Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students

CLASSMATE 1

The process to Assess Organizational Opportunities

Continuous performance improvement is an integral part of a successful organization. The first part of identifying opportunities for improvement is consulting with the leadership team to obtain buy-in and determine where the gaps in practice may be occurring. Zavaleta and Clements (2019) explained to address an issue in health care the gaps and goals for performance improvement need to be identified first. Once the gaps have been identified then reach out to the stakeholders that include leadership team members, quality improvement individuals, scheduling assistants, nurses, therapists, and office staff to obtain more information on the direct needs related to the gap. Determining organizational readiness is an important step in determining the degree to which the group is ready to embrace and implement change (Chavarkar et al., 2021). Seeking data and any additional information on current practice or lack thereof is key. Then I will identify the desired state of practice, develop, and implement a plan to achieve the desired outcomes, and monitor for adjustments as needed. It is important to focus on challenges that may be faced when starting an improvement project and choose methodologies that will best address this need, which can change over time. This will include the assessment of the current methodology used, who experts are that can be used as a resource within the organization, the means to obtain data to evaluate the starting data, and how the data changes over time to demonstrate if the improvement project is changing practice and improving outcomes (Dawson, 2019).(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

DNP Project Goals

The Registered Nurses, Licensed Vocational Nurses, Physical Therapists, and Physical Therapist Assistants will be educated through the CDC STEADI resources to improve in-home assessments and evaluation of fall risk and education to impact patient safety and fall outcomes. The goal for my DNP project is to impact fall outcomes based on improving knowledge and perception of the nurse and therapist’s role in education, testing, and monitoring elderly home care patients during their visits(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students).

Goals Related to Mission and Vision

The mission and vision of the home health organization I will provide the project intervention in states they will deliver in-home rehabilitation that patients deserve, physicians trust, payers value, and employees are proud of.  This includes the core values of quality, trust, growth, courage, and stewardship. This project meets this mission, vision, and values by focusing the intervention on the most vulnerable population they serve, the elderly. The implementation of this DNP project will provide quality care, and deliver promises to patients, partners, and teammates by ensuring the health care professionals are trained and supported in safety measures to impact the fall outcomes for the patients at highest risk in their homes.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

References

Chavarkar, M. G., Hultgren, M., & Lommel, L. (2021). Revising an organizational readiness tool for Doctor of Nursing Practice projects. Nurse Educator, 46(3), 170-173. https://doi.org/10.1097/NNE.0000000000000896Links to an external site.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Dawson, A. (2019). A practical guide to performance improvement: Implementation of systematic methodologies.  AORN Journal, 110(1), 40–48. https://doi.org/10.1002/aorn.12723Links to an external site.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Zavaleta, K. W., & Clements, C. M. (2019). Addressing safe opioid prescribing: A structured framework for organizational needs assessment.  Mayo Clinic Proceedings. Innovations, Quality & Outcomes, 3(2), 246–247. https://doi.org/10.1016/j.mayocpiqo.2019.03.005(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

CLASSMATE 2

The process to Assess Organizational Opportunities

Organizational leadership and support are crucial for the implementation of the DNP project. Nurse managers evaluate DNP projects and provide insights crucial to their implementation (Huber et al., 2018). I will write a letter of intent to Bryn Mawr Nursing Home and various leadership offices, including the nursing director and manager, for authorization to implement the project. I will explain my intentions to the nursing director and nursing unit managers, seek permission to gain access to the facility and participants, and conduct motivational interviewing within the facility. Moreover, I will explain my intention to the institution’s research ethics committee and seek ethical approval. Ethical approval protects participants and the researcher since it demonstrates that the study has adhered to acceptable ethical standards (Bain, 2017). In all these letters, I will explain the project aim, methodology, and the perceived benefits to the facility and the participants.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Moreover, I will write a letter of invitation to the potential participants, i.e., Schizophrenia patients seeking care from the Memory Care Unit, to participate in the study. I will explain the study’s aim, methodology, and role in the study. The letter of invitation will outline the perceived benefits of the study to the patients and their autonomy, including their rights to agree to participate in the study, withdraw at any time, and confidentiality of their clinical data. The agreement with the researcher will be provided through a consent form, which the participants will read and sign.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

DNP Project Goals

The project’s ultimate goal will be to determine the impact of motivational interviewing implemented through technology on medication non-adherence among Schizophrenia patients in an inpatient setting. Consequently, the other goals will be to mitigate medication non-adherence and improve medication outcomes among Schizophrenia patients. As such, the project will help build evidence-based practice skills and establish a foundation for practice scholarship in the management of Schizophrenia.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Goals Related to Mission and Vision

The mission and vision of Bryn Mawr Nursing Home are to provide competent and compassionate care to patients. The proposed project aims to support care competence and personnel compassion by integrating routine care with motivational interviewing supported by technology. The evidence-based intervention upholds care excellence by promoting medication adherence and consequent psychosocial well-being among Schizophrenia patients.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

                                                                                                           References:

Bain, L. E. (2017). Ethics approval: responsibilities of journal editors, authors, and research ethics committees. Pan African Medical Journal, 28(1). https://doi.org/10.11604%2Fpamj.2017.28.200.14170Links to an external site.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Huber, D. L., Joseph, M. L., Farag, A., & Watson, C. A. (2018). Nurse leader DNP capstone projects evaluation: an action framework. Journal of Doctoral Nursing Practice, 11(2), 100-106. https://doi.org/10.1891/2380-9418.11.2.100(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students-Responses

Response to Classmate 1

Hello,
Thank you for sharing your organizational assessment process for performance improvement. The steps highlighted are critical to successful quality and performance improvement efforts. Indeed continuous performance improvement is crucial to a successful organization, and all stakeholders, including the employees, should be involved in the process (Silver et al., 2017). I concur that obtaining organizational leadership is vital to any project, but the idea you present must be robust and helpful to the organization and other stakeholders. Quality improvement seeks to fill the gaps in practice and healthcare delivery, and nurses should be on the lookout for any performance deficiencies and propose interventions to address those (Silver et al., 2017). Your project is ambitious and seems a tangible solution to a knowledge gap existing in in-house assessment and fall risk evaluation. The project must align with the organization’s mission, goals, vision, and values to articulate its value within the organization.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Reference

Silver, S. A., Harel, Z., McQuillan, R., Weizman, A. V., Thomas, A., Chertow, G. M., Nesrallah, G., Bell, C. M., & Chan, C. T. (2017). How to Begin a Quality Improvement Project. Clinical journal of the American Society of Nephrology : CJASN, 11(5), 893–900. https://doi.org/10.2215/CJN.11491015(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Response to Classmate 2

Hello,
Your post is great and very informative. I agree that organizational leadership support is core to a successful DNP project implementation. To obtain leadership support, you need to build your business case to help people understand your project, identify champions and supporters of the project, and present a convincing business case to obtain organization-wide support. Stakeholders have specific interests in a project, and they may want to see how the project fulfills these interests (Boaz et al., 2018). Therefore, it is crucial to meet all stakeholders, identify their interests, communicate your case, and how you can work together to achieve a common course and fulfill their interests. Stakeholder identification should be early in the development process, and it is vital to managing expectations early (Boaz et al., 2018). Your project is an interesting one, and I would like to see it succeed because it would improve patient outcomes by fostering medication adherence. I believe your project aligns with your organization’s mission to ensure optimal patient outcomes.(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)

Reference

Boaz, A., Hanney, S., Borst, R., O’Shea, A., & Kok, M. (2018). How to engage stakeholders in research: design principles to support improvement. Health research policy and systems, 16(1), 60. https://doi.org/10.1186/s12961-018-0337-6(Comprehensive Discussion Essay on Assessing Organizational Opportunities for Nursing Students)