Evaluation of Quality in Health Care for DNPs, Third Edition: A Practical Guide for Health Care Professionals

Now in its third edition, this award-winning text work is the only advanced practice nursing text to present effective, systematic, and in-depth evaluations of all aspects of health care quality. Comprehensive in scope, it distills best practice information from numerous sources to facilitate utmost competency for APN and DNP graduates. The third edition keeps pace with the rapidly evolving healthcare market by presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value in healthcare practice and programs. It provides a completely new chapter on evaluation of simulation programs to improve clinician competency and patient care technology. An increased focus on the application of quality improvement is woven throughout, including the quality improvement-research continuum and an emphasis on interdisciplinary collaboration and teamwork. New case studies, specific examples from a variety of QI projects, and content specifically geared to improve teamwork also add to the book's outstanding value. The text also delves into the theoretical basis of evaluation and its application as an integral part of contemporary practice. It includes evaluation models that enable nurses to address economic and financial viability, and guides readers through the translation of outcomes from evaluation into health care policy. Additionally, the text now includes PowerPoints for instructors. New to the Third Edition: New chapter: Evaluation of Simulation to Support Ongoing Competency in the HC Workforce Additional case studies and specific examples from QI projects Increased focus on teamwork and collaboration Enhanced discussion of theoretical foundations of evaluation approaches New focus on program evaluation and dissemination of findings Key Features: Addresses AACN competencies and scope of practice Helps students integrate best and evidence-based practices into care Provides guidance on practical methods and tools for Quality Improvement Project Presents evaluation models enabling nurses to address economic and financial viability Includes evaluations of organizations, systems, standards for practice, health care redesign, and the challenges of electronic medical records Cover Title Copyright Contents Contributors Preface Acknowledgments Section I: Foundations of Evaluation Chapter 1: Evaluation and Advanced Nursing Practice: The Mandate for Evaluation Introduction The Mandate for Evaluation and Professional Nursing Practice Principles of Evaluation Types of Evaluations The Dynamic Nature of Evaluation: A Comprehensive View of the Process Overall Project with Stages of Development Domains of Evaluation: Questions and Methods Trends and Health Care Priorities Influencing Evaluation A Systems Perspective for Evaluation: Microsystems, Mesosystems, and Macrosystems A Brief History of Health Care Evaluation Neglect of Evaluation Summary Resources References Digital Only Chapter 2: The Nature of Evidence as a Basis for Evaluation Introduction Evidence Big Data Data Mining Foundations of Thought Nursing Models Sources of Evidence Quality of Evidence Bias, Reliability, Validity, and Application of Evidence Doctor of Nursing Practice Nurses and Evaluation Common Sources of Evidence Used By Doctor of Nursing Practice Nurses Summary References Digital Only Chapter 3: Models for Evaluation in Advanced Nursing Practice Introduction Classification of Models Overview of Approaches to Evaluation Models for Evaluation Use of Models by Doctor of Nursing Practice Nurses Models for Overall Evaluation of a Project or Program Summary References Digital Only Chapter 4: Evaluation and Outcomes Introduction Expectations of the Doctor of Nursing Practice Graduate for Addressing Outcomes in Patient Care Quality Improvement and Outcomes Defining Outcomes Health Outcomes Quality and Health Outcomes Outcome Measures Health Care Quality Measures Types of Health Care Quality Measures Patient-Reported Outcome Measures A Maze of Measures Sources of Measures Quality Indicators Measuring Health Care Outcomes and Measures Outcome Measurement in Quality Improvement Initiatives Challenges to Quality Measurement Performance Measures Summary References Digital Only Chapter 5: Financial Evaluation General Mandate to Understand Economics Implications for the Doctor of Nursing Practice Macroeconomics and Microeconomics Payment Models for U.S. Health Care Services Return on Investment Economic Evaluation Summary References Digital Only Section II: Evaluation of Health Care Organizational Imperatives Chapter 6: Evaluation of Organizations and Systems Introduction History and Overview of the Organization Type of Organization Sources of Funding and Revenue Size and Scope of Services Governance Mission, Vision, and Values Strategy, Goals, and Strategic Culture Organizational Structure Authority and Decision-Making Organizational Culture Patient Safety Culture Work Environment Reputation Quality and Outcomes Core Measure Sets Hospital-Acquired Conditions Health Care-Associated Infections Hospital Value-Based Purchasing Nursing Excellence—Magnet Designation and Beacon Award for Excellence Consumer Assessment of Health Care Providers and System Information From Other Organizations The Role of Nursing in the Organization Summary References Digital Only Chapter 7: Evaluation of Health Care Information Systems and Patient Care Technology Introduction Informatics and Doctor of Nursing Informaticians National Mandate for Electronic Health Records Assessment and Evaluation Unexpected and Unintended Consequences Mobile Technology: Background and Significance The Patient Portal Wearable Technology: Activity Trackers Guiding Patient Discernment of Health Care Informationon the Internet Gator Website Assessment Criteria Human Factors and Ergonomics Usability as an Evaluation Tool Safer Guides Summary References Digital Only Chapter 8: Planning a Program or Project Evaluation Introduction Evaluation Research Versus Evaluation in Quality Improvement Program Evaluation Defined Types of Program Evaluation Domains of Program Evaluation Planning an Evaluation of a Program or Project Basic Components of Planning Written Reports Oral Reports Implementing an Evaluation Plan Case Study Summary References Recommended Resources Digital Only Chapter 9: Evaluation in Quality Improvement Introduction Quality Improvement in Health Care The Role of the Doctor of Nursing Practice Nurse in Quality Improvement Quality Improvement Initiatives and Research Studies Institutional Review Board Oversight of Quality Improvement Initiatives Methodology for Quality Improvement Development of the Implementation Plan in Quality Improvement Initiatives The Evaluation of Quality Improvement and Patient safety Initiatives Sustainability of Improvement Initiatives Knowledge Generated From Quality Improvement Projects Summary References Digital Only Chapter 10: Evaluation of Patient Care Based Onstandards, Guidelines, and Protocols Introduction Organizational Factors Influencing Patient Care Types of Research Influencing Patient Care Major Influences on Shaping and Evaluating Health Care How Standards, Guidelines, and Protocols are Developed Summary References Digital Only Chapter 11: Evaluation Of Interprofessional Health Care Teams Introduction The Essentials: Core Competencies for Professional Nursing Education Team and Related Definition Team Formation Classification of Teams Theoretical Perspectives of Health Care Teams How Teams Work Team Effectiveness Education for Interprofessional Collaborative Practice Measurement Methods for Teams Planning an Evaluation of a Team Summary References Digital Only Chapter 12: Evaluation of Simulation to Support Ongoing Competency of the Health Care Workforce Introduction Simulation Domains in Nursing Brief History of Simulation Overview of Simulation Education Simulation and Evaluation Types of Outcome Evaluation in Simulation Aligning Simulation Resources with Leadership Goals Translational Science Applied to Simulation Education Summary References Recommended Resources Digital Only Section III: Evaluation of Populations and Health Policy Chapter 13: Evaluation of Populations and Population Health Introduction Expectations of the Doctor of Nursing Practice Graduate for Population Health Terminology Determinants of Health Other Influences on Health Assessing the Distribution of Disease in a Population Assessing Risk Factors and Populations at Risk Analyzing a Health Problem in a Population Evaluating Population Health Outcomes Process of Evaluation of a Population Summary References Digital Only Chapter 14: Evaluation of Health Policy: From Problem to Practice Introduction What is Policy? Nurses’ Roles in Health Policy Evaluation and Outcome Focus of Health Policy Specific Policy Analysis System Models for Policy Analysis The Framework for Planned Policy Change Evidence-Informed Health Policy Model Evaluating the Process of Nursing Models Summary References Digital Only Chapter 15: Drivers of Change, Impact, and Challenges for Evaluation of Health Care Introduction COVID-19 Pandemic Health Policy and Other Policies Organizations and Systems Population Health Informatics and Health Care Technologies Interprofessional Partnerships Personalized Medicine Workforce Competency Impact on DNP Nurses Challenges of Evaluation of Quality in Health Care Summary References Digital Only Index

Now in its third edition, this award-winning text work is the only advanced practice nursing text to present effective, systematic, and in-depth evaluations of all aspects of health care quality. Comprehensive in scope, it distills best practice information from numerous sources to facilitate utmost competency for APN and DNP graduates. The third edition keeps pace with the rapidly evolving healthcare market by presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value in healthcare practice and programs. It provides a completely new chapter on evaluation of simulation programs to improve clinician competency and patient care technology.

An increased focus on the application of quality improvement is woven throughout, including the quality improvement-research continuum and an emphasis on interdisciplinary collaboration and teamwork. New case studies, specific examples from a variety of QI projects, and content specifically geared to improve teamwork also add to the book’s outstanding value. The text also delves into the theoretical basis of evaluation and its application as an integral part of contemporary practice. It includes evaluation models that enable nurses to address economic and financial viability, and guides readers through the translation of outcomes from evaluation into health care policy. Additionally, the text now includes PowerPoints for instructors.

New to the Third Edition:

• New chapter: Evaluation of Simulation to Support Ongoing Competency in the HC Workforce
• Additional case studies and specific examples from QI projects
• Increased focus on teamwork and collaboration
• Enhanced discussion of theoretical foundations of evaluation approaches
• New focus on program evaluation and dissemination of findings

Key Features:

• Addresses AACN competencies and scope of practice
• Helps students integrate best and evidence-based practices into care
• Provides guidance on practical methods and tools for Quality Improvement Project
• Presents evaluation models enabling nurses to address economic and financial viability
• Includes evaluations of organizations, systems, standards for practice, health care redesign, and the challenges of electronic medical records

"The preface for the third edition builds on the intent described in the preface for the second edition, which is, to provide a high-quality resource on evaluation for nurses. The intent of this book is to address the special needs of DNP nurses to understand the principles of conducting large scale evaluations, and translating those principles into developing smaller projects, such as unit-based projects or projects required in DNP degree programs. Five years after the preparation of the second edition of this book, some things (principles/concepts/content) have stayed the same while significant changes in other areas of content and knowledge are noteworthy. First, what has stayed the same is the expectation of competency in evaluation of patient outcomes of all professional nurses. However, the competency bar is raised for Doctor of Nursing Practice (DNP) nurses for evaluating health care and health care systems from a systematic and comprehensive science-based data driven perspective. Evaluation occurs in all areas of healthcare including populations, organizations, systems, programs/projects, health informatics, practice guidelines/protocols, health policy, and other health-related entities. Along with the higher expectations for DNP nurses come greater opportunities to lead evaluation teams and influence high-level decision making in all areas of health care"--Publisher's description "The preface for the third edition builds on the intent described in the preface for the second edition, which is, to provide a high-quality resource on evaluation for nurses. The intent of this book is to address the special needs of DNP nurses to understand the principles of conducting large scale evaluations, and translating those principles into developing smaller projects, such as unit-based projects or projects required in DNP degree programs. Five years after the preparation of the second edition of this book, some things (principles/concepts/content) have stayed the same while significant changes in other areas of content and knowledge are noteworthy. First, what has stayed the same is the expectation of competency in evaluation of patient outcomes of all professional nurses. However, the competency bar is raised for Doctor of Nursing Practice (DNP) nurses for evaluating health care and health care systems from a systematic and comprehensive science-based data driven perspective. Evaluation occurs in all areas of healthcare including populations, organizations, systems, programs/projects, health informatics, practice guidelines/protocols, health policy, and other health-related entities. Along with the higher expectations for DNP nurses come greater opportunities to lead evaluation teams and influence high-level decision making in all areas of health care"-- Provided by publisher