Underperforming clinical outcomes in a care environment

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Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:
• Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
o Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
• Competency 2: Develop change strategies for improving the care environment.
o Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
o Justify the specific change strategies used to achieve desired outcomes.
• Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
o Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
• Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
o Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
• Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
o Communicate change plan in a way that makes the data and rationale easily understood and compelling.
o Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Sample Solution

hand, is concerned with decayed emotion. An inconsistency in Gothic is that ‘Gothic novelists did not know how to release their own feelings of frustration and rebelliousness. Their fiction is both exploratory and fearful’ as Kilgour tells us. It usually results in the death of a villain. Miles has a valid point about how you cannot constrain Gothic to a particular type of text, preferring to class Gothic literature as a taste or preference. Overall, I will show that the reception of gothic writing-its institutional and commercial recognition as a kind of literature- played a fundamental role in shaping many of the ideological assumptions about high culture that we now associate with the term Romanticism. The Gothic novel was first invented almost single-handedly by Walpole as The Castle of Otranto fits most of the classifications we see in Gothic today. ‘The Gothic, like any genre, depends on a system of classification, and because genres, as Derrida argues, are never pure, and systems of classification, according to Foucault, cannot be verified, one is pressed to investigate and contest the validity of the definitions and conceptions typically attributed to the term “Gothic”, a kind of writing that is evidently heterogeneous and impure’ (Alshatti, A. (2008).). Walpole’s novel was imitated in the eighteenth century, but it was enjoyed widespread influence in the nineteenth century partly because of the era’s understanding in dark and fascinating themes. He could be said to have been influenced by Shakespearean dramas because in The Castle Of Otranto he plays around with mental disturbances, where Manfred seeks to marry the soon to be wife of his dead son Conrad to keep his genes alive throughout generations. Lady Macbeth evidently suffers from a psychotic disorder with the misfortune of hallucinations which can be induced by extreme guilt. She has the sense of heavy guilt because her and her husband killed King Duncan in cold blood. Gothic, it can be argued, was instrumental in the decisive shift towards popular fiction in its modern form, aimed at a brood readership, commercially streamlined, form

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