Quality Improvement Theory

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Quality Improvement and Change Theory Healthcare facilities strive to provide the most accurate and up to date care possible to their patients. In an effort to improve existing and future patient outcomes, system performances, and professional developments, healthcare facilities rely on quality improvement (QI) to identify and address changes needed to reach healthcare goals (Batalden & Davidoff, 2007). The purpose of this paper is to identify a practice improvement issue and demonstrate knowledge of key components of QI through change theory. Practice Issue The lack of tobacco cessation follow-up is a practice issue identified within a local health care facility. Tobacco products have contributed to disease complications throughout the entire…show more content…
According to Rogers (2003), the Diffusion of Innovation theory encompasses awareness, interest, evaluation, trial and adoption into the change process. The awareness phase involves expanding the knowledge of healthcare workers about the changes needing to be made or evaluated (Gray, 2014). The APN must develop educational materials understandable at various educational levels as well as being easily accessible to all employees. The second phase involves interest, evaluation, and trial. During the second phase, the APN will research evidence based practices to build a strong case to persuade peers to implement or test a change. Without the appropriate evidence to support quality improvement changes, the APN could meet resistance from cohorts whom do not view the change as necessary. During the final phase, the APN must emphasize the importance of change and develop protocols and/or procedures to facilitate the adoption of the change. Without the implementation of policy and/or procedure to support the change, healthcare providers may forget or not utilize the change into practice. In order for the Diffusion of Innovation theory to be successful, the staff must be engaged, empowered, committed and be willing to take ownership of quality improvement practices being changed (Lee, 2004). The APN must be able to collaborate with healthcare staff in order to have successful outcomes from quality…show more content…
The QI will require planned time lines, clear and concise communication of expected outcomes, collaboration, problem-solving identification and resolutions to be researched and developed by healthcare team members at multiple disciplinary levels (Silow-Carroll, Alteras, & Meyer, 2007). The healthcare team members would consist of doctors, APNs, bedside nurses, management, information technologist, and the discharge follow up nurse. The structures needed to implement the QI change would be a meeting room for those involved with the QI plan to gather and share ideas needed to have a positive outcome. A class would be needed to educate staff about the importance of tobacco cessation and the impact follow up has on refraining from use of tobacco products. Finances would be needed to help with research, and with providing education material to those involved with the implementation of the QI changes. The current healthcare setting already has a discharge follow up team utilized for patients discharged from the emergency room and outpatient surgery. The discharge team could also be utilized to contact patients with a tobacco history after the patients are discharged. By using the discharge team already in place, minimal staffing costs would

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