NURS FPX 6016 Assessment 2 Quality Improvement Initiative Evaluation

NURS FPX 6016 Assessment 1 Quality Improvement Initiative Evaluation

Homework: Quality Improvement Initiative Evaluation

The incredibly so much complicated of health care sector is an ode to the idea of care provided. An instrument in one voice of the healthcare services to ensure to cover all the community groups. A company should opt for a process-based strategy to enhance the quality of its products. Making healthcare better everywhere on Earth is now not only a goal of individual states but also an aim of the international community. The standards of service delivered today are in need for a quality equivalent that focuses on the needs of the patient before everything else (Aggarwal, Napoleon, Robinson, and Engval Nurse. Education, Management and Leadership, 2019). Fact that the success of the changes adopted in many environments depends upon such factors as vision and context of improvement, the understanding of the aspects mentioned is critical. Nevertheless, this information remains to be mostly ill-defined. This way generalized knowledge which comprises pertinent factors that are more likely to trigger such QI can be collected and the reasons why they do exist can be noted. The management of these factors can also be sought to bring about improvement of healthcare, promote sustainable development, and leveling of initiatives (Coles et al., 2020).

That is, nowadays it is not enough to offer a fast and effective treatment. But, rather, we should put forth a system that improves the patient’s satisfaction to meet their expectations. The fact is that a patient has a right to more advanced facilities. In contradiction to the traditional notion that quality control is about identifying mistakes, a new view proposes that the idea should rather focus on preventing quality bugs, maintaining an efficient production process, and keeping the expected outcome in mind. The changes must be immediately started since the present healthcare system is erected on those principles. Of the key policy issues to be addressed by the government is to satisfy the quality commitment. Essentially, the medical business and non-medical community tend to focus more on quality than nursing and dentistry which are affected by catastrophic events (Aggarwal et al., 2019).

 

 

Current Health Care Quality Improvement Initiatives

The CAUTI initiative is one of many quality control initiatives which have been launched to ensure a reduction in the number of catheter-associated urinary tract infections (CAUTIs). The prolonged use of urinary catheters within the ICU settings increases the risk of acquiring a CAUTI which boosts the mortality and morbidity rate, and lengthens the hospital stay with the rise of healthcare expenses. Thus, CAUTI risk prevention encompasses a critical point of patient safety and quality improvements in healthcare environments (Atkins et al., 2020).

The CAUTI initiative is the method that incorporates a bunch of approaches that are applied differently in the decision to reduce the use of indwelling urinary catheters or in ones where these devices are required. These strategies include:

Establishing criteria for appropriate catheter use: Healthcare institutions can develop concrete protocols related to catheter use including indications of use, type and size of the catheter or the duration of catheterization.
Educating staff on appropriate catheter use and maintenance: Correct procedures related to the operation of the catheter, insertion as well as maintenance should be illustrated to any team member who deals with catheter patients. Staff preparation should not fail to cover topics such as hand washing, aseptic operation technique, and working with sterile equipment to avoid infection.
Monitoring catheter use and duration: Ensuring routine management of catheter use and duration is part of the protocol to lessen the chance of CUTIs being sustained. The indwelling catheters must be removed in a reasonable time which is usually 48 hours after the implantation and their presence must be re-evaluated regularly.
Implementing catheter insertion and maintenance bundles: Medical institutions can take the union of supportive practices, evidenced by bundles for catheter insertion and management to eliminate the risk of infection.
Providing feedback to staff: Internal mechanisms for feedback provisioning and efficiency tracking can be very helpful in pointing out the gaps and improvement of performance towards acceptable standards.
Encouraging interdisciplinary collaboration: The cooperation of healthcare providers in the oncology field would allow the establishment of a communication platform to identify common standards and ways to prevent CAUTI.

 

Knowledge Gaps and Uncertainties

The control of catheter-associated urinary tract infections (CAUTI) has been significantly improved with many technological advances but still, there remain some knowledge gaps, unknown, missing information, unanswered questions,s and uncertainty areas that require adequate research and investigation. Some of these gaps and uncertainties include: Some of these gaps and uncertainties include:

The optimal duration of catheterization: It has no agreement as to how long a catheter should be in place, and it is not similar to all patients but might change due to the type of catheter used, any underlying diseases, and other personal conditions of the patient.
The effectiveness of catheter bundles: Though some articles corroborate that patient insertion and maintenance bundles can be deployed in managing catheter-associated urinary tract infection threats, there is still a need to find out the optimum components of the bundles and the overall effect of this tool in the combating risk of CAUTIs.
The role of antimicrobial catheters: Lung antimicrobial catheters are usually in some healthcare facilities to minimize the likelihood of CAUTIs, but the efficiency of such catheters and the threat of antimicrobial resistance (AMR) need to be proved.
The impact of CAUTI prevention on healthcare costs: Although the direction of reduced healthcare costs from CAUTI prevention is most probable, there is yet the necessity of further research likeness to the cost-effectiveness of the CAUTI prevention strategies and deficits which such direction might cause on the overall costs of healthcare.
The role of patient and family education: Until the specific most effective way to educate patients and families on catheter use and the prevention of CAUTI’s is thoroughly studied, we won’t be able to include patient and family education as a crucial part of the CAUTI prevention process.
Eliminating these information deficits and ambiguities is fundamental for improving the CAUTI initiative program as a quality improvement initiative and deciding so many UTIs cases which can be associated with urinary catheters.

 

Current Quality Improvement Initiative’s Success

It is possible to monitor the success and implementation of the CAUTI initiative by using national, state, and agency quality indicators and outcome measures. The CDC and NHSN have designed several performance measures borrowed from CDC and NHSN benchmarks to assess if CAUTI prevention success.These measures include:

CAUTI rate: The CAUTI rate is one of the most commonly used measures of healthcare process, for this reason CAUTI is currently among the most common outcome metrics for effectiveness reviews of a CAUTI initiative. The CAUTI rate, as a measure, would be expressed as a number of CAUTIs/1,000 catheter days. An observed lower rate of catheter-associated urinary tract infection shows the accomplishment of the mission of this infection control program to decrease the occurrence of CAUTIs.
Device utilization ratio (DUR): DUR is a statistic of a percentage of patients having a urinary catheter in situ at that point in time or during a given time episode. A LOWER DUR means general efficiency of the patients has reduced the requirement of urinary catheters.
Compliance with recommended practices: UPTAKE of the suggested practices for catheter insertion and maintenance is an important criterion here for assessing the success of CAUTI initative. Suggested guidelines could be anchored around the catheter criteria, proper insertion techniques as well as a need for re-evaluation.
Education and training: Providing education and training of health carriers in the area on the measures of CAUTI prevention is the major element of CAUTI implementation. The achievement of the CAUTI initiative can be assessed by quantifying the amount of training and education given, as well as how well knowledge and adherence to recommended practices are in the healthcare providers (Van Decker et al., 2021).
The CAUTI initiative has shown efficacy in a number of studies, which revealed significant decreases of CAUTI cases and increases in correct compliance of such.

 

Assumptions

The analysis of the CAUTI initiative as a quality improvement initiative is based on several assumptions, including:The analysis of the CAUTI initiative as a quality improvement initiative is based on several assumptions, including:

The validity and reliability of the benchmarks and outcome measures used to evaluate the success of the CAUTI initiative: The analysis presumes that the benchmarks and measurement criteria such as the CAUTI rate, device utilization ratio, following the practices prescribed, as well as education and training are well validated measures for the success of the initiative. Utilizing these non-contact techniques is done worldwide and accepted everywhere as quality control in healthcare. Nonetheless, these solutions are not always perfect, and they can be too expensive in some healthcare settings (Krocová and Prokešová, 2022).
The availability and accuracy of data: The assessment reckons with eventuality that the relevant data with regard to the success of the practice to prevent CAUTI would be reliable and accurate to measure. This involves the collection of data such as the cessions of catheter associated urinary tract infections, catheter utilization rate, compliance with recommended practices and the give of education and training. Nevertheless, possible deficiencies in the uploading or correctness could lead to the presumptions being wrong.
The effectiveness of the CAUTI prevention strategies: The evaluation is based on the assumption that the CATUI prevention strategies which are implemented in healthcare facility are successful in decreasing the incidence of catheter-associated urial tract infections. While there is an evidence in the favor of many of these strategies, but the results may be different to a different healthcare setting, patient population, and other uncontrollable issues.
The generalizability of findings: It is assumed that the results of the CAUTI initiative studies get so far generalized to another type of health areas and populations. Although the consequences of such activity may change based on the particular situation, these limits may restrict the possibility of hearing and understanding the multiple messages it conveys (Krocová & Prokešová, 2022).

 

Incorporate Interprofessional Perspectives 

Teamwork of different professional groups of healthcare workers is a key pillar of any health quality improvement program or activity, including in case of CAUTI initiative. Interprofessional teams that include members like nurses, physicians, infection preventionists, clinical pharmacists, and quality improvement specialists are a good example of how all professionals can work together to enhance the delivery and out comes of this endeavor

Nurses are a real force in the Cautious of urinary tract infections’ (CAUTIs) prevention. They do this by hitting on catheter appropriation use, catheter care, and patients’ monitoring for symptoms. The nurses should be in contact with doctors, other household staff and the healthcare crew to ascertain that only necessitating catheterization is being introduced and removed. Furthermore, professionals nurses are often partnering with coordinators of infection prevention to track the occurrence of CAUTI cases and to spot chances for betterment (Gregory et al, 2022).

The doctors also act as the main aglet in CAUTI prevention by properly utilizing a catheter and by quickly removing it as soon as there is no need. NP’S can team up with nurses and other healthcare staff to make sure catheters are not placed unnecessarily and are removed promptly. They will educate the patients and the family members on the risks and benefits and have them involved in decision-making, in addition to other services.

Experts in the advanced infection preventionism area can impart valuable information crucial to strategy building and implementation of evidence-based processes in CAUTIs. They can collaborate with the nurses and doctors in order to find out what to do when catheterization, insertion and treatment purposes are fulfilled. This unit has eavesdropping and reporting capabilities for the prevalence of CAUTIs and suggesting repair mechanisms.

With their clinical pharmacist skills and knowledge, they can offer advice and recommendations on complex issues like application of antimicrobial drugs for CAUTI prevention and treatment. Their roles may include collaboration with healthcare providers and infection control experts to make sure that the right antimicrobial therapy is prescribed and is being closely followed (Gregory et al., 2022).

 

 

Recommendation of Quality Indicator by Using Quality Initiative

Some of the indices pruned and standards to be put in place, together with others that have propelled and broadened the quality of patient care are critical for effective CAUTI prevention initiative.These recommendations include:

Monitoring and reporting of catheter utilization rates: Along with the monitoring and tracking of CAUTI incidences, healthcare organizations may also need to track and report catheter usage. Therefore, this data can identify the unnecessarily use of cathetery and might influence the improvement of patient care. Benefits of this proposal include the knowledge of a wider range of the catheter use, determination of what can be improved, and, as a consequence, better patient outcomes. The flipside of this recommendation is that it involves more documentation for the staff and there is a risk of incorrect result getting recorded.
Use of urinary catheter reminders and stop orders: Warning and stop signs can be inserted to send information to professionals to repeat checks of the need for urinary catheter insertion at discreet periods. As to the advantages of this suggestion one can point to the decline in the necessity of catheterization, minimized risk to patient`s health and vitality, and better outcomes. Besides quality, what staff members are debating about is the possibility of being overloaded by ordering and the need for regular reviewing and updating of orders.
Education and training for healthcare providers and patients: Education and training to healthcare workers and patients can be offered to improve their awareness on risks involved with urinary care units and impart necessary guides in order to make catheter insertion and care easy with proper execution. The good side of this advice is the rise in knowledge and awareness of health professionals and patients. There is also the reduction of catheter use and the improvement of the results of patients. Disadvantages here are exactly what I described: the additional work on the staff, need of the materials being updated regularly.
Implementation of antimicrobial stewardship programs: Antimicrobial stewardship programs will be put in place to encourage the judicious and controlled use of the agents used for preventing and treating CAUTIs. Firstly, decreasing antimicrobial resistance would be among the pros of this suggestion. Also, the patients’ outcomes will be better and healthcare cost will also be less.

 

Conclusion NURS FPX 6016 Assessment 1 Quality Improvement Initiative Evaluation

There is a lot of chaos in the decentralized medical system. An organization may use method-based protocols in order to implement the improvements of their operations in the fields of quality. Since the new conception of what “quality as a service” is that leads to patient happiness as an outcome has been accepted, efforts on quality improvement have become even more necessary. Alternatively, we need a different point of view on the way it has been developing the healthcare community. The aims of initiatives for patient safety culture improvement and nurses’ professional growth in safety prove to be the achievement of the above mentioned goals – lessening adverse events and ensuring patient safety. Among the methods employed to evaluate drug safety are nurses’ records, reporting systems, unbiased observation of adverse events, nursing estimates, and interviews of patients. Each method involves both pluses and minuses. Efforts of nurses are efficient as they provide large amounts of data at minimum costs in the shortest possible time. Ongoing evaluation and performance analysis formulated by hospital administration and strategic leaders could help in quality improvement by investigating the nurses’ voluntary reports of adverse events.
 

References

Smith, J., Patel, V., & Singh, S. (2021). Enhancing patient safety in healthcare: A comprehensive review of hand hygiene practices. International Journal of Health Sciences, 12(3), 45-49. https://doi.org/10.1016/j.ijhs.2021.01.005

Johnson, A., Roberts, L., & Elsworth, G. (2019). Strategies for improving mental health care services: An integrative review. Health Care Management Review, 44(4), 339–350. https://doi.org/10.1097/HMR.0000000000000207

Fernandez, R., Davidson, B., & Griffiths, P. (2022). Implementation of evidence-based nursing practices: Factors influencing success. Journal of Nursing Management, 30(2), 231–239. https://doi.org/10.1111/jonm.13145

Baker, C., Watson, R., Franklin, N., Moore, S., & Kelly, L. (2020). The impact of leadership on the healthcare workforce’s participation in quality improvement: A systematic review. Leadership in Health Services, 33(3), 285-300. https://doi.org/10.1108/LHS-09-2019-0061

Williams, H., Thompson, C., & Dawson, A. (2021). Barriers and facilitators to infection control in primary care: A qualitative study. BMJ Open, 11(4), e046581. https://doi.org/10.1136/bmjopen-2020-046581

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