Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (3–5 pages) in which you set one or more quantitative goals for the
outcomes and propose a change plan that is designed to help you achieve the goals.
Knowing what is the best practice for our patients is very important in providing safe and effective care.
Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines
(CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence
can also be used to set goals for improvement and best practices with an eye toward improving the care
experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and
implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating,
assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you
have set.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality
patient outcomes.
Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
Competency 2: Develop change strategies for improving the care environment.
Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
Justify the specific change strategies used to achieve desired outcomes.
Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired
health care improvement outcomes.
Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent
with organizational, professional, and scholarly standards.
Communicate change plan in a way that makes the data and rationale easily understood and compelling.
Integrate relevant sources to support assertions, correctly formatting citations and references using current
APA style.
Competency Map
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Context
One area in health care that it is necessary to consider is the environment in which the nurse works. It is
important that this environment evolves and changes so that all patients are adequately supported. For this
assessment, you will develop a change strategy to improve the health care environment. These changes can
be rooted in a desire to improve clinical outcomes and data related to assessment accuracy, drug
administration, disease recovery rates, or another relevant metric or outcome. A key skill for master’s-level
nurses is to be able to evaluate clinical data and create a change plan to help drive improvements in the data
to reach set goals.
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Questions to Consider
As you prepare to complete this assessment, you may want to think about other related issues to deepen your
understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss
them with a fellow learner, a work associate, an interested friend, or a member of your professional community.
Note that these questions are for your own development and exploration and do not need to be completed or
submitted as part of your assessment.
The assessment will be based on one or more outcomes that you would like to see improve. Think about
experiences you have had working on setting goals for outcomes or using data to identify areas of need. Part
of achieving your goal will be your ability to implement change in pursuit of improving outcomes. The Vila
Health: Using Evidence to Drive Improvement simulation may be helpful in this regard.
Where do you look for resources and evidence to help you get started when treating a specific condition?
Where do you look for resources and evidence to help you get started when setting clinical goals?
When there are no guidelines or policies for setting clinical goals, where do you look for resources and
evidence to help you get started?
How do you use these resources and evidence to begin constructing evidence-based treatment, or developing
evidence-based goals?
What data do you plan to use as a basis for setting improved outcome goals?
What care environment do you envision using as the context of your assessment?
How would change models, strategies, or theories need to be applied to help ensure achievement of your
outcome goals?
Which change models, strategies, or theories seem to be the best fit for your goals and environments. Why?
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Resources
Suggested Resources
The resources provided here are optional. You may use other resources of your choice to prepare for this
assessment; however, you will need to ensure that they are appropriate, credible, and valid. The MSN-FP6021
– Biopsychosocial Concepts for Advanced Nursing Practice I Library Guide can help direct your research, and
the Supplemental Resources and Research Resources, both linked from the left navigation menu in your
courseroom, provide additional resources to help support you.
Assessment
Komenan, K., Elidjé, E. J., Ildevert, G. P., Yao, K. I., Kanga, K., Kouamé, K. A., . . . Kanga, J. (2013). Multifocal
buruli ulcer associated with secondary infection in HIV positive patient. Case Reports in Medicine, 2013, 1–4.
Retrieved from https://www.hindawi.com/journals/crim/2013/348628/
SHOW LESS
Biopsychosocial
Scaramuzzo, L. A., Gordils-Perez, J., & Cullen, P. M., (2014). Getting patients active: Using national data to
drive practice. Clinical Journal of Oncology Nursing, 18, 41–43.
Change
Eads, V., & Maruzzella, G. (2016). The clinical nurse as an agent of change. Medsurg Nursing, 25(3), 173–175.
Heinig, M. J. (2010). Using data to drive and shape change. Journal of Human Lactation, 26(4), 359–361.
Nundy, S., Mishra, A., Hogan, P., Lee, S. M., Solomon, M. C., & Peek, M. E. (2014). How do mobile phone
diabetes programs drive behavior change? Evidence from a mixed methods observational cohort study. The
Diabetes Educator, 40(6), 806–819.
Evidence and Goal Setting
Ahrens, S., & Johnson, C. S. (2013). Finding the way to evidence-based practice. Nursing Management, 44(5),
15–19.
Taylor, M. V., Priefer, B. A., & Alt-White, A. C. (2016). Evidence-based practice: Embracing integration. Nursing
Outlook, 64(6), 575–582.
View the simulation Vila Health: Using Evidence to Drive Improvement | Transcript.
Pathophysiology
Li, Y., Lu, Z., Zhang, X., Yu, H., Kirkwood, K. L., Lopes-Virella, M. F., & Huang, Y. (2015). Metabolic syndrome
3/9/2021 Order 338700643
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