NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Student Name

Capella University

NURS-FPX 6021 Biopsychosocial Concepts for Advanced Nursing Practice 1

Prof. Name

Date

ABSTRACT

This discussion highlights the efficacy of the Plan-Do-Study-Act (PDSA) cycle in addressing anxiety and traumatic stress during hospitalizations, emphasizing its iterative nature and data-driven approach. Leveraging evidence-based interventions such as psychoeducation, coping skills training, and cognitive-behavioral therapy, healthcare teams can tailor care to individual patient needs, supported by multidisciplinary collaboration. Successful implementation of the PDSA cycle fosters continuous improvement, personalized care delivery, and adaptability to changing circumstances. Challenges include resource constraints, resistance to change, data management complexities, and sustainability concerns. Despite these challenges, proactive leadership, stakeholder engagement, and organizational support can optimize the benefits of the PDSA cycle for quality improvement initiatives in healthcare. Overall, the PDSA cycle offers a systematic framework for enhancing patient outcomes, satisfaction, and cost-effectiveness, with implications for improving the overall quality of care delivery in hospital settings.

Quality Improvement Methods

Lakewood Health Center is embarking on a quality improvement journey using the Plan-Do-Study-Act (PDSA) cycle to address anxiety and traumatic stress among hospitalized patients.

• Plan Phase:
  Establishment of an Anxiety and Traumatic Stress Reduction Program, integrating psychoeducation, coping skills training, and evidence-based therapeutic interventions such as cognitive-behavioral therapy (CBT) and mindfulness techniques. Multidisciplinary teams (psychiatrists, psychologists, social workers, and nurses) collaborate to provide personalized support addressing medical and psychological needs.
• Do Phase:
  Implementation of interventions with coordinated teamwork to ensure holistic patient care.
• Study Phase:
  Systematic evaluation through data collection and analysis, assessing changes in anxiety and stress levels, patient satisfaction, and overall well-being.
• Act Phase:
  Feedback from patients, caregivers, and providers is used to refine the program and promote continuous improvement.

Challenges of Change Strategy

• Difficulty ensuring effective collaboration among multidisciplinary teams; addressed through comprehensive training (Wijnen et al., 2023).
• Resource constraints such as staff time, materials, and equipment; mitigated by efficient use and external support (Bernardo et al., 2021).
• Patient engagement and compliance challenges; addressed through education and involvement (Li et al., 2020).

Overall Project Benefits

1. Improved patient outcomes through evidence-based, personalized care.
2. Enhanced patient satisfaction due to supportive and collaborative care.
3. Cost savings via efficient resource use and prevention of complications.
4. Increased staff satisfaction and engagement through teamwork and growth opportunities.
5. Improved organizational reputation for delivering high-quality, patient-centered care.

Knowledge Gaps and Unknowns

• Limited understanding of long-term effectiveness of interventions in hospital settings (Firth et al., 2020).
• Need for research on optimal multidisciplinary team integration (Nara & Inamura, 2020).
• Need for improved feedback communication strategies for stakeholder engagement (Chessell et al., 2022).

Evidence to Support QI Method

• Evidence supports psychoeducation, CBT, coping skills, and mindfulness in reducing anxiety (Murray et al., 2020).
• Multidisciplinary collaboration improves outcomes and satisfaction (Wijnen et al., 2023).
• Feedback collection is essential for continuous improvement (Chessell et al., 2022).
• PDSA cycle is widely used for improving healthcare outcomes and organizational culture (Carr et al., 2019).

Interprofessional Team Benefits

Interprofessional teamwork enhances effectiveness and efficiency by providing comprehensive biopsychosocial care. Collaboration among psychiatrists, psychologists, social workers, and nurses enables tailored interventions, coordinated care, and improved patient outcomes. It relies on effective communication, mutual respect, and adequate resources.

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Additional Evidence on PDSA

• Iterative nature allows continuous refinement based on real-time data (Carr et al., 2019).
• Data-driven decision-making supports evaluation and adjustment of interventions (Tamher et al., 2021).
• Promotes a culture of continuous learning and adaptability in healthcare organizations.

Additional Challenges

• Requires significant time, effort, and resources (Mukwato, 2020).
• Resistance to change among healthcare professionals (Mukwato, 2020).
• Difficulty sustaining improvements long-term without ongoing support (Mukwato, 2020).

REFERENCES

Bernardo, J., Rent, S., Arias-Shah, A., Hoge, M. K., & Shaw, R. J. (2021). Parental stress and mental health symptoms in the NICU: Recognition and interventions. NeoReviews, 22(8), e496–e505. https://doi.org/10.1542/neo.22-8-e496 

Carr, F., Tian, P., Chow, J., Guzak, J., Triscott, J., Mathura, P., Sun, X., & Dobbs, B. (2019). Deprescribing benzodiazepines among hospitalised older adults: Quality improvement initiative. BMJ Open Quality, 8(3), e000539. https://doi.org/10.1136/bmjoq-2018-000539

Chessell, S., Courtiour, S., Colman, A., Porter, S., & Heaslip, V. (2022). Staff perspectives of a near-real time feedback intervention to improve patient experiences. British Journal of Healthcare Management, 28(9), 245–252. https://doi.org/10.12968/bjhc.2022.0056 

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Firth, N., Delgadillo, J., Kellett, S., & Lucock, M. (2020). The influence of socio-demographic similarity and difference on adequate attendance of group psychoeducational cognitive behavioural therapy. Psychotherapy Research, 30(3), 362–374. https://doi.org/10.1080/10503307.2019.1589652 

Li, J., Li, X., Jiang, J., Xu, X., Wu, J., Xu, Y., Lin, X., Hall, J., Xu, H., Xu, J., & Xu, X. (2020). The effect of cognitive behavioral therapy on depression, anxiety, and stress in patients with COVID-19: A randomized controlled trial. Frontiers in Psychiatry, 11. https://doi.org/10.3389/fpsyt.2020.580827

Mukwato, P. K. (2020). Implementing evidence based practice nursing using the PDSA model: Process, lessons and implications. International Journal of Africa Nursing Sciences, 14(100261), 100261. https://doi.org/10.1016/j.ijans.2020.100261  

NURS FPX 6021 Assessment 3 Quality Improvement Presentation Poster

Nara, Y., & Inamura, T. (2020). Resilience and human history: Multidisciplinary approaches and challenges for a sustainable future. In Google Books. Springer Nature. https://books.google.com/books?hl=en&lr=&id=I_75DwAAQBAJ&oi=fnd&pg=PR5&dq=multidisciplinary+approach+and+challenges&ots=buaaHb1Hrg&sig=-U_aPfmtRD5wyW4v_bJjPQI3BC4 

Tamher, S. D., Rachmawaty, R., & Erika, K. A. (2021). The effectiveness of plan do check act (PDCA) method implementation in improving nursing care quality: A systematic review. Enfermería Clínica, 31(5), S627–S631. https://doi.org/10.1016/j.enfcli.2021.07.006