NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team. – Step-by-Step Guide

The first step before starting to write the NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team. It is essential to understand the requirements of the assignment. The first step is to read the assignment prompt carefully to identify the topic, the length and format requirements. You should go through the rubric provided so that you can understand what is needed to score the maximum points for each part of the assignment. 

It is also important to identify the audience of the paper and its purpose so that it can help you determine the tone and style to use throughout. You can then create a timeline to help you complete each stage of the paper, such as conducting research, writing the paper, and revising it to avoid last-minute stress before the deadline. After identifying the formatting style to be applied to the paper, such as APA, you should review its use, such as writing citations and referencing the resources used. You should also review how to format the title page and the headings in the paper.

How to Research and Prepare for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

The next step in preparing for your paper is to conduct research and identify the best sources to use to support your arguments. Identify the list of keywords from your topic using different combinations. The first step is to visit the university library and search through its database using the important keywords related to your topic. You can also find books, peer-reviewed articles, and credible sources for your topic from PubMed, JSTOR, ScienceDirect, SpringerLink, and Google Scholar. Ensure that you select the references that have been published in the last words and go through each to check for credibility. Ensure that you obtain the references in the required format, for example, in APA, so that you can save time when creating the final reference list. 

You can also group the references according to their themes that align with the outline of the paper. Go through each reference for its content and summarize the key concepts, arguments and findings for each source. You can write down your reflections on how each reference connects to the topic you are researching about. After the above steps, you can develop a strong thesis that is clear, concise and arguable. Next you should create a detailed outline of the paper so that it can help you to create headings and subheadings to be used in the paper. Ensure that you plan what point will go into each paragraph.

How to Write the Introduction for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

The introduction of the paper is the most crucial part as it helps to provide the context of your work, and will determine if the reader will be interested to read through to the end. You should start with a hook, which will help capture the reader’s attention. You should contextualize the topic by offering the reader a concise overview of the topic you are writing about so that they may understand its importance. You should state what you aim to achieve with the paper. The last part of the introduction should be your thesis statement, which provides the main argument of the paper.

How to Write the Body for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

The body of the paper helps you to present your arguments and evidence to support your claims. You can use headings and subheadings developed in the paper’s outline to guide you on how to organize the body. Start each paragraph with a topic sentence to help the reader know what point you will be discussing in that paragraph. Support your claims using the evidence conducted from the research, ensure that you cite each source properly using in-text citations. You should analyze the evidence presented and explain its significance and how it connects to the thesis statement. You should maintain a logical flow between each paragraph by using transition words and a flow of ideas.

How to Write the In-text Citations for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

In-text citations help the reader to give credit to the authors of the references they have used in their works. All ideas that have been borrowed from references, any statistics and direct quotes must be referenced properly. The name and date of publication of the paper should be included when writing an in-text citation. For example, in APA, after stating the information, you can put an in-text citation after the end of the sentence, such as (Smith, 2021). If you are quoting directly from a source, include the page number in the citation, for example (Smith, 2021, p. 15). Remember to also include a corresponding reference list at the end of your paper that provides full details of each source cited in your text. An example paragraph highlighting the use of in-text citations is as below:

The integration of technology in nursing practice has significantly transformed patient care and improved health outcomes. According to Smith (2021), the use of electronic health records (EHRs) has streamlined communication among healthcare providers, allowing for more coordinated and efficient care delivery. Furthermore, Johnson and Brown (2020) highlight that telehealth services have expanded access to care, particularly for patients in rural areas, thereby reducing barriers to treatment.

How to Write the Conclusion for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

When writing the conclusion of the paper, start by restarting your thesis, which helps remind the reader what your paper is about. Summarize the key points of the paper, by restating them. Discuss the implications of your findings and your arguments. End with a call to action that leaves a lasting impact on the reader or recommendations.

How to Format the Reference List for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

The reference helps provide the reader with the complete details of the sources you cited in the paper. The reference list should start with the title “References” on a new page. It should be aligned center and bolded, in sentence sentence care. The references should be organized in an ascending order alphabetically and each should have a hanging indent. If a source has no author, it should be alphabetized by the title of the work, ignoring any initial articles such as “A,” “An,” or “The.” If you have multiple works by the same author, list them in chronological order, starting with the earliest publication. 

Each reference entry should include specific elements depending on the type of source. For books, include the author’s last name, first initial, publication year in parentheses, the title of the book in italics, the edition (if applicable), and the publisher’s name. For journal articles, include the author’s last name, first initial, publication year in parentheses, the title of the article (not italicized), the title of the journal in italics, the volume number in italics, the issue number in parentheses (if applicable), and the page range of the article. For online sources, include the DOI (Digital Object Identifier) or the URL at the end of the reference. An example reference list is as follows:

References

Johnson, L. M., & Brown, R. T. (2020). The role of telehealth in improving patient outcomes. Journal of Nursing Care Quality, 35(2), 123-130. https://doi.org/10.1097/NCQ.0000000000000456

Smith, J. A. (2021). The impact of technology on nursing practice. Health Press.

Instructions for NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team. Choose one of the quality models and explain how you would use it to address the causes or the adverse events. Have a look at NUR 630 Topic 4 DQ 2.

Example 1 Approach to NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

The first step in creating a solution for this problem is to understand the situation surrounding the errors thoroughly. Creating a cork group of surgical techs, nursing staff, and physicians to participate in a workgroup outlining experienced issues is pivotal to understanding the problem and developing a solution thoroughly. Personally, I love breaking down problems into bite-sized pieces that can be checked off as you go.

Now, this does not eliminate the possibility of having to round back to a previously established point as circumstances change; however, it does still allow for forward progress and the rewarding feeling of accomplishment as one moves forward. For this problem, I would look to the 5-S model. The 5 S model breaks down the approach into five steps: Sort, Set in order, Shine, Standardize, and sustain.

Starting with Sort, this step works to determine what materials and or equipment may be necessary that may be needed for the determined approach. This could be increasing the supplies in a room to eliminate the seen to scrub in and out. The next step is set in order. This step looks at how the department could organize the department or operating room to be the most functional that it can be, including any additional supplies that may have been added in step one.

Third is shine. This step is fairly self-explanatory and looks to create the most functional unit or OR possible. The fourth step is to standardize. This focuses on creating a standard that is part of everyday operating procedures. This could be creating a new equipment checklist that staff utilizes after the new agreed-upon protocol is put into motion.

The final step in the 5-S model is sustain. This is the final implementation and the official go-live across the institution. This step finalized standards of practice for the entire facility and also builds in a “checking in” process to ensure that the measure is still effective and that it is still being followed (mLean, 2022). When the 5-S model is used well, waste and disruptions can be eliminated, leading to a safer and more efficient care environment for patients and staff (Leming-Lee et al., 2019).

References

Leming-Lee, T. ‘S., Polancich, S., & Pilon, B. (2019). The application of the Toyota Production System Lean 5S methodology in the operating room setting. Nursing Clinics of North America, 54(1), 53–79. https://doi.org/10.1016/j.cnur.2018.10.008 

mLean. (2022, July 15). What is 5s? 5s meaning and importance in lean manufacturing. mlean®. Retrieved March 10, 2023, from https://www.mlean.com/what-is-5s/#:~:text=Origin%20of%205S&text=The%205S%20origin%20comes%20from,%2C%20Shine%2C%20Standardize%20and%20Sustain. 

Example 2 Approach to NUR 630 Topic 4 DQ 1 You are a member of an operating room team. The hospital is reporting an increase in complication rates from your team.

An operating room is a sterile and organized environment in a hospital where surgical operations are performed and could be hybrid, digital, or integrated. The operating room team consists of specialists such as surgeons, anesthesiologists, surgical technicians, physicians, and certified nurses. Patients can experience various health complications during and after operations, such as postoperative fever, wound infection, deep vein thrombosis, and atelectasis, among many others (Dencker et al., 2021). This discussion examines complications in operating rooms and a quality model that would address these adverse events.

Balaram and  Bassin (2023) note that surgical site infections are the most common health complications among other severe surgical complications for hospital-acquired infections and nosocomial infections in surgical patients. Surgical risks are always present in the operating room, ranging from inappropriate medical equipment use to methodological errors. The majority of these complications, however, are procedure-related.

Any methodological error during surgery is fatal in the context of surgery and the long term. It could lead to cutting body organs by mistake, leaving instruments and foreign objects in the patient’s body, thus, unnecessary surgeries. According to Sandelin et al. (2019), significant factors contributing to errors in the operating room include fatigue, incompetence, understaffing, and care providers under drugs and substance influence.

As a member of the operating room team, I would use the six sigma model to improve operating room efficiency to address the causes of adverse events. The six-sigma model focuses on improving healthcare quality by reducing medication errors when filling and administering prescriptions, increasing lab results turnaround time, and preventing hospital injuries (Noronha et al., 2023). The model involves five steps, generally called DMAIC for quality improvement; define, measure, analyze, improve, and control (Cesarelli et al., 2021). The causes of the adverse events are defined concerning the set objectives. A criterion would also be established for measuring process performance in the operating room.

Consequently, the process performance would be analyzed using the measure criterion to determine the root cause of variations causing adverse events during and after surgical operations. Based on the analysis findings, an improvement in process performance would be agreed upon by addressing the variations in the performance process. Improvement also involves eliminating the root causes of the variation. Finally, a control plan would be enacted to guide future process performance in operating rooms to minimize adverse events, and the improved process is adhered to.

The six sigma model is a people-based technique; therefore, I would appoint leaders among the operating room team. Both horizontal and vertical prompt communication ensures that suitable methodologies are chosen and applied well. Even if followed strictly, wrong methods would endanger the patient’s health (dos Reis et al., 2022).

In conclusion, adverse events in the operating room must be adequately defined, and the criteria to measure the process performance must be rigidly established. The leaders must ensure that the whole team cooperates and interacts throughout operations, thus, adhering to the six-sigma model and reducing variability hence minimizing health complications.

References

Balaram, S. K., & Bassin, L. (2023). Critical Postoperative Complications. In Cardiac Surgical Complications: Strategic Analysis and Clinical Review (pp. 57-67). Cham: Springer International Publishing. https://doi.org/10.1007/978-3-030-71563-2_5

Cesarelli, G., Montella, E., Scala, A., Raiola, E., Triassi, M., & Improta, G. (2021). DMAIC approach for the reduction of healthcare-associated infections in the neonatal intensive care unit of the university hospital of Naples’ federico II’. In 8th European Medical and Biological Engineering Conference: Proceedings of the EMBEC 2020, November 29–December 3, 2020, Portorož, Slovenia (pp. 414-423). Springer International Publishing. https://doi.org/10.1007/978-3-030-64610-3_48

Dencker, E. E., Bonde, A., Troelsen, A., Varadarajan, K. M., & Sillesen, M. (2021). Postoperative complications: an observational study of trends in the United States from 2012 to 2018. BMC surgery, 21(1), 393. https://doi.org/10.1186/s12893-021-01392-z

dos Reis, M. E. D. M., de Abreu, M. F., Neto, O. D. O. B., Viera, L. E. V., Torres, L. F., & Calado, R. D. (2022). DMAIC in improving patient care processes: Challenges and facilitators in context of healthcare. IFAC-PapersOnLine, 55(10), 215-220. https://doi.org/10.1016/j.ifacol.2022.09.628

Noronha, A., Bhat, S., Gijo, E. V., Antony, J., Laureani, A., & Laux, C. (2023). Performance and service quality enhancement in a healthcare setting through lean six sigma strategy. International Journal of Quality & Reliability Management, 40(2), 365-390. https://doi.org/10.1108/IJQRM-07-2021-0226

Sandelin, A., Kalman, S., & Gustafsson, B. Å. (2019). Prerequisites for safe intraoperative nursing care and teamwork—Operating theatre nurses’ perspectives: A qualitative interview study. Journal of clinical nursing, 28(13-14), 2635-2643. https://doi.org/10.1111/jocn.14850