HLT 362 Discussion Differences in Research and Quality Improvement
Topic 4 DQ 2
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.
In qualitative research, “data are most often collected through observation, open-ended questions, or interview” (Helbig, 2018). Data collected is non-numerical. While qualitative research is used in the inpatient setting, it is also applied in the public health setting. Grounded theory is “research that takes first person observations or interviews and develops a theory or concept about the population being observed” (Helbig, 2018). A qualitative study I found applying the grounded theory “explored the stakeholders’ perceptions of challenges in the public health nursing practicum in Iran” (Negarandeh et al., 2021). Data collection included individual interviews and were analyzed by “Lundman and Graneheim’s method of content analysis.” The conclusion of this study is that health care professionals and stakeholders can use the “barriers raised in this study to make more appropriate planning for the training of nursing students in public health nursing practicum.” Can you give any other examples of qualitative studies in the health care field?
Helbig, J. (2018). Statistical Analysis. In Grand Canyon University [GCU], Applied Statistics for Health Care. (ch.4). https://lc.gcumedia.com/hlt362v/applied-statistics-for-health-care/v1.1/#/chapter/4
Negarandeh, R., Pashaeypoor, S., Theofanidis, D., & Heydari, H. (2021). Stakeholders’ Perceptions of Challenges in the Public Health Nursing Practicum: A Qualitative Study. Journal of Client-Centered Nursing Care, 7(4), 285–294. https://doi-org.lopes.idm.oclc.org/10.32598/JCCNC.7.4.385.1
Good job on your post. I just want to add that Roditi et al. (2017) argue that the quality improvement is a critical process that allows the healthcare providers to improve their services to the patients and hence there is a chance of an improvement in the satisfaction of patients. As such, the process of quality improvement is of importance in the health setting. Precisely, the aims of quality improvement in the health setting are to allow for the reduction of cost of provision of healthcare services of or the improvement of the performance and the effectiveness of the healthcare services. As a result of the complete enhancement of the safety of patients as a result of the process of quality improvement, it is vital that the process of quality improvement is carried out. This paper will identify and explore a quality improvement opportunity in the healthcare setting.
Roditi, R. E., Ishman, S., Lee, S., Lin, S., & Shin, J. J. (2017). Medications for Allergic Rhinitis An Opportunity for Quality Improvement. Otolaryngology-Head and Neck Surgery, 156(1), 70–80.