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Root-Cause Analysis and Safety Improvement Plan

Your Name

School of Nursing and Health Sciences, Capella University

NURS4020: Improving Quality of Care and Patient Safety

Instructor Name

Month, Year

Root-Cause Analysis and Safety Improvement Plan

Introduce a general summary of the issue or sentinel event that the root-cause analysis (RCA) will be exploring. Provide a brief context for the setting in which the event took place. Keep this short and general. Explain to the reader what will be discussed in the paper and this should mimic the scoring guide/the headings.


Analysis of the Root Cause

Describe the issue or sentinel event for which the RCA is being conducted. Provide a clear and concise description of the problem that instigated the RCA. Your description should include information such as:

· What happened?

· Who detected the problem/event?

· Who did the problem/event affect?

· How did it affect them?

Provide an analysis of the event and relevant findings. Look to the media simulation, case study, professional experience, or another source of context that you used for the event you described. As you are conducting your analysis and focusing on one or more root causes for your issue or sentinel event, it may be useful to ask questions such as:

· What was supposed to occur?

· Were there any steps that were not taken or did not happen as intended?

· What environmental factors (controllable and uncontrollable) had an influence?

· What equipment or resource factors had an influence?

· What human errors or factors may have contributed?

· Which communication factors may have contributed?

These questions are just intended as a starting point. After analyzing the event, make sure you explicitly state one or more root causes that led to the issue or sentinel event.

Application of Evidence-Based Strategies

Identity best practices strategies to address the safety issue or sentinel event.

· Describe what the literature states about the factors that lead to the safety issue.

· For example, interruptions during medication administration increase the risk of medication errors by specifically stated data.

· Explain how the strategies could be addressed in safety issues or sentinel events.

Improvement Plan with Evidence-Based and Best-Practice Strategies

Provide a description of a safety improvement plan that could realistically be implemented within the health care setting in which your chosen issue or sentinel event took place. This plan should contain:

· Actions, new processes or policies, and/or professional development that will be undertaken to address one or more of the root causes.

· Support these recommendations with references from the literature or professional best practices.

· A description of the goals or desired outcomes of these actions.

· A rough timeline of development and implementation for the plan.

Existing Organizational Resources

Identify existing organizational personnel and/or resources that would help improve the implementation or outcomes of the plan.

· A brief note on resources that may need to be obtained for the success of the plan.

· Consider what existing resources may be leveraged to enhance the improvement plan?

Conclusion


References

Reference page should be double spaced throughout without extra spaces between entries.

Each reference page entry should be formatted according to APA 7 guidelines with a hanging indent as is seen here.

Week 6 DQ 2

In the video “How’s Your Social Health”, the speaker presents a tool to measure social health. Have you encountered anything similar in your studies thus far? Perhaps in a clinical setting? Why is measuring social health so important?

https://www.youtube.com/watch?v=bfCZBXQYSlw 

SOAP note CKD

SOAP note follow up chronic kidney disease stage 2

health

Part A Critically Appraising Quantitative EBP

you will complete a literature review for a quantitative article by filling out the correct column of the literature review table using the template found in the course content. Review the instructions, rubric, and example in this week's course content before completing the literature review table.

1) Discuss the fundamental meaning of quantitative research in Melnyk and Fineout-Overholt (Chapter 5 & 17).

2) Utilize the strength-of-evidence pyramid adapted from (Melnyk & Fineout-Overholt, pg 116,Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology. Quick Link :

3) Attach your quantitative article with the completed literature review table to your discussion post and cite your article within your discussion and include an APA reference style at the end of your post.

Part B

1) Discuss the fundamental meaning of qualitative research in Melnyk and Fineout-Overholt (Chapter 6 & 18).

2) Utilize the strength-of-evidence pyramid (Melnyk & Fineout-Overholt, pg 116, Figure 4.2) and determine where qualitative and quantitative research sits within the pyramid using a compare and contrast methodology.

3) Attach your qualitative article with the completed literature review table to your discussion post and cite your article in your discussion with an APA reference style at the end of your post.

Research Type

Qualitative

Quantitative

Article, Source, year

Purpose

Sample

Design and level of evidence

(Melnyk 4.2)

Variables, measurement

Results, findings

A

Implications

Comments

Replies 5300

 Ineed replies of those works  with 200 words  each ones.Reference within 5 years.

1.Research methods commonly used in nursing can be classified in different ways. The following is a discussion of the most common classifications. First, research methods are classified as quantitative, qualitative, or mixed. This is the most common classification.

Quantitative Research

Quantitative research involves the collection and analysis of numerical data. It is used to confirm a hypothesis. This method’s ontology can be described as objective, material, and structural. Quantitative methods rely on scientific realism justified by empirical confirmation. According to Creswell and Creswell (2023, pp. 45-46), the most common research objectives are numerical description, causal establishment and explanation, and prediction. Quantitative research relies on precise measurement using validated and structured tools. Common quantitative methods in nursing research include surveys, experiments, and observational studies. Conclusions are drawn from statistical analysis.

Qualitative Research

Qualitative research involves the construction of knowledge hypothesis and grounded theory from the data collected during fieldwork. The ontology can be described as subjective, mental, personal, and constructed. It delves into understanding human experiences, behaviors, and social phenomena. According to Creswell and Creswell (2023, p. 46), this research method involves collecting qualitative data such as in-depth interviews, participant observations, and open-ended questions. Qualitative methods in nursing research include interviews, focus groups, content analysis, and ethnographic studies. Qualitative designs include descriptive methods, narrative, phenomenological, grounded theory, ethnography, and case studies.

Mixed Methods

Mixed-methods research combines aspects of quantitative and qualitative approaches within a single study. It allows researchers to comprehensively understand a research question by collecting and analyzing numerical and contextual data. In nursing research, mixed-methods studies are often employed to explore complex healthcare issues from multiple angles.

Second, research can be classified as experimental or non-experimental. Experimental research involves the manipulation of one or more variables to determine the effect of an outcome. An example is a Randomized controlled study. On the other hand, there are non-experimental research methods that focus on the observation of phenomena as they occur. Examples include observational studies, case-control studies, and cohort studies. Finally, nursing research can be classified based on the time of data collection. When the data is collected at a single point in time, this is called cross-sectional research, while data collection for an extended period creates a longitudinal study (Butler et al., 2021).

2. Research approaches in nursing can be divided into a number of groups, each with its own specific traits and goals. Quantitative research is one of the main categories, and it entails the systematic collection and analysis of numerical data in order to establish cause-and-effect correlations or characterize patterns (Griffiths et al., 2020). Descriptive and correlational research, which are subsets of quantitative research, concentrate on describing phenomena or looking for links between variables, respectively, whereas experimental research uses controlled studies to modify variables. In nursing research, conducting large-scale surveys, evaluating the efficacy of interventions, and tracking patient outcomes are all made possible by quantitative research.

Another well-known subcategory is qualitative research, which aims to investigate people’s viewpoints and real-world experiences. Aspects of this methodology include phenomenology, which aims to comprehend a phenomenon from the perspective of the participants, grounded theory, which develops hypotheses based on actual facts, and ethnography, which explores the cultural backdrop of healthcare practices (Griffiths et al., 2020). For acquiring an understanding of the subjective facets of nursing, such as patient experiences, emotional reactions, and cultural impacts on healthcare, qualitative research is crucial.

Using a combination of quantitative and qualitative methods, mixed-methods research provides a thorough grasp of intricate nursing phenomena. Both numerical and narrative data are gathered by researchers through surveys, experiments, observations, or in-person discussions (Griffiths et al., 2020). When a researcher wants to triangulate findings or offer a more comprehensive viewpoint on a study subject, this strategy can be quite helpful.

Systematic reviews and meta-analyses are vital methodologies in nursing research because they serve a critical role in integrating and appraising current studies related to a specific healthcare condition. A systematic review employs a rigorous and organized approach to locating, selecting, and evaluating relevant research studies. These studies aim to provide a comprehensive review of the available data on a certain healthcare topic. Researchers painstakingly assemble information from multiple sources, evaluate the quality of each study, and then summarize the findings to provide a transparent and objective picture of the current state of knowledge in the subject (Griffiths et al., 2020). Meta-analysis, on the other hand, goes a step further by statistically combining the data of multiple studies to derive more solid and broadly applicable conclusions. These strategies collectively provide a substantial addition to nursing’s use of evidence-based practice by presenting a complete body of research.

Action research is a popular methodology in clinical practice and nursing education. It stands out for its inclusive teamwork style that includes both scholars and practitioners. This approach’s main objective is to pinpoint specific obstacles or problems in the healthcare setting, and then work together to develop and provide solutions. By incorporating researchers and practitioners in problem-solving, data collecting, analysis, and improvement implementation, action research emphasizes a cycle of continuous improvement (Griffiths et al., 2020). It is especially helpful in clinical practice, where it can motivate efforts to improve quality, and in nursing education, where it can trigger curriculum modifications and creative teaching methods. Action research seeks to make positive changes that enhance patient care and outcomes in the healthcare environment by concentrating on practical, real-world concerns and encouraging cooperation between researchers and practitioners.

In conclusion, there are several different types of nursing research methodologies, including quantitative, qualitative, mixed-methods, systematic reviews/meta-analyses, and action research. With the ultimate goal of advancing nursing knowledge and enhancing patient care, researchers choose the most suitable approach depending on their research objectives, ethical considerations, available resources, and the nature of the phenomenon under examination.

case study week 8

2

Insomnia
31-year-old Male

76-year-old Iranian Male

 

BACKGROUND

This week, we examine a 31-year-old male who presents to the office with a chief complaint of insomnia.

SUBJECTIVE

Patient is a 31-year-old male. He states that his insomnia has gotten progressively worse over the past 6 months. Per the patient, he has never been a “great sleeper” but is now having difficulty both falling asleep and staying asleep at night. The problem began approximately 6 months ago after the sudden loss of his fiancé. The patient states this is affecting his ability to perform his job, which is a forklift operator at a local chemical company. The patient states he has used diphenhydramine in the past to sleep but does not like the way it makes him feel the morning after. He states he has fallen asleep on the job due to lack of sleep from the night before. The patient's medical record from his previous physician states that he has a history of opiate abuse, which began after he broke his ankle in a skiing accident and was prescribed hydrocodone/apap (acetaminophen) for acute pain management. The patient has not received a prescription for an opiate analgesic in 4 years. The patient states recently he has been using alcohol to help him fall asleep, approximately four beers prior to bed.

MENTAL STATUS EXAM

The patient is alert and oriented to person, place, time, event. He makes good eye contact and is dressed appropriately for time of year. He denies auditory/visual hallucinations. Judgement, insight, and reality contact are all intact. Patient denies suicidal/homicidal ideation, and is future oriented.

Decision Point One

Select what you should do:

Zolpidem: 10 mg daily at bedtime

Trazodone 50 mg po at bedtime

Hydroxyzine: 50 mg daily at bedtime

Examine
 Case Study: Pharmacologic Approaches to the Treatment of Insomnia in a Younger Adult. You will be asked to make three decisions concerning the medication to prescribe to this patient. Be sure to consider factors that might impact the patient’s pharmacokinetic and pharmacodynamic processes.

At each decision point, you should evaluate all options before selecting your decision and moving throughout the exercise. Before you make your decision, make sure that you have researched each option and that you evaluate the decision that you will select. Be sure to research each option using the primary literature.

Introduction to the case (1 page)

· Briefly explain and summarize the case for this Assignment. Be sure to include the specific patient factors that may impact your decision making when prescribing medication for this patient.

Decision #1 (1 page)

· Which decision did you select?

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #2 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Decision #3 (1 page)

· Why did you select this decision? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· Why did you not select the other two options provided in the exercise? Be specific and support your response with clinically relevant and patient-specific resources, including the primary literature.

· What were you hoping to achieve by making this decision? Support your response with evidence and references to the Learning Resources (including the primary literature).

· Explain how ethical considerations may impact your treatment plan and communication with patients. Be specific and provide examples.

Conclusion (1 page)

· Summarize your recommendations on the treatment options you selected for this patient. Be sure to justify your recommendations and support your response with clinically relevant and patient-specific resources, including the primary literature.

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w5 yi

Taking into account internal and external criticism that is used to evaluate mid-range theories or their use in research. critique Self-Efficacy theory using the internal and external critique evaluation process.

Nursing Assignment

Week 3 assignments

UNit 2 Discussion 551

 

A 41-year-old male presents to the doctor’s office you work at complaining of a sore throat and headache. Upon examination, he is diagnosed with a virus that is currently prevalent in the area he works. He is told to rest and drink liquids until the virus has run its course. He becomes irate and tells you he wants an antibiotic.

  1. How could you explain to him why he does not need an antibiotic?
  2. What are some alternatives you could consider for a patient who demands an antibiotic?

Instructions: It is a discussion post so 1 page to 1 1/2 pg is good enough. Apa format. Must have 3 references.

interview

Interview with a Culturally Competent Healthcare Professional

Healthcare Professional Interview:

Interview with a culturally competent Registered Nurse, Nursing Leader, or Advanced Practice Nurse. BSN students must select a nursing professional with a BSN or higher degree in nursing practice. The interview must address the following topics:

  • The practitioner’s philosophy regarding cultural diversity. (10 points)
  • Their strategies for providing culturally congruent healthcare. (10 points)
  • How do they address the uniqueness of cultural health practices? (Provide examples). (10 points)
  • How do they address issues such as cultural bias, language barriers, and client conflict? (10 points)
  • The challenges and benefits of addressing healthcare disparities. (Provide examples). (10 points)

This is an all-or-none assignment. Please ensure that all of the concepts listed above are included in your interview. The interview should be at least one page in length and uploaded. Please pay close attention to spelling and grammar.