Feb 23, 2024 HCA 305 Week 3 Assignment Quality of HealthCare
HCA 305 Week 3 Assignment Quality of HealthCare
A Sample Answer For the Assignment: HCA 305 Week 3 Assignment Quality of HealthCare
Overview Of Quality in Healthcare
The promotion of healthy outcomes during pregnancy is essential in nursing and healthcare. Nurses utilize best practice interventions to minimize the health risks associated with pregnancy. Hypertensive disorders comprise a crucial obstetric problem affecting most pregnant mothers. Early identification and management are essential to optimize pregnancy outcomes. Therefore, this paper HCA 305 Week 3 Assignment Quality of HealthCare explores the identified issue of timely treatment of hypertensive crisis during pregnancy and post-partum in my practice site.
Issue Description and Associated Challenges
The selected practice issue is the lack of timely treatment of hypertensive crisis during pregnancy and post-partum period in my practice site. Hypertensive crises include gestational and pre-existing hypertension, eclampsia, and preeclampsia. The hypertensive crisis among pregnant women is a crucial issue in the USA. The current statistics show that the prevalence of chronic hypertension in pregnancy is 1.9%, 6.5% for gestational hypertension, and 0.3% for eclampsia (Kuklina, 2020).
The Centers for Disease Control and Prevention (CDC) reports that hypertension affects 1 in every 12-17 pregnancies in the USA (CDC, 2021). Hypertensive crisis is associated with several challenges for pregnant mothers and their unborn children. One of the effects is organ dysfunction. Blood pressure elevation above 180/110 mmHg increases the risk of multiple organ damage. The damages include cerebral infarction, hypertensive encephalopathy, retinal hemorrhage, aortic dissection (Varounis et al., 2017).
There is also a decline in the quality of life for pregnant mothers affected by the hypertensive crisis. As seen from the research by Varounis et al. (2017), mothers require frequent hospitalizations for effective control of blood pressure, hence, loss of productivity in social and occupational roles. Hypertensive crises may also lead to maternal mortalities.
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According to Braunthal and Brateanu (2019), hypertensive crises complicate up to 10% of pregnancies globally, acting as a cause of significant maternal and perinatal mortality. Fetal outcomes, including intrauterine growth restriction, preterm births, low birth weight, and mortalities, occur due to hypertensive crisis (Guida et al., 2018). Therefore, interventions that enhance the timely identification and treatment of hypertensive crises should be implemented in the practice site to enhance patient care outcomes.
Utilization of EBP, Research, and PI
Evidence-based practice, research, and process improvement can enhance timely treatment of hypertensive crisis during pregnancy and post-partum period in the practice site. Evidence-based practice entails utilizing clinical expertise, research evidence, and patient values in making decisions. Nurses determine the best approach to enhancing care outcomes of pregnant mothers with hypertensive crisis and undertake literature analysis to determine the quality of data supporting its use.
They involve interdisciplinary teams in developing the best strategies that should be used to optimize care outcomes in the setting (Lehane et al., 2019). The evidence-based practice would enhance care outcomes that include safety, efficiency, and quality in the timely treatment of hypertensive crisis in pregnant mothers and post-delivery period.
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Research can also enhance timely treatment of hypertensive crisis during pregnancy and post-partum period in the organization. Accordingly, nurses can search different studies that have explored effective interventions for the early identification, timely, and continuous management of the hypertensive crisis in pregnancy. Studies, including randomized controlled trials, provide highly reliable and valid data translated into nursing practice in managing hypertensive crises.
Qualitative studies also provide nurses information about the experiences of the healthcare providers and patients with the best practices in hypertensive crisis management (Melnyk & Fineout-Overholt, 2019). Therefore, nurses should explore the available researchers on hypertensive crisis to identify the best interventions that can be used to improve care outcomes for the affected populations.
Process improvement can also be applied in improving the timely treatment of hypertensive crisis in pregnancy and post-partum period in the practice site. Accordingly, healthcare providers should identify systems and processes utilized to manage hypertensive crises. System and process analysis will lead to identifying issues contributing to inefficiencies in the care provision.
As a result, strategies that aim to improve the processes and systems used in hypertensive crisis management can be implemented. In addition, nurses and other healthcare providers monitor the improvement in outcomes to ensure necessary revisions are made (Melnyk & Fineout-Overholt, 2019). Consequently, system and process re-alignment contribute to efficiency in managing hypertensive crises in the organization.
CQI Improvement to be Used
The continuous quality improvement methods stated in the PDCA model will address the practice issue. The model comprises steps including plan, do, check, and act. The plan step will comprise the acquisition of information about the existing systems and processes in the organization influencing outcomes of hypertensive crisis treatment. The information will be analyzed to develop goals, objectives, and actions needed to address the identified issue. The developed strategies will be implemented in the do step.
Healthcare providers will collaborate in implementing the strategies to enhance the timeliness of hypertensive crisis treatment in the organization. Information will then be collected and analyzed in the check phase. The aim will be to identify the nature of goals realization and needed processes and strategies to enhance the outcomes further.
The implemented processes to address the issue will be refined and improved if the outcomes are achieved in the act phase (Vordenberg et al., 2018). The PDCA phases were selected, as they facilitated the systematic implementation of change initiatives to address the practice issue. They also facilitated the incremental introduction of successful interventions in the practice site.
Data Sources
The data sources for the efficiency and timeliness of hypertensive crisis treatment in pregnancy and post-partum period are varied. They include healthcare providers, organizational protocols, and quality and safety indicators of care. Healthcare providers can be interviewed or surveyed to obtain their insights into the timeliness of hypertensive crisis management in pregnancy and the post-partum period. Questionnaires can also be administered to enhance the process of data collection.
Organizational protocols utilized in treating hypertensive crisis in pregnancy and post-partum period provide data on process measures in the setting. The focus is on comparing the protocol being used with the internationally recognized approaches to hypertensive crisis treatment. Quality and safety indicators also provide outcome data. It entails obtaining information about the rates of hypertensive crises reported in a given period and their associated outcomes.
The indicators also provide information about the disease burden due to hypertensive crises such as perinatal and maternal morbidity and mortality (Linton et al., 2019). Therefore, combining different data sources is recommended to accurately picture the timeliness and efficiency of hypertensive crisis treatment in pregnancy and the post-partum period.
Capturing and Disseminating Data
The data from the above sources will be captured in some ways. One of them will be the database of the hospital. The hospital database will collect data on the rates and outcomes of hypertensive crisis in pregnancy and post-partum period in the institution. The other way of capturing the data will be using questionnaires. Questionnaires will be administered to the healthcare providers for use in the determination of the problem.
The dissemination methods will include presenting findings to the staff, developing new policies, and publishing an article on the issue. Scientific presentations will also be provided in conferences to inform other healthcare providers (Webbe et al., 2017). Healthcare providers’ social media platforms will also enhance access to information about the practice issue.
Organizational Culture Considerations
Organizational culture will play an essential role in facilitating the success of the interventions needed to address the practice issue. First, the organization should have an effective leadership approach to addressing the issue. The leadership should be open to new information and encourage active staff involvement in addressing the issue. It should also facilitate open communication between the stakeholders involved in addressing the issue.
The organization should also support the culture of safety and quality in providing patient care. It should implement policies that align with the need for efficiency, quality, and safety in the institution. It should also support professional growth opportunities for the staff, including training them on evidence-based approaches for managing hypertensive crises (Rider et al., 2018). The staff should also be encouraged to implement new practices for enhanced care outcomes.
For example, the healthcare providers should be supported in introducing evidence-based interventions for the early identification and treatment of hypertensive crisis in pregnancy and the post-partum period. The organization’s leaders should also lead the implementation of best practices in the organization. They should act as role models for the other staff in implementing best practices to enhance the care outcomes in hypertensive crisis treatment in pregnancy and post-partum period (Al-Hussami et al., 2018).
Conclusion
Overall, hypertensive crisis in pregnancy and post-partum period is a crucial health problem that should be addressed in the institution. The existing evidence shows that the problem is associated with adverse outcomes, including perinatal and maternal morbidity and mortality. Various data sources can be used to identify the process and outcome measures that reflect the severity of the problem in the institution.
Multiple methods of disseminating data about the issue and adopted intervention should be considered to reach a wider population. Organizational culture will influence the success of the adopted interventions to enhance timely treatment of hypertensive crisis in pregnancy and post-partum period in the institution. Therefore, leaders, management, and staff of the institution should adopt behaviors that facilitate an enabling culture for change.
References
Al-Hussami, M., Hammad, S., & Alsoleihat, F. (2018). The influence of leadership behavior, organizational commitment, organizational support, subjective career success on organizational readiness for change in healthcare organizations. Leadership in Health Services, 31(4), 354–370. https://doi.org/10.1108/LHS-06-2017-0031
Braunthal, S., & Brateanu, A. (2019). Hypertension in pregnancy: Pathophysiology and treatment. SAGE Open Medicine, 7, 2050312119843700. https://doi.org/10.1177/2050312119843700
CDC. (2021, May 6). High Blood Pressure During Pregnancy. Centers for Disease Control and Prevention. https://www.cdc.gov/bloodpressure/pregnancy.htm
Guida, J. P., Parpinelli, M. A., Surita, F. G., & Costa, M. L. (2018). The impact of proteinuria on maternal and perinatal outcomes among women with pre-eclampsia. International Journal of Gynecology & Obstetrics, 143(1), 101–107. https://doi.org/10.1002/ijgo.12487
Kuklina, E. V. (2020). Hypertension in Pregnancy in the US—One Step Closer to Better Ascertainment and Management. JAMA Network Open, 3(10), e2019364. https://doi.org/10.1001/jamanetworkopen.2020.19364
Lehane, E., Leahy-Warren, P., O’Riordan, C., Savage, E., Drennan, J., O’Tuathaigh, C., O’Connor, M., Corrigan, M., Burke, F., Hayes, M., Lynch, H., Sahm, L., Heffernan, E., O’Keeffe, E., Blake, C., Horgan, F., & Hegarty, J. (2019). Evidence-based practice education for healthcare professions: An expert view. BMJ Evidence-Based Medicine, 24(3), 103–108. https://doi.org/10.1136/bmjebm-2018-111019
Linton, M.-J., Coast, J., Williams, I., Copping, J., & Owen-Smith, A. (2019). Developing a framework of quality indicators for healthcare business cases: A qualitative document analysis consolidating insight from expert guidance and current practice. BMC Health Services Research, 19(1), 433. https://doi.org/10.1186/s12913-019-4269-9
Melnyk, B. M., & Fineout-Overholt, E. (2019). Evidence-based Practice in Nursing & Healthcare: A Guide to Best Practice. Wolters Kluwer.
Rider, E. A., Gilligan, M. C., Osterberg, L. G., Litzelman, D. K., Plews-Ogan, M., Weil, A. B., Dunne, D. W., Hafler, J. P., May, N. B., Derse, A. R., Frankel, R. M., & Branch, W. T. (2018). Healthcare at the Crossroads: The Need to Shape an Organizational Culture of Humanistic Teaching and Practice. Journal of General Internal Medicine, 33(7), 1092–1099. https://doi.org/10.1007/s11606-018-4470-2
Varounis, C., Katsi, V., Nihoyannopoulos, P., Lekakis, J., & Tousoulis, D. (2017). Cardiovascular Hypertensive Crisis: Recent Evidence and Review of the Literature. Frontiers in Cardiovascular Medicine, 3, 51. https://doi.org/10.3389/fcvm.2016.00051
Vordenberg, Sarah. E., Smith, M. A., Diez, H. L., Remington, T. L., & Bostwick, J. R. (2018). Using the Plan-Do-Study-Act (PDSA) Model for Continuous Quality Improvement of an Established Simulated Patient Program. Innovations in Pharmacy, 9(2), 1–6. https://doi.org/10.24926/iip.v9i2.989
Webbe, J., Brunton, G., Ali, S., Duffy, J. M., Modi, N., & Gale, C. (2017). Developing, implementing and disseminating a core outcome set for neonatal medicine. BMJ Paediatrics Open, 1(1), e000048. https://doi.org/10.1136/bmjpo-2017-000048
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