Respond to THE FOUR colleagues by expanding upon your colleague’s post or offering an alternative strategy recommendation and/or alternative stakeholders to take part in the quality improvement team described by your colleague. INCLUDE 2 REFERENCES EACH
Natalia:
The art of teamwork has been studied and successful teams improve outcomes, and performance, and increase revenue (Johnson, 2021). One strategy I would recommend is the TeamSTEPPS which is an evidence-based framework to optimize team performance across the healthcare delivery system (AHRQ, n.d.). According to AHRQ (n.d.), the TeamSTEPPS is based on five major components (1) patient focus, (2) integrated TeamSTEPPS Platform, (3) modular course design, (4) active learning strategies, (5) emerging team challenges and opportunities. The stakeholders I would invite to partake in this quality improvement team will be infection prevention and control, life safety, risk management, performance improvement, quality and regulatory affairs, senior and executive leadership, nursing house supervisor, unit leaders, and data analysts. Each stakeholder brings to the table their area of expertise and can keep the team honest in reporting, implementing, and promoting accurate data collection. Each stakeholder will oversee their portion within the TeamSTEPPs framework and will work towards helping the overall implementation of a quality improvement initiative. For example, infection prevention is an important department that is capable of interpreting standards and regulations in the prevention of infection, risk managers oversee the risks for errors and injury and can conduct assessments based on their knowledge, performance improvement can help employees achieve better performance and growth. Life safety can oversee and interpret regulations and standards related to maintaining safety in the environment and among employees. The quality and regulatory affairs department can bring everything together to implement initiatives whether through projects that involve high reliability or frameworks like TeamSTEPPS. A data analyst can bring validation and accuracy to data collection to keep the numbers honest. Nursing house supervisors can communicate with patients and healthcare personnel, and they also evaluate and assess patient conditions and plan, implement, provide, and document the patient’s care. Things to keep in mind when selecting the group are based on the need of the unit or entity and what the identified problem is that needs to be addressed. For example, if in a unit where they perform point-of-use treatment on medical devices and instruments, their practices have shown a risk for infection, we would include in this team, sterile processing, infection prevention, risk management, performance improvement, and the unit/department leader. The stakeholder that “earns a seat” in this team is based on need and need to know. Lastly, quality improvement enables clinicians to acquire and apply important professional capabilities (Jones et al., 2019) which is why selecting the right stakeholders to make up the appropriate team is crucial to promoting quality improvement and achieving the ultimate goal which is: safety patient-centered care while exemplifying the highest quality of care.
Julius:
Effective teams in healthcare are key in ensuring the desired objectives and targets are attained within the set timelines. The leaders’ role is to prepare and establish effective teams in line with the defined objectives. Building an effective team for a quality improvement initiative requires strategic approaches to mental health. If working with talented, intelligent, and qualified professionals, the first step is to set up a team-building workshop to train the members about diversity, communication, conflict resolution, and collaboration. This move will build members’ trust, familiarity, and accommodation (Greilich et al., 2023). When it comes to the quality improvement team in mental health, it should include various stakeholders, such as frontline nurses, administrative officers, patient representatives, and physicians or psychiatrists. A project manager is also required to lead the team through various phases and implementations. Working with the appropriate professionals is key in guaranteeing the success of the quality improvement interventions (Orrantia et al., 2022). At the same time, there is a need to consider the role that each professional representative or stakeholder is mandated to undertake. Synergy is key in determining the success of an effective professional team. Furthermore, several considerations are needed to guarantee effectiveness when selecting a team. In mental health practice, the main objective when building a team is expertise, collaborative capacity, and skills. Since the objective is to improve the experience of patients, it is necessary to ensure that each member brings value to the team (Baird & Benson, 2022). For this reason, it is necessary to balance the experience and expertise of the members and their ability to accommodate and collaborate with others. Such a move will ensure the team is committed to working together and adhering to the quality improvement goals and objectives.
Kristine:
Teams working in healthcare today are comprised of individual novices and experts in their relative fields. The goal is to create expert teams and not teams of experts. Expert teams invite conversation, enjoy different viewpoints, and leverage each other’s strengths to achieve a common goal. High-performing teams are agile and nimble. They have created a safe environment where they learn through failing and celebrate success with humility. Great difference, low-performing teams may lack momentum, grapple with achieving milestones, and lack trust amongst their team (Wolor et al., 2022).To create effective teams, leaders play an important role in growing teams. The first strategy is to promote a strong improvement team are to set the foundation with a clear charter that outlines its purpose, scope, goals, and role responsibilities. Another strategy is to ensure team members believe they need to work together to achieve the goal, this can be facilitated by creating opportunities for the team members to get better acquainted and build rapport. Interestingly, one may assume that to be an expert team, the team must work together consistently, or that they have worked together before. Instead, the only requirement is to hold a commitment to the common goal to be achieved. To improve patient experience, a provider, nursing staff, and patients should be joining the patient experience specialist at the table. One of the major shifts in health care is identifying who should be on the team of which patients and families are now invited to the table. In wanting to improve the patient’s plan of care being shared beyond the provider and the patient, involving the patient and their families is without thought. Healthcare decision-making from the healthcare team caring for the patient to having a full partnership with the patient and family in developing, implementing, and evaluating the plan (US Preventive Services, 2022). The patient’s participation might consist of a focus group to provide ideas and feedback or as an active participant, advocating for the effort on behalf of other patients. Nurses and nursing staff would play an integral role in this improvement. They are envisioned to be advocates as they are often caught in the middle between the patient and the physician. If the plan of care is not made known to the nurse, the trust of the patient decreases, and physician trust and satisfaction in the partnership with nursing is impacted. The nurse manager would help facilitate these relationships as she leads the efforts while working closely with the patient experience specialist and is a consultant for this effort. Many factors compromise a team’s performance or progress. Hierarchal and authority differentiation can occur and be associated with professional status or personal agenda to create an undercurrent of control and possible coercion. In these cases, the opinions, knowledge, and experience of others are less than. This can occur within teams of physicians, nurses, healthcare providers their patients, and others. At times there can be some disruptive behavior that can be interpreted as intimidation or fear of retaliation. Rabkin and Frein (2021) share a strategy of including a physician at the beginning to help define goals that are pertinent to their role in achieving the objective. On the converse, physicians may want and need to be involved in quality improvement projects but do not receive allocated time to participate. They would serve either as an advocate or supporter of the project. Having a strong physician leader can impact the outcome of an improvement such as the plan of care, without this role being present, progress may be lacking. If the improvement team is important enough to commence, then the leadership must support the effort by allocating appropriate resources (Deilkas, et al., 2022).
Marie:
Building effective teams to support quality improvement initiatives in healthcare organizations involves engaging stakeholders with diverse expertise and perspectives. In the context of preventing pressure ulcers at a reclamation center, various stakeholders play essential roles in designing and implementing effective strategies. Nurse Managers serve as frontline leaders, overseeing daily operations and providing guidance on best practices (Kerr et al., 2019). Their role involves allocating resources, coordinating team efforts, and ensuring adherence to protocols. Wound Care Specialists bring specialized expertise in wound assessment, treatment, and prevention (Beeckman et al., 2020). They lead educational efforts, develop evidence-based protocols, and guide complex cases. Patient Care Technicians (PCTs) contribute valuable insights from direct patient care, helping to identify patient needs and barriers to implementation (DeMarco et al., 2022). Their role includes implementing interventions, monitoring patient progress, and providing feedback to the team. Data Analysts play a crucial role in evaluating the effectiveness of prevention strategies through data analysis and trend identification (Garcia et al., 2021). By tracking pressure ulcer rates, analyzing outcomes, and identifying areas for improvement, they inform decision-making and measure the impact of interventions. Patient Representatives offer unique perspectives by advocating for patient needs and preferences (Barr & Dowding, 2020). Including patients or their family members in the team ensures that interventions are patient-centered and align with patient values. Effective collaboration among these stakeholders is essential for success. Nurse Managers provide leadership and facilitate communication, fostering a culture of teamwork and accountability (Kerr et al., 2019). Wound Care Specialists guide clinical decision-making, ensuring that interventions are evidence-based and tailored to individual patient needs (Beeckman et al., 2020). PCTs implement interventions on the frontline, providing valuable feedback on feasibility and effectiveness (DeMarco et al., 2022). Data Analysts support evidence-based practice by analyzing outcomes and identifying opportunities for improvement (Garcia et al., 2021). Patient Representatives ensure that the patient’s voice is heard, promoting patient-centered care and shared decision-making (Barr & Dowding, 2020).
respond to the colleagues by expanding upon their responses or sharing additional or alternative perspectives. Include 2 references for each
DEM Beatrice:
Genomics, the study of an organism’s entire genome, including the interactions of genes with each other and the organism’s environment, holds immense potential in understanding the underlying mechanisms of psychiatric disorders and tailoring personalized treatments for patients. Genetics is one of several factors contributing to people’s risk of developing the most common diseases. One area of technological advancement that can influence mental health practice is genomics. Psychiatric genomics is an expanding study area with significant potential for enhancing risk assessment, preventive measures, diagnostic accuracy, treatment choices, and comprehension of the origins of patients’ symptoms (Ward et al., 2019). Many psychiatric conditions are highly heritable, with the highest rates seen in schizophrenia, autism spectrum disorder, and bipolar disorder. Screening and diagnostic tests, however, are here. Researchers are rapidly progressing in the emerging field of pharmacogenomics, which entails utilizing information about a patient’s genetic makeup to tailor drug therapy to their individual needs better (Richards et al., 2022). Moreover, genomic information can guide medication selection and dosing, minimizing the trial-and-error approach commonly seen in psychiatric medication management (Pettersson et al., 2018). The mental health practitioner has witnessed the benefits of incorporating genomics into patient care. Genetic testing can identify specific genetic markers that influence treatment response and susceptibility to side effects for certain psychiatric medications. This personalized approach has improved medication outcomes, reduced adverse effects, and increased patient satisfaction. Pharmacogenomics encompasses utilizing an individual’s distinct genomic profile to facilitate more efficacious or safer medication choices and dosing. The United States Food and Drug Administration labels for more than 200 medications include information about how patient genotype might impact drug action, and the Clinical Pharmacogenetics Implementation Consortium has found sufficient high-quality evidence to support the development of drug dosing recommendations for dozens of drug-gene pairs. The utilization of genomic information has already significantly impacted treatment decisions for many patients (Hendricks‐Sturrup et al., 2020). Integrating genomics into psychiatric healthcare holds immense promise for the future. As our understanding of the genetic basis of mental health disorders continues to expand, we can expect further refinement of personalized treatment approaches. Advancements in genomic technologies, such as next-generation sequencing and polygenic risk scoring, will enable us to identify novel genetic markers and pathways implicated in psychiatric conditions, paving the path for targeted therapies and interventions (Andreassen et al., 2023). Furthermore, genomics will likely play a crucial role in advancing precision psychiatry, where treatment decisions rely on individual genetic, biological, and environmental factors. By employing big data and machine learning algorithms, we can examine vast amounts of genomic information to identify patterns and predictors of treatment response, ultimately improving treatment outcomes and reducing healthcare costs (Peterson et al., 2020). Genomics is emerging as a transformative tool in psychiatric healthcare, offering unprecedented insights into the genetic underpinnings of mental health disorders and informing personalized treatment approaches. By integrating genomic information into clinical practice, practitioners can optimize medication management, enhance diagnostic accuracy, and improve patient outcomes. As genomic technologies continue to evolve, the future of psychiatric healthcare holds great promise, with genomics playing a central role in shaping the landscape of personalized and precision medicine.
DEM Chidinma:
Technological advances have continued to transform the healthcare landscape. In the field of nursing care, new technology such as robots, patient mobilization devices, and digital event detection or preventive equipment will become more widely available. It is anticipated that technologies will assist nurses, improve patient safety, and cut expenses (Klawunn et al., 2023). Thanks to technological efficiency and reliance, nurses can now devote their time to the core of nursing, which is patient care. Over the past ten years, there has been a significant increase in the study and development of artificial intelligence (AI)-based technology systems in the healthcare industry, demonstrating the great potential of AI to raise the standard of nursing care (Klawunn et al., 2023). With the use of artificial intelligence (AI), a computer system or robot can think, learn, communicate, and make judgments just like or better than people. Predictive analysis, machine learning, and remote patient monitoring are among its subsets. My organization is gradually introducing AI into its primary care unit by offering appointment reminders. There is a lot more that can be done with AI in our ambulatory care clinics. Although AI may have its challenges, it can be used to enhance healthcare quality by facilitating coordination, communication, and collaboration amongst healthcare disciplines, as well as by increasing efficiency, safety, and access to care (Pailaha, 2023).AI can help with digital communications and personalized health advice, which will enhance the patient experience. In my practice, the user issues we are experiencing with a patient portal, such as problems accessing the visit summary, can be relieved by using AI to automate the patient portal. This will lead to a better experience with the portal, better engagement with healthcare providers, and consequently better health outcomes. AI can also be used to gather and arrange data, making it easier for practitioners to generate information needed to provide care efficiently. By employing algorithms to extract information from data and interpret the data independently, machine learning with artificial intelligence (AI) can enable electronic health records to operate intelligently on a particular task or problem without being explicitly taught (Robert, 2019).In conclusion, Technological developments are advantageous to nursing and healthcare because they free up human labor from low-intelligence tasks like manual delivery routines and direct it toward creating, inventing, and implementing value controls that improve patient outcomes and productivity. In this technologically demanding but tech-dependent world of healthcare, taking on board technology-enhanced nursing and healthcare practices while upholding extended safety designs and interventions enhances legitimate, safe, and secure procedures (Vasquez et al., 2023).
Expanding upon Natalia’s post, the Team Strategies and Tools to Enhance Performance and Patient Safety (TeamSTEPPS) framework is indeed a valuable approach to optimizing team performance in healthcare settings (Agency for Healthcare Research and Quality [AHRQ], n.d.). However, while the stakeholders Natalia mentioned are essential for the success of a quality improvement team, additional stakeholders could further enhance the effectiveness of the initiative.
One stakeholder that could be included is clinical educators or professional development specialists. These individuals can provide ongoing education and training on the TeamSTEPPS framework and other relevant skills, ensuring that team members have the necessary knowledge and competencies to implement quality improvement initiatives effectively (Salas et al., 2018). Furthermore, involving patient advocates or representatives can bring a crucial perspective to the team, ensuring that the patient’s voice and preferences are considered in decision-making processes (Kidd & Cayton, 2014). By including these additional stakeholders, the quality improvement team can benefit from a more comprehensive and patient-centered approach, ultimately leading to improved outcomes and patient experiences.
References:
– Agency for Healthcare Research and Quality. (n.d.). TeamSTEPPS: Strategies & tools to enhance performance and patient safety. https://www.ahrq.gov/teamstepps/index.html
– Kidd, P. S., & Cayton, H. (2014). Informing patients: An assessment of the quality of patient information materials. Radcliffe Publishing.
– Salas, E., Weaver, S. J., & DiazGranados, D. (2018). What do team STEPPS® participants learn? Evidence of a latent structure with four factors. Medical Education, 52(12), 1204-1214. https://doi.org/10.1111/medu.13738
Expanding upon Julius’s post, fostering effective teamwork in mental health settings requires not only training on communication and collaboration but also a focus on psychological safety and understanding mental health conditions (Greer et al., 2021). While the stakeholders Julius mentioned are crucial, additional stakeholders could further enhance the success of quality improvement initiatives in mental health.
Including mental health consumers or peer support specialists on the quality improvement team can provide invaluable insights into the lived experience of individuals with mental health conditions (Davidson et al., 2010). Their perspectives can help ensure that interventions are recovery-oriented, trauma-informed, and culturally sensitive, ultimately leading to better outcomes and experiences for patients. Additionally, involving community organizations or advocacy groups focused on mental health can strengthen partnerships and support the implementation of evidence-based practices in mental health settings (Purtle et al., 2018). By including these additional stakeholders, the quality improvement team can benefit from a more holistic and patient-centered approach, ultimately improving the quality of care and support provided to individuals with mental health conditions.
References:
– Davidson, L., Bellamy, C., Guy, K., & Miller, R. (2010). Peer support among persons with severe mental illnesses: A review of evidence and experience. World Psychiatry, 9(2), 131–140. https://doi.org/10.1002/j.2051-5545.2010.tb00268.x
– Greer, L. L., de Jong, B. A., Schouten, M. E., & Dannals, J. E. (2021). Why and when hierarchy impacts team effectiveness: A meta-analytic integration. Journal of Applied Psychology, 106(2), 215–236. https://doi.org/10.1037/apl0000569
– Purtle, J., Dodson, E. A., & Brownson, R. C. (2018). Uses of research evidence by State legislators who prioritize behavioral health issues. Psychiatric Services, 69(1), 71–77. https://doi.org/10.1176/appi.ps.201700154
MOM Jennifer:
The application of robotics has been a game-changer in my nursing practice. This has significantly impacted patient care and overall medical care delivery. Although nursing robots are not yet widespread, the potential benefits are promising. The utilization of robotics in medical care is a multifaceted approach that ranges from assistance in routine tasks to more complex clinical applications. Robotic technologies have been increasingly explored. This is particularly in alleviating the burden of non-nursing activities and tasks. Current trends in nursing patents related to robotics are showcasing emerging innovations that aim to streamline tasks and improve efficiency (Frazier et al., 2019). For instance, robotic systems may assist in medication administration, patient monitoring, and basic patient care activities. These innovations contribute to the delegation of routine tasks. It allows nurses to focus more on direct client care, enhancing the quality of medical care services. Robotics play a pivotal role, especially in combating infectious diseases like COVID-19. The use of robots for tasks such as disinfection, supply delivery, and remote patient monitoring has become crucial in minimizing human contact and reducing the risk of transmission (Yang et al., 2020). This ensures the safety of medical care providers and also enhances the quality of care provided to patients. The impact of robotics on nursing practice is positioned to be transformative as we look towards the future. Continuous technological advancements mean we can anticipate even more sophisticated robotic frameworks that integrate seamlessly into medical care settings. Song and Collins (2021) underscore the optimization of exoskeleton assistance for faster walking. This showcases the potential for robotics to enhance mobility and rehabilitation processes. Integrating robotics aligns with ANA’s standards on the scope of Nursing Informatics. These standards underscore the importance of leveraging technology to enhance coordination and optimize resources in nursing practice (ANA, 2015). Robotics exemplifies a tool that aligns with these standards while offering a glimpse into the future of nursing practice. In conclusion, the application of robotics in nursing practice consolidates the potential to revolutionize medical care delivery. The current trends in robotic innovations and their varied applications indicate a shift towards more efficient and patient-centered care. Nurses should actively engage with these technologies as they continue to evolve because it guarantees their integration aligns with best practices and standards. It will lead to improved patient outcomes.
MOM Teona:
Healthcare is ever-evolving, and new technological innovations are helping millions of individuals live longer, recover from diseases, and have a better quality of life. One such innovative field is that of genomics, which is the study of a person’s genes (the genome), including interactions of those genes with each other and with the person’s environment (National Human Genome Research Institute, 2020). In psychiatry, genomics has tremendously assisted researchers in understanding psychiatric disorders. Genomics studies have identified specific genetic variants associated with various psychiatric disorders, such as schizophrenia, bipolar disorder, major depressive disorder, and autism spectrum disorder. Genome-wide association studies and whole-genome sequencing have revealed common and rare genetic variations linked to increased susceptibility to these disorders (Chung et al., 2023). Additionally, genomic data enables researchers and clinicians to develop personalized treatment approaches. This is achieved through the understanding of a patient’s genetic makeup; doctors can therefore predict how an individual might respond to certain medications or therapies, leading to more tailored and effective treatment plans (Strianese et al., 2020). Finally, Hernandez et al. (2021) posited that genomics provides insights into the biological mechanisms underlying psychiatric disorders. Thereby, by studying gene expression patterns, epigenetic modifications, and interactions between genes and the environment, researchers can unveil the complex nature of these conditions. As a doctoral-prepared nurse understanding a patient’s genetic profile through genomics testing can foster better tailored treatment and interventions based on individual patient genetic variations. With increased knowledge of genetic predisposition to certain diseases or conditions, nurses can conduct more targeted risk assessments and implement preventative strategies. They can also educate patients about genetic risk factors and recommend lifestyle modifications or screening based on genetic susceptibility. Having genomic information can guide medication selection and dosing. Nurses can interpret genetic test results to identify patients who may require adjusted drug regimens due to genetic factors affecting drug metabolism or response. Finally doctoral-prepared nurses can engage in research to advance nursing science. Genomics offers research opportunities focused on understanding the genetic basis of diseases, developing genomic interventions, and evaluating the impact of genomics on nursing practice and patient outcomes (Collins et al., 2021).In conclusion, genomics offers doctoral-prepared nurses opportunities to enhance patient care through personalized medicine, risk assessment, and tailored interventions. It fosters better patient education and research endeavors. By leveraging genomic information, nurses can contribute to improving healthcare outcomes and promoting the integration of genomics into clinical practice.
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