HQ004 Innovations to Improve Outcomes

Name

 University

NURS 6231 Healthcare Systems and Quality Outcomes

Prof. Name

Date

Innovations to Improve Outcomes

Identified Problem

During labor, there is a need for varying degrees of fetal heart tone (FHT) monitoring. The facility only has the use of traditional wired monitors, which limits patients to staying within a few feet of the monitoring system. Continuous FHT monitoring with wires decreases mobility and limits positions for labor (Watson et al., 2022). Approximately 60% of women are denied mobility during labor, which contradicts the support for mobility as a natural physiologic process for birth (Ondeck, 2019).

Research Article #1

Ondeck, M. (2019). Healthy birth practice #2: Walk, move around, and change positions throughout labor. The Journal of Perinatal Education, 28(2), 81–87. https://doi.org/10.1891/1058-1243.28.2.81

Research Article #2

Watson, K., Mills, T.A. & Lavender, T. (2022). Experiences and outcomes on the use of telemetry to monitor the fetal heart during labour: findings from a mixed methods study. Women and Birth, 35(3), 243-e252, https://doi.org/10.1016/j.wombi.2021.06.004.

Research Article #3

National Institute for Health and Care Excellence. (2020). Novii wireless patch system for maternal and fetal monitoring. https://www.nice.org.uk/advice/mib228/resources/novii-wireless-patch-system-for-maternal-and-fetal-monitoring-pdf-2285965518732997

Proposed Innovation

Proposal

Implement the use of wireless electronic fetal monitoring devices for patients during labor, specifically the Novii Wireless Patch System.

Addressing the Problem

The Novii Wireless Patch System addresses the difficulty of monitoring FHT and uterine contractions in women who are obese, offering greater control over electrode positioning. Before implementation, readiness for change within the organization must be ensured, understanding perceived barriers and benefits and how the innovation affects them.

Innovation Impact

The use of wireless monitoring allows for greater mobility, provides superior FHT tracings compared to standard monitors, and offers advantages for patients with contraindications to internal monitoring. It improves women’s experience and physiological capability during labor.

Innovation Application

Steps for implementing the Novii Wireless Patch System include approval and acceptance by the organization, assessment of current monitors for compatibility, procurement and training on the new technology, and ongoing quality monitoring.

Implementation Changes

Involving staff and stakeholders in the development and measurement of the innovation, ensuring commitment and investment in sustainable technology management, and assessing organizational readiness for change are essential for successful implementation.

References

American College of Obstetricians and Gynecologists. (2009). Intrapartum fetal heart rate monitoring: nomenclature, interpretation, and general management principles. Obstetrics and Gynecology, 114(1), 192–202. https://doi.org/10.1097/AOG.0b013e3181aef106

Brach, C. (2017, June 16). ‘Will it work here?’: Health systems need contextual evidence before adopting innovations. Health Affairs Blog. Retrieved from https://www.healthaffairs.org/do/10.1377/hblog20170616.060641/full/

Johnson, J. K., & Sollecito, W. A. (2020). McLaughlin & Kaluzny’s continuous quality improvement in health care (5th ed.). Jones and Bartlett.

Monson, M., Heuser, C., Einerson, B. D., Esplin, I., Snow, G., Varner, M., & Esplin, M. S. (2020). Evaluation of an external fetal electrocardiogram monitoring system: a randomized controlled trial. American Journal of Obstetrics and Gynecology, 223(2), 244.e1–244.e12. https://doi.org/10.1016/j.ajog.2020.02.012

NURS 6231 Assessment 4 HQ004 Innovations to Improve Outcomes

National Institute for Health and Care Excellence. (2020). Novii wireless patch system for maternal and fetal monitoring. https://www.nice.org.uk/advice/mib228/resources/novii-wireless-patch-system-for-maternal-and-fetal-monitoring-pdf2285965518732997

Ondeck, M. (2019). Healthy birth practice #2: Walk, move around, and change positions throughout labor. The Journal of Perinatal Education, 28(2), 81–87. https://doi.org/10.1891/1058-1243.28.2.81

Rangachari, P. (2018). Innovation implementation in the context of hospital QI: Lessons learned and strategies for success. Innovation and Entrepreneurship in Health, 5, 1–14. https://doi.org/10.2147/IEH.S151040

van Gemert-Pijnen, J. L. (2022). Implementation of health technology: Directions for research and practice. Frontiers in Digital Health, 4, 1030194. https://doi.org/10.3389/fdgth.2022.1030194

Watson, K., Mills, T. A., & Lavender, T. (2022). Experiences and outcomes on the use of telemetry to monitor the fetal heart during labor: Findings from a mixed methods study. Women and Birth, 35(3), 243-e252. https://doi.org/10.1016/j.wombi.2021.06.004

NURS 6231 Assessment 4 HQ004 Innovations to Improve Outcomes

ADDITIONAL INSTRUCTIONS FOR THE CLASS – HQ004 Innovations to Improve Outcomes

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• Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, including a minimum of one scholarly source, and be at least 250 words. Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source. One or two-sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words. I encourage you to incorporate the readings from the week (as applicable) into your responses.

• Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately. In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies. Participation posts do not require a scholarly source/citation (unless you cite someone else’s work). Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

• APA Format and Writing Quality

Familiarize yourself with the APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required). Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation. I highly recommend using the APA Publication Manual, 6th edition.

• Use of Direct Quotes

I discourage over-utilization of direct quotes in DQs and assignments at the Master’s level and deduct points accordingly. As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content. It is best to paraphrase content and cite your source.

• LopesWrite Policy

For assignments that need to be submitted to Lopes Write, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me. Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes. Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own? Visit the Writing Center in the Student Success Center, under the Resources tab in Loud-cloud for tips on improving your paper and SI score.

• Late Policy

The university’s policy on late assignments is a 10% penalty PER DAY LATE. This also applies to late DQ replies. Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances. If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect. I do not accept assignments that are two or more weeks late unless we have worked out an extension. As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading. HQ004 Innovations to Improve Outcomes

• Communication

Communication is so very important. There are multiple ways to communicate with me: Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class. Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.