- DNP FPX 9903 Assessment 3
Quality/Performance Improvement Framework
Hence, healthcare research aimed at methodically improving the processes and/or patient outcomes require quality improvement frameworks. But, as it is widely acknowledged, it is possible to employ the plan-do-study-act (PDSA) technique to make and adapt therapies’ ongoing implementation and enhancement (Magnan, 2021). Various changes in the behaviour of obese people may include having a daily record of one’s food, exercise and weight with the help of the PDSA cycle on which the proposed research is based.
The PDSA technique allows it is possible to carry out continuous testing of strategies and modify them if necessary in order to achieve the best results. The initiative can help improve the BMI outcome over 12 weeks because it focuses on such an organized strategy. The project’s PICOT is as follows: What is the impact on the BMI of the obese adult patients of nurses in clinic following a 12-week lifestyle modification bundle comprising of exercise, weight and nutrition management and current practices?
Current Practice Needing Improvement
It is high time that the practice site for adult obesity treatment adopted a new model because the current one has not produced significant changes in the level of health among individuals affected by the condition. From the interview conducted with Preceptor on the 1 st of May, 2024, the problem is attributed to lack of structure regarding the process that people undertake to enhance their lifestyle, which constitutes activities such as exercising, maintaining appropriate weight and taking better diets. While the proportion of the obese patient population in the study site is above the national average, 36% as estimated by the Healthy People 2030, more than half of the patients at the study site are obese (Preceptor, Personal Communication, May 1, 2024).
That fact, in combination with the high prevalence that has been suggested, underlines the critical need for efficient treatments severely. This is illustrated by the ten to twenty new adult patients who are fat who attend the clinic every week (Preceptor, Personal Communication, May 1, 2024). At an estimated $260. 6 billion per year; hence, obesity is a cornerstone of the national financial vices (Cawley et al. , 2021). Interventions that would make actual positive changes in the obesity rates and health care costs are sorely lacking as the modeled economic burden indicates (Cawley et al. , 2021). Preceptor (personal communication, May 1, 2024) expounded that the current approach lacks continuity needed for behavior alteration because the approach concentrates on sectioned counseling and repeated check-ups. Because a large proportion of patients were obese, the difference between the current approach and the best course of action was very clear.
Numerous research studies show that well-organized LWs for losing weight and improving the general health status significantly can affect BMI. However, there is no well Coordination of methods in clinic right now; the outcomes are less than perfect (Kazemi et al. , 2020; Patel et al. , 2021). For instance, a small portion of patients is able to achieve a 5% reduction in body mass index (BMI), which is considered a clinical improvement that decreases obesity related disease risk and is an important goal for patients (Kotarsky et al. , 2021).
The suggested lifestyle change package which utilises the PDSA model to narrow the proposed gap refers to exercise (from 5000 steps a day to a 20% increase), weight control (a 5% reduction in body weight), and nutrition (conforming to 80% of calorie counting). The objective of the project is to bring fair and significant preventative change to the overall BMI of the clinic’s adult patients by finding out why they are overweight and how systematically we can address this issue.
Describes A QI/QP Framework
In order to provide adequate support and management of the project it was essential to use quality assurance frame work of the PDSA cycle. They essentially argue that the study aimed at offering adult patients who were obese a 12 weeks’ lifestyle modification package with an aim of reducing BMI. Several important processes are involved in achieving stated objectives: four stages of the process, namely, planning, implementation, evaluation, and application of the results (Magnan, 2021).
To ensure timely completion of the project, formative assessment was crucial Formative assessment helped in preventing aimless wandering while implementing the project. Regimens of physical activity, diet and exercise, as well as the assessments of body mass index were evaluated and observed during these evaluations (Cowley et al. , 2021). To ensure that corrections to treatments were done on time, data was observed and analyzed frequently in order to find indications of positive results or signs of need for change.
The aim of implementing the PDSA framework in the management of obesity with reference to the reduction of body mass index (BMI) was to make the patients’ BMI reduce by at least 5%. To achieve the impact, a lifestyle modification bundle was implemented; (HAHR, Harris et al. , 2022). These are assessment techniques for example proper and frequent assessment of BMI, activity levels, and the ability to follow dietary management plans. The process measurements included reviewing the actual records of the foods consumed to ensure they were correct and adhered to the recommended dietary ones; the use of activity monitors to record steps every day during the intervention phase the minimum steps were 5000; and the BMI measurement and documentation at every stage of the intervention phase (Bagatini et al. , 2020).
To rein, researchers sought for things such as vitamin deficiencies, irregular eating patterns, sleepiness, musculoskeletal disorders or recent weight loss (Bagatini et al. , 2020). Some of the goal that established that the intervention worked include; reduction of the body mass index by 5%, increase the average of the number of steps per day by 20%, and a compliance level of 80/ on calorie tracking and nutritional self-assessment.
Explain how QI/PI data Collected and Analyzed
Efficient data collecting and analysis procedures were necessary to assess the degree of progress towards the goals in the QI/PI program designed to decrease BMI in adult patients with obesity. In the data set of this study, baseline BMI, weight management data received every week, step count for physical activity per day, and food consumption diary were all part of the data set (Baak et al. , 2021). Across the months of the analysed 12-week intervention, these measures provided a comprehensive picture of the patient’s health-related actions and outcomes.
All the data was safely gathered and formatted to ensure systematic data collection using the electronic health records technologies. Patients reported their data without professional interference but with the involvement of the right specialists; for instance, some nurses documented the BMI and nutritionists documented their clients’ food intake. To ensure that the data about physical activity was as realistic as possible, the use of activity trackers to the number of steps to be taken in a day was employed (Pai & Sabharwal, 2023). In light of the fact that it is highly effective for calorie counting and nutritional analysis, MyFitnessPal documented food intake.
The collected data was reviewed before proper techniques were used in analysis; the techniques included descriptive statistics. By means of averages, standard deviations, and percentages among others, quantitative data was gathered and analyzed. Some of the information that was collected was concerning BMI which required to be reduced by 5%, weight measurement at least once a week, and at least 5000 steps per day (Pai & Sabharwal, 2023).
In order to assess how effective the concept of lifestyle change package was, their body mass index at the time before the intervention plan and that obtained at the end of the program was used. To compare the outcomes of treatments and to locate development opportunities trends were studied in relation to time. To make sure that the treatments are parallel to the project objectives and sound intervention studies, changes in the physical activities and food patterns were computed (Pai & Sabharwal, 2023). These rigorous procedures of data collection and assessment for evidence were also used in data gathering and analysis to periodically assess the effectiveness of the QI/PI project.
Proposed QI/PI Changes and Expected Outcomes
The proposed quality improvement framework concerned a large package of lifestyle modification for obesity reduction for obese persons, including BMI change. Some of the main therapies under consideration when it comes to lifestyle modification include; Weight loss medications (aiming at 5% weight reduction), dietary counseling (patient’s compliance at 80% to calorie counting), and structured exercise programs (increase count by 20). Real progress was measured by several indicators in order to establish the level of effectiveness.
To get a clearer picture of real improvement, many an efficiency measure was employed. For the major outcome, the REST trials adopted the index of body mass at baseline, 6 weeks, and 12 weeks (Duan et al. , 2021). The direct measure that can be used to measure efficacy of the therapies in achieving an average of 5% target weight loss might be calculated as follows. Reduced daily step counts by as much as 5000 and changes in the diet records where 80 percent of the participants maintained diaries of their calorie intake are other measures (Duan et al. , 2021). It is possible that assessment of various fundamental changes in patients’ daily routine and their adherence to recommended treatments might be viewed in a more integrative manner with the help of the above-discussed indicators.
DNP FPX 9903 Assessment 3 Quality/Performance Improvement Framework
Thanks to the established project structure and the expertise of the involved healthcare team such recommended changes were regarded as feasible. The use of the project is made feasible and more accurate through the integration of the website with technologies such as activity trackers, scales, and other applications like MyFitnessPal (Connor, 2020).
Of course, there can be differences depending on such factors as pill-taking discipline, patient’s background in terms of choosing a healthy lifestyle, and potential shortages of workforce (Connor, 2020). The healthcare providers themselves had to reduce these risks and enhance patient participation and adherence to the intervention throughout the timeline because they had to communicate effectively and provide essential support (Duan et al. , 2021). The main objective of the project is improving the health of people with obesity and the lowering of BMI by 5 % executing effective treatments and collecting credible data.
Changes in Quality or Performance Evaluation
An assessment on variations in quality or performance within the project was done through a rigorous and systematic assessment on the impact of the interventions that were developed through a detailed review of the patients’ outcomes with the help of a number of tools and techniques. In relation to the latter, quantitative data analysis of body mass index (BMI) decrease, daily step count for measuring physical activity and food calorie diary used in determining adherence to dietary measures are other evaluation strategies (Bagatini et al. , 2020). These instruments enabled the authors to evaluate the lifestyle modification bundle intervention’s efficacy for the duration of the 12 wk.
Measures of achievement were more often than not assessed with reference to the extent of the achievement of the project charter goals. One way of finding out if the intervention was effective at achieving its primary aim of a 5% drop was to compare BMI readings taken at the start, at 6 weeks and 12 weeks in was one method (Bagatini et al. , 2020). Some of the milestones achieved in the project included the following; BMI had reduced in the bodies of the individuals in the project.
Thus, the dietary shifts and exercise practices were considered more or less the consequent effects (Connor, 2020). In terms of the recommended criterion, 80 percent compliance with calorie intake targets and 5000 steps per day were employed to characterise trends in calorie intake goals as well as the number of daily steps. In a bid to enhancing patients’ health and general well-being, the components of these suggested requirements were positive and yielded measureable as well as significant results (Connor, 2020). As mentioned, these criteria correlated with the medical standard of the existing methods aimed at obesity treatment that has scientific evidence.
DNP FPX 9903 Assessment 3 Conclusion
By using the PDSA framework, a lifestyle modification package is being implementing at the project site in order to successfully reduce the BMI among the patient with obesity. We ensured the accurateness of the monitoring and evaluating of progress and results because we employed sound data collection and assessment techniques.
The proposed remedies are feasible, but they are backed by vigorous organisational resources and methods which have subjected to researchers. Quantitative and qualitative measures were used at the continuous progress level to assess performance so that there were constant updates to the performance. The idea which the suggested effort helped in reaching had the strong potential of enhancing patient health and the manner in which obesity was handled.
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NURS FPX 9903 Assessment 4 Reflection
References
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