HOMEWORK IS DUE TOMMOROW 8PM 

PLS FOLLOW PROMPT 

HOMEWORK IS DUE 8PM SUNDAY

Delegation: A unit employs RNs, LPN’s and PCTs (patient care techs) to provide direct care.
The unit has had an issue with appropriate delegation. The PCTs and LPNs report that they are
being asked to perform more than their “fair share”, and things they should not do. The RN’s
state that they are the only ones who do anything, and every time they ask the LPNs and PCTs to
do anything they are told the PCTs and LPNs are not allowed to perform the task. The Unit
manager recognizes that efforts to improve delegation need to be made. Your task is to propose
a plan for change to enhance the quality and practice of delegation on this unit

· Please, Submit both the Assignment and Article. 

· Use keywords from your problem for your lookup inquiry. i.e. infection control, nurse, retention, etc. 

· Use EBP articles no more than 8 years old. 

· Make sure to include your article citation in 7th ed. APA format of your assignment

· There are prompts to assist you. 

· Do not give research terms on your assignment i.e. this is a cross-sectional study or has validity unless you’re ready to explain how this will help you solve your problem. These terms are used so that you know if an article is valid and reliable. OK, so now that you found this, your job is to find out how this project will help you solve your problem. 

· The paper is set up to determine the strength, weaknesses, opportunities, and threats of the project itself. 

· By answering these questions, you will help guide and collaborate with your peers with constructive feedback on how to solve your problem collectively as a team.

· Strength – Example: Did they have the support of the peers, manager, CEO. Did this project improve patient satisfaction, quality, efficiency? Usually found in the literature review and results.

· Weakness – Example: This is the opposite. Why was this plan weak: Not enough education, no support, not enough money because of the expense? Usually found in the problem of the literature review, results, and limitations.

· Opportunity – Example: If there wasn’t enough education, is this an opportunity? A better survey or tool? Usually found in results or limitations and future implications.

· Threat – Example: Increased infection, possible death, etc. Usually found in the literature review. 

· It is your job to know your article and have the ability to articulate what your article is about with your peers and with your instructor. 

Student Name:

EBP Journal Article in APA format:

Is this an Evidence Based Article? Name of Journal and Year article was written?

Yes/No

Name of Journal

Year:

.2 points

State the problem

What was the goal of the project in the article?

Does this project correlate with your problem? State how?

What are you trying to achieve? Does this article support this goal?

Problem:

Goal:

State how this article correlates with your group problem and goal.

.2 points

Strengths (Internal)

What’s was good about your article?

Why was this project successful?

List attributes of the article, i.e. support from administration, councils, colleagues, institutions. 

Did this implementation take place on a unit or area like yours?

.4 points

Weakness (Internal)- issues

Example: lack of education, lack of staffing, staff readiness, lack of support; size, managerial style.

.4 points

Opportunities (External)

Example: Lack of supplies, educational needs, stakeholders, baseline (your baseline data), what needs to be improved?

.4 points

Threats – (External)

Staff buy in, support, limitations and barriers, supply cost, cost of implementation, time, money, realistic?

.4 points

Total Points = 2 points

Student Name: XXXXXXXX

EPB Journal Article in APA format:

Sánchez, M., Suárez, M., Asenjo, M., & Bragulat, E. (2018). Improvement of emergency department patient flow using lean thinking. International Journal For Quality In Health Care: Journal Of The International Society For Quality In Health Care30(4), 250–256. https://doi.org/10.1093/intqhc/mzy017

Is this an Evidence Based Article? Name of Journal and Year article was written?

Yes

Name of Journal: International Journal for Quality in Health Care

Year: 2018

.2 points

State the problem

What was the goal of the project?

Does this project correlate with your problem? State how?

What are you trying to achieve? Does this article support this goal?

Problem: Delays in the ED compromise quality of care and patient safety while simultaneously increasing mortality and healthcare costs. Internal inefficiencies and poor resource utilization may contribute to delays in care and overcrowding.

Goal: The goal of this project was to achieve a target time of 160 minutes (total), per patient in the ED.

· 80 minutes of “added value” (i.e. specific amount of time with a nurse and doctor for assessment, treatment, and education)

· 60 minutes for lab results

· 20 minutes for treatment steps that could not be eliminated using the Lean process

The goal of our group project is to propose a plan to decrease wait times and improve flow to care areas. The study outlined in this article directly correlates with our group project in that its aim was to tackle the issue of increased wait times leading to delay of care and negative outcomes, including decreased patient satisfaction and the increased risk for mortality. The goal of our group project is to propose a plan to reduce wait times in order to improve patient outcomes, which is exactly what the article’s researchers set out to do by proposing the use of lean principles to eliminate the unnecessary steps/processes that add to wait times.

.2 points

Strengths (Internal)

What’s was good about your article?

Staff Input: This project was heavily supported by the ED staff and administration. In fact, the ED staff were empowered to make the necessary changes by identifying steps (waste) that slowed flow and hindered the care process. They were also tasked with recognizing processes that could be standardized to improve efficiency in care.

Leadership Style: Furthermore, the researchers encouraged a “bottom-up” approach (democratic leadership) to achieve a more enthusiastic acceptance and implementation of the plan. The ED executive t