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Learning Goal: I’m working on a writing question and need a reference to help me learn.
Select a topic for your Topic 3 Executive Summary assignment. Post your idea and basic thoughts about the topic using the assignment details from Topic 3. You should provide thoughts to your peers about their topics and ideas that may assist them in completing their projects.
Example #1 Tara
For my Topic 3 Executive Summary assignment, I will propose establishing a mandatory 15-minute morning break and a 30-minute lunch break every working day within the thoracic triage department of Moffitt. The break times will have assigned coverage for the triage nurses with clinic nurses in the Thoracic Oncology Clinic. Due to an overwhelming number of calls and only two nurses answering calls at any given time Monday thru Friday, 8 am-5 pm; most days will not allow a lunch break. When I worked in telephone triage, I recognized a problem in getting away from the phone calls or computer for a 15-minute break or even lunch.
The benefit to having a covered break is that the assigned triage nurse can log out of their computer and step away from the possibility of a call coming in during their break. In addition, they would have a scheduled bathroom or snack break they can count on instead of hoping for a slow moment.
This change would require a request from the Thoracic Clinic Department scheduler, a fellow nurse responsible for maintaining the thoracic clinic nurses’ and triage nurses’ weekly schedules. A team-based approach has been shown to improve patient and staff satisfaction (Doud et al., 2020). The budget should not be affected since the thoracic nurse would be clocking out for these breaks and not being paid. However, I may put an extra burden on the assigned clinic nurse, as they would be required to cover phones and consumer messages when the triage nurse is on break.
This quality improvement initiative will be evaluated using qualitative means of collecting surveys. Each triage nurse will complete a survey before the QI initiative begins, then again after four weeks of working with scheduled breaks. The qualitative data will help evaluate the QI’s effectiveness. Scheduled breaks have been shown to improve the quality of patient care amongst nurses (Han et al., 2021).
Doud, D., Anderson, K., Stapleton, L., Perteet, L., Ferrera, A., Rodriguez, T., … & Maxey, C. (2020). Implementing Team-Based Nursing to Improve Patient & Staff Satisfaction.
Han, K., Hwang, H., Lim, E., Jung, M., Lee, J., Lim, E., … & Baek, H. (2021). Scheduled naps improve drowsiness and quality of nursing care among 12-hour shift nurses. International journal of environmental research and public health, 18(3), 891.
example # Vivian
A quality improvement initiative I would like to implement is fall prevention to decrease injury in patients at high risk. Falls among inpatients are the most frequently reported safety incident in hospitals, with 30-50% of falls resulting in some physical injury and fractures occurring in 1-3% (Morris and O’Riordan, 2017). Patients are at increased for falls while hospitalized due to it being an unfamiliar environment, acute illness, surgery, bed rest, medications, treatments, and the placement of various tubes and catheters, with elderly patients being at highest risk (Dykes et al., 2011).
Falls in the hospital setting can lead to both physical and psychological health consequences, like loss of confidence and prolonged hospitalization. Falls also negatively affect the hospital organization and the nurse assigned to the patient. Falls place a financial and legal burden on hospital organizations as there are many protocols in place to prevent falls from occurring. Implementing and enforcing fall protocols will ensure patient safety, improve their physical and psychological health and fears, and decrease financial and legal burdens.
Dykes, P. C., Carroll, D. L., Hurley, A. C., Benoit, A., & Middleton, B. (2011, June 03). Why Do Patients in Acute Care Hospitals Fall? Can Falls Be Prevented? The Journal of Nursing Administration, 36(6), 299-304. doi: 10.1097/NNA.0b013e3181a7788a.
Morris, R. and O’Riordan, S. (2017, August). Prevention of falls in hospital. Clinical Medicine (London), 17(4), 360-362. doi: 10.7861/clinmedicine.17-4-360.