Capella University Quality Im

Write a 6-8 page double-spaced paper with an additional template in which you analyze potential ethical considerations that may arise from your doctoral project. Determine strategies to address these ethical considerations.

Introduction

Ethical researchers act in honest ways. Ethics are conduct norms or standards that distinguish between right and wrong and acceptable and unacceptable behaviors. Ethical considerations matter because they guard against the fabrication or falsification of data. They promote the pursuit of knowledge and truth, research’s primary goal. Ethical behavior is also crucial for collaborative work because it encourages an environment of trust, accountability, and mutual respect among team members. Likewise, researchers must adhere to ethical standards for the public to support and believe in the research. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The Nuremberg Code (1947) protects human rights and is the leading code for conducting ethical research. It focuses on:

  • Voluntary informed consent.
  • Freedom to withdraw from research.
  • Protection from physical and mental harm.
  • Protection from suffering and death.

It also emphasizes the risk-benefit balance of conducting research. The Declaration of Helsinki (1964) underscored the importance of protecting subjects in research and strongly proclaimed that individuals’ well-being takes precedence over scientific and social interests.

Good research is well planned, appropriately designed, and ethically approved. Developing and following a research protocol helps to ensure this. Research needs to seek to answer specific questions rather than just collect data. Researchers must obtain approval from the Institutional Review Board or Ethics Committee. Researchers also need to pay special attention to vulnerable subjects to avoid breech of ethical codes. Although most quality improvement and evidence based practice projects pose minimal risk to human subjects, an IRB screening process for your capstone project is required to ensure the project is meeting the appropriate ethical standards.

The major ethical issues in conducting research usually involve:

  • Informed consent.
  • Beneficence—do no harm.
  • Respect for anonymity and confidentiality.
  • Respect for privacy.

You are responsible to ensure your project is conducted ethically and responsibly from planning to publication. Be familiar with ethical principles and follow them strictly. Discuss openly with the project team any potential ethical issues. If in doubt, consult the Institutional Review Board (IRB) for expert opinion and direction.

In this assessment, you will apply what you have learned from the CITI training and from your independent research on ethics to your doctoral project. In a 6- to 8-page paper plus a template, you will identify ethical considerations that may arise as part of your doctoral project. You will also identify strategies to address these ethical considerations.

Reference

World Medical Association General Assembly (2004). World Medical Association Declaration of Helsinki: Ethical principles for medical research involving human subjects. International Journal of Bioethics, 15(1), 124–9.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate your proficiency in the course competencies through the following assessment scoring guide criteria:

  • Competency 2: Apply strategies to maintain a climate of mutual respect and shared values.
    • Apply historical ethical principles to analyze potential ethical concerns related to your doctoral project.
    • Determine vulnerability or possible concerns for identified project participants.
    • Create strategies to address potential ethical risks related to the doctoral project.
    • Describe the IRB processes to be completed prior to starting the data collection process.
    • Describe possible future changes to your doctoral project that would require IRB approval and the process to follow to obtain this approval.
  • Competency 4: Address assessment purpose in a well-organized text, incorporating appropriate evidence and tone in grammatically sound sentences.
    • Create a clear, well-organized, succinct, professional ethics analysis paper that uses appropriate tone and is generally free from errors in grammar, punctuation, and spelling.
    • Integrate relevant sources to support arguments, correctly formatting citations and references using APA style.

Preparation

To successfully prepare for this assessment, you will need to conduct independent research on ethics related to research studies. You will be asked to supply a minimum of five references in your ethics analysis paper over and above those provided under suggested resources.

  • Rather than researching the importance of ethical practice (which of course is very important), focus your research efforts on other research studies that have been conducted that are similar to your proposed research. For example:

Instructions

Note: The assessments in this course must be completed in the order presented; subsequent assessments should be built on both your earlier work and your instructor’s feedback on earlier assessments. If you choose to submit assessments prematurely, without considering and integrating your instructor’s feedback, your assessment may be returned ungraded, resulting in your loss of an assessment attempt.

As you begin work on your Ethics Analysis paper, you may find it useful to seek out free writing workshops available through the Capella Writing Center. These workshops address such writing topics as: correct APA usage, paper organization, synthesis of material, and so on. 

Note: Remember that this keystone course will help determine whether you are ready to proceed with your doctoral project. You will want to do everything you can to ensure that your critical thinking, research, and writing skills are at the doctoral level.

The goal in this assessment is to ensure that you have adequately identified potential ethical concerns related to your doctoral project that could impede your project’s completion, quality, and effectiveness. For any identified ethical concerns, you will need to develop strategies to appropriately address these issues. As you write your paper, please consider what you learned from CITI and from your independent research into research ethics.

For this assessment, you will write a 6- to 8-page ethics analysis paper. Include the following headings in your paper and be sure to address the bullets underneath each heading:

Introduction
  • In brief, what is your project about?
  • Who are the major stakeholders involved?
History of Research Ethics
  • What are the major principles in the history of research ethics?
  • How do autonomy, beneficence, malfeasance, and distributive justice specifically apply to your project?
Human Subjects/Participants
  • What human subjects/participants, if any, will be part of your project?
  • What are the exclusion and inclusion criteria for any people who are part of your study?
Potential Ethical Risks and Action Plans 

Note: Use the Potential Ethical Risks and Action Plans Template [DOCX] to complete this portion of your paper. Submit this as a separate attachment to the assessment area.

  • In brief, as you completed the Potential Risks and Action Plans Template, what are the three to five major findings you discovered about potential risks and corresponding action plans or strategies related to your doctoral project?  
Institutional Review Board (IRB) Processes
  • What are your project’s IRB approval needs?
  • Does your practicum site have an IRB?
  • What possible approval is needed at your practicum site?
  • What timeline will you need to follow for all IRB approvals?
  • What steps will you take if aspects of your study change?
  • What new approvals may be required to continue your project?
Conclusion
  • What are the key takeaways for you from the ethics analysis of your project?

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Capella University Quality Im

Create a poster for a presentation about a quality improvement (QI) project or plan that builds on the work you completed in the first two assessments. Include an abstract of 100-250 words about the QI plan and key information in your poster.

Introduction

Note: Each assessment in this course builds on the work you completed in the previous assessment. Therefore, it is recommended that you complete the assessments in this course in the order in which they are presented.

As a master’s-level nurse you will be responsible for promoting equitable quality of care. In the biopsychosocial model of care, there are a number of areas where you can have an impact on improving the quality, safety, and equitability of care. One example area where equitable quality of care is an issue is with medications, especially considering the cost of various medications to treat the same condition versus the effectiveness and potential side-effects of the medications. A further pharmacological concern for safe and quality care is medication errors. This could include considerations like a patient getting the wrong medication or a dangerous interaction due to other aspects of a patient’s health and treatment situation. An example could be vitamin or herbal supplements the patient has not disclosed as part of the medication reconciliation process.

The ability to propose and promote quality improvements in care is a vital skill for a master’s-prepared nurse. One aspect of this is understanding strategies for implementing best practice changes in a team, department, or care setting. Another is understanding how best practices can help lead to a continuous quality improvement cycle. Additionally, it is important to grasp how successful change strategies can be leveraged to help in the creation or implementation of clinical best practices. Part of this is considering the audience when proposing quality improvement projects or new best practices. Another part of this is being able to effectively communicate the goals, rationale, and benefits of a project.

One way to communicate the need for quality improvements, and your plans for achieving specific improvements, is through a presentation poster. This type of communication tool is used both in the work place and at professional and academic conferences. Being able to convey the essence and value of a project in a compelling and succinct way is a valuable skill, and it is vital within the constraints of a single poster.

Preparation

As you prepare to complete this assessment, you may want to think about other related issues to deepen your understanding or broaden your viewpoint. You are encouraged to consider the questions below and discuss them with a fellow learner, a work associate, an interested friend, or a member of your professional community. Note that these questions are for your own development and exploration and do not need to be completed or submitted as part of your assessment.

The assessment will be built around creating a professional and compelling poster to present a quality improvement project that may have grown out of your change initiative in the second assessment.

  • Guiding Questions: Quality Improvement Presentation Poster [DOC]. This document is designed to give you questions to consider and additional guidance to help you successfully complete the Quality Improvement Presentation Poster assessment
  • Who will be the primary audience of your poster? Who might be the wider, or outreach, audience that will be relevant to consider when creating your poster?
    • What details or information will be most important and compelling to your audiences?
    • How might you craft the design of your poster so that it better speaks to your audiences?
  • What steps might a nurse take to implement best practice changes in a care setting while respecting the multidisciplinary team?
    • What does each member bring to the care of the client or community?
    • How might recognizing the contributions of the multidisciplinary team help build buy-in or collaboration?
      • Why is buy-in important to the success of a quality improvement project?

Scenario

For this assessment, you may take one of two approaches:

  • The first is to build upon the clinical issue that was the focus of your Change Strategy and Implementation assessment, and turn it into a full, organization- or community-wide quality improvement initiative.
  • The second is to identify a new issue related to a biopsychosocial (BPS) clinical issue, or a clinical issue related to one of the items from the list of conditions, diseases, and disorders presented in the Concept Map assessment. The focus should be on a community rather than on a specific patient or health care setting.

As a master’s level nurse, your specific focus is on reviewing the implications of the data relevant to the clinical issue you are trying to address. Once you research this, review the aggregate data, and understand the BPS considerations relevant to the clinical issue, you can suggest strategies for improving the quality, equitability, and safety of care around the issue. You should act as an advocate for the value and need to pursue quality improvements to leadership and executives, as well as be able to present potential projects to a wide range of colleagues and community stakeholders.

Instructions

Create an abstract and a poster for a presentation to executive-level leadership of the organization, to the community, or to your colleagues that will sell them on your quality improvement plan.

Abstract Requirements
  • Your abstract should be 100-250 words.
  • It should summarize the key information in your poster.
  • Do not put your abstract on your poster itself; submit it as a separate document. Or, if you are using PowerPoint to help create your poster, create a new slide that is clearly labeled as your abstract.
Poster Requirements
  • Your poster should include the following sections:
    • Quality Improvement Methods.
    • Evidence Supporting QI Methods.
    • Change Strategy Foundation.
    • Interprofessional Team Benefits.
    • Overall Project Benefits.
  • There are templates in PowerPoint or on the Internet that can help you get a start designing your poster.

The bullet points below correspond to the grading criteria in the scoring guide. Be sure that your presentation addresses all of them. You may also want to read the Quality Improvement Presentation Poster scoring guide and the Guiding Questions: Quality Improvement Presentation Poster [DOCX] document to better understand how each grading criterion will be assessed.

  • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
  • Evaluate specific evidence that supports the quality improvement methods proposed.
  • Explain how the project is grounded in successful change strategies.
  • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
  • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
  • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Example Assessment: You may use the following to give you an idea of what a Proficient or higher rating on the scoring guide would look like:

Additional Requirements

  • Length of submission:
    • Abstract: 100-250 words. Your abstract should be succinct and precise.
    • Poster: Make sure your poster fits entirely onto a single poster template page (or slide) and contains all of the sections described in the assessment instructions.
  • Number of references: Cite a minimum of 5-7 sources of scholarly or professional evidence that support your considerations and plans. Resources should be no more than five years old.
  • APA formatting: Resources and citations are formatted according to current APA style.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and assessment criteria:

  • Competency 1: Design patient-centered, evidence-based, advanced nursing care for achieving high-quality patient outcomes.
    • Evaluate specific evidence that supports the quality improvement methods proposed.
  • Competency 2: Develop change strategies for improving the care environment.
    • Explain how the project is grounded in successful change strategies.
  • Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
    • Propose quality improvement methods to promote continuous improvement related to a specific biopsychosocial consideration.
  • Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired healthcare improvement outcomes.
    • Analyze the way in which interprofessional teamwork will improve the effectiveness or efficiency of the quality improvement project.
  • Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
    • Communicate quality improvement considerations to relevant stakeholders in a way that is clear, concise, and compelling for the audience.
    • Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

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