Qoality of healthcare-NUR 532
otal Points Possible: 225
Preparing the Paper
Assignment Situation:
You are the nurse executive of Ocracoke Regional Healthcare System. Due to increasing healthcare costs over the past two years, the board and stakeholders have determined the total-patient-care nursing model is no longer sustainable and must be changed. In addition, Joint Commission has just completed their visit. Ocracoke received two recommendations for improvement in two of most current National Patient Safety Goals found at the link below.
National Patient Safety Goals-The Joint Commission https://www.jointcommission.org/standards/national-patient-safety-goals/ (Links to an external site.)
You must address these recommendations using a new nursing care delivery model. Senior leadership expects to see increased cost savings through the use of this new model and improved outcomes related to two patient safety goals (you may choose any two patient safety goals you want to improve on by the time of the Joint Commission’s revisit in six(6) months.
Scenario Instructions:
For this assignment you will:
Complete the scenario by selecting and defining two National Patient Safety Goals and their deficiencies noted by The Joint Commission. You will identify the outcome measures used to assess them and the goals for improving these outcomes by implementing the new nursing care delivery model. You will describe the nursing care delivery model proposed, how it impacts the deficiencies in the safety goals chosen, and its economic impact on the organization.
Based on all the information gathered through your exploration you will create the PICOT.question for this evidence-based improvement. This will be included as a statement in the Overview of Issue section of the assignment.
At the Ocracoke Regional Healthcare System(P), will implementing a _____________ nursing care delivery system(I), compared to the current total care nursing care delivery system (C), result is compliance with the Joint Commission’s recommendations(O) at their revisit in 6 months(T). .
(See example below for review in writing a PICOT)
Requirements:
- Use the following format and headings to organize your assignment
- Introduction
- Statement of purpose of paper
- Overview of components of paper
- Overview of Issue
- Scenario
- National Patient Safety Goals identified
- New Nursing Care Delivery Model identified
- Final PICOT stated
- National Patient Safety Goals
- Safety goals and deficiencies identified
- Outcome measures defined
- New Nursing Model
- Description of new nursing care delivery model
- Impact of model in addressing the safety goals
- Impact of model on reducing organizational costs
- Conclusion
- Recap of paper’s purpose
- Summary of what was accomplished
- Introduction
- A minimum of three (3) scholarly sources, no older than 5 years must be used for the paper. These should be relevant to nursing and should represent the majority of evidence provided in the paper. Other sources may be used in addition to these, however, they will not be counted as part of the scholarly source requirement.
- The paper should contain all elements required under the guidelines and provided by the outline.
- The outline provided should be followed for organizing the paper. Only level one headings are required. Remember, the introduction does not have a heading.
- A maximum of four (4) pages, excluding title and reference pages, is required.
- The paper should be written in third person, active voice. Refer to “Guidelines for Writing Professional Papers in Graduate Programs” found in the Student Resources Central of the course.
- Refer to rubric for paper mechanics
For guidance in writing a PICOT statement refer to the following. There is also an instructional webinar in the course announcement that can offer further guidance if needed.
PICOT Writing Review
Situation:
Sunnybrook Health System has started the process for acquiring Magnet status. They have scheduled multiple planning and process meetings over the next year that require attendance of all staff. Staff must attend at least 70% of the meetings live. After three meetings, live attendance of night shift staff has been about 5%. There is concern that with the small amount of interest shown from this group, the benchmark of 70% for live attendance may be jeopardized. Currently, the meeting schedule is communicated to all staff via email and posted announcements. Suzie thinks an incentive of a free meal for live attendance might improve attendance of the night shift crew.
How could a PICOT be developed with this information?
P = Population – Describes the group upon which the intervention will have an effect.
Ex: night shift staff
I = Intervention – What we want to do that is different from what we currently do; the thing that is goingto impact the population identified
Ex. coupons for a free meal in the cafeteria
C = Comparison – Here the comparison is a before and after the intervention (incentive in this case)
Ex: communication of scheduled meetings via email and posted announcements
O = Outcome – What we want to see happen as a result of the intervention. The outcome should meet three criteria: direction (increase, decrease, etc), a baseline, and a goal.
Ex: increased mandatory meeting live attendance from 5% to 50%
T = Timing or Timeframe – When we expect to see the outcomes.
Ex: over the next 4 meetings
Now you can create the PICOT:
Among night shift staff(P), will offering a coupon for a free meal in the cafeteria(I), as opposed to only email invitations and posted announcements(C), increase mandatory meeting live attendance from 5% to 50% (O) over the next 4 meetings(T)?
Rubric
Week 7: Quality of Healthcare Rubric (SEP21)
Week 7: Quality of Healthcare Rubric (SEP21)
CriteriaRatingsPts
This criterion is linked to a Learning OutcomeIntroduction
30 pts
Outstanding or Highest Level of Performance
All elements present are clearly and accurately stated • Statement of purpose; • Overview of components
26 pts
Very Good or High Level of Performance
All elements present with minimal inaccuracies • Statement of purpose; • Overview of components
24 pts
Competent or Satisfactory Level of Performance
One element clearly and accurately stated; • Statement of purpose; • Overview of components
11 pts
Poor or Failing Level of Performance
All elements present but generally stated • Statement of purpose; • Overview of components
0 pts
Unsatisfactory Level of Performance
No elements present • Statement of purpose; • Overview of components
30 pts
This criterion is linked to a Learning OutcomeOverview of Safety Issue
30 pts
Outstanding or Highest Level of Performance
All elements present are clearly and accurately stated • Scenario • Two National Safety Goals Identified • New Nursing Care Delivery Model identified • Final PICOT
26 pts
Very Good or High Level of Performance
All elements present with minimal inaccuracies • Scenario • Two National Safety Goals Identified; • New Nursing Care Delivery Model identified • Final PICOT
24 pts
Competent or Satisfactory Level of Performance
Two elements clearly and accurately stated • Scenario • Two National Safety Goals Identified; • New Nursing Care Delivery Model identified • Final PICOT
11 pts
Poor or Failing Level of Performance
One element clearly and accurately stated; OR all elements generally addressed • Scenario • Two National Safety Goals Identified; • New Nursing Care Delivery Model identified • Final PICOT
0 pts
Unsatisfactory Level of Performance
No elements present • Scenario • Two National Safety Goals Identified; • New Nursing Care Delivery Model identified • Final PICOT
30 pts
This criterion is linked to a Learning OutcomeNational Patient Safety Goals
30 pts
Outstanding or Highest Level of Performance
All elements present are clearly and accurately stated • Safety Goal and deficiency identified • Outcome measures defined
26 pts
Very Good or High Level of Performance
All elements present are clearly stated with minimal inaccuracies • Safety Goal and deficiency identified • Outcome measures defined
24 pts
Competent or Satisfactory Level of Performance
One element clearly and accurately stated • Safety Goal and deficiency identified • Outcome measures defined
11 pts
Poor or Failing Level of Performance
All elements present generally stated • Safety Goal and deficiency identified • Outcome measures defined
0 pts
Unsatisfactory Level of Performance
No elements present • Safety Goal and deficiency identified • Outcome measures defined
30 pts
This criterion is linked to a Learning OutcomeNew Nursing Model
80 pts
Outstanding or Highest Level of Performance
All elements present are clearly and accurately stated • New Nursing Care Delivery Model described; • Impact of model on National Patient Safety Goals; • Impact on reducting organizational costs
70 pts
Very Good or High Level of Performance
All elements present are clearly stated with minimal inaccuracies • New Nursing Care Delivery Model described; • Impact of model on National Patient Safety Goals; • Impact on reducting organizational costs
64 pts
Competent or Satisfactory Level of Performance
One element clearly and accurately stated • New Nursing Care Delivery Model described; • Impact of model on National Patient Safety Goals; • Impact on reducting organizational costs
30 pts
Poor or Failing Level of Performance
All elements present generally stated • New Nursing Care Delivery Model described; • Impact of model on National Patient Safety Goals; • Impact on reducting organizational costs
0 pts
Unsatisfactory Level of Performance
No elements present • New Nursing Care Delivery Model described; • Impact of model on National Patient Safety Goals; • Impact on reducting organizational costs
80 pts
This criterion is linked to a Learning OutcomeConclusion
30 pts
Outstanding or Highest Level of Performance
All elements present are clearly and accurately stated • Purpose of paper recap • Summary of what was accomplished
26 pts
Very Good or High Level of Performance
All elements present with minimal inaccuracies • Purpose of paper recap • Summary of what was accomplished
24 pts
Competent or Satisfactory Level of Performance
One element clearly and accurately stated • Purpose of paper recap • Summary of what was accomplished
11 pts
Poor or Failing Level of Performance
All elements present generally stated • Purpose of paper recap • Summary of what was accomplished
0 pts
Unsatisfactory Level of Performance
No elements present • Purpose of paper recap • Summary of what was accomplished
30 pts
This criterion is linked to a Learning OutcomeScholarly Inquiry and communication
15 pts
Outstanding or Highest Level of Performance
All elements present with no inaccuracies • Minimum of three scholarly, relevant (within 5 years), empirical sources provide support to content • Ideas and information from other sources are cited correctly.
13 pts
Very Good or High Level of Performance
All elements present with up to two errors • Minimum of three scholarly, relevant (within 5 years), empirical sources provide to support content • Ideas and information from other sources are cited correctly.
12 pts
Competent or Satisfactory Level of Performance
All elements present 3-4 errors • Minimum of three scholarly, relevant (within 5 years), empirical sources provide support to content • Ideas and information from other sources are cited correctly
6 pts
Poor or Failing Level of Performance
All elements present with 5 errors • Minimum of three scholarly, relevant (within 5 years), empirical sources provide support to content • Ideas and information from other sources are cited correctly.
0 pts
Unsatisfactory Level of Performance
All elements present with 6 or more errors • Minimum of three scholarly, relevant (within 5 years), empirical sources provide support to content • Ideas and information from other sources are cited correctly.
15 pts
This criterion is linked to a Learning OutcomeWriting Conventions
10 pts
Outstanding or Highest Level of Performance
All elements present with no inaccuracies • Text, title page, and references are consistent with APA format • Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
9 pts
Very Good or High Level of Performance
All elements present with 2 or less inaccuracies • Text, title page, and references are consistent with APA format • Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
8 pts
Competent or Satisfactory Level of Performance
All elements present with 3 inaccuracies • Text, title page, and references are consistent with APA format • Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
4 pts
Poor or Failing Level of Performance
All elements present with 4-5 inaccuracies • Text, title page, and references are consistent with APA format • Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
0 pts
Unsatisfactory Level of Performance
All elements present with 6 or more errors • Text, title page, and references are consistent with APA format • Rules of grammar, spelling, word usage, and punctuation (standard English), logical flow
10 pts
This criterion is linked to a Learning OutcomeLate Deductions
0 pts
0 pts lost – submission met deadline
0 pts
Student does not meet the deadline for submission 10% per day up to 30% total (3-days)
0 pts
Total Points: 225
