13 May For this Discussion, select one quality improvement model to explore and analyze
IMPROVEMENT MODEL
What is the best way to implement quality improvement? What 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.
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:
o Root Cause Analysis (RCA)
o A3
o Lean
o Plan, Do, Study, Act (PDSA)
o Model for Improvement
• Reflect on the quality improvement model you selected. Consider how it might be implemented in your healthcare organization or nursing practice.
Post a scholarly response to the following criteria:
• Analyze a scholarly journal article or other publication that describes a recent patient care-related adverse health event.
• Recommend a quality improvement model a project leader might implement in response to this adverse event.
o Provide a description of the model.
o List the strengths and limitations.
• Synthesize the steps from the model. Apply to the process for addressing the adverse health event.
Required Readings
• American Association of Colleges of Nursing. (2024). The essentialsLinks to an external site.. AACN. https://www.aacnnursing.org/essentials
• Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
o Chapter 4, “The Practice Question Phase” (73–96)
o Chapter 5, “Searching for Evidence” (99–128)
o Chapter 6, “Evidence Appraisal: Research” (129–162)
o Chapter 7, “Evidence Appraisal: Nonresearch” (163–183)
o Appendix C, “Stakeholder Analysis and Communication Tool” (289–294)Download Appendix C, “Stakeholder Analysis and Communication Tool” (289–294)
o Appendix D, “Hierarchy of Evidence Guide” (295–296) Download Appendix D, “Hierarchy of Evidence Guide” (295–296)
o Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306) Download Appendix E, “Research Evidence Appraisal Tool” (pp. 297–306)
o Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)Download Appendix F, “Nonresearch Evidence Appraisal Tool” (pp. 307–314)
o Appendix G, “Individual Evidence Summary Tool” (315–319)Download Appendix G, “Individual Evidence Summary Tool” (315–319)
• White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024). Translation of evidence into nursing and healthcare (4th ed.). Springer Publishing Company.
o Chapter 4, ”Translation of Evidence to Improve Clinical Outcomes” (pp. 68—100)
o Chapter 5, “Translation of Evidence for Improving Safety and Quality” (pp. 101—121)
o Chapter 6, “Translation of Evidence for Leadership” (pp. 122—143)
• Walden University, LLC. (n.d.). Doctor of Nursing Practice (DNP) practicum manualLinks to an external site.. Walden University. https://academicguides.waldenu.edu/dnp-practicum-manual
Meditrek
• Document: DNP Practicum Activities Guideline 2024 (PDF)Download DNP Practicum Activities Guideline 2024 (PDF)
• Document: Example DNP Project and Practicum Objectives (PDF)Download Example DNP Project and Practicum Objectives (PDF)
Optional Resources
• Benson, L. A. (Ed.). (2021). The DNP professional: Translating value from classroom to practice. Routledge.
o This text was used in previous courses throughout the DNP program.
• Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
Required Readings
• Ransom, E. R., Joshi, M. S., Ransom, S. B., & Nash, D. B. (Eds.). (2023). The healthcare quality book: Vision, strategy, and tools (5th ed.). Health Administration Press & Association of University Programs in Health Administration.
o Chapter 2, “Quality Improvement Models and Frameworks for ExcellenceLinks to an external site.” (pp. 32–63)
o Chapter 10, “Health System TransformationLinks to an external site.” (pp. 274–307)
• Tromp, R. (n.d.). A3 reportLinks to an external site.. Lean Six Sigma Group. https://leansixsigmagroup.co.uk/a3-report/
• UNC Institute for Healthcare Quality Improvement. (2023). Charters, A3s, and driver diagramsLinks to an external site.. https://www.med.unc.edu/ihqi/programs/medical-student-scholarly-concentration/charters-a3s-driver-diagrams
• Document: Analysis, Synthesis, and Application of Best Practices to Improve Patient and Healthcare Outcomes Template (Word document)Download Analysis, Synthesis, and Application of Best Practices to Improve Patient and Healthcare Outcomes Template (Word document)
• Document: Johns Hopkins Appendix C: Stakeholder Analysis and Communication Tool (Word)Download Johns Hopkins Appendix C: Stakeholder Analysis and Communication Tool (Word)
Required Media
• Institute for Healthcare Improvement. (n.d.). Quality improvement essentials toolkitLinks to an external site. [Multimedia]. https://www.ihi.org/resources/Pages/Tools/Quality-Improvement-Essentials-Toolkit.aspx
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