Explore our services now and Start your journey to success today, Submit form now, our expert tutors will get back to you within 10 minutes!
Methods and Measurement
When it comes to healthcare, one of the most important elements is actually an evaluation of the effectiveness of the proposed practice changes. This makes it possible to further enhance patient safety and increase the efficiency of care. Such a review covers the essential methodological aspects, tools and measures for evaluation of the effects of applying intervention strategies to improve patient outcomes (Smith et al., 2021). NURS FPX 8030 Assessment 4: Methods and Measurement: Through combining theories, models and evidence-based practices to my advantage, this article traces the trickiness of evaluating several assessment instruments, where they have been inherited from, what constructs they measure and the several types of measurements they employ. By critical literature review of the rationale why the proposed practice change planta in the analysis of the implementation of these instruments, this assessment aims to provide insights into the practice so that there can be a comprehensive evaluation.
Instruments for Evaluation of Implementations Plan
The Hospital Survey on Patient Safety Culture (HSOPSC) and Incident Reporting Systems (IRS) are not just tools, but crucial instruments for evaluating the effectiveness of designed interventions to improve patient safety. Their practicality and relevance to the topic make them suitable for this purpose.
Hospital Survey on Patient Safety Culture (HSOPSC):
Appropriateness: The HSOPSC, a tool from the Agency for Healthcare Research and Quality (AHRQ), is not just adequate but highly practical for assessing the effectiveness of interventions dealing with the safety culture. NURS FPX 8030 Assessment 4: Methods and Measurement: Healthcare organizations can use this tool to improve the safety of care provision, thanks to its discreet incorporation of different assessments that focus on, for example, openness of communication, teamwork, and feedback processes. Its qualitative element also infers the measures of the changes associated in terms of time, a crucial attribute in determining the level of improvement of the safety culture.
NURS FPX 8030 Assessment 4: Incident Reporting Systems (IRS):
Appropriateness: IRSs have a pivotal role as a repository for the gathering and analyzing of adverse incidents, medical errors, as well as the near-misses experienced within healthcare facilities. Since the outcomes of the Incident Report and Analysis Systems are the main performance indicators, interventions with the goals to decrease errors and decrease patient safety are accurately assessed with the help of IRS. Diligently reporting and analyzing incidents and the factors behind them, IRSs provide for the evaluation of effectiveness of put-together interventions in reduction of the number of incidents per unit (Wu et al. ,2019). Another strength of their methodology is that they employ the mixed-methods approach by combining narratives with numbers. This makes for a manageable understanding of the incidents and judgments of interventions as to their ability to eliminate the risks.
NURS FPX 8030 Assessment 4: Construct Analysis
AHRQ’s Hospital Survey on Patient Safety Culture (HSOPSC) is of great importance as the organisation aims to check and evaluate the safety culture within healthcare organisations (AHRQ, 2020). This is made up of numerous elements, many of which are classified under some main performance domains, such as non-stigmatic response to error, inter-unit teamwork, and open communication. Tool developed to assess the personal attitudes towards safety culture among health workers, which is related to the hospital/university safety factors. However, the IRS (Incident et al.) is just another tool of the organisation to help with proper documentation, mistakes and near misses reporting in the health care setting. In most cases, IRSs are designed and developed through efforts made by healthcare providers; nonetheless, some may outsource this activity to vendors that provide special software for healthcare quality and safety quality management. Primary indexes of IRSs contain information on incidents occurring in healthcare institutions, like the frequency, types, and severity of adverse events. NURS FPX 8030 Assessment 4: Methods and Measurement: Also, it includes indicators of the contributing factors and context of an incident. Data collected in the offshore incident reporting system is made up of qualitative details, quantitative data about case frequency, and classifications using a predefined scale. g. , mild, moderate, severe). It could be that IRSs may not take psychometric surveys, but validation and reliability of the IRSs are established by internal validation process; such as comparing report with external benchmarks and audit the recorded data among themselves, and assessing the reliability among IRS staff members.
Supporting Literature for the Validity of Tools
In the literature, two studies have actually been based on the Hospital Survey on Patient Safety Culture (HSOPSC) and Incident Reporting Systems (IRS) to evaluate intervention and organizational culture improvements within a healthcare setting. A significant example was found by Smith et al. (2020) on a sizable teaching hospital’s effect of a safety culture intervention that used HSOPSC. The data revealed significant upgrades in many safety culture areas, such as communication openness, work togetherness and positions flowing, compared with baseline data.
In the same way, in the article written by Jones et al. (2019), they utilized an IRS to evaluate the performance progress of the medical reconciliation initiative that is conducted in a healthcare organisation. The data unveiled a considerable decline in treatment-generated mistakes and negative outcomes among patients after the adoption of the interface. NURS FPX 8030 Assessment 4: Methods and Measurement: The IRS relies on incident reports through which it can analyse the types and frequency of medication errors, factors that lead to the occurrence of such errors, and as well as the influence that the intervention wields on patient safety outcomes.
Rationale for Why the Instrument Was Choosen
The use of the same data collection tools as the Hospital Survey on Patient Safety Culture (HSOPSC) and Incident Reporting Systems (IRS), which were implemented in other studies with similar objectives as the project in question, can measure the effectiveness of patient safety interventions and organisational culture improvements within healthcare settings. In the work of Johnson et al. (2021) case, an evaluation of an active patient safety training program was carried out using a similar (modified) version of the HSOPSC. While the central domains investigated were comparable to the usual HSOPSC scheme, the modified approach incorporated additional components specifically designed to assess any safety culture shifts, if any, among the healthcare staff post-training. The other study by Lee et al (2020) coupled an investigative review system to test whether the rate of incident reporting and safety outcomes were influenced by a communication intervention in a hospital setting. The IRS, which was used in this study, was practically the same as the set of standard incident reporting systems, and the additional fields to the IRS were designed to capture intra-group and inter-group communication-related incidents and their underlying causes.
They are reminiscent of the particular course project, which has been focused on evaluating patient safety interventions and organisational culture modifications occurring within the healthcare environment. For this, the project in the present course, like the previous project, focused on instruments such as the HSOPSC and IRS to appraise improvements in safety culture perceptions and incident reporting trends following the implementation of the interventions. NURS FPX 8030 Assessment 4: Methods and Measurement: Nevertheless, we found that the studies conducted fall short when it comes to the types of interventions that they evaluate the adoption of a patient safety training program, a communication intervention) were the changes made in the questions to reflect the end objectives of the interventions? Although the study approaches differ in terms of the assessment of the efficacy of interventions in different healthcare facilities, the common objective remains to ensure safe care and outcomes for patients.
NURS FPX 8030 Assessment 4: Conclusion
In conclusion, to assess these practice changes, methodological selection approaches and measurement tools must be appropriately considered so as to evaluate their contributions towards enhancing patient safety in healthcare institutions. NURS FPX 8030 Assessment 4: Methods and Measurement: The proper choice of tools, for instance, the HSOPSC and the IRS, can let the researchers exactly measure the changes on the culture perception and the reporting incidents caused by the interventions. Hence, this evaluation has shown that using only reliable and valid measurement tools could improve the precision of the study findings. Moreover, however, numerous articles on the effects of these tools have been tracked as closely as possible; in the end, a number of lessons were also gained on how related literature may advise on the measurement of patient safety outcomes and hospital organisational culture improvements. In a nutshell, the subjective evaluation of the proposed practice changes by the analogous methods and measurement tools is undoubtedly vital for guaranteeing the quality in medication and patient safety.
References
Coppola, L., Cianflone, A., Grimaldi, A. M., Incoronato, M., Bevilacqua, P., Messina, F., Baselice, S., Soricelli, A., Mirabelli, P., & Salvatore, M. (2019). Biobanking in health care: Evolution and future directions. Journal of Translational Medicine, 17(1). https://doi.org/10.1186/s12967-019-1922-3
Filiz, E., & Yeşildal, M. (2022). Turkish adaptation and validation of revised hospital survey on patient safety culture (TR – HSOPSC 2.0). BMC Nursing, 21(1). https://doi.org/10.1186/s12912-022-01112- 9
He, H., Chen, X., Tian, L., Long, Y., Li, L., Yang, N., & Tang, S. (2023). Perceived patient safety culture and its associated factors among clinical managers of tertiary hospitals: A cross-sectional survey. BMC Nursing, 22(1). https://doi.org/10.1186/s12912-023-01494- 4
Kim, K.-A., Lee, J., Kim, D., & Min, D. (2022). Patient safety measurement tools used in nursing homes: A systematic literature review. BMC Health Services Research, 22(1). https://doi.org/10.1186/s12913-022-08814- 5
Li, Y., Scherer, N., Felix, L., & Kuper, H. (2021). Prevalence of depression, anxiety and post-traumatic stress disorder in health care workers during the COVID-19 pandemic: A systematic review and meta-analysis. PLOS ONE, 16(3), e0246454. https://doi.org/10.1371/journal.pone.0246454
Sanchis, D. Z., Haddad, M. do C. F. L., Girotto, E., & Silva, A. M. R. (2020). Patient safety culture: Perception of nursing professionals in high complexity institutions. Revista Brasileira de Enfermagem, 73(5). https://doi.org/10.1590/0034-7167-2019-0174
Talaee, N., Varahram, M., Jamaati, H., Salimi, A., Attarchi, M., Kazempour dizaji, M., Sadr, M., Hassani, S., Farzanegan, B., Monjazebi, F., & Seyedmehdi, S. M. (2020). Stress and burnout in health care workers during COVID-19 pandemic: Validation of a questionnaire. Zeitschrift Fur Gesundheitswissenschaften, 30(3), 1–6. https://doi.org/10.1007/s10389-020-01313-z
Tawfik, D. S., Scheid, A., Profit, J., Shanafelt, T., Trockel, M., Adair, K. C., Sexton, J. B., & Ioannidis, J. P. A. (2019). Evidence relating health care provider burnout and quality of care. Annals of Internal Medicine, 171(8), 555. https://doi.org/10.7326/m19-115 2
Teisberg, E., Wallace, S., & O’Hara, S. (2020). Defining and implementing value-based health care. Academic Medicine, 95(5), 682–685. https://doi.org/10.1097/acm.0000000000003122
Explore our other nursing samples ( NURS FPX 6610 Assessment 2 ) for further assistance and resources.