Assignment: Quality and Safety Competencies

Assignment: Quality and Safety Competencies ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS ON Assignment: Quality and Safety Competencies This is my Fundamental of Nursing final Paper. Attached you can see Paper instructions. Please all citations should be paraphrased because plagiarism is detected by Turnitin and penalized. Only references from the last 5 years can be used. Assignment: Quality and Safety Competencies paper_example.docx term_paper_grading_rubric.doc Running head: PICOT QUESTION 1 Final project title (Final PICOT Question) YOUR NAME Miami Regional University Course name and Number FINAL PICOT QUESTION 2 Abstract (Briefly describe, in your own words what the paper is about. Please do not be very descriptive, or give too many details. Usually this should be around one paragraph long, on average 3-5 sentences.) FINAL PICOT QUESTION 3 Final PICOT Question (Introduction -This should include background information, in this case- background information for the clinical question……) The initial question for this clinical situation was phrased due to concerns raised in my clinical environment and my role as a patient advocate. Concerns regarding the clinical question were further retrieved from the Cumulative Index to Nursing and Allied health Literature (CINAHL), where many scholars have conducted research and done literature reviews on the subject. CINAHL was chosen for background information as the database is extensive and many of the literature are peer reviewed and written by advanced nurse scholars.Good! (Title-always in bold letters, in the center) Why this is an important issue and the potential impacts on patient outcome Many patients admitted in hospital and more so in critical care units, are elderly adults between the ages of 65-98 years. Many experienced several admissions within a year, with chronic conditions resulting in multi-system failure. Assignment: Quality and Safety Competencies A significant amount of patients have initiated living will and advance directives prior to life threatening conditions. Citation? Often these directives have been overturned by family members who have difficulty in honoring patient’s wishes; or even by health care providers who for some reason failed to have proper system in place to ensure that such advance directive are visible in the patient medical records. This is an important issue as colleagues have expressed concerns regarding what can be done to ensure that patient’s wishes are honored as established in their advance directive. As a patient advocate, there seems to be some ambiguity surrounding why patient care settings allowed advance directives to be overruled. The lack of a clear consensus regarding who has the legal right to change a patient status when they are no longer able to make such decisions and FINAL PICOT QUESTION 4 advocate for themselves, have resulted in some poor patient outcomes with patients undergoing multiple diagnostic and treatment intervention without their consent. This has resulted in prolonged suffering, increase medical cost, and further complicate the decision making process in deciding when less is the best treatment option for some patients. Identify the type of question This is an intervention question as the dilemma often encountered, warrants the intervention of the health care team in making appropriate decisions and intervention that will allow autonomy, respect patient’s wishes, and assist family in coming to terms in accepting conditions of patients’ living will. Making diagnostic and medical decisions that will meet the desired outcome, and ultimately benefit the patient is an intervention. Assignment: Quality and Safety Competencies Literature review In analyzing a qualitative study conducted by (Crisp, 2007), the writer sought to determine why healthy adults execute advance directives prior to or in the early stages when they have life-threatening medical problems. Crisp (2007) indicated that in an age when medical technology and unwanted medical treatment have potentially made survival more fearful than death, society have been forced to reconsider concepts of death and dying. Though many families and health care providers encountered daily struggles in understanding how to facilitate and honor AD; Crisp (2007), sought to determine whether end-of-life decision making is improved by the use of formal ADs, whether patient outcomes are improved through the use of AD, and whether patient preferences as reflected in the AD represent important patient beliefs (Crisp, 2007). According to Crisp (2007), “whatever the outcome, the Patient Self-Determination Act (PSDA) passed by Congress in 1990 were founded on the principles of autonomy and selfdetermination” (p.180). The literature further inferred that though several reasons exist why FINAL PICOT QUESTION 5 individuals made AD, three major themes have a predominant influence: Family influences, Quality of life concerns, and Pragmatic concerns (Crisp, 2007). Therefore, in developing this clinical concern, further analysis will be done by using the indicated format. Informative summary. PICO question In adult hospitalized patients with cardiac arrest and multisystem failure, some Advance Directives (AD) has been overruled by family members. Does the existence and use of advanced directives to honor patient’s wishes and determine action (e.g. Living will and do not resuscitate (DNR), compared with no such directive, assist I’m not sure I understand what you mean about assist. This will be important when you evaluate. Assignment: Quality and Safety Competencies The family and healthcare practitioners in making decisions that improve outcome with the use of appropriate resuscitative efforts during hospitalization? Your question include the components but is a little long. Is it possible to shorten the question? Population of interest Adult hospitalized patients with cardiac arrest and MSF Intervention or issue Having and using advance directive to respect patients’ rights and determine action. Comparison of interest versus not having an advance directive Outcome Appropriate determination in making resuscitative choices Time During hospitalization Comment–You might consider re-phrasing your question to look at if the advanced directives that have been put in place by the patient are actually implemented by the provider. Is this what you want to do? Conclusion FINAL PICOT QUESTION (In conclusion….. brief, 1 paragraph, your opinion about what you learned, or about what you reviewed, or any recommendations for changes, future….) 6 FINAL PICOT QUESTION 7 References Crisp, D.H. (2007). Health older adult’s execution of advance directives: A qualitative study of decision making. Journal of Nursing Law, 11(4), 180-190. minimum 5, APA style REFERANCES, NO MORE THAN 5 years old, only 1 can be more than 5, however, never more than 7 years old) Term Paper Grading Rubric Dimension Competent Provides a clear and concise response to the assigned/selected topic. Introduction Organization of the topic is completely and clearly outlined and implemented. Does not contain superfluous information. 25% Body Paragraphs 35% Research (literature review) 10% Conclusion 10% Writing/ Mechanics 25% All main points are well-developed; directly related to the topic. Supporting examples are concrete and detailed. There is a logical flow to the topics/arguments. 35% Research selected is highly relevant to the topic, and is properly incorporated into the body paragraphs. Relationship between research and theory is clearly articulated and accurate.Assignment: Quality and Safety Competencies The evidence comes from a wide variety of valid sources; minimum “required” sources published within the last 5 years. Miami Regional University Needs Improvement Introduction is too broad or too narrow for the assigned/selected topic. Organization of the topic is difficult to follow, and superficially implemented. Provides too much unnecessary information. 15% Most main points are present, but not consistently pertinent to the topic. Supporting examples are unclear or missing. Unacceptable Fails to present topic OR capture reader’s attention. Organization of topic is missing, vague, or not consistently maintained. 20% Research is relevant to the topic, yet incomplete, vague and/or is poorly incorporated into the body paragraphs. Unclear components. Connection between theory and research is unclear/inaccurate. Some evidence does not come from valid sources: minimum “required” sources published within the last 5 years. 0% Research selected is not relevant to the topic, and is not properly incorporated into the body paragraphs. Components are missing, inaccurate or unclear. Relationship between theory and research is unclear/inaccurate, major errors in the logic are present. The evidence seldom comes from valid sources: minimum “required” sources published within the last 5 years. 0% Conclusion is unclear. Connections to research are incorrect/unclear, or just a repetition of the findings without explanation. Underlying logic has major flaws. 0% Paper is poorly organized and difficult to read – does not flow logically from one part to another. Assignment: Quality and Safety Competencies There are consistent spelling and/or grammatical errors; technical terms may not be defined or are poorly defined. Writing does not use appropriate voice 10% Conclusion is clearly stated, and connections to the research and position are clear and relevant. The underlying logic is explicit. 5% Conclusion is unclear. Partially connected to research. Significant errors in logic. 10% Paper is coherently organized. Writing is clear and concise. Writing is fluid and free from spelling and grammatical errors. Terminology is clearly defined. Writing uses appropriate voice 5% Paper is poorly organized. Writing often contains spelling and grammatical errors. Writing inconsistently switches voices (active/passive). APA formatting appropriate. 0% Main points are poorly developed or not pertinent to the topic. Missing supporting examples. Term Paper Grading Rubric 10% References 10% (active/passive). APA formatting appropriate. 10% References are precisely listed in APA format. In-text citations are used correctly for all quotations and paraphrasing. 10% Miami Regional University (active/passive). APA formatting inappropriate. 5% References are listed in APA format with frequent errors. In-text citations are missing, or contain frequent errors. 5% 0% References are not listed in the correct APA format. In-text citations are missing. PLAGIARISM will be addressed as per MRU’s policy. 0% … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10