NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
Name
Capella university
NURS-FPX 6025 MSN Practicum
Prof. Name
Date
Appreciative Inquiry Discovery and Dream
Synthesis of Evidence for Excellence in Quality and Safety Goals
At St. Mary’s Community Hospital, a strong commitment to quality and safety has led to notable success stories in patient care. One significant example involved a cardiac arrest incident where the emergency response team acted swiftly. Immediate CPR initiation and rapid defibrillator access enabled the restoration of the patient’s heart rhythm within minutes. The hospital’s adherence to safety protocols and seamless coordination among staff resulted in a remarkable 90% survival rate in similar cases, reinforcing its dedication to patient safety and quality care (Thorén, 2023).
Another exemplary case at St. Mary’s involved a vigilant nurse who prevented a medication error. Noticing a dosage discrepancy during routine administration, the nurse promptly consulted both the pharmacist and the prescribing physician. This collaborative effort successfully averted a potentially harmful mistake, reflecting the hospital’s commitment to medication safety. Over the past year, these proactive measures have contributed to a 95% reduction in medication-related adverse events, demonstrating the effectiveness of St. Mary’s safety culture (Fuchshuber & Greif, 2022).
NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
In addition to individual success stories, St. Mary’s continuously monitors patient outcomes, safety incidents, and quality indicators. Over the past two years, the hospital has achieved a 20% improvement in patient outcomes through enhanced care delivery and safety protocols. The organization has also received accreditations from the Joint Commission and the National Committee for Quality Assurance (NCQA), affirming its adherence to rigorous standards. These accreditations validate the hospital’s ongoing efforts to provide high-quality patient care (Naidoo & Arifi, 2024).
Despite these achievements, St. Mary’s remains committed to continuous improvement. Conducting root-cause analyses of safety incidents helps identify systemic issues and implement targeted improvements. The hospital also prioritizes patient and family feedback, ensuring their perspectives shape care delivery. Additionally, benchmarking against peer institutions allows St. Mary’s to identify further areas for advancement. Through teamwork, data-driven strategies, and a dedication to excellence, the hospital continues to set high standards in patient care and safety (Hatlie et al., 2020).
Proposal for Positive, Attainable Improvement Goals for Quality and Safety
To further enhance quality and safety, St. Mary’s proposes two key improvement goals: implementing cultural competency training for staff and improving patient communication strategies. These initiatives aim to uphold ethical care standards while fostering an inclusive environment that respects diverse patient needs. Cultural competency training will equip staff with the skills to recognize and address cultural backgrounds, values, and preferences. This approach is expected to promote inclusive and respectful care practices, reduce health disparities, and enhance patient outcomes (So & Rodrigues, 2021).
Improving communication strategies, such as integrating language interpretation services and offering multilingual educational materials, will further support patient-centered care. Effective communication enhances patient understanding, engagement, and satisfaction, contributing to overall safety and quality. Additionally, culturally sensitive communication fosters trust between patients and providers, strengthening therapeutic relationships (Kwame & Petrucka, 2021).
These improvement goals align with the hospital’s mission, vision, and values. St. Mary’s mission emphasizes high-quality, patient-centered care, and its vision focuses on fostering an inclusive healthcare environment. The proposed initiatives reflect core values of integrity, compassion, and diversity by prioritizing respect for patients’ cultural identities and ensuring equitable access to care (Varkey, 2021). Investing in staff training and communication improvements will enhance patient outcomes and support the hospital’s commitment to excellence (Horváth & Molnár, 2021).
SWOT Analysis for Quality and Safety Goals
Conducting a SWOT (Strengths, Weaknesses, Opportunities, Threats) analysis of St. Mary’s Community Hospital is essential for assessing current quality and safety initiatives. Utilizing the Baldrige Excellence Framework, the hospital evaluates external opportunities and risks, along with internal strengths and weaknesses. This analysis provides a comprehensive perspective on maintaining high-quality care and patient safety.
SWOT Analysis for St. Mary’s Community Hospital
| Category | Findings |
|---|---|
| Strengths | Highly skilled professionals ensure quality care. Advanced technology enhances patient care processes. |
| Weaknesses | Inconsistent adherence to safety protocols poses risks. Resource constraints limit technological advancements. |
| Opportunities | Telemedicine expansion increases access and aids underserved populations. Collaboration with healthcare organizations enables shared best practices. |
| Threats | Regulatory changes present compliance challenges. Increasing competition affects patient volume and revenue. |
The findings highlight both areas of strength and opportunities for improvement. Enhancing adherence to safety protocols and feedback mechanisms will be essential for advancing patient safety. Additionally, expanding telemedicine services and community partnerships can improve accessibility and quality. Addressing regulatory and competitive threats proactively will ensure St. Mary’s ongoing commitment to excellence (Berry et al., 2020).
Throughout the analysis, diverse perspectives were considered to maintain a balanced assessment. Input from frontline staff, management, patients, and external stakeholders contributed to a well-rounded evaluation (Pletcher et al., 2024). By leveraging strengths, addressing weaknesses, and mitigating risks, St. Mary’s can enhance patient care and safety, aligning with its mission of serving the community with integrity and compassion.
Comparison of Appreciative Inquiry and SWOT Approaches
Evaluating St. Mary’s Community Hospital using both Appreciative Inquiry (AI) and SWOT analysis offers distinct perspectives. AI emphasizes a strengths-based approach, focusing on positivity, innovation, and success stories. In contrast, SWOT analysis provides a structured framework for identifying weaknesses, threats, and strategic opportunities for improvement.
| Aspect | Appreciative Inquiry (AI) Approach | SWOT Analysis Approach |
|---|---|---|
| Focus | Emphasizes growth, strengths, and success stories. | Identifies internal weaknesses and external threats alongside strengths and opportunities. |
| Data Gathering | Collects narratives and qualitative evidence of past successes in quality and safety. | Analyzes both quantitative and qualitative data on hospital performance and risks. |
| Communication Style | Encourages open dialogue and collaboration, fostering creativity and positivity. | Involves structured discussions focused on problem-solving and strategic planning. |
AI fosters a culture of innovation by encouraging staff to share success stories and envision improvements. Conversely, SWOT analysis uses structured evaluation to identify areas requiring strategic planning. Both methods offer valuable insights, and integrating them can provide a holistic approach to achieving quality and safety goals (Merriel et al., 2022; Saragih et al., 2022).
Leadership Characteristics and Skills for Performance Improvement
Both AI and SWOT approaches require distinct leadership characteristics to drive improvement initiatives effectively. AI-based projects necessitate visionary leaders who inspire positivity and collaboration. These leaders foster enthusiasm and innovation among team members, creating an environment conducive to problem-solving and continuous growth. Strong interpersonal skills and a commitment to teamwork are essential in this approach (Abell, 2020).
Conversely, SWOT-driven projects require analytical leaders with critical thinking and strategic planning capabilities. These leaders must interpret data effectively, assess internal strengths and weaknesses, and develop actionable improvement strategies. Effective decision-making and the ability to navigate complex challenges are crucial for driving positive change through SWOT analysis (Benzaghta et al., 2021).
By combining AI and SWOT approaches, St. Mary’s leaders can foster a culture of continuous improvement while addressing challenges proactively. A well-rounded leadership approach ensures sustainable progress toward quality and safety excellence.
Conclusion
St. Mary’s Community Hospital demonstrates a strong commitment to quality and safety through its evidence-based practices and continuous improvement initiatives. The integration of AI and SWOT analysis provides complementary insights, allowing for a balanced strategy in achieving excellence. Leadership plays a vital role in these efforts, requiring both visionary and analytical skills to drive change effectively. By prioritizing cultural competency training, enhancing communication strategies, and leveraging a data-driven approach, St. Mary’s remains dedicated to delivering exceptional patient care.
References
Abell, K. J. N. (2020). American Nurse: The official Journal of the American Nurses Association (ANA). American Nurse. https://www.myamericannurse.com/appreciative-inquiry-building-teamwork-and-leadership/
Benzaghta, M. A., Elwalda, A., Mousa, M., Erkan, I., & Rahman, M. (2021). SWOT analysis applications: An integrative literature review. Journal of Global Business Insights, 6(1), 54–72. https://doi.org/10.5038/2640-6489.6.1.1148
Berry, J. C., Davis, J. T., Bartman, T., Hafer, C. C., Lieb, L. M., Khan, N., & Brilli, R. J. (2020). Improved safety culture and teamwork climate are associated with decreases in patient harm and hospital mortality across a hospital system. Journal of Patient Safety, 16(2), 1. https://doi.org/10.1097/pts.0000000000000251
NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
Burgener, A. M. (2020). Enhancing communication to improve patient safety and to increase patient satisfaction. The Health Care Manager, 39(3), 128–132. https://doi.org/10.1097/hcm.0000000000000298
Fuchshuber, P., & Greif, W. (2022). Creating effective communication and teamwork for patient safety. The SAGES Manual of Quality, Outcomes and Patient Safety, 443–460. https://doi.org/10.1007/978-3-030-94610-4_23
NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis Graas, R. V., & Gobbens, R. J. (2023). Learning and developing together for improving the quality of care in a nursing home, is appreciative inquiry the key? Healthcare (Basel, Switzerland), 11(13), 1840. https://doi.org/10.3390/healthcare11131840
NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis Hatlie, M. J., Nahum, A., Leonard, R., Jones, L., Nahum, V., Krevat, S. A., Mayer, D. B., & Smith, K. M. (2020). Lessons learned from a systems approach to engaging patients and families in patient safety transformation. The Joint Commission Journal on Quality and Patient Safety, 46(3), 158–166. https://doi.org/10.1016/j.jcjq.2019.12.001
NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
Horváth, Á., & Molnár, P. (2021). A review of patient safety communication in multicultural and multilingual healthcare settings with special attention to the U.S. and Canada. Developments in Health Sciences, 4(3). https://doi.org/10.1556/2066.2021.00041
Kwame, A., & Petrucka, P. M. (2021). A literature-based study of patient-centered care and communication in nurse-patient interactions: Barriers, facilitators, and the way forward. BMC Nursing, 20(158), 1–10. https://doi.org/10.1186/s12912-021-00684-2
Merriel, A., Wilson, A., Decker, E., Hussein, J., Larkin, M., Barnard, K., O’Dair, M., Costello, A., Malata, A., & Coomarasamy, A. (2022). Systematic review and narrative synthesis of the impact of appreciative inquiry in healthcare. BMJ Open Quality, 11(2), e001911. https://doi.org/10.1136/bmjoq-2022-001911
Naidoo, M., & Arifi, M. (2024). Disseminating best practice equity innovations in health care: A synopsis of study groups with health care executives. M-RCBG Associate Working Paper Series. https://nrs.harvard.edu/URN-3:HUL.INSTREPOS:37377595
Nugraheni, R., & Kirana, G. R. (2021). SWOT Analysis of hospital health services in DKT TK IV hospital Kediri 2019. STRADA Jurnal Ilmiah Kesehatan, 10(1), 756–764. https://doi.org/10.30994/sjik.v10i1.550
NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis Ofei, A. M. A., Barnes, T., & Paarima, Y. (2022). Strategic leadership in nursing. In www.intechopen.com. IntechOpen. https://www.intechopen.com/chapters/82308
NURS FPX 6025 Assessment 6 Practicum and MSN Reflection
NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis Olatoye, N. F. O., Elufioye, N. O. A., Okoye, C., Nwankwo, E., & Olakunle, J. (2024). Leadership styles and their impact on healthcare management effectiveness: A review. International Journal of Science and Research Archive, 11(1), 2022–2032. https://doi.org/10.30574/ijsra.2024.11.1.0271
Pletcher, A., Woodward, K., Hoge, N., Blair-Stahn, N., Lindstedt, P., Gohari, Z., Flaxman, A., & Iribarren, S. (2024). Interprofessional care team, staffing, and setting characteristics that impact patient outcomes: A review of reviews. MedRxiv (Cold Spring Harbor Laboratory). https://doi.org/10.1101/2024.01.04.24300868
Saragih, J. F. H., Nugraheni, S. A., & Adi, M. S. (2022). Benefits of using SWOT analysis and balanced scorecard for the development of the quality of health services : Narrative review. Jurnal Aisyah : Jurnal Ilmu Kesehatan, 7(S1), 263–272. https://doi.org/10.30604/jika.v7iS1.1076
So, N., & Rodrigues, M. (2021). Cultural competency. Springer EBooks, 115–134. https://doi.org/10.1007/978-3-030-68992-6_6
Thorén, A. (2023). Prediction and monitoring of in-hospital cardiac arrest. In openarchive.ki.se. Inst för medicin, Solna / Dept of Medicine, Solna. https://openarchive.ki.se/xmlui/handle/10616/48825
Varkey, B. (2020). Principles of clinical ethics and their application to practice. Medical Principles and Practice, 30(1), 17–28. https://doi.org/10.1159/000509119