Deliverable 02 – Action Plan

Competency (Template provided with models)

Analyze data from quality improvement initiatives to develop evidence-based solutions that impact quality and safety.

Student Success Criteria

View the grading rubric for this deliverable by selecting the This item is graded with a rubric link, which is located in the Details & Information pane.

Scenario

As a new nurse manager in a hospital, you have been invited to join a Healthcare Innovations Committee. The Doctor of Nursing Practice (DNP) Executive Leader, who is your mentor, has asked you to present an initiative to the committee. The committee consists of the Medical Director, who holds an MD, two doctoral-prepared nursing executives, four-unit coordinators who hold a BSN, and staff members from the operations department.

The DNP shared the results of a quality improvement (QI) assessment and determined there is a need for improved education on isolation for respiratory patients. Your mentor has informed you that initial efforts have improved respiratory isolation precautions. The current census reports an average of 22% of patients with hospital-acquired respiratory infection in isolation. This number has reduced from 33% over the past six months. The goal is to improve efforts by another 5% over the next quarter. For the next committee meeting, you will modify the existing PDSA (Plan-Do-Study-Act) model and write an improvement goal to explain how you will a) establish improvement goals; b) identify possible strategies; c) choose specific interventions for implementation, and d) prepare a written improvement goal.

As you are creating your QI action plan, include strategies that encourage communication and engagement of nurses, leadership, and stakeholders. Utilize the information in the Patients on Isolation with Respiratory Infection diagram below to identify trends from 2019-2020 to determine if specific infections should be incorporated in your plan to achieve your quality improvement goals.

Instructions

  • Using the PDSA proposal visual below (TEMPLATE provided in attachments), prepare an action plan that includes:
  • Evidence-based solutions to the issue based on data from the implementation of the initial quality improvement initiative
  • A plan for the implementation of revised interventions
  • Revised improvement goals
  • Revised evaluation strategies
  • The current QI model is the PDSA model. Describe how the Lean or Six Sigma QI model might also be used to address this issue. (Model in attachments).

References: All references must be APA 7th edition, using in-text citations, and professional sources i.e., ,edu, .org, .nlem, .gov, etc.

Rubric Details

Maximum Score

4 points

Grade for Deliverable 2

  • 100% of total grade
  • A – 4 – Mastery
  • 4
  • B – 3 – Proficiency
  • 3
  • C – 2 – Competence
  • 2
  • F – 1 – No Pass
  • 1
  • I – 0 – Not Submitted
  • 0

Criterion 1

  • 0% of total grade
  • A – 4 – Mastery
  • Action plan includes comprehensive evidence-based solutions to the issue based on data from the implementation of the initial quality improvement initiative.
  • 0
  • B – 3 – Proficiency
  • Action plan includes reasonable evidence-based solutions to the issue based on data from the implementation of the initial quality improvement initiative.
  • 0
  • C – 2 – Competence
  • Action plan includes moderate evidence-based solutions to the issue based on data from the implementation of the initial quality improvement initiative.
  • 0
  • F – 1 – No Pass
  • Action plan includes rudimentary evidence-based solutions to the issue based on data from the implementation of the initial quality improvement initiative.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

Criterion 2

  • 0% of total grade
  • A – 4 – Mastery
  • Action plan includes a comprehensive plan for the implementation of revised interventions.
  • 0
  • B – 3 – Proficiency
  • Action plan includes a reasonable plan for the implementation of revised interventions.
  • 0
  • C – 2 – Competence
  • Action plan includes a moderate plan for the implementation of revised interventions.
  • 0
  • F – 1 – No Pass
  • Action plan includes a rudimentary plan for the implementation of revised interventions.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

Criterion 3

  • 0% of total grade
  • A – 4 – Mastery
  • Action plan includes comprehensive revised improvement goals.
  • 0
  • B – 3 – Proficiency
  • Action plan includes reasonable revised improvement goals.
  • 0
  • C – 2 – Competence
  • Action plan includes moderate revised improvement goals.
  • 0
  • F – 1 – No Pass
  • Action plan includes rudimentary revised improvement goals.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

Criterion 4

  • 0% of total grade
  • A – 4 – Mastery
  • Action plan includes comprehensive revised evaluation strategies.
  • 0
  • B – 3 – Proficiency
  • Action plan includes reasonable revised evaluation strategies.
  • 0
  • C – 2 – Competence
  • Action plan includes moderate revised evaluation strategies.
  • 0
  • F – 1 – No Pass
  • Action plan includes rudimentary revised evaluation strategies.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

Criterion 5

  • 0% of total grade
  • A – 4 – Mastery
  • Clearly, accurately, and comprehensively describes how Lean or Six Sigma could be applied to the identified issue, including specific principles, tools, or steps. Provides a thoughtful comparison to the PDSA model and explains potential advantages or complementary use.
  • 0
  • B – 3 – Proficiency
  • Describes how Lean or Six Sigma could be used to address the issue with relevant details. Some comparison to PDSA is included, though may lack depth or specificity.
  • 0
  • C – 2 – Competence
  • Mentions Lean or Six Sigma but provides limited explanation or unclear connection to the issue. Comparison to PDSA is minimal or vague.
  • 0
  • F – 1 – No Pass
  • Provides little to no description of Lean or Six Sigma or fails to connect the model to the issue. No meaningful comparison to PDSA.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

Criterion 6

  • 0% of total grade
  • A – 4 – Mastery
  • Exemplary use of professional language that is free of bias, and thoroughly supported with evidence (in-text citations and references in the correct APA style). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience and free of errors.
  • 0
  • B – 3 – Proficiency
  • Precise use of professional language that is mostly free of bias, and supported with evidence (in-text citations and references in APA style with occasional errors). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience with minimal errors that do not distract the reader.
  • 0
  • C – 2 – Competence
  • Adequate use of professional language supported with evidence (in-text citations and references in APA style with numerous errors). Established a concisely stated scholarly position appropriate for purpose, format, style, and audience with errors that distract the reader.
  • 0
  • F – 1 – No Pass
  • Does not utilize professional language, does not support with evidence in APA style, and does not establish a scholarly position that is appropriate for purpose, format, style, and audience or contains numerous errors that diminish readability.
  • 0
  • I – 0 – Not Submitted
  • Not Submitted
  • 0

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