Every two weeks, you will submit a reflective journal to the discussion forum for review by course faculty and your classmates. All are expected to engage and support one another by sharing these experiences in a supportive, constructive, and professional environment. Journaling is an active learning technique that is meant to enhance reflective practice (Blake, 2005). Reflective practice involves looking back over what has happened in the practice setting in an effort to improve performance or to encourage professional growth (Ruth-Sahd, 2003).

Your Weekly Practicum Journal is:

• A personal, introspective subjective account that focuses on Healthy People 2020 and course objectives. You can include events that occurred, but be sure to describe your thoughts and feelings about those events. How did your perceptions change? What did you learn that was unexpected? Describe your thinking about your thoughts and feelings regarding the new learning you experienced.
• Connected to South University’s College of Nursing Conceptual Framework Pillars (Caring, Communication, Critical Thinking, Professionalism, and Holism).
• Connected to prior coursework and experiences through reflective analysis.
• Written in a scholarly, academic style using APA style format. Two or three sentences are not sufficient nor are daily logs/reports of activities.

Citations should conform to APA guidelines. You may use this APA Citation Helper as a convenient reference for properly citing resources or connect to the APA Style website through the APA icon below:

References:

Blake, T. K. (2005). Journaling; An active learning technique. International Journal of Nursing Education Scholarship, 2 (1), Article 7. doi: 10.2202/1548-923X.1116

Ruth-Sahd, L. (2003). Reflective practice: A critical analysis of data based studies and implications for nursing education. Journal of Nursing Education, 23(11), 488–497.

United States Department of Health and Human Services, Healthy People 2020. (2011). Retrieved from http://www.healthypeople.gov/2020/topicsobjectives2020/overview.aspx?topicid=8

Discussion: Using Improvement Science Models to Promote Quality and Safety

…while all changes do not lead to improvement, all improvement requires change.

—United States Agency for International Development

Improvement science models bring together research and evidence-based practice to identify the most effective ways to promote quality and safety in health care. As a central tenet of quality improvement, attention must be paid to the processes that contribute to outcomes.

In this Discussion, you examine quality improvement models and evaluate how they could be applied to address specific issues within health care organizations.

To prepare:

• Review the improvement models presented in the Learning Resources.
• Evaluate each of the models and select two on which to focus for this Discussion.
• Consider how each of the two models could be utilized in a health care organization to promote quality and safety. Think about the following:
  • How does the model bring together research and evidence-based practice to facilitate quality improvement?
  • How does the model contribute to a culture of quality and safety?
  • How does it address changes in process?
• Reflect on the quality improvement issue and the health care setting that you are addressing for your Course Project ( research papers that have already been started on patient centered safety ) Of the two models that you have selected, determine which one you, as a nurse leader-manager, would use to address this issue. Also consider how this would relate to one or more of the IOM’s six aims for quality and safety.

By Day 3

Post your analysis of how the two improvement models that you selected could foster a culture of quality and patient safety and facilitate changes in process that promote positive outcomes. Explain how you would use one of these models to address the quality improvement issue in the organization that you have selected for your Course Project, and how doing so would relate to one or more of the IOM’s six aims for improving quality and safety.

resources:

Murphree, P., Vath, R. R., & Daigle, L. (2011). Sustaining Lean Six Sigma projects in health care. Physician Executive, 37(1), 44–48.

Lean Six Sigma is a quality improvement model that is frequently used in health care. The authors of this article provide strategies for monitoring improvement projects in order to sustain improved quality outcomes.

Polk, J. D. (2011). Lean Six Sigma, innovation, and the change acceleration process can work together. Physician Executive, 37(1), 38–42.

Dr. Polk describes both the Lean process and the Six Sigma process and explains how health care organizations combine these two improvement models to promote quality outcomes.

http://www.ihi.org/resources/Pages/HowtoImprove/default.aspx

Ernst, M. M., Wooldridge, J. L., Conway, E., Dressman, K., Weiland, J., Tucker, K., & Seid, M. (2010). Using quality improvement science to implement a multidisciplinary behavioral intervention targeting pediatric inpatient airway clearance. Journal of Pediatric Psychology, 35(1), 14–24

Researchers applied a Plan-Do-Study-Act (PDSA) quality improvement model in completing an evidenced based study of pediatric patients with cystic fibrosis

Murphree, P., Vath, R. R., & Daigle, L. (2011). Sustaining Lean Six Sigma projects in health care. Physician Executive, 37(1), 44–48

Lean Six Sigma is a quality improvement model that is frequently used in health care. The authors of this article provide strategies for monitoring improvement projects in order to sustain improved quality outcomes.

This assignment only needs to be 250-300 words

 1) Visit any of the EBP sites (Cochrane, AHRQ – NGC, etc.) and look for a particular condition, illness or phenomenon that has evolved through the years with changing research outcomes. 2) Describe the changes and the rationale for the changes. 3) Outline the adjustments you need to take to accommodate these changes and address the naysayers. Cite your sources in APA format. the EBP sites are attached. Must site 1 EBP website and 2 scholar source

The purpose of the Theory Application paper is to help you apply your selected theory to your area of practice.

Steps:

1. Select a theory that best fits your area of practice.
2. Start your paper with an introductory paragraph, including a purpose statement.
3. Discuss your rationale for selecting the theory for implementation.
4. Briefly describe the theory.
5. Describe your plan to implement the theory in your area of practice.
6. Discuss potential barriers or challenges to the implementation plan and how you will overcomes these barriers.
7. End with a conclusion paragraph summarizing the content of your paper.

Paper will be 5 pages in length, excluding the title and references pages.

Please be sure to support your paper using a minimum of 5 peer-reviewed sources.   Include APA 6 formatted citations and references.

Additional Instructions: The assignments must include:

• Running head
• A title page withAn APA6 references page
  • Assignment name
  • Your name
  • Professor’s name
  • Course