Posted: December 2nd, 2022

Evidence-Based Practice Performance Improvement Plan Explanation

Evidence-Based Practice Performance Improvement Plan Explanation
Quality Improvement Model
The selected quality improvement model is Plan Do Study Act (PDSA), model. The learning-oriented model is crucial in implementing change in an organization through planning, trying, observing, and acting on the results (Leis & Shojania, 2017). The model is a scientific method that can revolutionize the nursing field by addressing the practice problem of pain assessment. Planning is the first step followed by trying. The approach is essential in addressing the pain assessment problem in children since pediatricians have to take various precautions while treating children (Leis & Shojania, 2017). Observing and acting are essential steps that are necessary while addressing the problem. The approach will help the healthcare workers to identify the weaknesses and strengths of their response. According to the cyclic scientific method, healthcare workers can consistently improve the quality of care they offer to the children (Leis & Shojania, 2017). The model advocates for changes since it emphasizes an evidence-based approach that embraces continuous improvements. The purpose of the improvement plan is to examine a quality improvement model, improvement process, and quality improvement tools.
Quality Improvement Process
A quality improvement process is an important approach in the delivery of care since it provides a framework that consistently improves the quality of care delivered to patients. The processes can be measured, analyzed, improved, and controlled (Coury et al., 2017). According to the Agency for Healthcare and Research Quality and PDSA, quality improvement should take four steps. The steps include establishing the improvement goals, identifying the possible strategies, choosing a specific intervention for implementation, and preparing a written action plan (Coury et al., 2017). A healthcare facility will benefit by examining the current state to determine the possible actions to achieve the desired future.
Establishing the goals is an important step since it helps set clear goals that can be communicated to the healthcare team. The goals should be feasible and measurable to enhance the implementation process. Pain assessment, interventions used, and reassessment is a practice problem that has been affecting the provision of care to children. Quality improvements are necessary including setting measurable goals (Bonin, 2018). Some of the approaches include administering analgesics, using diverse interventions, and reassessment of pain (Corwin et al., 2012). Other methods include home care, pediatric and hospice care, and documentation of the pain levels to enhance the management of the practice problem.
The next step in the improvement process is identifying possible strategies. Healthcare workers can find possible strategies in conferences, available literature, benchmark practices, and health organizations such as Agency for Healthcare Research and Quality (Corwin et al., 2012). In some cases, the healthcare workers can visit another facility to learn the best practices they implement. The benchmarking process is crucial in identifying new ideas and learning how to eliminate challenges (Gifford et al., 2016). Healthcare workers should be open to the changes and new ideas they require to achieve the goals that will eliminate the practice problem.
The third step is to choose a specific intervention for implementation. The healthcare team should consider the compatibility of a selected intervention, technical merit, and intervention that effectively addresses a problem (Mannion & Davies, 2018). Some changes may be broken down into specific and manageable changes. The current health problem is pain assessment, interventions used, and reassessment among children. Healthcare workers may choose to implement the selected solution with a small number of children. The testing will be important in determining the compatibility of the solution (Mannion & Davies, 2018). Another approach is to check if other organizations are using similar methods to address the pain assessment problem.
The final stage of the improvement process is an action plan. The plan will indicate the specific steps that will be taken to address the problem. Healthcare workers should accept that the action plan is not the final solution since nursing practices evolve continuously (Mannion & Davies, 2018). An action should comprise the actions, resources, timelines, stakeholders, and expected outcome. Healthcare practitioners should use the action plan to determine if the solution is effective and some of the changes that should be made in the future (Leis & Shojania, 2017). A Gantt chart format will be crucial to ensure detailed progress and measurement of the improvements.
Quality Improvement Tools
Quality improvement tools are essential during the process of initiating change in the healthcare sector. The tools are standalone strategies or processes that are critical in analyzing, understanding, and communicating the quality improvement process. Some of the tools include run charts, process maps, and fishbone diagrams (Mannion & Davies, 2018). A run chart is a line graph that is plotted over time to determine whether the central tendency is changing or not. The tool is critical since a graph if the process improvement is taking a positive or negative turn. A process map is a planning and management tool that describes the flow of work (Kocman et al., 2019). The tool indicates what is being done, who is responsible, when, and where. The tool is crucial in measuring the change process and identifying what should be done to realize the change. Fishbone diagrams are meant to show the causes of a specific event. The purpose of using the fishbone diagrams is to determine the defects that lead to the practice problem and their impact on the provision of care to children (Kocman et al., 2019). The various tools are important in improving the response to the practice problem in the healthcare sector.

References
Bonin, L. (2018). Quality improvement in health care: The role of psychologists and psychology. Journal of Clinical Psychology in Medical Settings, 25(3), 278-294.
Corwin, Daniel & Kessler, David & Auerbach, Marc & Liang, Ana & Kristinsson, George. (2012). An Intervention to Improve Pain Management in the Pediatric Emergency Department. Pediatric Emergency Care. 28. 524-8. 10.1097/PEC.0b013e3182587d27.
Coury, J., Schneider, J. L., Rivelli, J. S., Petrik, A. F., Seibel, E., D’Agostini, B., … & Coronado, G. D. (2017). Applying the Plan-Do-Study-Act (PDSA) approach to a large pragmatic study involving safety net clinics. BMC Health Services Research, 17(1), 1-10.
Gifford, W., Davies, B., Rowan, M., Egan, M., Lefebre, N., & Brehaut, J. A. (2016). Understanding Audit and Feedback to Support Falls Prevention and Pain Management in Home Health Care. Home Health Care Management & Practice, 28(2), 79-85.
Kocman, D., Stöckelová, T., Pearse, R., & Martin, G. (2019). Neither magic bullet nor a mere tool: negotiating multiple logics of the checklist in healthcare quality improvement. Sociology of Health & Illness, 41(4), 755-771.
Leis, J. A., & Shojania, K. G. (2017). A primer on PDSA: executing plan–do–study–act cycles in practice, not just in name. BMJ Quality & Safety, 26(7), 572-577.
Mannion, R., & Davies, H. (2018). Understanding organizational culture for healthcare quality improvement. BMJ, 363.

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