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NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Student Name

Capella University

NURS-FPX 4020 Improving Quality of Care and Patient Safety

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Date

Improvement Plan Tool Kit

The safety improvement plan described in the previous in-service presentation about inadequate patient education is prepared using evidence-based research. This improvement plan tool kit presents resources for healthcare professionals, especially nurses, to integrate evidence-based practices in their nursing practice. This resource kit will help nurses navigate various sources of information, understand the need for effective patient education, and successfully implement the safety improvement plan. 

Annotated Bibliography 

This annotated bibliography is divided into three broad categories: The importance of effective patient education, nurses’ role in patient education, and technological integration for patient education. 

General Discussion on Patient Education

Bhattad, P. B., & Pacifico, L. (2022). Empowering patients: Promoting patient education and health literacy. Cureus14(7), e27336. https://doi.org/10.7759/cureus.27336 

This article presents the need for structured patient education materials, ensuring patients’ comprehensive understanding of their health conditions, diagnostics tests, medication regimens, treatment plans, and when to seek medical attention. An in-depth understanding of these aspects through patient education is essential to improve their health literacy, encourage patients to make informed decisions, and promote healthy behaviors to enhance patient outcomes.

This resource benefits nurses as it emphasizes the importance of patient education to prevent medication errors, improve patient outcomes, and reduce healthcare costs. Through this resource, nurses can learn about teaching techniques like teach-back, written materials, and family involvement to enhance healthcare education. Nurses in Miami Valley Hospital can create take-home discharge education materials to avoid patient-related medical errors.

This resource is helpful as it motivates nurses to educate patients to enhance treatment compliance, prevent medical errors, and promote patient education. Ultimately, this raises the standard of care and promotes a patient safety culture. 

Correia, J. C., Waqas, A., Assal, J.-P., Davies, M. J., Somers, F., Golay, A., & Pataky, Z. (2023). Effectiveness of therapeutic patient education interventions for chronic diseases: A systematic review and meta-analyses of randomized controlled trials. Frontiers in Medicine9https://www.frontiersin.org/articles/10.3389/fmed.2022.996528 

The study aims to provide quantitative evidence about the importance of effective and therapeutic educational interventions for patients with chronic disorders. The study showed results based on five domains: health outcomes, treatment adherence, healthcare knowledge, self-efficacy, and psychological well-being. The study concluded that effective patient education directly and positively impacts all these domains, improving overall health and well-being.

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Thus, therapeutic educational interventions such as interactive presentations, case studies, information media, and expert supervision are crucial to engage patients in their healthcare and bring behavioral changes related to health and well-being. This resource benefits nurses by providing robust evidence to support effective patient educational interventions, inclining nurses’ attitudes towards successfully implementing safety improvement plans.

For instance, nurses can use this resource to utilize patient-centered therapeutic and educational strategies to improve medication adherence and proper utilization of medications. The resource is valuable for identifying patient safety risks, which can be addressed through appropriate educational methods, improving care quality, and preserving patient safety. 

Senara, S. H., Abdel Wahed, W. Y., & Mabrouk, S. E. (2019). Importance of patient education in management of patients with rheumatoid arthritis: An intervention study. Egyptian Rheumatology and Rehabilitation46(1), 42–47. https://doi.org/10.4103/err.err_31_18 

This study aimed to evaluate the effectiveness of patient education for patients with rheumatoid arthritis (RA). A randomized control group study was conducted for one group to receive patient education and one without receiving patient education. The study concluded that the patients who received education showed drastic improvements in health behaviors pain management, and minimized the risks for disabilities.

Generally, this resource is helpful for nurses in any healthcare domain to consider patient education as an essential factor in influencing patients’ health behaviors and improving health outcomes positively. For example, nurses in medical-surgical wards can develop a patient education program about treatment plans and the importance of treatment adherence. This program will influence patients’ behaviors to modify their lifestyle and follow the guided treatment.

Thus, the resource becomes valuable to improve patient safety by enhancing self-management, improving treatment adherence, reducing hospitalizations, and augmenting the cost-effectiveness of healthcare services for patients. 

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Shahid, R., Shoker, M., Chu, L. M., Frehlick, R., Ward, H., & Pahwa, P. (2022). Impact of low health literacy on patients’ health outcomes: A multicenter cohort study. BMC Health Services Research22(1), 1148. https://doi.org/10.1186/s12913-022-08527-9 

The study assesses the interconnection between patients’ health literacy and health outcomes. The study showed that only 50% of the population had adequate health literacy levels, 32% had moderate literacy, and 18% had minimal health literacy. This indicates that patients with low health literacy are more likely to get readmitted to the hospital within 90 days of discharge and survive adverse health outcomes.

This information is helpful for nurses to educate patients as a priority, specifically at discharge, to minimize the risk of hospital readmissions. In the context of Miami Valley Hospital, nurses can use targeted and individualized discharge education interventions to prevent emergency room visits and improve patient safety. This resource is most valuable as it relates to our scenario and improves the quality of care and patient safety by preventing patient-related medication administration errors. Nurses can provide medication counseling and reminders to prevent errors and encourage adherence. 

Nurses’ Role in Patient Education 

Cengiz, D., & Korkmaz, F. (2023). Effectiveness of a nurse‐led personalized patient engagement program to promote type 2 diabetes self‐management: A randomized controlled trial. Nursing & Health Sciences, nhs.13048. https://doi.org/10.1111/nhs.13048

A nurse-led patient education program for diabetes management is evaluated in the article, showing that this interventional program significantly improved treatment adherence, enhanced self-efficacy, and encouraged patient engagement, ultimately improving self-management abilities. This article is relevant to general clinical practice, where similar approaches can be utilized to offer personalized education, considering behavioral, mental, and emotional aspects of patient care. This resource provides valuable insights to the nurses for implementing quality and safety improvement plans related to patient education.

This study effectively signifies nurses’ role in improving the quality of care, enhancing positive patient outcomes, and encouraging patient engagement in healthcare practices, eventually maintaining patient safety. In our context, nurses can utilize this resource to develop insights and get motivated to implement the proposed safety improvement plan successfully. Since the plan is helpful for treatment and medication adherence and improving patient engagement in their healthcare, it is valuable for healthcare professionals to acquire insights and tailor educational interventions within the organization to ensure quality and safety. 

Goodman, K. J., Dougan, B. M., Stevens, D. M., Smith, J. R., Mikhail, M. A., & Majka, A. J. (2021). Introducing nurse-led patient education visits: Empowering patients and elevating nursing practice. Journal of Nursing Care Quality36(1), 43. https://doi.org/10.1097/NCQ.0000000000000489

This article presents that nurse-led patient education visits have been a valuable tool to empower patients and improve their health outcomes. Simultaneously, it also improves staff satisfaction while maintaining positive patient experiences. These positive experiences include adequate management of health conditions, minimized hospital readmissions, reduced errors, and improved well-being. This resource is valuable for nurses to develop and implement personalized patient education programs to support patients in their healthcare journeys by providing an in-depth understanding of their condition and interventions to manage those conditions.

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Nurses educate the patients effectively, empower them, and motivate them through psychological distress, eventually improving their physical and mental well-being. This resource is the most valuable resource for nurses to improve the quality and safety of the patients by involving in patient education. Personalized and nurse-led interventions are necessary for quality improvement as nurses are the frontline workers, so they can assess patients’ needs and preferences, ultimately developing effective educational interventions for them.  

Ricci, L., Villegente, J., Loyal, D., Ayav, C., Kivits, J., & Rat, A. (2022). Tailored patient therapeutic educational interventions: A patient‐centred communication model. Health Expectations: An International Journal of Public Participation in Health Care and Health Policy25(1), 276–289. https://doi.org/10.1111/hex.13377

This study suggests using a patient-centered communication model to customize patient educational strategies according to individuals’ needs and preferences. The model integrates communication skills and is grounded in patient-centered care principles like respect and active listening. The authors also stress the importance of nurses in implementing this model since they are the front-line healthcare providers and can determine each patient’s unique needs to deliver individualized educational programs.

The model can be used to create patient education programs that improve patient outcomes, foster effective provider-patient communication, and uphold the standard of care. With the support of this piece of information, nurses can develop and carry out specialized patient education interventions, such as discharge education, in which they can assess patients’ needs. Since the patient-centered communication model is one of the strategies included in our safety improvement plan, this resource is the most beneficial and valuable for nurses.

Nurses can use this resource to create customized plans. For example, nurses can use plain language without medical jargon to educate patients with low literacy levels and language barriers. By educating patients about their medications and treatment plans, the resource can help lower the risks to their safety and enhance quality. This resource also supports the concept of better patient adherence to treatment programs, which can result in improved health outcomes. 

Wilandika, A., Pandin, M. G. R., & Yusuf, A. (2023). The roles of nurses in supporting health literacy: A scoping review. Frontiers in Public Health11https://www.frontiersin.org/articles/10.3389/fpubh.2023.1022803 

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

This scoping review identified three primary roles of nurses as educators, facilitators, and caregivers. It emphasizes the significance of health literacy in achieving the best results through nursing practice. Nurses are essential in promoting health literacy because of their jobs’ frontline nature.  The review came to the conclusion that nurses can help patients access, comprehend, and make use of health information about their diseases. Thus, helping them overcome healthcare obstacles, improve the quality of care, and protect patient safety.

This resource offers a comprehensive overview of nurses’ roles in patient education, which is beneficial for nurses implementing safety improvement plan in Miami Valley Hospital, enhancing patient safety and care quality in the process. Additionally, the resource provides particular instances of how nurses can carry out efficient health literacy interventions, including family involvement, cultural competence, targeting lifestyle changes, and focusing on individual needs and preferences to foster the culture of patient education. 

Technological Integration for Patient Education 

Carini, E., Villani, L., Pezzullo, A. M., Gentili, A., Barbara, A., Ricciardi, W., & Boccia, S. (2021). The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: Updated systematic literature review. Journal of Medical Internet Research23(9), e26189. https://doi.org/10.2196/26189 

This systematic review aims to evaluate the impact of patient portals on improving health outcomes and the effectiveness of care. Moreover, the study also examined user satisfaction with patient portals. The review results showed positive health outcomes, improved monitoring, enhanced patient-provider coordination, and better care quality. This review concluded that using patient portals significantly improves patients’ health outcomes by allowing patients to engage in their healthcare.

It augments communication between providers and patients, improving care coordination. Lastly, these portals improve health awareness among patients, increasing treatment adherence. This resource is helpful for nurses, particularly in the context of our organization, as our safety improvement plan includes establishing EHR-integrated patient portals. Nurses can use this resource to gain insights about effectively utilizing these portals to ensure the successful implementation of the safety improvement plan.

This resource is valuable to maintaining quality of care and patient safety as it provides information about the effectiveness of patient portals, instigating healthcare organizations to use a similar approach to address the healthcare concern of inadequate patient education and preserve patient safety. 

Hodgson, J., Welch, M., Tucker, E., Forbes, T., & Pye, J. (2022). Utilization of EHR to improve support person engagement in health care for patients with chronic conditions. Journal of Patient Experience9, 237437352210775. https://doi.org/10.1177/23743735221077528

This study focuses on identifying the effectiveness of EHR in improving patient engagement and the challenges that patients and their families may encounter in using EHR. The authors concluded that using EHR for patient engagement purposes, such as patient portals, is effective as it reduces healthcare disparities, supports patients through their healthcare journey, and results in successful treatment. This resource is helpful for nurses as it provides insights to develop EHR-integrated patient engagement interventions to promote quality patient care.

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

In our context, this is a motivational resource to encourage nurses’ active participation in successfully implementing our safety improvement plan. The article can potentially reduce patient safety risks and improve quality by providing information on improving communication and coordination between healthcare providers and patients and empowering patients and their families to play an active role in their healthcare.

Kahouei, M., Soleimani, M., Mirmohammadkhani, M., Doghozlou, S. N., & Valizadeh, Z. (2021). Nurses’ attitudes of a web patient portal prior to its implementation in home health care nursing. Health Policy and Technology10(3), 100524. https://doi.org/10.1016/j.hlpt.2021.100524

The authors evaluated Iranian nurses’ attitudes about patient portals in home health care. The study concludes that nurses favored using patient portals to simplify the patient education process, quickly implement healthcare services, and reduce costs. Moreover, nurses believed this portal supports implementing meaningful use principles to protect patients’ privacy and security. Since patient portals are introduced in our safety improvement plan, this resource is helpful for nurses to understand the effectiveness of these portals, making the improvement plan successful and sustainable.

The safety and security insights gained from this resource can be transformed into organizational EHR-integrated patient portals, ensuring their success through robust security measures. The resource is valuable to planning, establishing, and implementing patient portals to maintain quality of care and patient safety through comprehensive patient education on medication and treatment plans and preventive care. These portals also cover collaboration gaps between providers and patients, helping to improve care quality and care coordination.

Schooley, B., Singh, A., Hikmet, N., Brookshire, R., & Patel, N. (2020). Integrated digital patient education at the bedside for patients with chronic conditions: Observational study. JMIR mHealth and uHealth8(12), e22947. https://doi.org/10.2196/22947 

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

The study aims to identify the need for technological integration for patient education for chronic patients. The results showed that patients who were given health education through blended methods reported higher understanding levels and experienced self-motivation to manage their health conditions. Simultaneously, health educators experienced a streamlined clinical workflow. Thus, the article concludes that patient education, especially for chronic patients, becomes more effective and practical by integrating technological mediums.

This resource is helpful for nurses in our organization as the safety improvement plan aims to integrate technology through patient portals. The resource provides insights into the staff and educators’ workflow and training for effectively utilizing technology. Hence, the interdisciplinary team at Miami Valley Hospital can utilize this source of information to incorporate a similar approach within the organization. These integrated digital systems can preserve patient safety by addressing inadequate patient education and improving patients’ understanding of medications and treatment plans. In addition, they can help to improve patient satisfaction, which can lead to better health outcomes. 

References

Bhattad, P. B., & Pacifico, L. (2022). Empowering patients: Promoting patient education and health literacy. Cureus14(7), e27336. https://doi.org/10.7759/cureus.27336 

Carini, E., Villani, L., Pezzullo, A. M., Gentili, A., Barbara, A., Ricciardi, W., & Boccia, S. (2021). The impact of digital patient portals on health outcomes, system efficiency, and patient attitudes: Updated systematic literature review. Journal of Medical Internet Research23(9), e26189. https://doi.org/10.2196/26189 

Cengiz, D., & Korkmaz, F. (2023). Effectiveness of a nurse‐led personalized patient engagement program to promote type 2 diabetes self‐management: A randomized controlled trial. Nursing & Health Sciences, nhs.13048. https://doi.org/10.1111/nhs.13048

Correia, J. C., Waqas, A., Assal, J.-P., Davies, M. J., Somers, F., Golay, A., & Pataky, Z. (2023). Effectiveness of therapeutic patient education interventions for chronic diseases: A systematic review and meta-analyses of randomized controlled trials. Frontiers in Medicine9https://www.frontiersin.org/articles/10.3389/fmed.2022.996528 

Goodman, K. J., Dougan, B. M., Stevens, D. M., Smith, J. R., Mikhail, M. A., & Majka, A. J. (2021). Introducing nurse-led patient education visits: Empowering patients and elevating nursing practice. Journal of Nursing Care Quality36(1), 43. https://doi.org/10.1097/NCQ.0000000000000489

Hodgson, J., Welch, M., Tucker, E., Forbes, T., & Pye, J. (2022). Utilization of EHR to improve support person engagement in health care for patients with chronic conditions. Journal of Patient Experience9, 237437352210775. https://doi.org/10.1177/23743735221077528

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Kahouei, M., Soleimani, M., Mirmohammadkhani, M., Doghozlou, S. N., & Valizadeh, Z. (2021). Nurses’ attitudes of a web patient portal prior to its implementation in home health care nursing. Health Policy and Technology10(3), 100524. https://doi.org/10.1016/j.hlpt.2021.100524

Ricci, L., Villegente, J., Loyal, D., Ayav, C., Kivits, J., & Rat, A. (2022). Tailored patient therapeutic educational interventions: A patient‐centred communication model. Health Expectations : An International Journal of Public Participation in Health Care and Health Policy25(1), 276–289. https://doi.org/10.1111/hex.13377

Schooley, B., Singh, A., Hikmet, N., Brookshire, R., & Patel, N. (2020). Integrated digital patient education at the bedside for patients with chronic conditions: Observational study. JMIR mHealth and uHealth8(12), e22947. https://doi.org/10.2196/22947 

Senara, S. H., Abdel Wahed, W. Y., & Mabrouk, S. E. (2019). Importance of patient education in management of patients with rheumatoid arthritis: An intervention study. Egyptian Rheumatology and Rehabilitation46(1), 42–47. https://doi.org/10.4103/err.err_31_18 

Shahid, R., Shoker, M., Chu, L. M., Frehlick, R., Ward, H., & Pahwa, P. (2022). Impact of low health literacy on patients’ health outcomes: A multicenter cohort study. BMC Health Services Research22(1), 1148. https://doi.org/10.1186/s12913-022-08527-9

NURS FPX 4020 Assessment 4 Improvement Plan Tool Kit

Wilandika, A., Pandin, M. G. R., & Yusuf, A. (2023). The roles of nurses in supporting health literacy: A scoping review. Frontiers in Public Health11https://www.frontiersin.org/articles/10.3389/fpubh.2023.1022803 

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