NU 613 Quality Improvement Paper. Health, Medicine, Nursing Essay

For this assignment select a practice improvement issue within your organizational
system and within the realm of your practice area. Using the grading rubric as a
guide, develop a quality improvement plan to address the identified issue. The
purpose of this paper is to demonstrate knowledge of the essential elements of
quality improvement, with change theory as an underpinning for the process.
Do not use a quality intervention plan that has already been implemented for
this assignment; this should be a new plan for the organization with a clear
measurable problem statement and a planned evidence-based intervention.
Students are not expected to implement the plan; however, the process for
implementation and evaluation is addressed as part of the planning process.
The paper should be carefully written in a formal style, based on primary sources,
provide an integration of ideas, and be 6 pages in length, excluding title page,
appendices & reference list.Order of the paper should be Title Page, Body of Paper, Appendix, Reference. Organized flow, logical progression of ideas, and clarity in
thought are essential.
Please use headings consistent with the topic areas of the rubric to separate content.
References must be timely; published within the previous five (5) years. Liberal number
of primary and peer reviewed references (minimum of 10). This paper must
be submitted to Turnitin. You will be allowed to complete revisions in Turnitin until the
due date. The final paper will be submitted in the course assignment area in USAonline.
Deductions:
Papers over the page limit will be penalized by a disregard of content over the page
limit. Scholarship Expectations:
A lack of scholarship deduction of up to 20% of the total point value of the
assignment will be applied to address such deficiencies as APA errors, title or reference
page errors, a lack of clarity and conciseness in writing, grammatical and spelling
errors, exceeding the prescribed page limit, and poor overall writing skills.
For example, an assignment worth 15 points could have a maximum lack of scholarship
deduction of 3 points (20% x 15). The amount of the deduction will be at the discretion
of the faculty member.
You are clinical nurse scholars in the making. You are the nurses with
advanced education/ DNPs and members of the highly literate profession of
advanced practice nursing who will chart the future of health care. Good writing
ability is as much a required skill for nurses in advanced practice as performing
clinical functions. Therefore, precision and scholarship is expected in all
assignments.
Introduction paragraph (one paragraph). Introduce a practice issue
appropriate for a quality improvement project facilitated by a MSN or DNP
prepared nurse. The practice issue should be stated as a clear problem
statement. There must be a thesis statement at the end of the paragraph
that tells the reader the purpose of paper and what will be discussed.
Describe background/context of the identified local measurable practice issue.
Quantify (measure) the local practice concern to establish a baseline for
your work. State a project aim in a single sentence. Use evidence to
further support the concern.

Discuss and apply one theoretical underpinning of change (Lewin, Rogers,
Kotter, Havelock, Prochaska & Diclemente, Bandura) for the proposed
quality initiative. Using the selected change theory, describe the profound
importance of staff engagement, empowerment, commitment, and ownership
of practice improvement initiatives/projects.
Describe how at least one improvement tool (root cause analysis, fishbone
cause and effect diagram, FMEA, etc.) can be used to better understand your
identified practice issue. Describe how to apply the tool to the identified
practice issue to understand and assess the concern before planning an
intervention. Do not describe the solution, describe how you will investigate
the problem using this tool.
Select a model (e.g., PDSA, FADE, Six Sigma, TCAB, TeamSTEPPs) for the
quality improvement project. Describe the model and summarize the practice
improvement initiative/intervention(s) using the steps of the model. This is
the point in the paper where you describe the evidence based intervention
(with citation) based on the problem, background and investigation of the
concern.

Budget: Discuss briefly the revenue or savings associated with the project,
expenses and identify if there will be a return on the investment.
Use the budget template provided with the assignment link to prepare a brief
budget. Attach the completed budget template as an appendix.

Based on Donabedian’s work, identify and describe (a) the structure measures,
(b) the process measures, and (c) the outcomes measures for the quality
improvement intervention(s) for this project.
What qualitative and quantitative measures will be identified to determine
effectiveness of quality initiative? How would qualitative findings contribute
to the evaluation of your specific quality initiative?
Identify and briefly describe at least two visual displays for reporting
outcome data for your selected practice issue (e.g. histogram, run chart, pie
chart, bar graph, etc.).
Conclusions: Summarize the essential points of paper (one paragraph).
Title Page, Reference (reference of at least 10 primary & peer reviews) Page, and Appendix Page (budget template page) does not count as the actual body of the paper which must be 6 pages.