NUR 2349 Assignment Improving Patient Care Worksheet
NUR 2349 Assignment Improving Patient Care Worksheet
Your written assignment for this module is a worksheet that
describes the following:
An example of an evidence-based practice (EBP) project
How EBP projects can improve patient care
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. All citations must be in APA format.
Please download the Improving Patient Care
Worksheet.
Submit your completed assignment by following the directions
linked below. Please check the Course Calendar for specific due dates.
Name:
Date:
Complete all of your lesson materials and assigned readings.
Make sure that you are focusing on:
An
example of an evidence-based practice (EBP) project
How EBP
projects can improve patient care
You should be using complete sentences to answer the
questions. Ensure that you are using correct grammar. In addition, support your
answers using your textbook, course materials, credible internet resources, and
scholarly journals. SkyScape is a great suggestion for assistance in completion
of this assignment. All citations must be in APA format. 1 Point
1. Give an
example of an evidence-based practice (EBP) project that you have either been a
part of or have knowledge regarding. 2 Points
2. Describe
how the EBP project can improve patient care. 2 Points
Abstractintroduction: Patient satisfaction and patient experience goals are often linked to financial consequences. Although the link does exist, the bottom line is not only about money; its about providing a quality experience for ED patients and creating an environment that engages staff. Evidence-based practice (EBP) strategies that have positive impact on patient perceptions of their ED care and increased satisfaction ratings include AIDET, Hourly Rounding, and Bedside Shift Report, which incorporate updates of test results and explanations of events occurring during a patients visit. In addition to these outcomes, Hourly Rounding and Bedside Shift Report have been linked to patient safety improvements. Combining these strategies, our team created and implemented the service nursing bundle as a quality improvement (QI) initiative, with the goal of having a positive effect on patient experiences in emergency departments, represented by at least a 5% increase in overall quality-of-care ranking and ratings.
Methods: This QI project involved comparing professional research consultant (PRC) patient- satisfaction phone survey ratings from patients before and after ED staff members completed a 1-hour service nursing bundle class. In addition to the patient-satisfaction ratings, 1,104 audits evaluating staff use of the service bundle implementation were collected over an 8-week period.reading document: RESULTS: The random observational audits showed the adoption of the service nursing bundle as staff compliance started at 65% in week 1 compared with 100% by week 8. Before intervention (July 2015): 50% of patients rated their overall quality of care as excellent, yielding a benchmark ranking of 42.5 percentile. Postservice bundle education implementation (September 2015): 60% of patients rated their overall quality of care as excellent, increasing our ranking to the 85.5 percentile. The postservice bundle group was 1.5 times more likely to respond excellent to all 5 survey questions, which was statistically significant (z =2.82, P = 0.004). The patients perceptions of total time spent in the emergency department and ratings of excellent revealed a significant statistical difference (before: 35.0%, after: 49.5%, X2 (1) = 4.24, P < 0.05).
Discussion: With the implementation of the bundle, our emergency department experienced an 11.8% increase in the number of patients rating their overall quality of care as excellent. This upsurge resulted in a 40% increase in overall quality of care, propelling our emergency departments ranking to the 85th percentile.
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