NUR445 capstone quality improvement project

Before starting this assignment, watch the following attached PPT to gain a better understanding of how to complete this assignment.

Part 1: Background of Healthcare/Education facility and Identification of Interviewee and Preceptor.

Step 1: Identify a healthcare center, hospital, or nursing institute of higher education that is the workplace of your selected nurse leader interviewee and write a two- to three-page (one page should consist of the Scalar diagram) essay on the main components listed.

History of Hospital/Healthcare Organization/School of Nursing’s Organizational Structure

1. Profit/nonprofit, number of beds, accreditation, specialties, governing bodies
2. Mission statement/vision/value statements
3. Clinical services/specialties

Legal and Regulatory Compliance of the Organization

1. Policy compliance standards as it pertains to HIPPA
2. Compliance standards for the Joint Commission
3. Organization’s stakeholders

Scalar Chain Diagram of Healthcare Administration
Include a Scalar chain diagram of the healthcare administration team as the final page of your essay. Include in the organization’s hierarchy, the facility President and CEO, the Chief Nursing Officer, and continue down the line. If a diagram is not available on the organization’s website, or the interviewee cannot provide it, you will have to design one.
Step 2 Identify an RN administrator to be interviewed.
Contact a healthcare administrator who works for the healthcare center, hospital, or nursing institute of higher education (BSN minimum) being researched. Contact this nurse administrator/leader to schedule an interview as soon as possible. Provide the contact information and credentials of this interviewee to your course instructor.
Step 3 Identify a preceptor.
Contact your preceptor to give an overview of the direction that you would like to take for your project.

Step 4 Cite all sources in APA 7^th edition format.

PART 2: INTERVIEW

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Interview the healthcare administrator you identified in Part 1. Record the interview or take detailed notes (refer to Step 2).
In your interview, cover the following topics and the additional questions that you developed as part of your practicum assignments:

1. Quality Improvement Measure (QIM) being implemented or currently identified in his/her organization
2. Why the QIM is needed/required (core measure improvements, increased rate of falls, poor pain control surveys, etc.)
3. History of the proposed QIM

1. Stakeholders affected by the QIM and outcomes sought
2. Overall goals of the QIM
3. Alternatives/recommended options available as a backup plan

Step 2 In two to three typed pages, provide the dialogue of the conversation you had during your interview with the chosen healthcare administrator. Include all topics discussed.

Step 3 Cite all sources in APA 7^th edition format.

PART 3: PICO QUESTION

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Using the information provided through the interview, formulate a PICO-based research question regarding the identified quality improvement measure. The question must state the selected population, the intervention to be implemented, the comparison to another group that did not have the proposed measure implemented and the outcome as a result.
The question selected for research must be able to be measured with a pre- and post-intervention reputable scale (meaning a measuring tool that has been tested and proven reliable and valid). The assessment tool is important to help determine baseline status of the selected population and to determine if the intervention demonstrated an improvement or regression toward the goal or outcome. Examples of reliable and valid measuring tools that could be used for pre- and post-assessment of pain include the visual analog scale (VAS), the Wong-Baker Faces Pain Rating Scale, and the FLACC scale.

Example of a PICO-based question could be
Question: Do post-surgical adult patients have improved pain control with use of a PCA pump compared to intermittent nurse-administered injections of pain medication?
P: Post-surgical adult patients
I: Patient-controlled analgesia (PCA)
C: Intermittent nurse-administered injections of pain medication
O: Improved patient pain control

Step 2 Cite all sources in APA 7^th edition format.

PART 4: LITERATURE SEARCH

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Complete a detailed literature search.
Perform a detailed literature search and identify six current (≤ five years old) articles (qualitative/quantitative studies) from scholarly journals to support your quality improvement measure. Proper APA citing of sources is required. Four of the six sources will be approved by your course instructor for use in writing the annotated bibliography.

Step 2 Cite all sources in APA 7^th edition format.

PART 5: ANNOTATED BIBLIOGRAPHY

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Summarize four selected and approved research articles from your literature search in Part 3.

1. In a two- to three-page paper, summarize four selected and approved research articles.
2. Sources must be reputable and within five years of publication.
3. List the inclusion and exclusion criteria used in the search (one paragraph).

• Provide an appraisal/analysis of the articles.
  Describe the research components valuable to the creditability of the studies (one to two paragraphs per article).

Step 2 Cite all sources in APA 7^th edition format.

PART 6: CHANGE THEORY

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Select a change theory that would work best for your proposed change project. In a one- to two-page paper, summarize the main theoretical notions and concepts of the selected theory. Then discuss the various stages of implementation of the proposed project based on the selected theory.

Brief example of using Lewin’s Change Theory with the previously presented pain example:

1. Unfreezing: Prepare the unit for change to using PCA pumps on post-op patients by sharing with the staff your research articles that reveal that patients have overall improved pain control when PCA pumps are used. May also show other data such as patient surveys that demonstrates inadequate pain control.
2. Transition: Policy is written to support the use of PCA pumps on all post-op patients; training of doctors, nurses, and other staff occurs.
3. Refreezing: Patient surveys show improved scores regarding pain management after implementing full use of PCA pumps.

Step 2 Cite all sources in APA 7^th edition format.

PART 7: FINALIZED COPY OF THE CHANGE PROJECT PROPOSAL

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Prepare a finalized copy of your change project proposal. This finalized copy should include the following:

• Background (summary of interview with nurse administrator/leader)
• Research question
• Literature review (summary of the four approved research articles)
• Stages of project implementation based on the selected change theory

Include any suggested revisions, edits, or constructive critiques that your instructor, preceptor, and/or interviewee has provided.

Step 2 Cite all sources in APA 7^th edition format.

PART 8: IMPLEMENT AND MEASURE RESULTS

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Because of a lack of time, you will not be able to fully implement your change project. However, consider how you would implement the project and how you would measure the results. In a two- to three-page paper, discuss the following:

• Implementation
• Measuring results

Step 2 Cite all sources in APA 7^th edition format.

PART 9: POWERPOINT OR POSTER PRESENTATION

Before starting this assignment, you may want to watch the following PowerPoint presentation again to gain a better understanding of how to complete this assignment.

Step 1 Prepare a PowerPoint or poster presentation summarizing the entire quality improvement or change project. Include the following elements:

• Title and author name
• Introduction
• Background (summary of interview with nurse administrator/leader)
• Research question
• Literature review (summary of annotated bibliography)
• Change theory
• Project implementation steps/details
• Measurement of results
• Summary

Step 2 Cite all sources in APA 7^th edition format.