Training Session for Policy Implementation
NURS FPX 6004 Assessment 4 Training Session for Policy Implementation
A leading medical facility like Mercy Medical Center requires proper policy and practice standards for the treatment of medical diagnostic mistakes. The staff nurses at the healthcare facility who are accountable for implementing the policy on controlling such errors must properly grasp the tactics given by the policy for it to be implemented successfully. A staff training program will guarantee the proper dissemination of the information and skills necessary to comply with the guidelines. The training program suggested in this study will be implemented for a trial group of 15 nursing staff members from the health center’s diagnostic unit.
Evidence-Based Strategies to Encourage Nurses’ Buy-in
The efficient implementation of new regulations and standards is strongly reliant on an organization’s environment, information dissemination, and employee training. According to studies, gaining organizational approval is dependent on the level of employee involvement and the workers’ perceptions of the environment whenever there is a shift in policy (Fløvik et al., 2019). The nurse leader’s connection with nurses is important throughout policy execution because it influences the level of buy-in from various stakeholders. Nursing leaders are responsible for developing a trusted connection with the nursing team (Stanley & Stanley, 2018). They must pay close attention to their issues, be receptive to their recommendations, give assistance, as well as give a prompt response. All the more significantly, honest nurses and upfront with their patients may empower them and positively affect their working environment. Employees engage and respect their leaders when they have easy access to and maintain contact with them via correspondence, meetings, and group sessions.
NURS FPX 6004 Assessment 4 Training Session for Policy Implementation
As a result, they are well-positioned to assist nurses’ adoption of updated policies and procedures guidelines during their application. Another important evidence-based strategy for gaining nurses’ support is to share knowledge about the advantages of improved patient care, efficiency in work, and performance. This strategy also incorporates the exchange of knowledge (Ortiz, 2019). A well-planned practice session is required to impart details on the latest policy and practice standards, the value of the diagnostic error management policy, standard indicators, patient safety hazards, evidence-based methods, and diagnostic error prevention technologies. The nursing leader is meant to educate, coach, and act as a guide for other nurses during the policy implementation process (Stanley & Stanley, 2018). Every shift will get an assigned supervisor and resource nurse to aid with the transition into the new structure. These individuals will give further coaching throughout the implementation process.
Early Indicators of Success
The reporting of diagnostic errors and data evaluation of such findings are used to evaluate the performance of diagnostic inaccuracy prevention initiatives. Improved policy and practice standards are predicted to considerably minimize testing and interpretation mistakes (Verna et al., 2019). This indicates that activities are progressing nicely. An increase in the number of individuals who are tested for diabetes using conventional diagnostic procedures such as foot tests and HgbA1C forms and double-checking the findings would enhance the accuracy of a diabetes diagnosis (Nagelkerk et al., 2018).
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Impact of New Policy and Practice Guidelines
The shared responsibility of the interprofessional team is critical to lowering the risk of diagnostic testing mistakes in healthcare settings. From the time of diabetes testing until diagnosis, the entire interprofessional team must adopt a proactive approach, employing evidence-based procedures and cutting-edge technologies.
Implementations of New Policy
Preventing diagnostic errors seeks to increase treatment quality while satisfying specified performance criteria. This has an impact on the sequence of events involved in disease diagnosis. This list includes patient samples, as well as preparation, testing, and disease diagnosis. Doctors, nurses, and medical laboratory employees are among those who may be affected by the new regulation. Nurses have an important role in reducing diagnostic mistakes at Mercy Medical since they screen a large number of patients. The use of standardized tests as controls, together with other tests given by the government and state for diabetes, will have the greatest influence on the diagnosis workflow.
Effect of New Policy and Guidelines for Workflow
Many studies have demonstrated that when performed correctly, standardized diabetes tests are extremely helpful and dependable in eliminating diagnostic mistakes. The electronic health records of patients will indicate which tests should be performed on which individuals and which test findings are for which patients. This ensures that people will never be misdiagnosed for their ailment. All through the testing procedure, medical laboratory personnel establish accurate tests for specific patients based on their profiles from the EHR, reducing superfluous procedures and saving time (Bhise et al., 2018). Doctors can simply understand the data and provide precise diagnoses by cross-checking with the nurse for the right result and patient.
Interpretation of Policy
NURS FPX 6004 Assessment 4 Training Session for Policy Implementation
The improved policy and program standards have an impact on nurses’ workflow when it comes to an incorrect diagnosis. As a result, it is vital to communicate the policy to them as thoroughly as possible. False reporting of diagnostic mistakes reduces the likelihood of any modifications being made (Schattner, 2021). Nurses must document all errors and near-misses, which should be viewed as a learning session.
Justification of New Policy to Improve the Quality of Care
According to the research on diabetes diagnosis mistakes done at Mercy Medical, the incidence of erroneous diagnostic tests increased dramatically along with the inaccurate diagnosis. This is a significant underperformance when opposed to the benchmarks. Over half of all diagnostic errors were discovered during the evaluation of test results for the diagnosis procedure. As a result, a new policy on diagnostic tests and proper interpretation of data emphasizes the need for standardized tests such as foot and HgbA1C tests as controls, in addition to other testing techniques and the usage of EHR (Nagelkerk et al., 2018). A plan for decreasing diagnostic errors is developed using evidence-based methodologies and best practices advocated by industry authorities. Interruptions impair cognitive performance and negatively impact healthcare delivery (Tudela et al., 2017). There should be no disruptions or diversions during the testing of patient samples for diabetes, as well as during the interpretation of the findings by the nurses and doctors, according to the policy (Gäbler, 2017).
Role of Nursing Staff in Implementation of New Policy
To avoid diagnostic errors, nursing staff must be involved in the policy’s development and support it, as they are the ones who notify patients of their results. When patients use standardized testing, they are less likely to receive an incorrect diagnosis. The nursing staff will first use EHR to verify the proper patient and connect the correct test findings to that patient (Bhise et al., 2018). Following that, they will inform the patient of the right interpretation of the test findings and the correct diagnosis of their ailment by employing decision aids.
Change Policy Training for Nursing Policy
It is vital to teach and train nurses on the diagnostic process and how to interpret test results correctly as well as how to use EHRs. A well-prepared training session is required all through the adoption process to facilitate the seamless adoption of the new policy and standards. Among the various responsibilities of a nurse, managers maintain the efficient operation of the practice shift by providing ongoing support and education, as well as the supply of required tools and resources.
Process of Training
The new diagnostic mistake prevention training strategy will be trialed on the diagnosis floor. The training will comprise fifteen nurses in total. Because the new policy has been implemented into the institution’s policy management system, all employees will receive accessibility to it before the training event. A week before the training, the nurse manager will send out an email to the team to acquaint them with the updated practice guidelines. The two-hour training program will be broken into two sections of one hour each. In the first session, a Briefing will be given to clarify the updated policy and program guidelines.
Every person in the group will get a tangible copy of the amended policy so that they could still keep up with the presentation. Nurses are invited to discuss their ideas and concerns about testing approaches that use the nursing diagnosis as well as standardized laboratory tests. Throughout the changeover, a resource nurse will be appointed to each shift to act as a mentor and give assistance as required. The laboratory employee who has received formal training to handle and troubleshoot the testing equipment will provide a summary of their work. The following session will be led by an IT specialist who will demonstrate how to use a patient’s electronic health record and extract the necessary information.
NURS FPX 6004 Assessment 4 Training Session for Policy Implementation
Material for Training and Required Equipment
Training and learning improvement can only be achieved with the right resources. Nurse managers provide Presentations on policies using desktops and screens. Nurses will be able to view fictional patients’ health records on computers for educational purposes. With the policy change in written and pamphlets form which includes detailed instructions on how to utilize EHR, as well as the contact information for their resource nurse in each shift.
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Conclusion
In conclusion, using standardized tests along with other diagnosis methods like alternative testing and nursing diagnosis can help reduce diagnostic errors. However, for them to be fully stopped a new or upgraded policy needs to be implemented by the hospital’s administration that will help educate and train nurses and other related healthcare professionals like doctors and laboratory staff on the prevention of diagnostic errors. This can only be done if the staff cooperates and acts professionally to allow changes in the work environment so that patient safety and quality of care are not compromised.
References
Bhise, V., Rajan, S. S., Sittig, D. F., Vaghani, V., Morgan, R. O., Khanna, A., & Singh, H. (2018). Electronic health record reviews to measure diagnostic uncertainty in primary care. Journal Of Evaluation in Clinical Practice, 24(3), 545–551. https://doi.org/10.1111/jep.12912
Fløvik, L., Knardahl, S., & Christensen, J. O. (2019). The effect of organizational changes on the psychosocial work environment: changes in psychological and social working conditions following organizational changes. Frontiers In Psychology, 10, 2845. https://doi.org/10.3389/fpsyg.2019.02845
Gäbler M. (2017). Denkfehler bei diagnostischen Entscheidungen [Cognitive errors in diagnostic decision making]. Wiener Medizinische Wochenschrift (1946), 167(13-14), 333–342. https://doi.org/10.1007/s10354-017-0570-6
Nagelkerk, J., Thompson, M. E., Bouthillier, M., Tompkins, A., Baer, L. J., Trytko, J., Booth, A., Stevens, A., & Groeneveld, K. (2018). Improving outcomes in adults with diabetes through an interprofessional collaborative practice program. Journal of Interprofessional Care, 32(1), 4–13. https://doi.org/10.1080/13561820.2017.1372395
NURS FPX 6004 Assessment 4 Training Session for Policy Implementation
Ortiz M. R. (2019). Registered nurses in primary care and nursing knowledge. Nursing Science Quarterly, 32(3), 245–249. https://doi.org/10.1177/0894318419845379
Schattner A. (2021). Diagnostic errors: Under-appreciated, under-reported, and under-researched. International Journal of Clinical Practice, 75(12), e14913. https://doi.org/10.1111/ijcp.14913
Stanley, D., & Stanley, K. (2018). Clinical leadership and nursing explored: A literature search. Journal of Clinical Nursing, 27(9-10), 1730–1743. https://doi.org/10.1111/jocn.14145
Tudela, P., Carreres, A., & Ballester, M. (2017). Diagnostic errors in emergency departments. El error diagnóstico en urgencias. Medicina Clinica, 149(4), 170–175. https://doi.org/10.1016/j.medcli.2017.05.001
Verna, R., Velazquez, A. B., & Laposata, M. (2019). Reducing diagnostic errors worldwide through diagnostic management teams. Annals Of Laboratory Medicine, 39(2), 121–124. https://doi.org/10.3343/alm.2019.39.2.121
