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NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date Introduction Hello, my name is Alex, today I welcome you all to my presentation about nursing-sensitive quality indicators and how technology can help us collect data and report. The session is organized based on an interview with the director of the quality control department. The topic of the conversation was the prevalence of pressure ulcers and the collection and reporting of data. This presentation is based on the same topic. Before I discuss pressure ulcers and how their prevalence is a quality indicator for nursing practice, I would like you to understand the purpose of establishing quality indicators and their importance.  Nursing-Sensitive Quality Indicators The American Nursing Association developed the National Database of Nursing Quality Indicators (NDNQI) in 1998, to collect data on specific quality indicators to evaluate and monitor nursing care. These indicators are subdivided into three categories, a) structural indicators, b) process indicators and c) outcomes indicators. This database provides quarterly and yearly reports on various indicators which are helpful for healthcare organizations to improve their nursing practices and care (Barchielli et al., 2022). The goal of NDNQI is to bring together interprofessional teams to work to achieve positive outcomes for patients by improving the quality of care. These measures also indicate the importance of nurses and nursing practices for patients’ well-being and positive healthcare results. Thus, they are highly important for you people as new nurses to understand your role in patients’ lives and this will help you improve your practices in clinical settings.  Quality Indicator – Prevalence of Pressure Ulcers in Adult Patients As mentioned earlier, out of several quality indicators, today’s discussion is about pressure ulcers and how incidences of pressure ulcers are related to poor nursing care. Furthermore, we will discuss the importance of improving nursing care for the prevention of these ulcers. Pressure ulcers are confined skin and tissue injuries that are usually caused by friction or pressure that occurs between an object and the surface of the skin. Globally, the progression and deaths related to pressure ulcers have increased by 60% in elderly patients. NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators A report developed in an ulcer summit revealed that around 60,000 people die due to complicated pressure ulcers. Moreover, approximately 700,000 patients develop pressure ulcers and most of them occur due to inadequate care (Tesfa Mengist et al., 2022). Some of the causative factors for pressure injuries are older age, bladder incontinence, a bedridden state, lack of proper nutrition and water intake, neurological deficiency, pressure on the skin due to medical devices, and multiple secondary diagnoses. As frontline care staff, nurses are primarily responsible healthcare providers with the major responsibility to prevent pressure ulcers by enhancing their knowledge and practices. Caring for patients’ pressure areas is an imperative element of nursing practices. The nurses must maintain patients’ skin integrity and prevent complications. This is done by early recognition of high-risk patients and providing special attention to them for which nurses must be knowledgeable and have an insight into their poor practices (Ebi et al., 2019). These positive outcomes are better achieved when multidisciplinary teams work together.  Interdisciplinary Teams’ Role in Collecting and Reporting Data  Healthcare facilities function with the help of interdisciplinary teams; thus, data collection and establishing an organizational report on quality indicators also require a team of individuals from various professions. Nurses play an important role in this regard. The process of data collection for pressure ulcers (PU) and the knowledge of nurses related to PU include nurses, nurse instructors, the quality control department, the IT department, and administrators if the incidences are high and require hospital management to be involved. To collect effective data two things are required; a) a pressure ulcer reporting system and b) a questionnaire for nurses. Some of the hospitals in the US have this in-built software called Medicare Patient Safety Monitoring System (MPSMS), which is developed for various patient safety indicators (Smith et al., 2018). The purpose of this software is to report every new hospital-acquired incidence of PU or any old pressure ulcers which get complicated during the hospital stay. This reporting system is then audited by the quality control department to identify the high-risk units in the hospital. Then, data is disseminated among the stakeholders of each patient unit to identify the risk factors in nursing care.  NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Another approach to data collection and reporting is by analyzing nurses’ knowledge related to PU. For this purpose, nurses are given a survey questionnaire which is then submitted to the nurse instructors. The data collected from surveys is then transmitted in the statistical software on the computers. It is then compiled in mean and percentages which help to identify the average of nurses who lack knowledge about pressure ulcers and give an idea to instructors for conducting educational training (Ebi et al., 2019).  The data collected helps in improving patients’ safety through various unit-level and organizational-level interventions thus improving the quality indicators of the organization. Interprofessional team members when working together in their areas of expertise will be able to collect the data effectively, analyze it using various technologies, prepare organizational reports, and bring successful reforms in the organization to improve patients’ safety.  Nursing-Sensitive Quality Indicators for Healthcare Organizations So as we discussed earlier, nursing-sensitive quality indicators are essential to improve the results of the data collected, eventually enhancing quality care. Healthcare organizations use these indicators for three purposes, 1) improving patients’ safety, 2) enhancing patient care outcomes, and 3) improving organizational performance reports.  Like other hospitals, our organization is also interested in providing quality care to the patients, especially in terms of decreasing the incidences of  pressure ulcers. Nurses being the frontline care providers have this responsibility to ensure care quality and patients’ safety (Vaismoradi et al., 2020). The data received from NDNQI about the prevalence of pressure ulcers helps nurses and nurse leaders to
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NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing

Student Name Capella University NURS4040 Managing Health Information and Technology Prof. Name Date Technology in Healthcare The role of technology in healthcare has shaped our views about patient care, healthcare management, innovation, and quality of care. The main goal of technological advancements is to maintain and enhance current practices, minimize the workload of healthcare providers, and improve the quality of care by decreasing human errors. Electronic Medication Administration (EMAR) with Bar-code medication administration (BCMA) is one of the healthcare technology which is beneficial for improving healthcare quality. I have chosen this technology because of its relation to my primary responsibility as a nurse – administering medications. EMAR with barcoding is useful in my organization as it will help me and my colleagues for effective management of medications, reduction of workload, and improvement in our meditation practices.  NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing Nurses are primarily responsible for medication administration on which they spent about 40% of their shift time (Wondmieneh et al., 2020). Thus, it is essential to have impactful technological advancements so that effective care is provided and nurses are relieved of their burden as well. Data from a study reveals that around 35% of incidences are near-miss for medication errors while 65% are actual errors reported in the year 2016. The introduction of EMAR with BCMA was identified to be the best intervention for medication safety (Naidu & Alicia, 2019).  The databases I used to identify the sources for this annotated bibliography are Google Scholar, PubMed Central, BioMed Central, and CINAHL Library. The search terms which I utilized on these databases are; “What is EMAR?”, “What is BCMA?”, “Impact of technology of medication practices”, “safe medication administration technology”, “Impact of EMAR and BCMA on patients’ safety”, “Quality care through technology”, “Interdisciplinary team and medication technologies”, and “importance for healthcare professionals”.  Annotated Bibliography Naidu, M., & Alicia, Y. L. (2019). Impact of bar-code medication administration and electronic medication administration record system in clinical practice for an effective medication administration process. Health, 11(05), 511–526. https://doi.org/10.4236/health.2019.115044  This annotated literature review by authors focused on finding outcomes of using BCMA and EMAR, clinical practices, and hospital policies that may impact nurses for administering medications. The authors concluded that to improve medication practices and reduce medication errors, the use of electronic medication administration and barcoding technology is recommended in various literature. This article describes the impacts of EMAR and BCMA on Patients’ Safety and Quality Care According to the article, EMARs are effective if used along with BCMA which helps in reducing medication errors (misunderstood orders, delayed administration, or wrong administration). The implementation of the BCMA system reduces these errors, consequently reducing costs associated with these errors which ultimately helps in improving patients’ safety. Improved efficiency of medication administration and better patient outcomes results in effective healthcare practices. This benefits an organization as a whole to grow in this advancing healthcare world because of the quality healthcare that they provide.  Nursing Practices and Interdisciplinary Team   This article is relevant for nursing practices as it helps nurses to enhance their knowledge, improve their practices and provide quality care to patients. Moreover, it is relevant for the interdisciplinary team because to bring an effective change in the organization team members need to work together and fulfill their assigned duties which will help the organization embrace the change and gain a reputation. Leaders should play an effective leadership role for this purpose.  This resource is useful for healthcare practitioners as it provides a comprehensive review of literature that states the positives and challenges of these technologies as well as provides strategies to overcome the challenges.  Macias, M., Bernabeu-Andreu, F., Arribas, I., Navarro, F., & Baldominos, G. (2018). Impact of a barcode medication administration system on patient safety. Oncology Nursing Forum, 45(1). https://doi.org/10.1188/18.onf.e1-e13  NURS FPX 4040 Assessment 3 Annotated Bibliography on Technology in Nursing This article conducted a pre/post-intervention study that focuses on the impact of barcode medication administration in the oncology unit. It is identified by research that most medication administration errors (MAEs) occur while administering chemotherapy agents (0.04%- 18.8%). This study recommends BCMA because it is useful for nurses to adequately follow the five rights of medication (right patient, drug, dose, route, and time). This study shows that BCMA was effective in reducing various medication errors in the hospital setting due to effective verification of patient and the drugs however, there is still a need to improve the technicalities of the system so that errors with greater risks can be detected as well.  Patients’ Safety and Quality Care  Since cancers are already harmful to patients, improving medication safety in these patients can help in enhancing patients’ safety. Moreover, the study identifies that implementation of BCMA does not increase their length of stay which ultimately improves patients’ safety from other hospital-acquired infections. The decrease in the incidences of MAEs in a hospital is evidence that quality care is provided. Thus, it is recommended in this article to introduce electronic barcode medication administration systems.  Nursing Practices and Interdisciplinary Team  The BCMA system is useful for nurses as it helps them to check the five rights of medication without manually assessing it. Moreover, barcoding systems improve chemotherapy administration which is an important part of nursing practices and helps nurses to give extra time to other tasks as well. The article also highlights the importance of interprofessional team which plays a significant role in the implementation and sustainability of this technology through statistical, financial, educational, and leadership support.  Health practitioners should read this source as it gives an insightful review of various literature that indicates the importance of barcoding systems in medication administration specifically for cancer patients. The information provided in the article helps healthcare workers to overcome organizational factors like higher incidences of MAEs which will be reduced by the barcode system in a healthcare setting.  Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of Health Information Technology on Nurses’ Time. Journal of the American
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NURS FPX 4010 Assessment 4 Stakeholder Presentation

Student Name Capella University NURS4010 Leading in Intrprof Practice Prof. Name Date Stakeholder Presentation Hi! My name is Georgia; today I will present a stakeholder presentation that will help the organization bring change to achieve its goal in improving communication among the interdisciplinary team. The presentation consists of the organization issue on which the interdisciplinary plan is based.  The evidence-based plan includes the practices that help the interdisciplinary team bridge the team’s communication gap. The allocation of human and financial resources and implementing the plan will be part of the presentation. Finally, criteria will be presented to help evaluate the change proposal plan’s efficacy. Organizational Issue  The organizational issue faced by the emergency department (ED) at the United Hospital is the communication gap in the interdisciplinary team. This communication gap leads to more errors in information flow and clarity. Moreover, team members are confused and disrupted, which hinders work completion due to a lack of collaboration and communication. These results in more patient visits and long stays in ED and risks to patient safety and quality of care. Effective communication skills training helps healthcare professionals practice active listening during the information flow, gathering and sharing it with team members. The shared decision-making approach will improve the communication and collaboration of the interdisciplinary team and improve patient outcomes (Buljac-Samardzic et al., 2020). The organizational goal is to improve the communication gap of the interdisciplinary team, which helps them to achieve patient outcomes.  Potential Consequences If this collaborative interdisciplinary approach is not implemented in the hospital, more errors in information flow and clarity will occur. The confusion among the team members will impact their performance when they do not participate in decision-making. The lack of communication and collaboration will increase patient visits and stays, affecting patient satisfaction. Moreover, the hospital budget will also be affected due to patient stays, ED visits, and wrong treatment.  Relevance of Interdisciplinary Team Approach The healthcare professionals working in the United Hospital ED lack communication; however, this interdisciplinary team approach, which includes the effective communication skills workshop and shared decision-making, is the best and most relevant approach that will bridge the gap in the team. Shared decision-making and effective communication skills interventions are specific to the team’s requirements. These two approaches include team characteristics like shared leadership, interdependence, and responsibilities of the team members. NURS FPX 4010 Assessment 4 Stakeholder Presentation This team characteristic manages collaboration in the team to reduce the gap and improve patient safety errors. Thus, focusing on interdisciplinary team communication reduces errors in information flow and gathering (Dietl et al., 2023). Interdisciplinary communication gap issue faced by the general hospital in Solvenia, which leads to medical errors and a reduction in patient safety. 70% of the errors in this hospital were due to communication in the team. However, after analysis of the issue, the hospital implemented effective communication training to enhance the communication among team members, which helped the hospital to improve the performance of the team and improve the quality of care and patient safety (Erjavec et al., 2022). This approach will help achieve the organisation’s goal of communicating effectively in the team and achieving patient outcomes through reduced errors in information gathering and flow.  Evidence-Based Interdisciplinary Plan Summary The objective of an interdisciplinary plan to improve and achieve the organizational goal to bridge the communication gap in the team. The plan objective is based on evidence-based practices such as effective communication skills workshops and shared decision-making of the team. The interdisciplinary team have nurses, health educator, IT technician and logistics. The resources projector and screen along with experienced health educators for training. The health educators will train healthcare professionals in effective communication skills, such as active listening and engagement in the hospital meeting room. The head nurse ensures the availability of all professionals for the training by adjusting their duty schedule. The logistics department and IT team will ensure that resources such as projectors, computers, and information materials are adequately available and appropriately working in the meeting room during training. Implementing evidence-based practices involves the organizational will, team cooperation, and personal dedication of the team, which is the ultimate objective for nurses, clinicians, and healthcare organizations (Shayan et al., 2019).  NURS FPX 4010 Assessment 4 Stakeholder Presentation In North America, there are ten thousand deaths of patients due to medical errors, and the communication gap is the leading cause of these errors. The Institute of Medicine (IOM), in the report ‘Err to Human, has provided the adverse effect of the communication gap in an interdisciplinary team along with evidence-based practices to bridge the team’s gap. Effective communication skills include listening to other team members, giving feedback, assessing the information, sharing information, and participating in shared decision-making. These practices are also identified by the World Health Organization (WHO) (Lateef, 2022). Interdisciplinary team decision-making depends on personal skills such as responsibility and active listening and team management skills such as collaboration and communication with other members (Khodeir & Nessim, 2019). The evidence for the plan is from the IOM, WHO, and the WileyonlineLibrary. These sources specifically defined the importance of the communication and decision-making power of the interdisciplinary and its impact on organizational and patient outcomes.   Implementation of Interdisciplinary Plan The plan will be implemented according to the Plan-Do-Study-Act (PDSA) model. Effective communication skills workshops and decision making is the plan for the team, which is necessary to achieve the organizational goal and patient outcomes. Shared decision-making will help the healthcare professional share information, impacting team coordination and communication. The training of communication skills is provided to healthcare professionals, and their results will be checked through the assessment. NURS FPX 4010 Assessment 4 Stakeholder Presentation The evaluation of the plan’s effectiveness is made through the assessment of the team members. The plans will be made to achieve the organization’s goal and enhance communication and collaboration (Katowa-Mukwato et al., 2020). The human and financial resources will be managed by collaborating with external stakeholders such as policymakers, human resource specialists and organization administrators. The
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NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification

Student Name Capella University NURS4010 Leading in Intrprof Practice Prof. Name Date Interview and Interdisciplinary Issue Identification As part of my assessment, I interviewed a nurse who provided valuable insights into the issues and potential in the healthcare organization. Based on the interview, a report is prepared indicating an issue that could benefit from an interdisciplinary approach. In addition, the best practices are examined through available evidence to address this issue using change theories, leadership strategies, and collaboration approaches.  Interview Summary During the interview, I talked with Rose, a nurse and a team leader from United Hospital. As a senior nurse, her primary tasks include monitoring workflow, including task tracking and assignment, serving as the first point of contact for team inquiries and issues, and assisting new team members’ onboarding. She is also in charge of resolving unusual problems by working with team members, leadership, and other divisions within the hospital. During the interview, I used open-ended questions to enable the interviewee to provide in-depth responses, allowing for a wide range of answers and promoting comprehensive data gathering. Researchers frequently use open-ended questions because of their ability to generate comprehensive participant perspectives (Gaur et al., 2020). NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identificationv A significant concern mentioned during the interview was the lack of effective communication between healthcare professionals and between nurses and patients. It happens particularly during periods of ongoing workflow and process modifications. She described that due to a lack of communication between interdisciplinary teams and nurses and patients in the emergency department, the process changes were not regularly conveyed immediately to all team members, resulting in confusion and disruptions in task completion and affecting patient safety. This affects the completion ability of work on time by creating confusion among team members. To United Hospital has previously implemented communication training and interdisciplinary team meetings to address communication difficulties, but they were partially successful. The hospital promotes a collaborative atmosphere, particularly in the emergency department, where Rose’s broad interdisciplinary team expertise highlights the crucial significance of excellent communication in maintaining patient safety and operational efficiency. Issue Identification Lack of efficient communication among interprofessional teams and between nurses and patients is the primary cause of the high number of medical errors in any healthcare organization. Lack of communication, delayed diagnosis, redundant testing, prescription errors, and impaired patient outcomes can all result from insufficient information flow during care transitions. An interdisciplinary collaborative approach can deliver effective communication between healthcare departments, which is crucial for reducing the risks of limited information conveyed and improving overall patient care quality (Hlescu et al., 2019). With the help of interprofessional team education and training programs, healthcare workers better know one another’s roles and responsibilities and learn how to interact with patients. These programs attempt to improve communication and collaboration among healthcare practitioners and nurse patients (Irajpour et al., 2019), eventually improving patient care and outcomes.  Change Theories Leading to an Interdisciplinary Solution The Plan-Do-Study-Act (PDSA) is a four-stage repetitive model for solving a problem or implementing a change. It involves planning a change, implementing it using all available resources and knowing the possible consequences, studying the results and effects on the stakeholders, and then acting on what was learned to improve further. It is a continuous cycle for refining any process and achieving better outcomes. A study by Pan et al. (2022) advocates that by implementing this model, organizations can benefit from interprofessional teamwork in improving the overall quality of work. The change theories are the best practices that can improve an organization’s process and working behaviors. One such change theory was proposed by Lippitt in 1973. This theory consists of seven steps: Identify and diagnose the problem comprehensively by analyzing the possible consequences and determining the stakeholders. Assess motivation and capability for change by analyzing financial and human resource capacities. Evaluate the change and the agent’s drive and resources for initiating and sustaining the change. NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification Choose revolutionary change goals by outlining the change process, creating action plans and strategies, and clarifying the change agent’s role to all employees by portraying them as an expert in implementing change. Sustain the change by constructive feedback and communication, Gradually dismiss the supportive relationship with the change agent (Adelman et al., 2023). Implementing this theory will encourage interdisciplinary collaborations in healthcare as the change can not be implemented with only one individual. The change agent will lead this by collaborating and communicating with other members on the smooth implementation of any change, reducing the communication gap. The literature cited here fits in CRAAP criteria as it is recently published and credible as the authors of the cited articles have an excellent research profile in this feild, and the journals are also very reputable. They have explained the topics of planned changes extensively. Leadership Strategies Leading to an Interdisciplinary Solution Nurse leaders play a critical role in the healthcare system by employing interpersonal skills, conflict resolution, and adaptability. Through transformational they mentor and guide trainee nurses, setting an example for potential future leaders in the profession. Conflict resolution is vital for addressing differences in viewpoints among the healthcare team, which will improve interprofessional collaboration and patient satisfaction. Effective communication is essential for creating a cooperative culture in the healthcare industry. Furthermore, nurse leaders must constantly evolve and communicate effectively to navigate the dynamic healthcare sector (Chika, 2023). NURS FPX 4010 Assessment 2 Interview and Interdisciplinary Issue Identification Democratic leadership is recommended in scenarios where time is not a constraint. The leader lacks necessary information or  divergence of interests between leaders and subordinates. It effectively builds trust and achieves consensus among followers (Rosing et al., 2022). It also improves the interprofessional teams’ relationship with their mutual collaborations and communications. The cited literature in this context holds credibility and relevance. The referenced articles are recently published in well-reputed journals, and the authors have notable research profiles within the domain, adding to the credibility of the information. The articles thoroughly delve
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