University of Phoenix NSG479 Week 2 Project Translation and Planning Essay

University of Phoenix NSG479 Week 2 Project Translation and Planning Essay ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON University of Phoenix NSG479 Week 2 Project Translation and Planning Essay Assignment Content In this week’s assignment you work through the planning and implementation stages of the project. This will require you to determine goals, resources needed, and consider change management. **See Week 4 Grading Rubric Define an improvement goal and explain how you would measure the change. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay Create a project plan. Consider: Resources needed Supplies and equipment People Timeframe for implementation Data collection mechanisms Change and leadership theories to ensure success Cite a minimum of 3 scholarly/peer reviewed articles/sources Format your assignment as one of the following: 18- to 20-slide presentation with detailed speaker notes in APA format (total slide count does not include the title and reference slide) 875 to 1000 -word paper in APA format (title and reference page not included in word count) transforming_care_at_the_bedside__nsg_479_week1.edited.docx hasnija_cehic_defining_the_scope_week2.docx hasnija_cehic_research_and_evidence_week3.docx Running Head: TRANSFORMING CARE AT THE BEDSIDE Transforming Care at the Bedside Hasnija Cehic University of Phoenix October 25, 2019 1 TRANSFORMING CARE AT THE BEDSIDE 2 Transformation of Care at the Bedside Patients, as well as their families and caregivers, usually expect to receive hospital care that is reliable, safe, and respectful, and that which meets their needs. Most times, it meets their needs, but at times, it may not. It cannot be denied that there are gaps that exist between the care that patients ought to receive and the care that they usually receive (Chaboyer, W. et al., 2010). Transformation of health care is crucial, which involves keeping patients safe and designing a working environment that promotes the practice of safe nursing care. Such efforts will ensure that there is improved quality of patient care and service, encourage effective care teams, enhance satisfaction among the staff, enhance efficiency, and increase staff retention. Transforming Care at the Bedside (TCAB) engages the healthcare providers at the frontline, such as nurses, to bring about change and ensure safe and efficient patient care. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay The hospital environment is one with complex and rapid change and mostly has strained resources. It is at the bedside where 30-40% of deaths, some of which are unexplainable, occur (Lavoie-Tremblay, Mélanie & O’Connor, 2014). It is at the bedside, therefore, where a significant change in the delivery of care to patients is needed. The setting that will be significantly impacted by this issue is the medical/surgical units. The environment, that is, the medical/surgical units are a representation of a considerable population of acutely ill patients with nurse practice patterns, which can be generalized to different patient populations. Hospitals are complex and busy environments where all healthcare providers work in an environment that is knowledge-sensitive to deliver patient care. With this complex environment, errors may be unavoidable, with 10% of patients suffering harm due to unintended consequences in healthcare within the hospital (Risa & Berwick, 2009). As a result, the safety of patients has become a primary focus in the delivery of services in the hospital. TCAB is one great way of TRANSFORMING CARE AT THE BEDSIDE 3 improving safety in the medical/surgical units in hospitals of acute care. TCAB entails ensuring quality patient care, ensuring that the patients are safe, and transforming the environment within which care is provided. The staff can help identify, implement, and evaluate ways to improve the experiences of patients as they receive care as well as the skills that nurses get while caring for the patients at the bedside. Engaging the staff at all levels is essential to ensure that TCAB is useful in the improvement of nursing care as well as the experiences of nurses. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay When the environment in which nurses work is conducive and improved, they become satisfied, thus high retention and less staff turnover. Retaining staff for an extended period helps to ensure improved care of patients since the team might have been taken for more training to improve their skills and, therefore, will always provide quality care to all patients at all times. The pillars that are essential in TCAB are safety and reliability, patient-centeredness, care team vitality, and increasing value. The various strategies that can help transform care include patient safety leadership walk rounds, where the staff can often do rounds to ensure that patients are always free from any harm. Traffic light systems can also be utilized to show the current workload within the unit and identify the availability of nurses for additional patients (Tothy et al., 2018). Another strategy to change care at the bedside is to establish the daily goals of the patient with them and streamline the discharge process. When the patients are engaged in their care, they feel respected and are likely even to recover faster. Muscle disuse is also prevented, and they become strong enough to eat and have improved health. TCAB also involves healthcare providers implementing innovative new practices in the units. Such practices make the hospital experiences pleasant and safer for the patients and allows more time for nurses to spend with the patients and offer direct care. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay The direct care they provide TRANSFORMING CARE AT THE BEDSIDE 4 includes therapeutic touch, counseling, and engaging the patient, which ensures their emotional stability, comfort, and a faster road to recovery. Patients are also helped in self-care since the nurses have more time, which provides safe care, especially when discharged to the community and in home-based care. Ethical, Legal and Regulatory Concerns The hospital setting is one of the areas where there are so many ethical issues to be considered when offering care to patients. While implementing the transformation of care at the bedside. Some legal, regulatory, and ethical concerns can arise. One is confidentiality, where all patient’s information should remain confidential. At times one may be required to share some of the patient’s information with other caregivers and relatives to ensure safety for the care offered. Such sharing may become an ethical issue, especially when the patient has not given consent for sharing the information (Lavoie-Tremblay, Mélanie & O’Connor, 2014). Breaching such confidentiality may become a legal issue, and the healthcare provider can be sued. Some of the regulatory concerns that may arise are having patients being involved in care that some hospitals may feel the role of the nurse entirely. Some hospital policies may term, such as a regulatory issue. Reason for Choosing the Topic The comfort and safety of patients, as well as receiving quality care while in the hospitals, is very crucial. With the complex hospital environment, patients may not receive the care that they expect. The reason for choosing this topic is that it will help health care providers to learn that it is possible to ensure safe and quality care of patients and offer them the care that they expect despite such a sophisticated environment. The topic will help to come up with TRANSFORMING CARE AT THE BEDSIDE strategies that will assist in transforming the care of patients at the bedside to ensure safety and high-quality care. 5 TRANSFORMING CARE AT THE BEDSIDE 6 References Chaboyer, W. et al. (2010). Transforming care strategies and nursing-sensitive patient outcomes. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay Journal of Advanced Nursing, DOI: Transforming care strategies and nursingsensitive patient outcomes Lavoie-Tremblay, Mélanie & O’Connor, (2014). Transforming Care at the Bedside: Managers’ and Health Care Providers’ Perceptions of Their Change Capacities. Journal of continuing education in nursing. 45. 1-7. 10.3928/00220124-20141023-02. Risa L. & Berwick D., (2009). Nurses Transforming Care. AJN The American Journal of Nursing: November 2009 – Volume 109 – Issue 11 – p 3 doi: 10.1097/01.NAJ.0000362008.30472.8c Tothy, A. et al. (2018). Transforming care through bedside leader rounding: Use of handheld technology leads to improvement in perceived patient satisfaction, Patient Experience Journal: Vol. 5: Iss. 3, Article 7. Available at: https://pxjournal.org/journal/vol5/iss3/7 Running Head: DEFINING THE SCOPE 1 Defining the Scope Hasnija Cehic University of Phoenix November 1, 2019 DEFINING THE SCOPE 2 Defining the Scope Further Definition of Scope Determining a project scope further involves getting deeper into the root causes of the problem. In this case, the problem is caring at the bedside. There is a need to transform care at the bedside both at home and in hospitals. However, this paper focuses on care at the bedside in a hospital setting. Today, the majority of people die in hospitals. When looking at the cause of death, it is sometimes evident that there was negligence at some point. At other times, the cause of death is usually a gap in the delivery of care for the patient by the practitioners. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay For instance, having a patient with dementia in a hospital surgical ward and placing them on a bed without rails. The moment this patient attempts to stand up and head somewhere, they are under the risk of falling. Falls for such patients, especially the elderly, may be fatal. The above example provides just one scenario where care at the bedside is of paramount importance. There are several other scenarios. Care at the bedside not only includes the physical care and health of an individual. It encompasses the mental health of the patient. What nurses and other caretakers let into the mind of a patient can lead them to their grave or back home in good health. Thus, care must extend to the psychological needs of the patients. Practitioners should also ensure that they brief those who visit the patient at the hospital on the importance of positivity to feed the mind of the patient as a bedside care measure (Miller et al., 2018). This means that every single person who interacts with the patient at the bedside is an essential stakeholder in the restoration of health for the patient. Data Sources DEFINING THE SCOPE 3 Practitioners must use evidence-based practice to determine solutions to some of the problems during training (Dovril, 2018). This section analyzes the data sources, both qualitative and quantitative necessary to investigate the issue of patient care at the bedside further. Before delving into the data collection methods, it is essential to understand the objectives of the research. This helps in aligning each aim of a data collection method. The first objective is to determine the extent of bedside care extended to patients at the bedside. The second objective is to identify the stakeholders involved in extending bedside care to patients in hospitals. The ultimate aim of the study is to determine whether there is a relationship between bedside patient care and an extended life span for patients. The first data collection method will be through interviews. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay These will obtain both qualitative and quantitative data from leaders and peers. The hospital leaders will give information on the number of patients who need intensive bedside care in the hospital at a given time. Peers will provide information on the number of patients that they extend bedside care to in medical and surgical units per week. The data from these two respondents are quantitative as the response should be in averages and median forms. Still, on the interviews for these two parties, they will answer questions on the type of care that they specifically extend to these patients at a given time. There will be three care categories, including responsibility for the terminally ill, bedside care for the elderly, and care for those with mild surgical and medical problems. The data will be qualitative as it will be non-numerical. The second group of respondents will be patients, where the researcher employs surveys to extract information on the bedside care that they receive at the hospital. Here, the researcher needs to seek permission to conduct studies on patients who visit the hospital and have received bedside care. The surveys will be online such that the patients will answer some questions before DEFINING THE SCOPE 4 accessing the hospital services from their sites. However, answering these questions was voluntary, and if a patient did not wish to respond, they only had to click the exit button. The data on the services patients received at the bedside was qualitative. There was quantitative data on the rating of services patients received and their level of perception of the same. Organizational Objectives The organizational objective of bedside care is to ensure that the patient’s stay at the hospital is successful and as short as possible. Another purpose is to ensure that there is coordination between the bedside care practitioners, the patient, and the family members for successful health outcomes (Black et al., 2015). University of Phoenix NSG479 Week 2 Project Translation and Planning Essay The current practices from the research barely meet these objectives. From the survey, 75% of the respondent patients said that they had to be treated for another illness resulting from negligence at the bedside besides the ailment that had initially kept them hospitalized. The leaders and peers indicated that patients and family members were hesitant to co-operate with practitioners on bedside care issues. Some of the patients went as far as defying practitioner’s orders and ended up sustaining injuries or becoming sicker. As a result, there was an extended stay at the hospital for most patients undermining the objectives of bedside care. From the research, bedside care was a total fail that needed improvement from all stakeholders. Practitioners have to look for new ways of educating the patients and their families on the importance of bedside care. Family members, on the other hand, have to support the bedside care practice for improved health outcomes. Failure to do this may eventually lead to an increased risk of loss of life. The loss of life, in this case, will not be from natural causes rather than from avoidable situations. DEFINING THE SCOPE Consequently, practitioners may find themselves in the middle of legal struggles, which destroy the image of the entire organization. From the above information, this project lies more on the side of a quality improvement problem. The reason for this is that there are already measures and guidelines for proper bedside care practices. The problem comes at the implementation and follows up stages. Thus, the quality of delivery of services is what the organization should strive to improve. 5 DEFINING THE SCOPE 6 References Black, A. T., Balneaves, L. G., Garossino, C., Puyat, J. H., & Qian, H. (2015). Promoting evidence-based practice through a research training program for point-of-care clinicians. The Journal of nursing administration, 45(1), 14–20 Dorvil, B. (2018). University of Phoenix NSG479 Week 2 Project Translation and Planning Essay The secrets to successful nurse bedside shift report implementation and sustainability. Nursing Management, 49(6), 20–25 Miller, K., Hamza, A., Metersky, K., & Gaffney, D. (2018). Nursing transfer of accountability at the bedside: partnering with patients to pilot a new initiative in Ontario community hospitals,” Patient Experience Journal, 5(1) Running Head: RESEARCH AND EVIDENCE Research and Evidence Name Institution Date 1 RESEARCH AND EVIDENCE 2 Research and Evidence Article 1- (Lavoie-Trembley et al., 2014) The first article under review for this assignment seeks to discuss the transformation of care at the bedside (TCAB). It provides insights on the change capacities that managers and health care providers take as leaders of TCAB. The article acknowledges that there is a shortage of nurses in the current world. Therefore, it is imperative to have work processes that will make them more efficient and effective in their daily tasks. One of these processes is TCAB. The authors of the article also argue that there are many types of research that support TCAB. However, there are very few studies that analyze the perceptions of health care providers to their change capacities, thus their interest in the research area. Without managers and healthcare providers, then transformation of care at the bedside would be impossible. The first step of this research was the implementation of a TCAB program. The TCAB program was to enhance patient outcomes through the provision of training by healthcare professionals. The modules in the program included the plan-do-study Act module, the 5S, the patient experience care module, and the improving admission and discharge processes module. After these modules, there was The method for conducting this research was through focus groups and interviews of the participants of the TCAB program. The researcher utilized an interview guide as part of the research instruments. The findings of the research defined the participants’ views on TCAB in healthcare. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay They were divided into seven themes, among them the team approach of TCAB programs. They were designed in an inclusive and participatory way for all stakeholders. These stakeholders included the patients’ families. This enabled them to work as a team and conduct change management in a better way, which is in line with the clinical guidelines of care at the bedside. This lead to the second theme, which included getting RESEARCH AND EVIDENCE 3 the picture. Due to the inclusiveness of the program, more stakeholders of healthcare were willing to participate in care at the bedside initiatives. There was also the theme of structured change, learning skills, engaging team members in transition, and sharing leadership for change, which are all clinical guidelines for the leadership team that works towards improved bedside care. Article 2- (Miller et al., 2018) Nurses have to transfer the care responsibility at the end of the shift to the other individuals taking over. The nurse must ensure that they record all information to ensure maximum care and positive patient outcomes. The second article focuses on the nursing transfer of accountability at the bedside. The report seeks to research in the implementation of patients and nurse collaboration of care at the bedside to ensure that there is maximum satisfaction. On the patient’s side, there is also the inclusion of the family as part of the bedside care team. The research was conducted in Ontario hospitals, where there was the introduction of the transfer of accountability practices. The research methods for the study included focus groups of health care practitioners, patients, and their families. These participants gave informed consent allowing the researchers to carry out the survey. From the research, it was evident that the transfer of accountability had positive outcomes for the patients. It also resulted in a more informed patient and increased patient safety. This is due to the information that the nurses shared with the patient towards the end of the shift. When the other nurse came in and sought clarification or information from the patient, they would also gain more information on their health, which was an overall decisive factor. University of Phoenix NSG479 Week 2 Project Translation and Planning Essay The involvement of the family also ensured that the nurses could get quickly fill in some RESEARCH AND EVIDENCE 4 information gaps. This is necessary, especially for patients who cannot give some vital information to the practitioners. The clinical guidelines for care at the bedside include the involvement of the patient and their families. The nurse takes care of not only the patient’s physical needs but also the psychological needs. This includes discussing some issues with families and giving them insights on how to deal with the patient. Transfer of accountability, which is the primary variable in this research is in line with this guideline. However, it is essential to note that it also brings about various challenges. The nurses in the study expressed concerns about information sharing, considering the patient privacy rules. For instance, when nurses communicate with families through a whiteboard, how much information is too much? Article 3- (McNicol et al., 2018). The technological world aims at transforming all sectors, including healthcare. Thus, there is an introduction of technology in almost all aspects of the hospital settings. One such area is at the bedside where there is the introduction of point of care health information technology at the patient bedside. The research paper under investigation here focuses on the patient experiences, which translates to either positive or negative health outcomes of the use of such technology at the bedside and in acute care. The clinical guidelines for consideration at the bedside recommend that the patient outcome should be the priority while introducing any new aspect into the health care settings. When the patient outcome is not a priority, then the health facilit … . Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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