You are a nurse manager of a long-term care unit. Due to the Coronavirus pandemic, the facility leadership is requiring every unit to develop creative methods that may reduce the risk of transmission or isolation, or improve staff ability to provide palliative care when appropriate among this vulnerable population. Regardless of treatment or vaccination for Coronavirus, leadership is using the pandemic to improve weaknesses the pandemic identified. Leadership has scheduled a poster session where each unit will showcase and disseminate their QI outcomes that must conform to the Institute for Healthcare Improvement’s (IHI) Model of Improvement. The units were divided, and your unit was one of three units assigned palliative care. Your staff is not trained on QI models but has received specific training on Coronavirus.

1.

As a nurse manager, what administrative judgments can you make based on the cues in this scenario?

2.

What actions to improve knowledge on the Model for Improvement should you take? Go to IHI.org. In the search box, type in “Model for Improvement.” Review the two brief videos:

Model for Improvement (Part 1) www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo/Whiteboard3.aspx Model for Improvement (Part 2) www.ihi.org/education/IHIOpenSchool/resources/Pages/AudioandVideo/Whiteboard4.aspx 3.

After viewing the two videos, you decide to use them for staff training. What actions would be most effective in creating unit-based training?

4.

To evaluate the effectiveness of the training, you establish a set of standardized questions you will ask participants after the videos are shown. To prepare, you must first answer the questions yourself:

a.

What is the first question asked in the Model for Improvement?

b.

What is the second question asked in the Model for Improvement?

c.

What is the third question asked in the Model for Improvement?

d.

How does the Model for Improvement get activated?

e.

How would implementing multiple cycles of a PDSA impact the Model for Improvement?

5.

Once training is completed, you begin to consider who will lead the QI project. You have several ideas. What position would be most effective in leading a QI team on palliative care?