DQ 2: Describe the difference between research and quality improvement.
Describe the difference between research and quality improvement. Provide a workplace example where qualitative and
quantitative research is applied and how it was used within your organization. When replying to peers, discuss how these
research findings might be incorporated into another health care setting.
While research leads to Quality Improvements (QI), the purpose of performing analysis is to find new knowledge about the effect of a medicine, treatment, or procedure. (Helbig 2018) QI then is developed a plan and initiating into a program. The reason for QI is to provide cost-efficient and better care to our clients. QI is data-driven and usually done to improve the quality of care provided to patients(Helbig, 2018)
Six Sigma is a way to streamline the process to increase favorable outcomes. This has two main focuses. The first focus is the waste reduction in the process that increases processing times.
The second focus is on the elimination of defects or risk reduction.
My ER housed our blood culture bottles in our locked pharmacy room behind the nurses’ station. IV supplies are housed in carts throughout the department. When the nurse or tech plans to start an IV and obtain diagnostic lab draws, all collections are housed on the coaches. If the provider requested to have blood culture samples removed, the person had to walk across the unit to access the locked pharmacy room and pick up the blood culture bottles. This added extra time and a delay in obtaining the time-sensitive lab draw. I timed myself through the day and realized I was wasting 5 minutes per blood culture dray per person. I then multiply this by four staff members and the total times an average of 15 patients in a 12-hour shift for one day. The entire time wasted was 400 minutes for one day shift in our ER.
I brought this to our Clinical Manager and showed her the rough data collected and the impact of time that could be spent better well served. She evaluated the data and then moved the culture bottles to the IV start cart to decrease this time. The additional time is better spent at the bedside caring for our patients.
Helbig, J. (2018). Applied Statistics for Health Care. Grand Canyon University. https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4
Your “The first focus is the waste reduction in the process that increases processing times” and “The second focus is on the elimination of defects or risk reduction” examples were remarkable.
An example of the use of quantitative study in that is health-related is an investigation to determine the educational and psychological effects of of the pandemic on US medical students and their reactions to the AAMC recommendation to pause medical students clinical rotations with in-person patient care. The authors sent a cross-sectional survey via email to medical students in their clinical training years at six clinical schools during the initial peak phase of the COVID-19’s impact on medical education; ethical obligations during a pandemic; infection risk; anxiety and burnout; willingness and needed preparations to return to clinical rotations.
Stokes, D., (2020). Senior medical students in COVID-19 response: an opportunity to be proactive. Acad Emerg Med. 2020;27(4):343-5.
There is a significant difference between research and quality improvement. One of the differences is that research seeks to develop or contribute to health knowledge (Baker, 2017). On the other hand, quality improvement implements already established knowledge and assesses its effectiveness (Itri et al., 2017). Another significant difference is that the endpoint of a research study is to answer a research question, while the endpoint of a quality improvement is to improve a health program or health system. Another research is that research can put patients at risk of harm. On the other hand, quality improvement does not increase the risk of harm to patients. However, the quality improvement process can cause the risk of exposure to patient data (Baker, 2017).
The pediatric unit at my healthcare organization significantly benefited from qualitative and quantitative research. It used the research to develop findings that could help improve the care for obese pediatric patients. Qualitative research was conducted to investigate parents’ experiences regarding their children’s obesity during the Covid 19 pandemic. The pandemic subjected many people to remain indoors, leading to significant cases of obesity among children. The research entailed interviewing the parents and identifying key themes that could inform the healthcare professionals at the unit on the steps to take to address the rising cases of obesity among children during the pandemic. The key themes identified were that the children were overeating at home, living sedentary lifestyles, and lacked good sleep-wake rhythm. The themes were used to implement strategies to manage child obesity in the unit.
Quantitative research was conducted in the hospital community to determine the level of awareness of obesity in children. The quantitative data analyzed determined that most parents were unaware of the risk factors of obesity. This helped the pediatric unit identify the need for parent education on obesity to manage the disease among children in the community.
Baker J. D. (2017). Nursing research, quality improvement, and evidence-based practice: The key to perioperative nursing practice. AORN Journal, 105(1), 3–5. https://doi.org/10.1016/j.aorn.2016.11.020
Itri, J. N., Bakow, E., Probyn, L., Kadom, N., Duong, P. T., Gettle, L. M., Mendiratta-Lala, M., Scali, E. P., Winokur, R. S., Zygmont, M.
E., Kung, J. W., & Rosenkrantz, A. B. (2017). The science of quality improvement. Academic Radiology, 24(3), 253–262. https://doi.org/10.1016/j.acra.2016.05.010