NURS FPX 8006 Assessment 2 Apply System Thinking

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NURS FPX 8006 Assessment 2 

Apply System Thinking to Support and Produce Quality, Efficiency, and Cost-Effective Outcomes

Student Name

Capella University

NURS-FPX8006

Professor Name

Submission Date

Slide 1:

  • Apply System Thinking to Support and Produce Quality, Efficiency, and Cost-Effective Outcomes

Hi, my name is and I will explore the topic of fall prevention in elderly hospital patients through the lens of an interprofessional team that is based on the systems theory. My theoretical background applies the theory of complex adaptive systems (CAS) in contextualizing collaborative approach.

Slide 2

  • Introduction

Falls in hospitals lead to severe injuries and increased costs as well as lengthy hospital stays. The prevention should be carried out through collaboration between nurses, physical therapists, pharmacists, and geriatric specialists (Ojo & Thiamwong, 2022). The CAS theory gives the theoretical background, showing how teams in healthcare change dynamically to improve patient care (Notarnicola et al., 2024).

The presentation will focus on quality management, interprofessional collaboration, process improvements, and economic gains of different provider perspectives. The presentation will demonstrate the ways in which research-based, team-based strategies can reduce the number of falls, enhance patient safeguarding, and streamline healthcare delivery systems. To ensure that the risks are well managed, healthcare facilities should develop multifaceted and team-based fall prevention strategies.

Slide 3

  • Quality & Outcome Management – Provider Perspectives

Each of the healthcare team members has a unique role to play in quality improvement and outcome management. The top priorities of nurses are patient safety that is achieved by assessing fall risks, frequent rounding, and educative preventive strategies (Lozoya et al., 2020). Physical therapists are concerned with the improvement of mobility, strengthening, and the evaluation of walking patterns to reduce the risk of falls (Sadaqa et al., 2023).

Pharmacists examine drugs in order to recognize those that lead to dizziness or blood pressure drops (White, 2021). Geriatricians construct individualized and inclusive plans of care to suit the fall prevention requirements of every older adult. The interdependent functions need cooperation and sharing of information to provide care on an efficient basis. An integrated interprofessional care will improve the patient outcomes, as it will thoroughly address the various determinants of fall risk.

Slide 4

  • Negotiating a Collaborative System Approach

Medical personnel must deal with the constraints of healthcare operations and practice delimitations in the effort to develop fall prevention procedures. The theory of complex adaptive systems states that the healthcare team is a multilateral network where the performance of individual team members is the driving force behind the success of the entire system  (Glover et al., 2020).

The negotiation success of the team involves the assent of all parties on the fall risk reduction levels as they select the commonly accepted evaluation methodologies and develop the specific performance requirements. To make decisions, healthcare leaders ought to compare resource allocation and the evidence-based practice that produces quantifiable results (Seixas et al., 2021). The collaborative negotiation process helps healthcare organizations create responsive systems which are effective in managing the various factors which contribute to fall risk situations.

Slide 5

  • Supporting Outcomes Across the Continuum of Care

The collaborative system approach facilitates comprehensive treatment outcomes to the patients via patient-centered care by bringing together professionals of various disciplines working together at the onset to the end of a patient journey. Risk assessment standards along with team interventions ensure that healthcare staff is better equipped to deal with the various causes of fall risks compared to when teams are functioning in isolation (Emeric et al., 2024).

By means of the integrated approach, care providers have consistent documentation and flow of communication between treatment settings, thereby eliminating care transition shortcomings. The studies show that when healthcare professionals work in collaboration, the number of patient falls decreases dramatically, and patients are more mobile and confident (Baumann et al., 2022). The strategy will develop improved healthcare continuity by minimizing the costs incurred in addressing medical complications caused by falls.

Slide 6

  • Efficiency & Process Improvement

Standardized risk assessment instruments enable effective evaluation of patients due to the common professional language and reduce repetitive patient screening. The real-time exchange of fall risk information and the results of the interventions among the team members is easy with the help of integrated electronic documentation systems, improving the coordination of the care (Moskowitz et al., 2020).

Frequent interprofessional huddles aimed at high-risk patients reduce the communication barrier and guarantee that the personalized approach to fall prevention is implemented in a timely manner. Automated reporting of fall incidents and near-misses centralizes the tracking of these events and determines where the system has problems that need adjustments to the protocols (Yao & Lu, 2024). Pharmacist-led medication reviews that are scheduled before appointments with a therapist to evaluate therapy are a way of optimizing resources and offer complete management of fall risks.

Slide 7

  • Cost Management & Return on Investment

The initial cost of standardized assessment tools and staff training on these tools will be recovered in 3-5 years due to the decreased number of fall-related hospitalizations and the length of stay. The overall strategy has more and more returns in a 5-10-year period since the prevention strategies not only minimize direct treatment costs but also minimize the long-term rehabilitation costs. The cost-effectiveness of community-based exercise programs and medication management protocols is manifested in patient independence and the postponement of expensive institutional care (Pinheiro et al., 2022).

The elements of family education establish lasting support systems that have the capacity of sustaining professional care beyond clinical environments. The net cost avoidance due to implementation of the evidence-based fall prevention program was $14,600 per 1000 patient days (Dykes et al., 2023). The economic advantages become realized in terms of the reduction of healthcare spending, which, at the same time, increases the level of patient protection and health.

Slide 8

  • Conclusion

Interdisciplinary interventions in fall prevention combines the knowledge of nurses, physical therapists, pharmacists, and geriatricians to deal with the multifactorial nature of causing falls in patients.

The introduction of standardized assessment tools, frequent interprofessional communication, and intervention planning contributes to a complete system that will minimize the number of fall incidents to a significant extent. The cost of the initial training and resources investment is well worth it with reduced hospitalizations and rehabilitation costs. The collaborative model is not only patient safety and mobility friendly but is also a way of enhancing healthcare efficiency as operations are streamlined and redundancy is reduced.

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Instructions File For 8006 Assessment 2

Assessment 2

Apply System Thinking to Support and Produce Quality, Efficiency and Cost – Effective Outcomes

InstructionsResourcesActivity 1Activity 2Attempt 1Attempt 2Alt

Record a 3–5 minute voiceover presentation using 7–10 slides to further develop your recommendation from the previous assessment to present an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency, and cost-effective outcomes across the continuum of care.

Introduction

How do you find the best evidence to answer PICOTJ questions? In EBP, it is essential to use your PICOTJ question and its components as the foundation of your search for the most relevant, best evidence to answer the question and address a health care challenge. Peer reviewed journals contain research studies with evidence to:

  1. Support the need to improve the health care challenge you have identified in the PICOTJ question.

  2. Substantiate potential interventions that will improve the problem you have identified. Make sure the identified strategies and interventions are supported by evidence-based literature and other credible sources. The strength of the evidence should be from a credible, peer reviewed source and evaluated for merit.

Use the PICOTJ question to conduct a thorough review of the literature. Likewise, it is crucial to master your skills using health care databases to conduct the search. Also, utilize the Capella library resources.

For this assessment, you will further develop your recommendation from the previous assessment to present an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency, and cost-effective outcomes across the continuum of care. Use each provider perspective that you started to discuss in the previous assessment and move the discussion forward using system thinking.

Before you get started, please watch the following video:

  • NURS-FPX8006 Assessment 2 Video [].

Instructions

Start by choosing a system theory as the underlying foundation for your discussion. You will then create a PowerPoint presentation of 7–10 slides, including title and reference slides, and record an audio voiceover presentation of the slides.

When developing and organizing your slides, address the following:

  • Begin with an introductory discussion of the contents of the presentation.

  • How does each provider view quality and outcome management?

  • What is crucial to negotiate from a team perspective to develop a collaborative system approach?

  • How does the collaborative system approach support outcomes across the continuum of care?

  • What are processes that create improved efficiencies with this new recommendation?

  • How will costs be managed and is there a return on the investment from a 3–5 year approach is this a longer 5–10year approach that has greater benefits as patients, families and communities reap the benefits long term?

  • Note: You do not have to provide exact numbers to quantify your ideas; however, you do need to produce concepts that show how benefits can become real using an evidence-based approach to outcome management.

  • End with a conclusion discussing the highlights and importance of this beneficial recommendation to improve outcomes with quality, efficiency and cost- effective outcomes.

Additional Requirements

  • Format and Length: Record a 3–5 minute voiceover presentation using 7–10 slides, including title and reference slides in APA format.

  • Research: Include at least six scholarly sources. You can include sources from your previous assessment.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

  • Competency 1: Apply scholarship of nursing using evidence based ethical practice.

    • Use a system theory as the underlying foundation for the discussion. Include six scholarly sources (you may add to the sources you used in Assessment 1).

  • Competency 2: Develop communication opportunities to support interprofessional team approaches to quality care delivery.

    • Develop your recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Use each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking.

  • Competency 4: Define organizational systems approaches for quality, cost effective, and evidence based practice outcomes across the continuum of care.

    • Incorporate outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Be specific about the ethical and evidence-based approach to care.

    • Conclude the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

  • Competency 5: Address assessment purpose in effective written or multimedia presentations, incorporating appropriate evidence and communicating in a form and style consistent with applicable professional and academic standards.

    • Create a voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is completed. The presentation is clear, using a professional tone and professional slides.

Scoring Guide for 8006 Assessment 2

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Criterion 1

Develop your recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Use each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking.

Distinguished

Develop your recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Use each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking. All information is supported with scholarly resources.

Proficient

Develops your recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Uses each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking.

Basic

Develops a partial discussion of the recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Develops a partial discussion using each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking.

Non Performance

Does not develop the recommendation from Assessment 1 to develop an innovative approach to an issue using system thinking from a theoretical perspective to drive quality, efficiency and cost-effective outcomes across the continuum of care. Does not use each provider perspective that you started to discuss in the first assignment and move the discussion forward using system thinking.

Criterion 2

Incorporate outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Be specific about the ethical and evidence-based approach to care.

Distinguished

Incorporates outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Is specific about the ethical and evidence-based approach to care. All information is supported with scholarly resources.

Proficient

Incorporates outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Is specific about the ethical and evidence-based approach to care.

Basic

Develops a partial discussion of outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Is not specific about the ethical and evidence-based approach to care.

Non Performance

Does not incorporate outcomes expected to be achieved across the continuum of care, processes for improved efficiencies and how costs will be managed over a specific period of years. Does not address ethical and evidence-based approach to care.

Criterion 3

Use a system theory as the underlying foundation for the discussion. Include six scholarly sources (you may add to the sources you used in Assessment 1).

Distinguished

  • Uses a system theory as the underlying foundation for the discussion. The presentation includes more than six scholarly sources (you may add to the sources you used in Assessment 1) to enhance and support the presentation.

Proficient

  • Uses a system theory as the underlying foundation for the discussion. Includes six scholarly sources (you may add to the sources you used in Assessment 1).

Basic

  • Completes a partial discussion about a system theory as the underlying foundation for the discussion. The presentation includes 3–5 scholarly sources.

Non Performance

  • Does not use a system theory as the underlying foundation for the discussion. The presentation includes 1–2 scholarly sources.

Criterion 4

Conclude the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

Distinguished

  • Concludes the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

Proficient

  • Concludes the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

Basic

  • Partially develops a conclusion of the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

Non Performance

  • Does not conclude the presentation by discussing the highlights and importance of the beneficial recommendation to improve outcomes with quality, efficiency and cost-effective outcomes.

Criterion 5

Create a voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is completed. The presentation is clear, using a professional tone and professional slides.

Distinguished

Creates a voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is completed. The presentation is clear, using a professional tone and professional slides. The discussion includes mention of scholarly evidence that is specific.

Proficient

Creates a voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is completed. The presentation is clear, using a professional tone and professional slides.

Basic

Completes a partial voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is completed. Presentation is unclear or lacking a professional tone and slide design.

Non Performance

Does not complete a voiceover presentation using 7–10 slides (including the title and reference slides) and 3–5 minutes in length is not completed.

References For NURS FPX 8006 Assessment 2

Baumann, I., Wieber, F., Volken, T., Rüesch, P., & Glässel, A. (2022). Interprofessional collaboration in fall prevention: Insights from a qualitative study. International Journal of Environmental Research and Public Health19(17), 10477. https://doi.org/10.3390/ijerph191710477

Dykes, P. C., Bowen, M. C., Lipsitz, S., Franz, C., Adelman, J., Adkison, L., Bogaisky, M., Carroll, D., Carter, E., Herlihy, L., Lindros, M. E., Ryan, V., Scanlan, M., Walsh, M.-A., Wien, M., & Bates, D. W. (2023). Cost of inpatient falls and cost-benefit analysis of implementation of an evidence-based fall prevention program. Journal of the American Medical Association Health Forum4(1), e225125. https://doi.org/10.1001/jamahealthforum.2022.5125

Emeric, C. S. C., McDermott, C. L., Lee, D. S., & Berry, S. D. (2024). Risk assessment and prevention of falls in older community-dwelling adults: A review. Journal of the American Medical Association331(16). https://doi.org/10.1001/jama.2024.1416

Glover, W. J., Nissinboim, N., & Naveh, E. (2020). Examining innovation in hospital units: A complex adaptive systems approach. BioMedical Central Health Services Research20(1). https://doi.org/10.1186/s12913-020-05403-2

Lozoya, R. M., Montoya, I. M., Caballero, V. G., López, M. I. M., Hontangas, A. R., & Lucas, R. O. (2020). Impact of nurses’ intervention in the prevention of falls in hospitalized patients. International Journal of Environmental Research and Public Health17(17), 6048. https://doi.org/10.3390/ijerph17176048

Moskowitz, G., Egorova, N. N., Hazan, A., Freeman, R., Reich, D. L., & Leipzig, R. M. (2020). Using electronic health records to enhance predictions of fall risk in inpatient settings. The Joint Commission Journal on Quality and Patient Safety46(4), 199–206. https://doi.org/10.1016/j.jcjq.2020.01.009

Notarnicola, I., Lommi, M., Ivziku, D., Carrodano, S., Rocco, G., & Stievano, A. (2024). The nursing theory of complex adaptive systems: A new paradigm for nursing. Healthcare12(19), 1997–1997. https://doi.org/10.3390/healthcare12191997

Ojo, E. O., & Thiamwong, L. (2022). Effects of nurse-led fall prevention programs for older adults: A systematic review. Pacific Rim International Journal of Nursing Research26(3), 417. https://pmc.ncbi.nlm.nih.gov/articles/PMC9432804/

Pinheiro, M. B., Sherrington, C., Howard, K., Caldwell, P., Tiedemann, A., Wang, B., S Oliveira, J., Santos, A., Bull, F. C., Willumsen, J. F., Michaleff, Z. A., Ferguson, S., Mayo, E., Fairhall, N. J., Bauman, A. E., & Norris, S. (2022). Economic evaluations of fall prevention exercise programs: A systematic review. British Journal of Sports Medicine56(23), 105747. https://doi.org/10.1136/bjsports-2022-105747

Sadaqa, M., Németh, Z., Makai, A., Prémusz, V., & Hock, M. (2023). Effectiveness of exercise interventions on fall prevention in ambulatory community-dwelling older adults: A systematic review with narrative synthesis. Frontiers in Public Health11(11). https://doi.org/10.3389/fpubh.2023.1209319

Seixas, B. V., Regier, D. A., Bryan, S., & Mitton, C. (2021). Describing practices of priority setting and resource allocation in publicly funded health care systems of high-income countries. BioMedical Central Health Services Research21(1), 1–15. https://doi.org/10.1186/s12913-021-06078-z

White, N. D. (2021). Mitigating medication-related fall risk through pharmacist–prescriber collaboration. American Journal of Lifestyle Medicine15(6), 602–604. https://doi.org/10.1177/15598276211035361

Yao, C. B., & Lu, C. T. (2024). Dynamic tracking and real-time fall detection based on intelligent image analysis with convolutional neural network. Sensors24(23), 7448. https://doi.org/10.3390/s24237448

Best Professors To Choose From For 8006 Class

  • Dr. Lisa Kreeger

  • Dr. Erica Alexander

  • Dr. Jill Aston

  • Dr. DeAnna Beverly

  • Dr. Thomas Szabo

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Question 3: What is NURS FPX 8006 Assessment 2?

Answer 3: It is a 3–5 minute voiceover presentation with 7–10 slides demonstrating a system-thinking approach for quality, efficiency, and cost-effective outcomes.

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