Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Framework

 Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Framework

Kimberly Baughman

Capella University

 Nurs Fpx 9901

Prof. Ruth Ellen Yeager 

January 06, 2024

Quality/Performance Improvement Framework

NURS FPX 9901 Assessment 2 focuses on using a quality improvement framework to enhance nutritional care for Alzheimer’s patients by implementing ESPEN guidelines. It utilizes the PDSA model to improve BMI outcomes and staff compliance.

Increased delivery of high-quality care solutions to patients demanded a high/average overall performance improvement (QI/PI) system. The system will assist the leaders to focus on areas of improvement towards achieving maximum quality of healthcare in health facilities (Backhouse & Ogunlayi, 2020). The adoption of European Society for Clinical Nutrition and Metabolism (ESPEN) guidelines is recommended in the doctoral level assignment to influence the body mass index (BMI) of Alzheimer’s patients. In the analysis, there is detailed information concerning critical procedures that ought to be carried out in an improved way, the Q/PI variant, and steps for the examination of information. Besides, information on the alternate application of principles, resulting development, and evaluation is still a handy tool for applying exchange in a practicum setting.

Need for Improvement in Current Practice

The lack of a challenge web page is brought about by the lack of diet care provided to Alzheimer’s citizens. There are no prescribed rules for meals provided to Alzheimer’s patients; therefore, it affects their overall well-being and lifestyle (Director of Nursing, private conversation, July 16, 2024). insufficiency of suitable dietary recommendations paralyzes residents’ frame from preserving the BMI of 18- 5-24.9 kg/m² (Director of Nursing, private conversation, July 16, 2024). Moreover, internal details from the online practicum website confirmed that 25% of the Alzheimer’s residents are 18.5-24.9 kg/m² (Director of Nursing, personal communication, July 16, 2024). However, the nontypical value is 65% in Alzheimer’s patients across the whole nation (Volkert et al., 2024). Thus, unsafe diet prescriptions for Alzheimer’s patients lighten the burden incurred with BMI in the normal range.

The physical inactivity noticed that the current day practices of providing diet therapy among Alzheimer’s patients are unsatisfactory. One of the recent syntheses of current-day practices speculated that the absence of recognized vitamin care procedures affects the state of health among patients. Physical inactivity defines the need for an appropriate diet regimen to enable the provision of appropriate treatment to patients with Alzheimer’s disease (Director of Nursing, private communication, July 16, 2024).  Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Framework implementation of ESPEN guidelines will help the employees recognize the reasons behind nutritional needs (Ellouze et al., 2023). Submission of effective training varying the diet will, in the long run, help patients to improve compliance with the proper food habits, maintaining the BMI at stable levels.

Evidence-based persuasive literature presented a manual for the suggested intervention of imposing ESPEN recommendations. Ellouze et al. (2023) hypothesized a study that confirmed strict compliance with nutritional guidelines decreases weight loss by 45% and the risk of headache due to malnutrition through the utilization of 30% in Alzheimer patients. Wong et al. (2022) also confirmed that strict compliance with the nutritional guidelines decreased nutrition-induced side effects by 35% in hospitals. As a consequence of the compromise, the outcome promoted the use of ESPEN guidelines while providing nutrition care and addressing the absence of workouts at the business project location online.

QI/QP Framework Application to Current Practice

A diagram-do-have a have a look at-act (PDSA) strategy is a suitable framework for the execution of the nutrient care plan in healthcare settings. The PDSA strategy is the execution of the execution of ESPEN guidelines on the practicum facility online (Manandi et al., 2023). The model provided four installation stages that aspire to launch the trade. First, the approach strategy planning stage determines the exercise gap and formulates exercise gap management objectives. Second, the diploma obtains ESPEN recommendations implementation based on the timeliness. Third, they have a look at the subsection that takes into account the received weekly BMI data and performs protocol adherence estimations. Finally, the act stage employs protocol variations as a function of variance measurement (Gressies et al., 2023). Choosing the PDSA from cyclicality allows redesign against desires.

Desired outcomes necessitate planning for the implementation of the QI/PI project. Stakeholder involvement is the initial step toward optimizing support for proposed interventions. Secondly, action would be taken as a means of testing the interventions to increase the amount of care. Third, the information collected can be analyzed with the aim of assessing the impact of the intervention to be proposed. Utilization of ESPEN guidelines for the provision of nutritional care to the patients (Volkert et al., 2024). Utilization of the ESPEN guidelines on food preparation in the QI/PI project will facilitate the achievement of assignment goals.

 Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Framework

Formative tests are useful while performing QI/PI work to provide mission direction. Document validation enables measuring the direction of the project and the mean performance. For example, the patient’s BMI at the introduction of the intervention, as recommended, is used while computing the growth of the practice. Furthermore, the comments realized through the survey enable us to determine the success of the task (Benetato et al., 2020). With the assistance and implementation of ESPEN guidelines, patient nutrition care is maximized in the situation of maintaining the BMI within the normal range.

Data Collection and Analysis Plan

The statistics series is of sufficient quality to explore and provide consideration on the intervention effect. Facts collection is based on a population of patient BMI measures, ESPEN guidelines compliance weight, and workers of workers ESPEN advice follow-up. An EHR database can be used in business and truth garage (Serwer, 2021). With the line to be A number of inconsistencies in archives and make administration challenging, BMI information can be input and monitored into the EHR system. Weight-loss sketch test facts are also to be stored in EHR, and compliance of staff with ESPEN guidelines for statistics evaluation after the intervention has been used.

Descriptive size is used to ensure that the desired effects can be achieved. Positioned-up estimation is a low-fidelity capture of percentage, percentage statement, and frequency that would be convenient for the dimension of intervention effect (Thibault et al., 2021). Descriptive assessment can be used to estimate BMI statistics; the post-pre-intervention difference in ratio most likely would be identical. In addition to guaranteeing adherence to ESPEN guidelines and diet trial protocol, exercise can also be measured with a commercial enterprise employer assessment (Kight et al., 2020). In  Nurs Fpx 9901 Assessment 2 quantitative data units enable the base deficit in patients with a qualifying daily BMI. Thus, you can determine by numbers before intervention. Worker adherence to data and ESPEN recommendations is also monitored in the same manner, which will enable intervention effects to be measured (Ellouze et al., 2023). Statistical testing will determine the versions complied with of interest to the targeted QI/PI that can be measured.

Proposed Changes and Anticipated Outcomes

ESPEN guidelines are provided to make it more attractive to provide a protocol of sympathetic care for victims of Alzheimer’s, with a good impact on raising the BMI of the victims. ESPEN guidelines can be introduced by staff towards achieving some optimum, better nutrition care for victims with improved health outcomes (Thibault et al., 2021). The surplus closure findings will conduct BMI testing internally, with a mean period of 80% of the victims within 12 weeks.

Employees’ body improvement initially prior to dietetic testing examinations, any 96.5 percent exercise within the 2d estimated finding within 12 weeks. Also, the primary 1/3 prediction’s last results would be a significant level of employee adherence to ESPEN guidelines implementation by providing 90 percent support at 12 weeks. Action steps toward the realization of anticipated impacts are mainly founded on stringent adherence to already laid tips for the transfer of sufferers’ nutrition care.

Changes in Quality

 Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Framework is also achieved through means of the critical analysis process. Descriptive measures will provide an estimate of opportunities to bring out the intervention difference. Statistical analysis conducted will provide the estimate of the submit-intervention difference in opportunities for suffering patients to carry out BMI within normal limits. In addition, the assessment also allows for determining the compliance of the people frame price regarding utilization and documentation of ESPEN guidelines (Corrigan et al., 2021). The pre- and post-intervention assessment will reveal the impact of the interventions as made apparent by the proposed intervention. For example, the use of the ESPEN pointers will allow the patients to achieve BMI’s inner daily BMI needs, revealing the success of the proposed intervention.

A norm is utilized to compare and test the challenge effects. Assignment tasks comparing the outcome requirements would be investigating the pre-intervention BMI interval changes by the opportunities affected individuals who conducted the BMI in intervals that were regular. Facts comparison prior to and after treatment will help measure the undertaking effect. Pre-up-intervention BMI interval set changes will evaluate the undertaking performance (Volkert et al., 2024). The QI/PI target is centered on the implementation of the ESPEN guidelines to administer nutrition therapy to patients aimed at enhancing well-being outcomes. Second, an improved team worker’s compliance with the ESPEN guidelines is another scenario that would duplicate the success of the challenge. The criteria rely on the estimation of the impacts of assignments on the assessment of the achievement of the project.

Conclusion

 The Nurs Fpx 9901 Assessment 2 Quality/Performance Improvement Frameworkto apply the ESPEN guidelines in the utilization of nutrition care among Alzheimer’s disease patients. A PDSA provides a structure for a plan of proof-based intervention. Implementation is fully within the healthcare units. The collection and analysis of the data that were gathered could be of great value in establishing the usability of the intervention. Expected outcomes are staff-side affected patient opportunities who utilized routine BMI measurements on the compliance side, according to ESPEN guidelines. In addition, the needs are intended to diploma the change and help establish the success of the project.

References

https://doi.org/10.1136/bmj.m865

https://doi.org/10.1097/01.nep.0000000000000643

https://doi.org/10.1016/j.jand.2021.05.026

https://doi.org/10.1111/nuf.12479

https://doi.org/10.3390/nu15143204

https://doi.org/10.1016/j.clnu.2023.06.023

https://doi.org/10.1016/j.jand.2019.07.018

https://doi.org/10.1111/hsc.14025

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