Pain Control with Hospice Patients

Can you help me understand this Nursing question?

The healthcare issue chosen is: Pain control of hospice patients. How are hospice patients’ pain control issues handled in the hospital, nursing homes and in a hospice house with both chronic pain and active dying pain? Most hospice patients in the hospital aren’t medicated appropriately.

Prepare a 6–10-page data analysis and quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The audience for your analysis and proposal is the nursing staff and the interprofessional team who will implement the initiative.

In this assessment, you will propose a quality improvement (QI) initiative proposal based on a health issue of professional interest to you. The QI initiative proposal will be based on an analysis of dashboard metrics from a health care facility.

• Analyze data from the health care facility to identify a health care issue or area of concern. You will need access to reports and data related to care quality and patient safety.
• You will need to identify basic information about the health care setting, size, and specific type of care delivery related to the topic that you identify. You are expected to abide by HIPAA compliance standards.
  

• Instructions

  Analyze dashboard metrics related to the selected issue.

  • Provide the selected data set in the proposal.
    • Assess the stability of processes or outcomes.
    • Delineate any problematic variations or performance failures.
  • Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
    • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  • Outline a QI initiative proposal based on the selected health issue and data analysis.
    • Identify target areas for improvement.
    • Define what processes can be modified to improve outcomes.
    • Propose strategies to improve quality.
    • Define interprofessional roles and responsibilities as they relate to the QI initiative.
    • Provide recommendations for effective communication strategies for the interprofessional team to ensure the success of the QI initiative. Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team.
  • Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

  The bullets below each grading criterion further delineate tasks to fulfill the assessment requirements. Be sure that your Quality Improvement Initiative Evaluation addresses all of the content below.

  1. Analyze data to identify a health care issue or area of concern.
     • Identify the type of data you are analyzing (from your institution or from the media piece).
     • Discuss why the data matters, what it is telling you, and what is missing.
     • Analyze dashboard metrics and provide the data set in the proposal.
     • Present dashboard metrics related to the selected issue.
     • Delineate any problematic variations or performance failures.
     • Assess the stability of processes or outcomes.
     • Evaluate the quality of the data and what can be learned from it.
     • Identify trends, outcome measures and information needed to calculate specific rates.
     • Analyze what metrics indicate opportunities for quality improvement.
  2. Outline a QI initiative proposal based on a selected health issue and supporting data analysis.
     • Identify benchmarks aligned to existing QI initiatives set by local, state, or federal health care policies or laws.
     • Identify existing QI initiatives related to the selected issue, and explain why they are insufficient.
     • Identify target areas for improvement, and define what processes can be modified to improve outcomes.
     • Propose evidence-based strategies to improve quality.
     • Evaluate QI initiatives on the selected health issue with existing quality indicators from other facilities, government agencies, and non-governmental bodies on quality improvement.
     • Analyze challenges that meeting prescribed benchmarks can pose for a heath care organization and the interprofessional team.
  3. Integrate interprofessional perspectives to lead quality improvements in patient safety, cost effectiveness, and work-life quality.
     • Define interprofessional roles and responsibilities as they relate to the data and the QI initiative.
     • Explain how you would you make sure that all relevant roles are fully engaged in this effort.
     • Explain what non-nursing concepts would you incorporate into the initiative?
     • Identify how outcomes to measure the effect of the intervention affect the interprofessional team.
     • Briefly reflect on the impact of the proposed initiative on work-life quality of the nursing staff and interprofessional team. Describe how work-life quality is improved or enriched by the initiative.
  4. Apply effective communication strategies to promote quality improvement of interprofessional care.
     • Identify the kind of interprofessional communication strategies that will be effective to promote and ensure the success of this performance improvement plan or quality improvement initiative.
     • In addition to writing, identify communication models (like CUS, SBAR) that you would include in your initiative proposal.
  5. Communicate evaluation and analysis in a professional and effective manner, writing content clearly and logically with correct use of grammar, punctuation, and spelling.
  6. Integrate relevant sources to support arguments, correctly formatting citations and references using current APA style.

  Submission Requirements

  • Length of submission: 6–10 double-spaced, not including title and reference page.
  • Number of references: Cite a minimum of five sources (no older than seven years, unless seminal work) of scholarly, peer-reviewed, or professional evidence that support your evaluation, recommendations, and plans.