, and statistical test that you would need to prove that the quality improvement initiative succeeded.

While APA style is not required for the body of this assignment, solid academic writing is expected, and documentation of sources should be presented using APA formatting guidelines, which can be found in the APA Style Guide, located in the Student Success Center

HLTH 252 CASE STUDY ANALYSIS GRADING RUBRIC

Case Study Analysis Grading Rubric

CriteriaLevels of AchievementContent 70%AdvancedProficientDevelopingNot presentPoints EarnedSummary of Issues6-8 points

A summary of the issues is thoroughly discussed.

3-5 points

Most but not all of the issues are summarized in the discussion.

1-2 points

Few of the issues are summarized and discussed.

0 points Health Implications6-8 points

At least five physical and/or mental health issues relating to use of the specific drug are discussed.

3-5 points

Two- four physical and/or mental health issues are discussed relating to use of the specific drug.

1-2 points

Less than two physical and/or mental health issues are discussed relating to use of the specific drug.

0 points Moral, Biblical Implications as a Christian Worldview6-8 points

Moral and biblical conclusions and/or opinions are logical.  Adequate Christian integration and biblical support is provided.

3-5 points

Moral and biblical conclusions and/or opinions are proficient.  Moderate Christian integration and biblical support is provided.

1-2 points

Moral and biblical conclusions and/or opinions are developing.  Minimal Christian integration and biblical support is provided.

0 points Societal Issues6-8 points

At least three societal issues relating to use of the specific drug are discussed.

3-5 points

Two societal issues relating to use of the specific drug are discussed.

1-2 points

One societal issue relating to use of the specific drug is discussed.

0 points Public Health Intervention and Education Sections14-17 points

Evidence-based interventions and how to best prevent people from using drugs are thoroughly presented.

11-13 points

Evidence-based interventions and how to best prevent people from using drugs are somewhat presented.

1-10 points

 Evidence-based interventions and how to best prevent people from using drugs is minimally presented.

0 points Structure 30%AdvancedProficientDevelopingNot presentPoints EarnedSpelling and

Grammar

7 points

Content is well organized, with logical thought process using proper grammar and punctuation.  Minimal to no spelling errors. 

5-6 points

Content is somewhat organized, with some logical thought process using some proper grammar and punctuation.  Some spelling errors.

1-4 points

Content is not organized, with little logical thought and several grammatical and punctuation errors.  Many spelling errors.

0 points

 

 References and APA Format 7 points

Paper contains at least two scholarly references and references are in current APA format with 0-2 errors.

5-6 points

Paper contains one to two scholarly or website references and references are in current APA format with some errors.

1-4 points

Paper contains one scholarly or website reference and reference is in current APA format with many errors.

0 points

 

 Writing and Assignment Requirements7 points

Writing is fluid and advanced.  Paper is double-spaced with 1-inch margins and 12 pt. Times New Roman font and meets length requirements.

5-6 points

Content is somewhat organized.  Paper has some format errors in spacing, margins, and font size and style and is below length requirements.

1-4 points

Content is not organized.

Paper has many format errors in spacing, margins, and font size and style and is well below length requirements.

0 points

 

 

 

Total Points/70

Instructor’s Comments:

Liberty University HLTH 507 Obesity Policy Brief and Instructions Discussion

HLTH 507 Obesity Policy Brief and Instructions Discussion

I Need help with coming up with a policy brief on Health care management using CDC And WHO, i have attached the instruction to the page.

ORDER NOW FOR WELL-WRITTEN, PLAG-FREE ASSIGNMENTS

Policy Brief Instructions

In general, a policy brief outlines the rationale for choosing a particular policy recommendation or course of action in a current policy debate. The purpose of the brief is to convince your target audience of the urgency of the current problem and the need to adopt a particular policy or course of action. You must choose a designated racial or social health disparity.

You must analyze the problem, examine several potential policies that may solve this problem, and provide your own recommended policy solution. Please provide biblical support for your recommendation as well. Describe how specific Scripture applies.

Use any of the following official publications to assist you in finding an appropriate health disparity on which to base your policy: CDC, AHRQ, HHS, HRSA, WHO , OMH, 2020.

Good policy briefs are 2-4 pages long, are focused on a single issue, are evidence-based, and are persuasive in nature. A policy brief is different from a traditional academic research paper in that it is written to a specific audience (either the general public and/or decision makers). Policy briefs also typically include visuals.

Therefore, your brief should include at least one visual that adheres to principles of good visual communication (is labeled well, explained in the brief, is referred to, appears on the page in a way that is spatially appropriate, etc.).

Please use the course document “Guide to Preparing Policy Brief” to assist you.

The Policy Brief should follow the CDC’s Policy Making Process and include these elements:

Required Content:

Step 1: Problem Identification

• Describe the problem/public health issue that triggered the policy recommendation (write an evidence-based problem statement). Context and importance of the problem. (what is the problem? Provide information related to the current debate surrounding the issue. Why is the issue significant? Should include multiple areas of evidence-based references and resources.

Step 2: Policy Analysis

• Analyze at least three policy options based on the evidence surrounding their potential impacts (intended and unintended), ethics (including equity), costs, administrative feasibility, and potential constituency support. Think in terms of what has been done – or proposed – about the issue so far? Have other organizations addressed it? Are there pending legislative or regulatory proposals?

Step 3: Strategy and Policy Development:

• Discuss your strategy for drafting a bill around your policy recommendation (e.g. Which stakeholders or policy actors will you engage? What information will you need?)
• Identify at least 2 potential enablers and 2 potential barriers to policy enactment, including the mitigation strategies for the barriers.

Provide a culturally and ethically appropriate, evidence-based argument for your policy recommendation. Describe its feasibility. Please provide biblical support for your recommendation as well. Describe how specific Scripture applies.

Step 4: Policy Enactment

• Describe the official procedures for enacting/passing your policy at the state or federal level (i.e. the legislative process)

Step 5: Policy implementation

• Identify the stakeholders/agencies involved in implementing your policy
• Identify the resources (e.g. human, financial, material) needed to implement your policy
• Anticipate and describe at least two rules or administrative decisions that may be developed by implementing agencies in the implementation phase
• Describe at least two indicators/measures for evaluating the impact of your policy

References. At least 5 diverse sources (Use AMA format- see example briefs for guidance.)

Additional Resources:

https://www.cdc.gov/policy/polaris/policyprocess/index.html

https://www.cdc.gov/policy/analysis/process/index.html

https://www.cdc.gov/policy/analysis/process/docs/CDCPolicyProcess.pdf