Designing And Measuring Outcomes

Designing and Measuring Outcomes

As noted in previous courses of the DNP program, it is essential to design measurable outcomes that can guide the development, implementation, and evaluation of an initiative. For this Discussion, you are asked to examine professional standards and other factors that require consideration as you develop outcomes for your proposed evidence-based change. Think about the various groups that are invested in—or that may be affected by—this change. What measures would stakeholders need in order to help determine if the change aligns with organizational priorities and is successful in achieving its intended outcomes? Why is it important to establish accountability around this initiative?

To prepare:

  • Look at outcomes established for at least one      evidence-based change currently underway or previously accomplished within      your practicum setting. What lessons can be learned to support the      development of outcomes for your proposed change?
  • What outcomes would you identify for your proposed      change? How are these tied to AACN Essentials? What other standards or      guidelines should be considered? What interdisciplinary factors need to be      considered as you craft these outcomes? Think about other clinical and      administrative groups, as well as patients.
  • How will the outcomes be measured?
  • Be prepared to support your Discussion postings with      evidence from the literature and specific examples related to your      practicum setting.

By Day 3 of Week 8

Post a cohesive response that addresses the following:

By tomorrow Wednesday 4/17/19  2pm (America/New York time), write a minimum of 550 words essay in APA format with at least 3 references (see list or required readings below). Include the level one headers as numbered below:

1) Describe three outcomes for your proposed change. For each outcome, describe the evaluation criterion/criteria that is/are measurable.

2) Explain how these outcomes relate to multiple sets of standards, as well as differing groups’ needs and priorities. Why is intra- and interdisciplinary collaboration important as you design these outcomes?

3) How do the measurable outcomes for your proposed change establish accountability for you as a leader?

Required Readings

White, K. M., & Dudley-Brown, S.(2016). Translation of evidence into nursing and health care practice. (2nd edition)  New York, NY: Springer Publishing Company.

  • Review Chapter 14, “Creating a Culture that Promotes      Translation”

Kutney-Lee, A., Germack, H., Hatfield, L., Kelly, S., Maguire, P., Dierkes, A., & … Aiken, L. H. (2016). Nurse Engagement in Shared Governance and Patient and Nurse Outcomes. Journal Of Nursing Administration, 46(11), 605-612. doi:10.1097/NNA.0000000000000412

Sung-Heui, B. (2016). CNE SERIES. The Centers for Medicare & Medicaid Services Reimbursement Policy and Nursing-Sensitive Adverse Patient Outcomes. Nursing Economic$, 34(4), 161-181.

Twigg, D. E., Gelder, L., & Myers, H. (2015). The impact of understaffed shifts on nurse-sensitive outcomes. Journal Of Advanced Nursing, 71(7), 1564-1572. doi:10.1111/jan.12616

Yankovsky, A., Gajewski, B. J., & Dunton, N. (2016). Trends in Nursing Care Efficiency From 2007 to 2011 on Acute Nursing Units. Nursing Economic$, 34(6), 266-276.

 

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Reflection on specific health issue affecting Indigenous populations

Assessment 3 Written task – in-depth reflection on specific health issue affecting Indigenous populations
Due Date Week 9, Thursday 3 May @ 08:00pm
Description Pick one health issue from the following list. Examine this health issue in an Indigenous population of your choice (does not have to be the Australian Indigenous population). Discuss how the social determinants of health influence this population with regard to this health issue and critically examine what interventions have been implemented for this health issue in this population.Use the following reference for a starting point in your research: United Nations, 2009, The State of the World’s Indigenous PeoplesHealth Issues:
– Diabetes- Maternal mortality- Trachoma – Substance misuse
– Infectious disease (choose one specific disease)
– Teenage pregnancy- Sexual health- Suicide
Weighting 40% of final Grade
Length 2000 word report (12 point Arial font, double spacing)Report should include appropriate headings and sub-headings but there is no need to include an executive summary or table of contents. At a minimum must have the following sections: Introduction, Health issue – from a Social Determinants of Health perspective, Interventions – critique, Conclusion and References
Assessment Criteria 1. Description of health issue (10%)2. Discussion of the social determinants and critique of interventions related to the health issue with the indigenous population (15%)3. Use of research and appropriate evidence (10%)4. Presentation and referencing (5%)

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NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 11 (Grading Rubic and Media Attached)

NURS 6231: HEALTHCARE SYSTEMS AND QUALITY OUTCOMES – Discussion 11 (Grading Rubic and Media Attached)

Discussion: Spreading Innovation

An organization may be generally amenable to innovations but not ready or willing to assimilate a particular [Evidence-Based Practice] EBP …If there is tension around specific work or clinical issues and staff perceive that the situation is intolerable, a potential EBP is likely to be assimilated if it can successfully address the issues and thereby reduce the tension.

—Titler, 2010

Adoption of evidence-based innovations in nursing practice is a critical facet of promoting quality and safety. As a nurse leader-manager, you play a pivotal role in evaluating these innovations and promoting those that will positively impact outcomes.

To prepare:

Review the information on diffusion of innovation presented in the Learning Resources.

Visit the Agency for Healthcare Research and Qualities’ Innovation Exchange website (listed in the Learning Resources). Click on “Innovations & Quality Tools” or “Browse by Subject” then read through a selection of descriptions of innovations.

Evaluate how each of these innovations addresses a problem, and determine if you could integrate the innovation (or a similar one) into your organization or one with which you are familiar.

Select one of the innovations on which to focus for this Discussion. Think about how you might introduce this innovation in your selected organization, and strategies that you might use to facilitate communication and engagement needed to sustain the innovation.

Post a detailed review of one innovation that you found of particular interest on the AHRQ Innovation Exchange. Explain the problem being addressed, the innovation, and the outcomes and how you might introduce a similar innovation in your organization or one with which you are familiar. Outline strategies you would employ to sustain the innovation.

Read a selection of your colleagues’ responses.

Respond to at least two of your colleagues on two different days using one or more of the following approaches:

Ask a probing question, substantiated with additional background information or research.

Share an insight from having read your colleagues’ postings, synthesizing the information to provide new perspectives. 

Validate an idea with your own experience and additional resources.

Required Readings

Pedersen, A. R., & Johansen, M. B. (2012). Strategic and everyday innovative narratives: Translating ideas into everyday life in organizations. Innovation Journal, 17(1), 2–18.

Retrieved from the Walden Library databases.

This article focuses on the implementation process for turning innovations into everyday practice.

Titler, M. G. (2010). Translation science and context. Research and Theory for Nursing Practice: An International Journal, 24(1), 35–55.

Retrieved from the Walden Library databases.

The author examines the challenges of adopting innovations, such as evidence-based practices, and asserts that a systems view is needed to translation science into complex contexts.

Burns, M. J., Craig, R. B., Friedman, B. D., Schott, P. D., & Senot, C. (2011). Transforming enterprise communications through the blending of social networking and unified communications. Bell Labs Technical Journal, 16(1), 19–34.

Retrieved from the Walden Library databases.

Social media is a tool for creating and organizing collective knowledge. This article outlines one company’s experience using social media tools as a part of the corporate culture.

Dückers, M. A., Wagner, C., Vos, L., & Groenewegen, P. P. (2011). Understanding organisational development, sustainability, and diffusion of innovations within hospitals participating in a multilevel quality collaborative. Implementation Science, 6(1), 18–27. 

Retrieved from the Walden Library databases.

The ability to spread knowledge throughout an entire team is paramount in creating a successful team dynamic. This article outlines one study completed in the Netherlands focused on diffusing information and sustaining innovation.

 U.S. Department of Health & Human Services Agency for Healthcare Research and Quality. (2012). AHRQ health care innovations exchange. Retrieved from http://www.innovations.ahrq.gov

The Agency for Healthcare Research and Quality website is a clearinghouse for innovative practice within the healthcare field. Review the information on this site as it relates to this week’s focus. (Assigned in a previous week.)

 

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Government-Business Relations Assignments | Online Homework Help

Requirements: -Please, carefully re-visit the syllabus and the instructions in the Appendix. -Please, focus on the textbook readings (demonstrate that you have thoroughly and attentively read the material). -Please, ensure that the work is original. Don’t simply re-state what is in the Module. -Please, demonstrate that you have understood and carefully considered the material. -Please, demonstrate that you can apply the material by providing examples …

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