HQS 620 Topic 1 DQ 2 Grand Canyon University As you reflect on the five steps of the nursing process, describe how that process aligns with the concept of project management

HQS 620 Topic 1 DQ 2 Grand Canyon University As you reflect on the five steps of the nursing process, describe how that process aligns with the concept of project management

HQS-620: Project Management in Health Care Grand Canyon University

Course Description

This course examines the models and approaches of project management in health care settings. Learners demonstrate understanding of the project management process and its application to health care quality and safety initiatives. Learners gain skills to identify various stakeholders and roles, set goals and expectations, plan stakeholder engagement, and identify ways to mitigate obstacles in health care project management. Prerequisite: HQS-610.

HQS 620 Topic 1 DQ 2 : Review Figure 2.1 “The Five Steps of the Nursing Process” and Figure 2.2 “The Five Phases of Project Management” in Chapter 2 of the textbook. As you reflect on the five steps of the nursing process, describe how that process aligns with the concept of project management. Provide specific examples of the similarities between elements of Figure 2.1 and 2.2.

A shared mental model refers to a team’s ability to cooperate and coordinate actions based on needs in order to accomplish goals through sharing knowledge or understanding of a process or situation through communication. Module 5 of the 2019 TeamSTEPPS Fundamentals Course, Situation Monitoring A shared mental model is created when everyone is aware of what needs to be done, is clear about their individual roles and responsibilities, and shares significant information with the team as a whole to stay aware of the situation (TeamSTEPPS Fundamentals Course: Module 5. Situation Monitoring, 2019). Possessing a realistic perception of the problem and cooperating utilizing their shared mental model are two factors that contribute to a shared mental model being effective (Leadchangegroup.com, 2021). The team will always concur on the objectives and strategies for achieving them if they have a realistic view of the situation. Their plan of action will be built on that image, which will bring them together and put them on the same page. With this, it will be obvious to them that in order to accomplish their objectives, a team effort is required.

SAMPLE 1

The first and second steps of the nursing process are similar to the first and second phases of project management, as shown in Figure 2.2. The project’s objectives are determined during the design and initiation phases. It is vital to identify what needs to be done to improve the current process, as well as the restrictions associated with commencing the project, such as resources (people and money) and time (Overgaard, 2010). Before going on to the next phase, which is building a project plan that aligns with the nursing process’s outcomes plan, these things must be clarified. To ensure the project’s success, all stakeholders must be kept informed of any changes that occur throughout the planning process. To reach a good conclusion, everyone involved must understand what is expected of them and how to do it. The next step is to put the project into action in accordance with the care plan that was prepared. During this phase, changes to the plan are made. Everyone working in the project must contribute to achieving the project’s goals. They must also be kept up to date on the project’s progress or development. It is everyone’s obligation to figure out how they can still contribute to the project. The phases of project monitoring and regulation, as well as completion, correlate to those involved in nursing evaluation. This is the stage during which project enhancements are tested and feedback is sought so that remedial measures can be adopted as the project moves forward. It’s also an opportunity to see if the initiative will be a success. During these stages, the project’s completion is also guaranteed. A well-executed project will assess successful implementation strategies as well as any issues that develop, and remedial steps will be put in place.

One notable example is prevention of fall. To initiate a project on fall prevention, gathering data on the current preventive measures must be taken (design and initiation phase while assessment and diagnosis in nursing process) and determine the sources of fall from previous incidents to identify if there are gaps as well as the resources needed for the project. Then, goes the planning where meeting with stakeholders must be done. Everyone implementing the project must know their respective roles and how to do it (like putting every patient in VMU is Morse fall score is greater than 45). Next will be implementation which involves the actuality of the project to determine if everyone is performing what they are expected to. Feedbacks from everyone is welcome so necessary corrections can be added or change if fall preventive measures seems not working well (this is the monitoring and controlling phase). Lastly, the closing where the outcome of the project will be determined as whether it will be integrated to the current process of needs further revisions or not to be included at all.

SAMPLE 2

“Implementation science involves increased use of theoretical approaches to provide better understanding and explanation of how and why an implementation succeeds or fails,” as discussed in our textbook (Sipes, 2019). For nurses to provide appropriate patient care, the nursing process is the approach taken to assess the patient, identify what care is required for diagnosis, plan care, implement care plans, and evaluate the expected outcomes for the plan. Project management employs theoretical approaches in the design of the project, finalization of the project, implementation of the plan, monitoring and controlling the project, and closing the project to evaluate what can be learned from the project. Project management is the process of managing a project in which the nursing process involves working with patients (Sipes, 2019).

The authors of the article Lavoi-Tremblay, Aubry, Richer, and Cry discuss how the Project Manager Office (PMO) assists project managers with project transformation and helps to harmonize facility processes (2018). This describes what nurses do to help patients through the nursing process. To ensure that the patient’s needs are met, the nurse assists the patient in navigating the healthcare system and coordinates the care of multiple providers and services. Another important concept that Lavoi-Tremblay, Aubry, Richer, and Cry (2018) discuss is the need for the project manager to listen to front-line staff during project planning and implementation. Project managers must listen to front-line staff to ensure that all project needs are identified and met, just as patients must have a voice in the care they receive. Understanding and training in the nursing process prepares nurses for the project management process during project implementation.

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SAMPLE 3

The following is a summary of the five steps of the nursing process and the five phases of project management.

Steps of the Nursing Process:

1. Assessment of patient; patient interview re. physical, mental, spiritual; health hx., family hx., this is the phase w/greatest patient interaction.
2. Dx. Phase; list of dx. options (differential dx.), describe the problem and possible further problems for pt., Nursing Outcome Classification.
3. Plan chosen, choose from diff dx., rate symptoms vs. risk factors, set goal and process.
4. Implementation, achievable outcomes started, monitor outcomes, inform patient re. process and following steps, may need much of the time.
5. Evaluate re. goals set, pt. condition better, or stabilized, or deteriorated, if poor result, restart process and goal setting.

Steps of Healthcare Project Management:

1. Design and initiate project; define goals, write down detail, list of stakeholders.
2. Scope of project, written plan, budget prepared, roles of stakeholders, positive influencing of stakeholders, and identifying resistance factors.
3. Resources supplied and managed, work towards goals, review periodically and rectify.
4. Watch costs, monitor procedures, guide plan, prevent problems.
5. Review and present goal achievements, obtain approval of results, document results, and review for new goals.

Comparing and contrasting each of these parts is important for nurses and professionals in healthcare.

Step one:  In each case evaluation of the situation is initially done to define goals of treatment or a single project. In contrast to the nursing process, project management involves a wide range of people (stakeholders). When I’m in an emergency room or a rehab center, I always think back to the first time I took this step.

The second step is to determine a course of action based on the evaluation of the facts.

There is a 5-point Likert Scale used for patient diagnosis and treatment outcomes in the nursing profession (NOC) that uses the Nursing Outcomes categorization.

The 5-point Likert scale

The 5-point Likert scale consists of the below points – (1) Strongly Disagree; (2) Disagree; (3) Neither Agree nor Disagree; (4) Agree; (5) Strongly Agree.

The Center for Nursing Classification and Clinical Effectiveness at the University of Iowa College of Nursing provides a more in-depth analysis of NOC. Visit their website at http://www.nursing.uiowa.edu/cnce/facts.

A precise proposal and action plan are established in project management.

Stakeholder interviews and persuading them of the project’s usefulness are critical.

Defining the problem is an essential step in the nursing approach.

After a diagnosis has been made, the next step is to coordinate the patient’s treatment.

Both the nursing and project management processes use this procedure.

So that conditions may be reviewed in detail, periodic (EHR) entries are made in the record of a patient or a project.

I’ve used this strategy in dental records to ensure that all members of the team knew exactly what was going on and how it was going to be handled in any given patient scenario.

Intricate and precise are the notes in this file.

For future reference, I saved all physical models and things for implant cases after major restorative treatments had been completed and the patient had given their final consent.

I was able to provide patients with the information they asked if they relocated to a new place and needed follow-up care elsewhere.)

Project management frequently necessitates re-directing the flow of work, whereas the nursing process rarely requires such a move.

This is predicated on a positive patient experience.

When a patient has a bad outcome, the staff responds rapidly to address the situation.

Emergency care for patients must be provided immediately.

As soon as the patient arrives in stage one, mechanical monitoring is set up.

Following the outcomes and making course corrections, as necessary, is the fourth step.

When it comes to plans, they could either be successful or require extensive revisions.

If a patient has a problem, they should be given a new course of treatment.

In a project, however, there may be a greater number of stakeholders.

In the case of the project, this is especially true.

Finalization of a patient care or project is the final step in this process.

It’s a good idea to take a step back and examine your results, which can lead to a new endeavor.

For this reason, we hope the patient does not need to see us again.

It’s crucial to my certification quest that I understand this topic.