NURS FPX 4010 Assessment 4 Stakeholder Presentation

Sample Answer

Introduction & Purpose of the Presentation

Continuous quality improvement (CQI) initiatives in nursing focus on enhancing quality care delivery and patient outcomes. As such, the CQI initiatives are an imperative for any healthcare setting. However, effective implementation of the CQI initiatives require an interdisciplinary team working through a collaborative approach for attainment of set goals (Brock et al., 2020). As such, this proposed quality improvement project focuses on enhancing patient safety and quality of care by enhancing all processes and procedures within the facility (Jackson et al., 2020). The purpose of this presentation is to discuss the organizational issue of CQI to reduce adverse events, explain the importance of an interdisciplinary team in the issue, and develop an evidence-based plan using collaborative strategies to improve quality of care. The proposed plan focuses on all aspects of project implementation, including the use of PDSA model and ensuring that the plan meets its goals.

Organizational or Patient Issue

The identified organizational issue is continuous quality improvement (CQI) to enhance patient safety and quality of care. The plan entails making these two components part of the organizational culture through deliberate actions by the interdisciplinary team. The CQI initiative will focus on integration of best practices, including culturally sensitive care that addresses the concerns and needs of patients. The use of interdisciplinary team approach and collaboration will be fundamental in improving outcomes and ensuring that the team has a common approach (Jackson et al., 2020). Based on the questions and predictions, the CQI plan will be presented to the audience to have a buy-in and support it through sufficient allocation of resources. The interdisciplinary team is critical as it will enhance a shared vision and decision-making approach. The audience should care about solving the issue since it affects patient safety, quality care, and impairs attainment of better outcomes. Continuous quality improvement is also important to enhancing coordination, use of organizational resources, and developing a teamwork approach to the issue.

Relevance of the Issue to the Audience

The proposed issue is relevant to the audience as its goals entail improving safety and processes in the facility, quality of care for patients and shared learning through engagement of members of diverse healthcare professions. The identified issue is also relevant to the audience as it enhances a common approach and improve team communication through collaboration to enhance quality of patient care (Jackson et al., 2020). Failure to address the issue will lead to adverse events, poor coordination, and lack of a shared approach to the issue. For instance, effective communication to reduce and prevent medication errors, delays in treatment, and lowered patient satisfaction, and a declining morale and job satisfaction levels among providers implores the management to implement this plan (Khan et al., 2020). Processes within the facility, especially in nursing department should mirror concerted efforts to improve care for all patients by addressing their needs and concerns.

Relevance of an Interdisciplinary Team Approach

An interdisciplinary collaboration is highly critical in addressing the issue of continuous quality improvement (CQI) because of having a shared approach and development of common goals. The approach is important as it gathers professionals from diverse specialties and with skill-sets that are relevant and with diverse views on tackling the problem (Khan et al., 2020). Such teams are innovative, bring unique perspectives and skills on the table, and diversity ensures that all aspects of the issue are comprehensively addressed by all stakeholders. For instance, the chief nursing offer should identify safety challenges and the impact of adverse events like medical errors, and work collaboratively with other providers to solve it (Jackson et al., 2020). In his part, a project manager must develop and use tools like the PDSA to oversee the creation and implementation of the safety measures to enhance continuous quality for patients in the facility based on best practices and evidence.

Achieving improved Outcomes to attain Goals

The interdisciplinary team collaboration will be relevant in attaining improved outcomes to attain set goals since it will create interventions that meet patient needs. Continuous quality improvement requires participation of all stakeholders. As such, the team approach will ensure that all professionals focus on enhancing processes for better patient experience and outcomes. Among these interventions is a holistic and patient-centered care approach to meet culturally-sensitive needs and concerns (Khan et al., 2020). The team will also achieve the improved outcomes by developing strategies based on effective communication and strategic collaboration to attain the set goals. Contribution among team members based on skills, knowledge and abilities will be critical in attaining the set goals (Rawlinson et al., 2021). Teamwork will foster understanding as the members will comprehend each other’s roles, learn to respect the divergent viewpoints and build a common approach and language to improve organizational processes.

Interdisciplinary Plan Summary

The primary objective of the interdisciplinary plan is to increase patient safety and improve the quality of care through effective and efficient processes. The second objective is to enhance a collaborative approach based on effective communication and sharing of common goals and approaches to care delivery. The team plan will be founded on strategic communication approach based on the vision developed by the leader (Khan et al., 2020). The plan will entail implementing the PDSA model to attain the CQI goals. The interdisciplinary team will comprise different stakeholders and healthcare professionals; including nurse manager and nurse leaders as change agents and champions, quality assurance manager to identify key areas for improvement, nurses as implementers of the different aspects of the project, and a project manager as the coordinator and supervise of the proposed interventions.

Implementation of the Plan

The implementation will use the PDSA cycle where pilot proposed interventions will be carried out by the team to determine their impact on safety culture and organizational processes. The implementation will also evaluate the outcomes of these CQI interventions and integrate them within the facility’s operations. Planning based on the PDSA model will focus on having sessions and training on different ways to improve quality like reducing adverse events and medical errors, to infection control and improving patient feedback. The team will leverage Kotter’s 8-step change model to implement the entire plan (Ravi et al., 2021). The Do part will focus on implementation of the suggested processes and interventions to enhance efficiency (Rawlinson et al., 2021). In the study part, the providers will assess and make observations about the changes and their effects on various aspects of care in the facility. Based on the observations and short-term gains or wins, the team will broaden the implementation in the nursing area before integration in the entire organization

Resource Management

Managing resources is an essential aspect of implementing better evidence-based practice interventions. The core resources in implementing CQI initiatives include management and expertise, skills, and knowledge from various professionals and experts like the project manager and members of the interdisciplinary team. The resources will include skills and knowledge attained during the training session and expertise on departmental aspects (AHRQ, 2020). The project will also require funding to acquire or procure training materials and development of relevant plans. These resources will be allocated based on needs, especially best practices. The CQI will require sufficient space for meeting and training equipment. The funding of the CQI is based on budgetary estimates of about $200,000 within the two months’ implementation timeline.

Evaluation of the Plan

The Team Climate Inventory (TCI) is a valid tool that evaluates the level of teamwork and communication in interdisciplinary settings. Successful implementation of the proposed plan can will be evaluated through tracking the effectiveness and efficacy of the processes in the organization and reduction of adverse events like medication errors and infections (AHRQ, 2020). Patients will fill out feedback survey forms by documenting their experiences in the facility and areas they believe require more improvement. The success of the plan will also be measured by levels of job satisfaction among providers in the facility (Brock et al., 2020). Time taken to execute tasks will be tracked and post-interventions to measure the efficacy of the improvement as a result of enhanced processes and task execution among the different providers.

References

• Agency for Healthcare Research and Quality (AHRQ) (2020). Team STEPPS 2.0 Module 6. Mutual Support. https //www.ahrq.gov/teamstepps/instructor/fundamentals/module6/igmut
  ualsupp.html
• Brock, D., Abu-Rish Blakeney, E., Hammer, D., & Tools, M. (2020). Understanding
  Inter-professional Education and Practice in Improving Healthcare. Journal of
  Nursing Education, 59(1), 3-6.https //doi.org/10.1016/j.nedt.2022.105703
• Jackson, J., Ware, C., Churchyard, R., & Hanseeuw, B. (2020). Interdisciplinary and  Trans-disciplinary perspectives on the road to a holistic approach to dementia prevention and care. Journal of Alzheimer’s disease reports, 4(1), 39-48.
  DOI 10.3233/ADR-180070
• Khan, H., Rehmat, M., Butt, T. H., Farooqi, S., & Asim, J. (2020). Impact of transformational leadership on work performance, burnout, and social loafing a mediation model. Future Business Journal, 6(1), 40. DOI https //doi.org/10.1186/s43093-020-00043-8
• Ravi, S., Patel, S. R., Laurence, S. K., Sebok-Syer, S. S., & Gharahbaghian, L. (2022). Kotter’s 8 stages of change implementation of clinical screening protocols for assessing patients for COVID-19–a review of an academic medical center’s preparedness. BMJ leader, leader-2020. DOI 10.1136/leader-2020-000379
• Rawlinson, C., Carron, T., Cohidon, C., Arditi, C., Hong, Q. N., Pluye,
  P., . . . Gilles, I. (2021). An Overview of Reviews on Inter-professional Collaboration in Primary Care Barriers and Facilitators. International Journal of Integrative Care, 21(2), 32. https //doi.org/10.5334/ijic.5589