For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you

For this assessment, you will develop a Word document or an online resource repository of at least 12 annotated professional or scholarly resources that you consider critical for the audience of your safety improvement plan to understand or implement to ensure the success of the plan.

Using Google Sites, assemble an online resource tool kit containing at least 12 annotated resources that you consider critical to the success of your safety improvement initiative. These resources should enable nurses and others to implement and maintain the safety improvement you have developed.

It is recommended that you focus on the three or four most critical categories or themes with respect to your safety improvement initiative. For example, if your initiative concerns improving workplace safety for practitioners, you might choose broad themes such as general organizational safety and quality best practices; environmental safety and quality risks; individual strategies to improve personal and team safety; and process best practices for reporting and improving environmental safety issues.

Following the recommended scheme, you would collect at least three resources on average for each of the four categories. ;Each resource listing should include the following:

An APA-formatted citation of the resource with a working link.
A description of the information, skills, or tools provided by the resource.
A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.
A description of how nurses can use this resource and when its use may be appropriate.

Remember that you must make your site public so that your faculty can access it. Check out the Google Sites resources in the Wiki Resources above for more information.

Here is an example entry:

Ko, S., Hsieh, M., & Huang, R. (2023). Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system regression. Healthcare, 11(14), 2063. https://doi.org/10.3390/healthcare11142063
- Nurses have a crucial responsibility in preventing medication errors. They should follow the “five rights of medication” to reduce the risk of such errors. These include the “right patient,” “right medication,” “right time,” “right dose,” and “right documentation.” By understanding these rights, nurses can manage medication administration effectively and ensure patient safety.

Additionally, be sure that your plan addresses the following, which corresponds to the grading criteria in the rubric. Please study the rubric carefully so you understand what is needed for a distinguished score.

Identify necessary resources to support the implementation and sustainability of a safety improvement initiative.
Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.
Analyze the value of resources to reduce patient safety risk.
Present reasons and relevant situations for use of resource tool kit by its target audience.
Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Example Assessment: You may use the following example to give you an idea of what a Proficient or higher rating on the scoring guide would look like but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1. Note that you do not have to submit your bibliography in addition to the Google Site; the example bibliography is merely for your reference.

Assessment 4 Example [PDF].

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Example Google Site: You may use the example Google Site found in Assessment 4: Improved Heparin Infusion Safety to give you an idea of what a Proficient or higher rating on the rubric would look like for this assessment but keep in mind that your tool kit will focus on promoting safety with the quality issue you selected in Assessment 1.

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

rubrics4.docx
assesment4instructions.docx
cf_Exemplar_NURS-FPX4020_Assessment_4.pdf

Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.

Distinguished

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on a specific patient safety issue. Organizes resources logically for ease of use.

Proficient

Identifies necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on a specific patient safety issue.

Basic

Identifies resources, but the necessity or support for the safety improvement initiative focusing on a specific patient safety issue is unclear.

Non Performance

Does not identify necessary resources to support the implementation and sustainability of a safety improvement initiative focusing on a specific patient safety issue.

Criterion 2

Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.

Distinguished

Analyzes the usefulness of resources to the role group responsible for implementing quality and safety improvements, providing specific examples of utility within the context of a specific healthcare setting.

Proficient

Analyzes the usefulness of resources to the role group responsible for implementing quality and safety improvements.

Basic

Summarizes but does not analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.

Non Performance

Does not analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.

Criterion 3

Analyze the value of resources to reduce patient safety risk or improve quality.

Distinguished

Analyzes the value of resources to reduce patient safety risk or improve quality, identifying the most valuable resources.

Proficient

Analyzes the value of resources to reduce patient safety risk or improve quality.

Basic

Describes resources that may not be relevant to patient safety risk or quality improvement.

Non Performance

Does not analyze the value of resources to reduce patient safety risk or improve quality.

Criterion 4

Present reasons and relevant situations for resource tool kit use by its target audience.

Distinguished

Uses persuasive, engaging language to present compelling reasons and relevant situations for resource tool kit use by its target audience.

Proficient

Presents reasons and relevant situations for resource tool kit use by its target audience.

Basic

Presents reasons and situations for resource tool kit use by its target audience that are not compelling or relevant.

Non Performance

Does not present reasons and relevant situations for resource tool kit use by its target audience.

Criterion 5

Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Distinguished

Communicates online resource tool kit using Google Sites in a clear and organized structure and professional manner that applies nearly flawless, current APA style and formatting throughout.

Proficient

Communicates resource tool kit in a Word doc or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Basic

Communicates online resource kit using a Word Doc or Google Sites in an unclear and disorganized structure and unprofessional manner that minimally follows APA style and formatting.

Non Performance

Does not communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, or professional manner or partially follow APA style and formatting.

Expand All

Introduction

Communication in the healthcare environment consists of an information-sharing experience whether through oral or written messages (Chard & Makary, 2015). As healthcare organizations and nurses strive to create a culture of safety and quality care, the importance of interprofessional collaboration, the development of tool kits, and the use of wikis become more relevant and vital. In addition to the dissemination of information and evidence-based findings and the development of tool kits, continuous support for and availability of such resources are critical. Among the most popular methods to promote ongoing dialogue and information sharing are blogs, wikis, websites, and social media. Nurses know how to support people in time of need or crisis and how to support one another in the workplace; wikis in particular enable nurses to continue that support beyond the work environment. Here they can be free to share their unique perspectives, educate others, and promote healthcare wellness at local and global levels (Kaminski, 2016).

You are encouraged to complete the Determining the Relevance and Usefulness of Resources activity prior to developing the repository. This activity will help you determine which resources or research will be most relevant to address a particular need. This may be useful as you consider how to explain the purpose and relevance of the resources you are assembling for your tool kit. The activity is for your own practice and self-assessment, and demonstrates course engagement.

References

Chard, R., & Makary, M. A. (2015). Transfer-of-care communication: Nursing best practices. AORN Journal, 102(4), 329–342.

Kaminski, J. (2016). Why all nurses can/should be authors. Canadian Journal of Nursing Informatics, 11(4), 1–7.

Overview

Nurses are often asked to implement processes, concepts, or practices—sometimes with little preparatory communication or education. One way to encourage sustainability of quality and process improvements is to assemble an accessible, user-friendly tool kit for knowledge and process documentation. Creating a resource repository or tool kit is also an excellent way to follow up an education or in-service session, as it can help to reinforce attendees’ new knowledge as well as the understanding of its value. By practicing creating a simple online tool kit, you can develop valuable technology skills to improve your competence and efficacy. This technology is easy to use and resources are available to guide you.

For this assessment, build on the work done in your first three assessments and create an online tool kit or resource repository that will help the audience of your in-service understand the research behind your safety improvement plan pertaining to a specific patient safety issue and put the plan into action.

Preparation

Google Sites is recommended for this assessment; the tools are free to use and should offer you a blend of flexibility and simplicity as you create your online tool kit. Please note that this requires a Google account; use your Gmail or Google Docs login, or create an account following the directions under the “Create Account” menu. Visit Wiki Resources for help.

Instructions

Following the recommended scheme, you would collect at least three resources on average for each of the four categories. ;Each resource listing should include the following:

· An APA-formatted citation of the resource with a working link.

· A description of the information, skills, or tools provided by the resource.

· A brief explanation of how the resource can help nurses better understand or implement the safety improvement initiative.

· A description of how nurses can use this resource and when its use may be appropriate.

Remember that you must make your site public so that your faculty can access it. Check out the Google Sites resources in the Wiki Resources above for more information.

Here is an example entry:

· Ko, S., Hsieh, M., & Huang, R. (2023). Human error analysis and modeling of medication-related adverse events in Taiwan using the human factors analysis and classification system regression. Healthcare, 11(14), 2063. https://doi.org/10.3390/healthcare11142063

· Nurses have a crucial responsibility in preventing medication errors. They should follow the “five rights of medication” to reduce the risk of such errors. These include the “right patient,” “right medication,” “right time,” “right dose,” and “right documentation.” By understanding these rights, nurses can manage medication administration effectively and ensure patient safety.

· Identify necessary resources to support the implementation and sustainability of a safety improvement initiative.

· Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.

· Analyze the value of resources to reduce patient safety risk.

· Present reasons and relevant situations for use of resource tool kit by its target audience.

· Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

· Assessment 4 Example [PDF] .

To submit your online tool kit assessment, paste the link to your Google Site in the assessment submission box.

Note: If you experience technical or other challenges in completing this assessment, please contact your faculty member.

Additional Requirements

· Number of resources: Your tool kit must include at least 12 professional or academically relevant resources that support the continued learning and implementation of knowledge and processes related to a safety improvement initiative. See the BSN Nursing Program Library Guide as needed.

· APA format: Use proper APA formatting for in-text citations and each annotated resource. See the APA Module .

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Analyze the elements of a successful quality improvement initiative.

· Analyze the usefulness of resources to the role group responsible for implementing quality and safety improvements.

· Present reasons and relevant situations for resource tool kit use by its target audience.

· Competency 2: Analyze factors that lead to patient safety risks.

· Analyze the value of resources to reduce patient safety risk or improve quality.

· Competency 3: Identify organizational interventions to promote patient safety.

· Identify necessary resources to support the implementation and continued sustainability of a safety improvement initiative pertaining to a specific patient safety issue.

· Competency 5: Apply professional, scholarly, evidence-based strategies to communicate in a manner that supports safe and effective patient care.

· Communicate resource tool kit in a Word document or Google Sites in a clear, logically structured, and professional manner that partially follows APA style and formatting.

Improvement Plan Tool Kit

Your Name

School of Nursing and Health Sciences, Capella University

NURS-FPX4020: Improving Quality of Care and Patient Safety

Instructor Name

Month, Year

Improvement Plan Tool Kit

This improvement plan tool kit aims to enable nurses to implement and sustain safety

improvement measures in health care settings in a geropsychiatric unit. The tool kit has been

organized into four categories with three annotated sources each. The categories are as follows:

general organizational safety and quality best practices, environmental safety and quality risks,

staff-led preventive strategies, and best practices for reporting and improving environmental

safety issues.

Annotated Bibliography

General Organizational Safety and Quality Best Practices

Sherwood, G., & Horton-Deutsch, S. (2015). Reflective organizations: On the front lines of

QSEN and reflective practice implementation. Retrieved from https://ebookcentral-

proquest-com.library.capella.edu/lib/capella/detail.action?docID=3440207#

This e-book presents the paradigm shift required for organizations to provide QSEN

(quality and safety education to nurses). It provides readers with the innovative

pedagogical approaches required to change traditional content-based health care

education methods to interactive methods that engage learners. These approaches

include facilitative teaching, visual thinking strategies, creating a presence that is

authentic, and meaningful learning through debriefing. Concrete examples in the

resource demonstrate the application of reflective learning. Additionally, the reflective

questions in the resource guide readers to evaluate their own practice, either

independently or in groups, to implement formal education programs with a focus on

self-improvement. The resource prepares nursing students for advanced competency,

which will help them adopt reflective thinking, develop a safety culture, and therefore

qualitatively improve practices in critical health units such as geropsychiatry units.

Fleiszer, A. R., Semenic, S. E., Ritchie, J. A., Richer, M.-C., & Denis, J.-L. (2016). A unit-level

perspective on the long-term sustainability of a nursing best practice guidelines

program: An embedded multiple case study. International Journal of Nursing Studies,

53, 204–218. https://doi.org/10.1016/j.ijnurstu.2015.09.004

This article helps analyze the sustainability of a best practice guidelines program

implemented in acute health care settings. The sustainability of the program was

characterized by the following: benefits for patients as the rate of incidence of falls

reduced; routinization of best practices as the team’s adherence to guidelines improved;

and, in the long term, the development of the team’s adaptability to changes in

circumstances that threatened the program. Seven key factors that accounted for the

sustainability of the program were also identified. The source explains how

relationships between the characteristics of sustainability (benefits, routinization, and

development) and the seven key factors contributed toward the sustainability of the

improvement program. This source is valuable for nursing students as it helps them

understand how safety programs can be sustained to ensure the long-term reduction of

the incidence of sentinel events in geropsychiatric units.

Kossaify, A., Hleihel, W., & Lahoud, J.-C. (2017). Team-based efforts to improve quality of

care, the fundamental role of ethics, and the responsibility of health managers:

Monitoring and management strategies to enhance teamwork. Public Health, 153, 91–98.

https://doi.org/10.1016/j.puhe.2017.08.007

This paper discusses the benefits of teamwork in improving the quality of health care. It

presents a review of 33 papers identified after performing a search on PubMed. The paper

discusses the important ingredients of efficient teamwork such as self-awareness and the

individual behavior of team members, the ethical climate within the team, the work

environment and institutional infrastructure, positive moderation from leadership, and

communication and coordination among team members. Effective teamwork can help

reduce the incidence of sentinel events that result from preventable medical errors, which

are often caused by dysfunctional communication among team members. Teamwork is

more reliable and efficient than individual work in high-risk environments such as a

geropsychiatry unit. Although the specific contexts of readers’ practices may be different,

this resource is valuable for nursing administrators and professionals as it discusses the

implementation of values needed for positive teamwork as well as the monitoring and

management of teamwork.

Environmental Safety and Quality Risks

Powell-Cope, G., Quigley, P., Besterman-Dahan, K., Smith, M., Stewart, J., Melillo, C.,

Friedman, Y. (2014). A qualitative understanding of patient falls in inpatient mental

health units. Journal of the American Psychiatric Nurses Association, 20(5), 328–339.

https://doi.org/10.1177/1078390314553269

This source mentions a study conducted to analyze falls in geropsychiatric patients. The

study also focused on selling falls prevention in psychiatric units. The risk factors that

lead to the falls were identified by a focus group. The focus group formulated an

improvement plan to reduce the number of falls, and it was found that implementing

infrastructural changes such as the use of geriatric-friendly sanitary ware such as raised

toilet seats helped reduce the rate of incidence of falls. Although all the changes may not

be feasible in a given setup, many of the strategies mentioned in this study could serve as

a starting point for the prevention of falls. The article helps nursing students understand

the challenges that occur in an adult mental health unit and the quality improvement

measures taken to resolve these challenges.

Wong Shee, A., Phillips, B., Hill, K., & Dodd, K. (2014). Feasibility, acceptability, and

effectiveness of an electronic sensor bed/chair alarm in reducing falls in patients with

cognitive impairment in a subacute ward. Journal of Nursing Care Quality, 29(3), 253–

262. https://doi.org/10.1097/NCQ.0000000000000054

This source is a preliminary study conducted to determine the effectiveness of electronic

sensor bed/chair alarms to reduce the occurrence of falls in patients with cognitive

impairment. These alarms can be attached to the patient’s body or to the bed/chair the

patient uses to alert the nursing staff every time the patients move or leave their seat.

Nurses were educated about the alarms and asked to document their observations and

provide feedback. Although effective at preventing falls in patients with cognitive

impairment, the electronic sensors needed improvements such as the elimination of cords

that may be hazardous to patients and the additional provision of alerting nurses through

pagers. This source helps nursing students understand both the effectiveness and the

limitations of electronic sensor alarms in reducing the occurrence of falls.

Chari, S. R., Smith, S., Mudge, A., Black, A. A., Figueiro, M., Ahmed, M., . . . Haines, T. P.

(2016). Feasibility of a stepped wedge cluster RCT and concurrent observational sub-

study to evaluate the effects of modified ward night lighting on inpatient fall rates and

sleep quality: A protocol for a pilot trial. Pilot and Feasibility Studies, 2(1).

https://doi.org/10.1186/s40814-015-0043-x

Inadequate lighting at night in geropsychiatric wards is one of the important causes of

falls in geropsychiatric units. Psychotropic medications can cause cognitive impairments

and blurring of vision, which can be aggravated by dim lighting in the units. The article

presents a trial pilot study conducted to evaluate the effects of the use of modified night

lighting in inpatient wards to prevent falls. LED lights were installed in the vicinity of the

beds and the toilets, where falls were likely to occur. The study provides valuable insights

that could inform design and refurbishment efforts at geropsychiatric units. An important

limitation of the study is that a stepped wedge, cluster randomized controlled trial has not

yet been applied to test environmental modifications in any setting. However, the

modifications discussed could still be implemented as an important intervention strategy

for preventing falls in older adults with cognitive impairment.

Staff-Led Preventive Strategies

Morgan, L., Flynn, L., Robertson, E., New, S., Forde‐Johnston, C., & McCulloch, P. (2016).

Intentional rounding: A staff‐led quality improvement intervention in the prevention of

patient falls. Journal of Clinical Nursing, 26(1–2), 115–124.

https://doi.org/10.1111/jocn.13401

This article highlights an intervention strategy called intentional rounding to reduce the

occurrence of inpatient falls. Intentional rounding is a specific strategy in which nurses

conduct a routine check on patients at certain time intervals based on the needs of the

patient. The rounding was implemented through effective communication and teamwork

among the nursing staff and iterations of plan-do-check-act measures. This proactive

staff-led strategy helped reduce the rate of falls by 50%. This study achieved success

through the combined efforts of the research team that conducted the analysis of the

system to design the rounding format and the frontline nursing staff who conducted the

intentional rounds. Although its sample size was small and not entirely representative, the

study does establish intentional rounding as an effective falls-prevention strategy, which

when implemented with adequate staff engagement and support from leadership

definitively reduces the occurrence of falls.

Moncada, L. V. V., & Mire, G. L. (2017). Preventing falls in older persons. Am Fam Physician,

96(4), 240–247. Retrieved from https://www.aafp.org/afp/2017/0815/p240.pdf

The article posits that a history of falls in older persons is associated with an increased

risk of a future fall. The American Geriatrics Society recommends that older a

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