NURS 6201 Module 2 Assignment: Systems Thinking in Nursing Leadership (PPT)

• NURS 6201 Module 2 Assignment

Systems Thinking in Nursing Leadership (PPT)

Student Name

NURS6201

Walden University

Prof. Name

Submission Date

Part 2: Script for PowerPoint Presentation

Slide 1: Hi, I’m Terrance Ervin! The presentation will highlight hospital transitional care and the effectiveness of different hospital transitional care interventions.

Slide 2 (Objectives): The purpose of this presentation is to define a specific transition of care, to talk about how systems thinking and the IHI Quadruple Aim can help improve the transition of care, to outline the approaches to engaging stakeholders, and to demonstrate the benefits of using systems thinking for change. Each of the objectives is related to the others and forms a set of measures that can be taken to enhance the process of hospital-to-home transitions. The following goals can be applied to develop a patient-centered, cost-effective, and sustainable model.

Slide 3

Selected Transition of Care

Selected transition is a hospital-to-home transition of those patients with chronic conditions, especially heart failure and stroke. This transition is important because it is a time when patients are transferred from a more controlled hospital setting to a relatively open home setting (Sun et al., 2023). During this stage, there are some problems such as lack of coordination, medication errors, and lack of follow-up career and caregiver needs. Such strategies as clinical, psychosocially and systematic approaches are required to help solve these problems in order to achieve continuity of care and better outcomes.

Slide 4

Applying Systems Thinking Aligned with the IHI Quadruple Aim Framework

Systems Thinking in Transitions of Care

As a nurse leader, I would work together with my healthcare team to make sure that we would apply systems thinking for the hospital-to-home transition. The idea of systems thinking involves thinking about the care pathway as a whole, as opposed to a set of stages. Examples include the mapping of the care pathway to identify inefficiencies such as the late release and discharge planning, failure of the caregiver to support discharge, or failure of communication between providers (Abdelhalim et al., 2024). These interdependencies will be addressed, ed and a transition process will be developed that will not create disruption to patient care, but will improve patient care.

The IHI Quadruple Aim is what we need to reach

These are recommendations that will be proposed as part of the IHI Quadruple Aim – Improving the Patient Experience, Improving Population Health, Improving Healthcare Staff Well-being, and Reducing the Cost. The improvement plan aligns with the IHI Quadruple Aim as it focuses on four areas: Improve patient satisfaction, Improve staff experience, and Reduce healthcare costs. For example, virtual ward models and structured medication reconciliation can help to decrease readmissions and emergency department visits, which will decrease the cost (Ocaña et al., 2023). Furthermore, cooperation with nurses, doctors, pharmacists, and social workers leads to patient satisfaction and seamless patient-centered transitions.

The fourth objective is to strengthen the resiliency of the caregivers

The improvement plan is consistent with the IHI Quadruple Aim since it aims at improving patient satisfaction and patient and caregiver satisfaction, decreasing the cost of health care, and enhancing the well-being of the staff. For example, virtual ward models and structured medication reconciliation can help to lower care access, readmission and ED admissions, which can lead to lower costs (Ocaña et al., 2023). Furthermore, nursing, medical, pharmacy and social work are integrated seamlessly with the patient’s transition, improving the satisfaction of the patient and staff.

Slide 5

Engaging Key Stakeholders

Identifying Key Stakeholders

Those involved in this transition of care include patients, informal careers, nurses, doctors, pharmacists, hospital managers, and community services. All the stakeholders have a role in the process of transition as well. For example, patients and careers share their experiences of the problems they face in their daily lives and healthcare professionals provide practical help (Vermorgen et al., 2020). Stakeholders, such as administrators provide support in terms of funding and facilities to support the interventions.

Engagement and Influence Strategies

For these stakeholders, workshops and feedback sessions with them would be held to ensure their contribution to the development of the interventions. For instance, caregivers could share their experiences in the identification of the gaps in resources, and administrators could raise funds for training or technology. To convince the stakeholders, the advantages of better transitions, such as financial and clinical outcomes (lower re-hospitalization), and patient satisfaction, would be highlighted. This allows for measurement of the improvements and involvement of all stakeholders to make sure that care transitions will improve.

Slide 6

Using Systems Thinking to Inform Improvement Plans

Holistic Problem-Solving Through Systems Thinking 

The use of systems thinking is taken into the improvement plan as it offers a wider view of the transition process. The root causes of each problem, for example, medication errors due to poor handover communication, and failure to attend follow-up appointments due to inadequate discharge planning, would be identified and then connected to the study by Branch et al. (2021). The strategy helps to avoid issues, such as checklists, tele-health monitoring, and creating good communication with the providers.

At the core, it’s important to have an ongoing monitoring and adaptation process

It can also monitor back feedback loops and evaluate performance, and subsequently, changes can be implemented where necessary. For instance, readmission rates and patient satisfaction scores are important metrics that give information on the success of the interventions (Ayabakan et al., 2021). This makes the improvement plan dynamic and flexible to the evolving needs and therefore, can be maintained over the long haul.

Slide 7

Conclusion

Hospital-to-home transition is a complex process that needs a systems approach that is consistent with the IHI Quadruple Aim. This period can be a positive one when the barriers faced by the caregivers are removed, and the caregivers’ strengths are focused on the role of the stakeholder being involved. In summary, a smooth and efficient process can be planned and implemented that will improve service quality, cost-effectiveness’s and satisfaction for the service provider and the patient.

References

Abdelhalim, A., Zargoush, M., Archer, N., & Roham, M. (2024). Decoding the persistence of delayed hospital discharge: An in‐depth scoping review and insights from two decades. Health Expectations, 27(2). https://doi.org/10.1111/hex.14050

Ayabakan, S., Bardhan, I., & Zheng, Z. (Eric). (2021). Triple aim and the hospital readmission reduction program. Health Services Research and Managerial Epidemiology, 8(53). https://doi.org/10.1177/2333392821993704

Branch, J., Hiner, D., & Jackson, V. (2021). The impact of communication on medication errors. Patient Safety Network, 21(5). https://psnet.ahrq.gov/web-mm/impact-communication-medication-errors

Ocaña, M. J. R., Morales, C. T., Pichardo, J. D. R., & Hernández, M. A. (2023). Barriers and facilitators of communication in the medication reconciliation process during hospital discharge: Primary healthcare professionals’ perspectives. Healthcare, 11(10), 1495. https://doi.org/10.3390/healthcare11101495

Spann, A., Vicente, J., Abdi, S., Hawley, M., Spreeuwenberg, M., & Witte, L. (2021). Benefits and barriers of technologies supporting working carers—A scoping review. Health & Social Care in the Community, 22(3). https://doi.org/10.1111/hsc.13421

Sun, M., Qian, Y., Liu, L., Wang, J., Mengyao Zhuansun, Xu, T., & Ronnell Dela Rosa. (2023). Transition of care from hospital to home for older people with chronic diseases: A qualitative study of older patients’ and health care providers’ perspectives. Frontiers in Public Health, 11(22). https://doi.org/10.3389/fpubh.2023.1128885

Vermorgen, M., Vandenbogaerde, I., Van Audenhove, C., Hudson, P., Deliens, L., Cohen, J., & De Vleminck, A. (2020). A qualitative interview study on the collaboration between family and professional carers. Palliative Medicine, 35(1), 026921632095434. https://doi.org/10.1177/0269216320954342