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Role of the Nurse Leader in Evaluating information EssayRole of the Nurse Leader in Evaluating data to Improve Quality and gum elastic Recent nursing literature indicates it is critical that nurse leaders construct a culture of pencil eraser to develop and maintain a successful f e genuinely cake program (Johnson et al., 2011). Data exists readily in wellnesscargon systems that nursing leaders whitethorn use to understand nursing achievement and amelio stride unhurried outcomes (Diers, Hendrickson, Rimar, Donovan, 2013). The purpose of this paper is to discuss the importance of nursing leaderships use of data to improve longanimous look and safety. Data OverviewData provided in the NURS 4020 course lecture notes (Evaluating Data, n.d.) and the Patient Fall Data (Excel, n.d.) document indicate unhurried role fall order halt increased over the last quatern months to an unacceptable level on a telemetry unit of measurement (Laureate Education, Inc., n.d.). Patient p opulation data indicates the majority (68%) of patients is atomic number 18women, all have a cardiac diagnosis, and the average age is 72.4 years. The majority of patients receive diuretic therapy (94%), and 12% have a secondary diagnosis of disorientation or confusion. Additionally, one full-time employee has been removed from the night fight (11p-7a) to the evening shift (3p-11p). Data hold the find to risk reduction to understanding not whole what happened but why and point the way toward firmnesss (Siegal Ruoff, 2015, p. 25). Analyzing the data in the patient fall data repair (Excel, n.d.) reveals that 59% of falls occur over a weekend, and 62% of falls occur between 3a-11a.Staffing on weekends and especially between 3a-11a may not be appropriate to manage tasks and safeguard patients from falls. (Williams, Szekendi, Thomas, 2013). A broad(prenominal) number of falls occur two hours after mealtime. Assessing patient needs every one or two hours has been reported helpf ul to prevent patient falls (Williams, Szekendi, Thomas, 2013). The average age of patients on the telemetry unit is 72.4 years of age (Evaluating Data, n.d.). Twelve percent of patients have secondarydiagnoses of confusion or disorientation. William et al., (2013) claim patients exhibiting confusion and disorientation have an increased risk of falls. The content Guideline Clearinghouse (National Guideline Clearinghouse, Prevention of falls, 2012) recommends judicial decision of all adults over age 65 upon admission for dementia and delirium. Patients with delirium and dementia are at a much higher risk of falls. Why? How do the cardiac medications influence the fall rate? What about the layout of the unit?Quality Improvement PlanThe DMAIC method of Six Sigma is a process utility method whereby nurse leaders develop quantitative data to implement a quality vigilance program. The first step in the DMAIC process is to identify what measure will indicate success (Sullivan, 2013). A baseline measurement must implicate what fall saloon strategies are in place presently. An mind of staff knowledge of fall prevention strategies is needful to determine deficits. In the example provided, 47 patient falls have occurred in 4 months. An appropriate goal is patient falls are decreased by 50% in the next quarter or four months. The second step in the DAMIC process is to provide a baseline of performance. The patient fall data set (Excel, n.d.), provides this baseline data. unblemished data must be utilized to create a successful quality value object (Siegal Ruoff, 2015). The next three steps consist of analyzing the data set to determine appropriate interventions, improving performance through interventions, and last control and sustain improvements (Sullivan, 2013).Implementation of an evidence-based envision to improve patient falls accommodate asking the right questions, acquiring and appraising evidence, and applying evidence to get along. Refinement of a quality improvement designing includes adjusting processes as needed (Seidel Newhouse, 2012). Rogers change model is appropriate for implementing change in a fall prevention program. Sullivan (2013) states the first step is assessing knowledge related to fall risk and prevention. Secondly, persuasion is utilized to convince staff of a need for fall prevention focus and prevention program. Senior leadership must swan the fall prevention initiative for success and sustainability of quality improvement projects (Sullivan, 2013). The third step in Rogers change model is decision-making. Decisions must be made regarding how implementation willoccur.Implementation and confirmation follow. National Guideline Clearinghouse (2012) suggests successful fall prevention programs are supported by organizational leadership and include interdisciplinary team members to oversee the program. Reliable risk legal opinions, as well as communication of the assessment and plan, are imperative to the success of a fall prevention program. Clinical staff and interdisciplinary team members must receive fall prevention education. Patients, family members, and non-clinical staff must also receive fall prevention education. Organizational leadership must foster a culture of safety that includes on-going analysis of fall rates and injuries sustained, as well as effectiveness of fall prevention measures (National Guideline Clearinghouse, Prevention of falls, 2012).Leadership Characteristics overlap leadership is a leadership style that incorporates principles of participative and transformational leadership to empower staff to make changes in health care (Sullivan, 2013). Complex problem resolution require solutions that more than one individual may be capable of providing. Including a panel of experts or a team approach to problem resolution may be most(prenominal) beneficial in implementing a fall prevention program. Nurse Managers must make headway and create a culture of safet y and quality. Providing open discussion and brainstorming sessions to uncover how, when and why patient falls occur will assist in formulating a fall prevention plan.Very good plan This type of open communication also encourages a just culture. Sullivan (2013) explains a just cultures allow coverage of errors in an environment where staff does not fear retribution for reporting errors or near misses (Sullivan, 2013). abbreviationNurses have an ethical responsibility to protect patients from harm (Fowler, 2008). Patient falls remain one of the most frequently occurring safety incidents in hospitals (Johnson et al., 2011). Nurse leaders must identify problems in safety and quality through data collection, communication with staff and multidisciplinary departments. Numerous evidence-based strategies are available to improve nursing practice and patient safety. Creating a culture of safety culture is accomplished through shared leadership. Utilizing quality improvement processes and change forethought strategiesdiscussed in this paper will provide greatest success and sustainability of change necessary to protect patients from harm.ReferencesDiers, D., Hendrickson, K., Rimar, J., Donovan, D. (2013). Understanding nursing units with data and theory. Nursing Economics, 31(3), 110-117. Fowler, M. D., American Nurses Association. (2008). Guide to the code of ethics for nurses version and application. Silver Spring, MD American Nurses Association. Johnson, J. E., Veneziano, T., Green, J., Howarth, E., Malast, T., Mastro, K., Smith, A. (2011, December). Breaking the fall. The ledger of Nursing Administration, 41, 538-545. Laureate Education, Inc. Patient Falls Data (Excel). (n.d.) Retrieved from https//class.waldenu.edu National Guideline Clearinghouse, Prevention of falls (acute care). (2012). http//www.guideline.gov Seidel, K. L., Newhouse, R. P. (2012, June). The intersection of evidence-based practice with 5 quality improvement methodologies. Journal of Nu rsing Administration, 42(6), 299-304. Siegal, B., Ruoff, G. (2015). Data as a catalyst for change Stories from the frontlines. JOURNAL OF HEALTHCARE RISK MANAGEMENT, rule book 34(3), 18-25. Sullivan, E. J. (2013). Effective leadership and commission in nursing (8th ed. ed.). Upper Saddle River Pearson Prentice Hall. Williams, T., Szekendi, M., Thomas, S. (2013). An analysis of patient falls and fall prevention programs across academic medical centers. Journal of Nursing Care Quality, 29(1), 19-29.scoring Rubric NURS 4020 Week 5 ApplicationCriteria/PointsComments/Points EarnedIntroduction to overview of paper. The last sentence in this divide is a sentence that begins The purpose of this paper is to . . . 20 pointsWell-written, the reader knows what to expect 20Data over view describe some possible interpretations of the data related to the patient fall rate on the telemetry unit. Summarize the statistics and demographics of your patients. 20 points The data analysis andinterp retation is accurate. The importance of the medication and the environment needed to be included in the analysis 19 points Quality improvement plan discuss the quality management process you would follow to improve patient fall rates on the unit.Also, discuss the change management strategies you would incorporate in your quality improvement plan. 20 points DMAIC and Rogers change theory were accurately explained and applied to the scenario. Including the national clinical practice guideline recommendations was very effective in supporting the analysis. 20 Leadership characteristics explain the leadership characteristics needed to assist in improving the patient fall rates. 20 pointsThese are explained very well 20 pointsSummary end the paper with a 1-paragraph summary of the importance of a solution to the identified practice-based problem that is based on evidence and a 1-paragraph summary of the main points of the paper. 20 points The key points discussed in the paper are i ncluded in the summary 20 points Grammar and format (indicate if any points are taken off for these errors. Up to 40 points may be deducted if needed). A minimum of three references are required. No issues the paper is well-written and the required areas are included. Please see my comments. Total points possible 100