NUR 550 Identify either a safety or quality improvement initiative related to improving population health

NUR 550 Identify either a safety or quality improvement initiative related to improving population health

NUR 550 Identify either a safety or quality improvement initiative related to improving population health

The quality improvement initiative related to improving population health is the execution of evidence-based interventions for chronic disease prevention and management. These interventions, which include lifestyle modifications and medication management, have been scientifically proven to reduce the morbidity and mortality associated with chronic clinical conditions like heart disease, diabetes, and obesity. Not only do these tactics benefit individual patients who suffer from these diseases, but they also have system-wide implications as successful interventions lead to savings in healthcare costs for the entire population. Furthermore, improvements in health outcomes due to the utilization of evidence-based interventions have ancillary benefits such as increased resilience to infectious diseases like Covid-19.

Translational research can play a critical role in the development of this initiative by bridging the gap between research and practice (Starokozhko et al., 2021). Translational research has the potential to make a significant difference in the advancement of public health initiatives, specifically surrounding population health. By compiling data from clinical practice and community settings, it is possible to identify effective interventions that can improve both preventative care and chronic disease management. This type of research bridges the gap between scientific discoveries and healthcare practices, allowing clinicians to use evidence-based approaches that have proven successful. As further research is conducted regarding epidemiology and cost-effectiveness analysis in this field, health outcomes are sure to be positively impacted as translational research continues to grow in importance.

As an example, the Diabetes Prevention Program (DPP) is a proven lifestyle intervention that has been shown to reduce the risk of type 2 diabetes (Burd et al., 2020). Citing this success, the CDC launched the National Diabetes Prevention Program (NDPP) in order to bring the benefits of this intervention to more people. This community-based program includes training for lifestyle coaches, materials and resources to assist participants, as well as quality assurance initiatives to make sure that these interventions are delivered safely and effectively. Through this program, community organizations can expand access and provide support for individuals looking to reduce their risk of type 2 diabetes.

In conclusion, by offering evidence-based treatments and methods for implementation and dissemination,

NUR 550 Identify either a safety or quality improvement initiative related to improving population health
NUR 550 Identify either a safety or quality improvement initiative related to improving population health

translational research may have an impact on the creation of quality improvement programs meant to promote population health. An outstanding illustration of how translational research has been used to bring an evidence-based intervention into practical settings and enhance health outcomes for those at risk for type 2 diabetes is the National Diabetes Prevention Program.

 

References

Burd, C., Gruss, S., Albright, A., Zina, A., Schumacher, P., & Alley, D. (2020). Translating knowledge into action to prevent type 2 diabetes: Medicare expansion of the National Diabetes Prevention Program lifestyle intervention. The Milbank Quarterly98(1), 172-196. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC7077780/

Starokozhko, V., Kallio, M., Howell, Å. K., Salmi, A. M., Andrew-Nielsen, G., Goldammer, M., … & Mol, P. G. (2021). Strengthening regulatory science in academia: STARS, an EU initiative to bridge the translational gap. Drug discovery today26(2), 283-288. https://www.sciencedirect.com/science/article/pii/S1359644620304347

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I truly agree with you when you mention that quality initiatives are rooted in interventions that can improve population health. These things include health modifications and lifestyle changes. All of these are evidence-based interventions that can help reduce and prevent disease that affect the health of the population. Things like incorporating routine exercises and modifications with eating can make the difference with those dealing with heart disease and/or diabetes. With the introduction on quality initiatives we know that translational research was the foundation of the research. It is very clear that translational research has a lot to do with the population health interventions and initiatives we see today. The purpose of translational research is to find better ways of doing something that can be introduced and maintained in clinical practice. According to Burd et al. (2020), the goal of the CDC has been to translate scientific knowledge into action that can improve the public’s health. By doing the needed research and moving it into everyday clinical practice it is ensuring that there is constant evolution and improvement to population health going forward. Thank you for your post.

Reference:

Burd, C., Gruss, S., Albright, A., Zina, A., Schumacher, P., & Alley, D. (2020). Translating Knowledge into Action to Prevent Type 2 Diabetes: Medicare Expansion of the National Diabetes Prevention Program Lifestyle Intervention. The Milbank quarterly98(1), 172–196. https://doi.org/10.1111/1468-0009.12443

Quality improvement activities are important to achieve the goal of “improving the health of the population, enhancing patient experiences and outcomes, and reducing the per capita cost of care, and to improving provider experience” (Taylor et al., 2020). A quality improvement initiative that aims to improve asthma care in pediatric patients is The Utah Pediatric Partnership to Improve Healthcare Quality (UPIQ) and Utah Department of Health (UDOH) Asthma Program Learning Collaborative. This partnership’s purpose is to “standardize asthma assessment, asthma control documentation, and patient education material in the form of an asthma action plan to improve care management for pediatric asthma patientsa” (Murray, 2022, p. 1). Asthma control in pediatric patients is important in order to decrease hospitalization and ER visits. Pediatric patients, depending on their age, may be unable to manage their own asthma, so parent involvement in managing their asthma is a strategy to improve health outcomes for these children. Providing patient education resources such as asthma action plans are beneficial for the parents and children to familiarize themselves with information on asthma self-management.

Translational research can influence the development of this quality improvement initiative by studying how the outcomes of research can be applied into practice and actually have an impact on health (Centers for Disease Control and Prevention, 2018). T4 research results in improved population health as it involves studying factors and interventions that influence population health. This would be relevant to the quality improvement initiative to improve asthma control in pediatric children.

 

References

 

Centers for Disease Control and Prevention. (2018). Translation Research. https://www.cdc.gov/niosh/topics/translationresearch/default.html

 

Murray, K. M. (2022). Outcomes of Asthma Quality Improvement in Pediatric Patients. Journal of Nursing & Interprofessional Leadership in Quality & Safety, 5 (1). Retrieved from https://digitalcommons.library.tmc.edu/uthoustonjqualsafe/vol5/iss1/2

 

Taylor, E., Peikes, D., Geonnotti, K., Mcnellis, R., Genevro, J. & Meyers, D. (2020). Quality Improvement in Primary Care. https://www.ahrq.gov/research/findings/factsheets/quality/qipc/index.html

 

A safety initiative at my hospital is to eliminate, or at minimum reduce, patient falls.  Patient falls can happen for any number of reasons but the one that is of biggest concern for me is falls among post-surgical patients.  My PICOT is trying to determine if patients ask for less pain medication when having a total knee arthroplasty (TKA) performed and receive an adductor canal block.  While patient falls are not officially included in my PICOT it is important for TKA patients to get out of bed and ambulate as soon as possible.  This raises a few concerns regarding whether the patients have good enough motor function post adductor canal block and whether they have enough pain control to ambulate without feeling dizzy.  Kim et al. (2014) describes the ideal nerve block for TKA as providing adequate analgesia, reducing the need for opioids, and not effecting motor strength.  Translational research can influence the development and implementation of safety and quality improvement projects and lead to better patient outcomes.

References

 

Kim, D., Lin, Y., Goytizolo, E., Kahn, R., Maalouf, D., Manohar, A., Patt, M., Goon, A., Lee, Y., Ma, Y., & Yadeau, J. (2014). Adductor canal block versus femoral nerve block for total knee arthroplasty: A prospective, randomized, controlled trial. American Society of Anesthesiologists, 120, 540-550.