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Assessment Task 2 Overview

“The safety and quality of the care provided in Australia’s health system is of utmost importance to all patients, their families, and carers. A safe and high- quality health system provides the most appropriate and best-value care, while keeping patients safe from preventable harm” (AIHW, XXXXXXXXXXThe professional nurse plays a vital role in the quality improvement of health care services. However, nurses cannot make these improvements in isolation. They must include other professionals and ancillary personnel in their initiatives. Total quality commitment and change initiatives also must include all levels of an organisation structure.
You are a graduate registered nurse working on a surgical ward in a large metropolitan hospital. As an emerging clinical leader, you have been asked by your Nurse Unit Manager to propose a quality improvement initiative to address one (1) of the following patient safety risk concerns:
1. Communication e
ors are one of the leading causes of medical e
ors — this translates to poor patient outcomes, longer hospital stays, and increased costs (Tiwary, Rimal, Paudyal, Sidgel, and Basnyat, 2019).

Use the Quality Improvement Proposal template provided and respond to the following through your proposal:

1. Identify the patient safety risk concern that you would like to address in a change initiative. Provide a purpose, background, two (2) specific and achievable objectives and evaluation of change concepts, inclusive of (2) specific evaluation practices for your change initiative proposal. Use cu
ent literature to support your proposal. (500 words)

2. Stakeholder engagement is a pivotal aspect of quality improvement. Identify the main stakeholders whom you need to engage in your change initiative proposal and critically discuss communication strategies with the stakeholders. (350 words)

3. Identify the leadership style that you will adopt in this innovation for change. Analyse how the two (2) specific attributes of this leadership style would benefit and guide success of this quality improvement proposal. (300 words)


4. Identify two (2) possible ba
iers to change, one (1) individual and one (1) organisational that you could encounter when implementing change. Critically discuss using cu
ent literature. (350 words)

Australian Institute of Health and Welfare XXXXXXXXXXHealth care safety and quality, AIHW, Australian Government, accessed 10 January 2024.
Sameera, V., Bindra, A., & Rath, G. P XXXXXXXXXXHuman e
ors and their prevention in healthcare. Journal of anaesthesiology, clinical pharmacology, 37(3), 328–335. https:
doi.org/10.4103/joacp.JOACP_364_19
Tiwary, A., Rimal, A., Paudyal, B., Sigdel, K. R., & Basnyat, B XXXXXXXXXXPoor communication by health care professionals may lead to life-threatening complications: examples from two case reports. Welcome open research, 4, 7.
https:
doi.org/ XXXXXXXXXX/wellcomeopenres XXXXXXXXXX
Assessment Task 2 Ru
ic

    Criteria (marks)
    High Distinction (HD XXXXXXXXXX%
    Distinction (D) 84-75%
    Credit (CR) 74-65%
    Pass (PA) 64-50%
    Fail (NN) 49-0%
    Fail – No attempt
    Section A –Written assignment construction
    Structure, Mechanics, and Intelligibility

5 marks
    4.3 – 5
    3.8 – 4.2
    3.3 – 3.7
    2.5 – 3.2
    0 – 2.4
    0
    
    Quality Improvement Proposal Template used. Cohesive writing that has information organised appropriately within each paragraph.
Each paragraph relates to a discrete idea.
There are clear linking sentences that link each paragraph to the next.
    Quality Improvement Proposal Template used.
The writing is organised into paragraphs, and the information is organised appropriately within the paragraph.
Each paragraph relates to a discrete idea.
There are clear linking sentences that link most paragraphs to the next.
    Quality Improvement Proposal Template used.
The writing is organised into paragraphs, and the information is mostly organised appropriately within the paragraph. Most paragraphs relate to a discrete idea.
There are clear linking sentences that link most paragraphs to the next.
    Quality Improvement Proposal Template used.
The writing is organised into paragraphs, and the information is somewhat organised appropriately within the paragraph.
Some paragraphs relate to a discrete idea.
The paragraphs mostly link to one another.
    Quality Improvement Proposal Template has not been followed.

There is evidence of paragraphs, however paragraph structure is disorganised, with no clear ideas, and no links to the topic being discussed.
    No paragraphs. The reader cannot make sense of the content.
    Grammar, spelling and punctuation.

5 Marks
    4.3 – 5
    3.8 – 4.2
    3.3 – 3.7
    2.5 – 3.2
    0 – 2.4
    0
    
    There are no e
ors with grammar, spelling and punctuation, and the meaning is easily discernible.
    There are minimal (1-2) e
ors with grammar,
spelling, and punctuation. However, the meaning is easily discernible.
    There are some (3-4) e
ors with grammar, spelling, and punctuation. The e
ors detract somewhat, but the meaning is easily discernible.
    There are multiple (5-6) e
ors with grammar, spelling, and punctuation. The e
ors detract, but the meaning is discernible with some effort.
    There are substantial (>7) e
ors with grammar, spelling, and punctuation, such that the e
ors detract significantly from the meaning.
    Grammar,
spelling, and punctuation are
such that the
eader cannot make sense of the content.
    Section B – Knowledge and application of evidence
    Knowledge, understanding and Critical Thinking -
Patient safety risk
concern, purpose, background, two (2) specific and achievable objectives and two (2) evaluation of change processes.

15 marks
     XXXXXXXXXX
    10.7 – 12.6
    8.9 – 10.6
    7.5 – 8.8
    0.5 – 7.4
    0
    
    Clear and concise identification of the specific patient safety risk concern (Purpose).
Clear and comprehensive background of the specific patient safety risk concern.
Two (2) objectives identified are specific and achievable.
Two (2) evaluation of change process identified and are relevant to the patient safety risk concern.
Comprehensive, concise
    Clear identification of the specific patient safety risk concern (Purpose).
Significant and concise background of the specific patient safety risk concern.
Two (2) objectives identified are specific and achievable. Two (2) evaluation of change process identified and are relevant to the patient safety risk concern. Significant and concise critical discussion that is all
    Identification of the specific patient safety risk concern has some clarity (Purpose). Background of the specific patient safety risk concern has some clarity.
Two (2) objectives identified are somewhat specific and achievable.
Two (2) evaluation of change process identified and are somewhat relevant to the patient safety risk concern.
    Identification of the specific patient safety risk concern lacks clarity (Purpose). Background of the specific patient safety risk concern lacks clarity.
Either one (1) or both objectives identified are either omitted/ or not specific and/or achievable.
Either one (1) or both of the evaluation of change
    No identification of the specific patient safety risk concern (Purpose).
Background of the specific patient safety risk concern not identified.
Either one (1) or both objectives of the specific patient safety risk concern not identified or are not appropriate, specific and/or achievable.
Evaluation of change processes either omitted or
    No attempt
    
    critical discussion that is all directly relevant to the patient safety risk concern and supported by a wide range of relevant and credible evidence.

    directly relevant to the patient safety risk concern and supported by a range of relevant and credible evidence.

    Discussion is relevant to the patient safety risk concern, however, is descriptive throughout and mostly supported by relevant and credible evidence.


    processes are vague
however have some relevance to the patient safety risk concern.
Discussion has some relevance to the patient safety risk concern, however, is descriptive throughout and supported by some relevant and credible evidence.
    i
elevant to the patient safety risk concern.
Discussion has limited relevance to the patient safety risk concern and not supported by relevant and credible evidence.

    
    Knowledge, understanding and Critical
Thinking

Identify main stakeholders and critically discuss communication strategies with them.

15 marks
     XXXXXXXXXX
    10.7 – 12.6
    8.9 – 10.6
    7.5 – 8.8
    0.5 – 7.4
    0
    
    Clear and concise and thorough identification of major stakeholders.

Comprehensive and concise
critical discussion that is
elevant to stakeholder engagement and communication of proposed patient safety initiative.

All arguments are supported and justified and supported by a wide range of relevant and credible evidence.
    Significant and concise and thorough identification of major stakeholders.

Significant and concise critical discussion that is directly relevant to stakeholder engagement and communication of proposed patient safety initiative.

Most arguments are supported and justified and supported by a range of relevant and credible evidence
    Identification of major stakeholders has some clarity.

Discussion is relevant to stakeholder engagement and communication of proposed patient safety initiative; however, discussion is descriptive throughout.
Some arguments are supported and mostly supported by relevant and credible evidence
    Identification of major stakeholders lack clarity.

Discussion has some relevance to stakeholder engagement and
communication of proposed patient safety initiative; however, discussion is descriptive throughout.
Many arguments lack support and justification and supported by some relevant and credible evidence.
    No identification of major stakeholders.
Discussion has limited relevance to stakeholder engagement and communication of proposed patient safety initiative.
Most arguments are not supported and/or justified and not supported by relevant and credible evidence.
    No attempt
    Knowledge and understanding and Critical
Thinking

Identify the leadership style that you will adopt. Analyse the attributes of this specific leadership style to guide success in the change
     XXXXXXXXXX
    10.7 – 12.6
    8.9 – 10.6
    7.5 – 8.8
    0.5 – 7.4
    0
    
    Clear and concise identification of an appropriate leadership style adopted.

Comprehensive, concise, and critical discussion directly relevant to the leadership style's attributes and how they would benefit and guide success of the safety risk concern initiative.

All arguments are supported
    Significant and concise identification of an appropriate leadership style adopted.

Significant, concise, and critical discussion directly relevant to the leadership style's attributes and how they would benefit and guide success of the safety risk concern initiative.

Most arguments are supported and justified and
    Somewhat clear
identification of an appropriate leadership style.

Discussion is relevant to the attributes of the leadership style and how they would benefit and guide success of the safety risk concern initiative, however, the discussion is descriptive throughout.
Some arguments are supported and mostly supported by relevant and
    Identification of an appropriate leadership style lacks clarity or inappropriate leadership style identified.

Discussion has some relevance to the attributes of the leadership style and how they would benefit and guide success of the safety risk concern initiative, however, the discussion is descriptive throughout.
Many arguments lack support and justification and supported
    Identification of an
inappropriate leadership style and/or identification of leadership style omitted.
Discussion is not justified and lacks clarity.
Most arguments are not supported and/or justified and not supported by relevant and credible evidence.
    No attempt
    management proposal.

15 marks
    and justified and supported by a wide range of relevant and credible evidence
    supported by a range of relevant and credible evidence.
    credible evidence
    by some relevant and credible evidence.
    
    
    Knowledge and understanding and Critical
Thinking

Identify One (1) individual and One (1) organisational ba
ier to change. Ba
iers are relevant and appropriate.

15 marks
     XXXXXXXXXX
    10.7 – 12.6
    8.9 – 10.6
    7.5 – 8.8
    0.5 – 7.4
    0
    
    Comprehensive, concise, and critical discussion that is all directly relevant to the identified ba
iers of change.

All arguments are supported and justified with high quality, credible and appropriate literature, and evidence.
    Significant, concise, and critical discussion that is relevant to the identified ba
iers of change.
Most arguments are supported and justified with high quality, credible and appropriate literature, and evidence.

    Discussion is relevant to the identified ba
iers of change. However, it is descriptive throughout.
Some arguments are supported and justified with quality, credible and mostly appropriate literature, and evidence.

    Two ba
iers identified. Either one (1) or both ba
iers are mostly relevant and appropriate.
Discussion has some relevance to the identified ba
iers of change, however, is descriptive throughout.

Many arguments lack support
Answered 6 days After Sep 10, 2024

Solution

P answered on Sep 16 2024
3 Votes
Quality Improvement Proposal: Addressing Communication E
ors in the Surgical Ward
1. Identification of Patient Safety Risk Concern, Purpose, Background, Objectives, and Evaluation
Patient Safety Risk Concern
Communications e
ors represent a critical threat to patient security, especially in emergency wards and surgical wards specifically. These mistakes frequently results in adverse outcomes, including difficulties and delayed clinic stays (Tiwary et al., 2019). Research features that co
espondence issues can emerge from various factors such as lacking handoffs, unclear ve
al orders, and poor documentation (Sameera, Bindra, and Rath, 2021). Studies have shown that poor communication is connected to expanded episodes of clinical mistakes and compromised patient security (Manser, 2009; O'Leary et al., 2012).
Purpose
The motivation behind this quality improvement drive is to relieve communication mistakes in the surgical ward by presenting normalized co
espondence protocols and upgrading staff preparing. This initiative plans to work on persistent security, diminish clinical e
ors, and guarantee ideal patient results by cultivating more clear and more solid data trade among medical services experts.
Background
Effective communication forms basis for quality patient consideration. In surgical wards, where care includes various experts including specialists, anesthetists, nurses, and associated staff, the risks related with co
espondence disappointments are significant (AIHW, 2022). Research highlights that miscommunications during shift changes habitually lead to clinical mistakes (Leonard, Graham, and Bonacum, 2004). Structured communication tools, like the SBAR (Circumstance, Foundation, Appraisal, Suggestion) strategy, have been displayed to further develop clarity and minimise mistakes during handoffs/shift changes (Ha
ison et al., 2015). Also, inadequate documentation and inability to circle back to ve
al orders add to the co
espondence
eakdowns that imperil patient wellbeing (Riley, 2009).
Objectives
1. Implement Standardized Handoff Protocols
Develop and implement a normalized handoff protocol that guarantee that all basic patient data is reliably conveyed during shift changes and patient transfers from one ward to other. This protocol will integrate an organized agenda to direct the handoff cycle, working on the precision and fulfillment of the data exchanged. Research upholds that organized handoff devices, like agendas, can essentially improve communication quality and in turn minimise the mistakes (Gordon et al., 2016; IHI, 2024).
2. Enhance Communication Training
Provide exhaustive communication training to all careful ward staff. The training will zero in on compelling ve
al co
espondence, exact documentation rehearses, and the capable utilization of electronic wellbeing records (EHRs). Proof recommends that designated co
espondence preparing can further develop medical services experts' abilities and reduce mistakes (Hargrove and Kiger, 2017; Sameera, Bindra, and Rath, 2021). Preparing will consolidate systems and procedures supported by exploration to guarantee that staff are prepared to handle complex co
espondence situations.
Evaluation of Change Concepts
1. Audit Compliance with Handoff Protocols
Conduct regular audits to assess adherence to the recently executed handoff conventions. This will incorporate auditing documentation and observing handoff cycles to guarantee that they satisfy the established standards. Consistence reviews will evaluate the fulfillment and precision of data conveyed during handoffs, and recognize any deviations from the convention. Regular feedback from these reviews will be utilized to refine the conventions and address any consistence issues (Leonard, Graham, and Bonacum, 2004).
2. Survey Staff Satisfaction and Effectiveness
Ca
y out pre-and present preparation studies on measure staff fulfillment with the communication training and assess the adequacy of the new protocols. Studies will quantify different viewpoints including the clarity of communication, the fulfillment of data trade, and by and large trust in co
espondence rehearses. This feedback will be instrumental in distinguishing qualities and regions for development, guaranteeing that the preparation and conventions address the issues of the staff and add to better understanding security results (AIHW, 2022; Riley, 2009).
2. Stakeholder Engagement and Communication Strategies
Stakeholde
1. Surgical Ward Staff
This gathering includes a different scope of experts like medical attendants, specialists, anesthetists, and united wellbeing staff who are necessary to patient consideration and co
espondence. Their everyday connections and joint effort are basic in guaranteeing viable co
espondence and patient security (Manser, 2009). Including this gathering is fundamental, as they are the ones who will be straightforwardly impacted by the new co
espondence conventions and training programs.
2. Nurse Unit Manager (NUM)
The NUM plays a significant part in managing the execution and continuous checking of quality improvement initiatives inside the ward. They are mainly liable for guaranteeing that the drives line up with hospital strategies and guidelines, and for offering help and assets needed for successful implementation (AIHW, 2022).
3. Patients and Families
While not directly engaged with the execution process, patients and their families...
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