Write a 3-4 page paper describing an evidence-based quality improvement project, based on your PICOT question, and your organization (page count does not include title and reference pages).

1. Structure the paper as follows:
   1. Create a title page.
   2. Introduce your topic to the reader.  Tell why the clinical issue or patient outcome needs to be improved.
      1. Why is current practice in the area of interest being questioned? (provide data)
      2. State your PICOT question, and describe what makes up the P, the I, the C, the O, and the T parts of it.
      3. Define the purpose of the project (connect the evidence and the project). What is going to be studied/addressed? Why?
   3. The next several sections (use headings and subheadings as appropriate)  should address the following points. Use the evidence that you have gathered so far from the research studies you reviewed in Modules 2 and 3.
      1. Summarize the evidence with a focus on implications for practice (from the 10 articles you reviewed in Modules 2 and 3). This section will look similar to a review of the literature that you have seen in the research studies you have analyzed.
      • Indicate how the research studies are applicable to the project
      • Identify how similar methods might be applied to this project to be successful
      • Identify who will be involved in the study.
      • What is the process for getting this project/study approved for implementation?
      • Describe who would need to know about the project. Does approval need to be received from the institutional review board (IRB)? When do the person/people need to know? How will the person/people be informed?
   4. Assume that this project/study was proposed to be done at your place of employment.
   5. Describe the process for including stakeholders
   6. Define baseline data collection sources (such as existing datasets, electronic health records, etc.), methods (questionnaires, observation) and measures (how will the results be evaluated). What will be needed to conduct the study?
   7. Define the post-project outcome indicator of a successful project (i.e., how would those doing the project, or researchers, know if the project were successful)?
   8. Summarize the proposed project/study.
   9. Include a reference page in APA format.

Then, describe how your health system work setting has responded to the health-care issue/stressor, including a description of what changes may have been implemented. Be specific and provide examples.

Cultural considerations in End of Life Care 

What is culture?

How different cultures view death?

Examples of different culturally practices at the end of life?

special considerations or rituals at the end of life

1 page at least 1 reference 

REPLY1        

Thank you for sharing your response Maria. Your proposed change to improve patient centered care through the development of additional leadership positions and personnel is a great suggestion for change. In your response you communicated, “In this way, the initial step in the mission to actualize the change is getting additional education on management. A healthcare provider should pursue additional training on health policy and different viewpoints that are identified with the facility. Education is the best way to make one more set up to confront future difficulties”. Have you performed research on other organizations that may have implemented these changes, what has worked for them upon implementing such changes? What resources will you need to implement and execute this change process successfully within your organization?

REPLY2

Nurses play a critical role in the healthcare system by preparing and collaborating with other healthcare teams to perform medical and treatment procedures more effectively. They are responsible for coordinated and cohesive care for a better patient outcome. Healthcare should focus on the patient’s spiritual, cultural, and mental needs (Eriksson, Gellerstedt, Hillerås, & Craftman, 2018). Nurses need changes that will facilitate effective health care levering that will improve patients’ quality of medication. Based on my 2 years in nursing care, there are changes that I can make to improve the nursing healthcare system.

          I will ensure nurses participate in leadership at their working institutions to ensure nurses’ grievances and needs are addressed immediately. A strong nursing representation that is part of the hospital executive committee can empower nurses at all hospital levels, enabling them to improve the system process in healthcare (Mainey, O’Mullan, Reid‐Searl, Taylor, & Baird, 2020). By achieving this, nurses will feel motivated at their workplace, making them deliver their services effectively. This will create the best nursing healthcare delivery process since motivated nurses are more productive.

          I will create a coordinated environment within the facility and instill a teamwork culture among the nurses. This will ensure a smooth and flowing healthcare delivery process, reduce work ambiguity, and avoid time wastage. The coordination will create an effective and high-quality healthcare outcomes.

          I will ensure nurses are actively engaged in important matters and changes that may directly affect hospital efficiency, quality, and pay. This will offer nurses a platform to give their suggestions and areas that need to be addressed since they are the ones actively interacting with patients.

Using the input and suggestions from the peer-edited first draft, write the final version of your research paper in 2,500 and 3,000 words.

Prepare this assignment according to the APA guidelines found in the APA Style Guide, located in the Student Success Center. An abstract is required.  Use your chosen peer-reviewed journal for in-text citations and references.

This assignment uses a grading rubric. Instructors will be using the rubric to grade the assignment; therefore, students should review the rubric prior to beginning the assignment to become familiar with the assignment criteria and expectations for successful completion of the assignment.