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Underperforming clinical outcomes in a care environment

Develop a data table that illustrates one or more underperforming clinical outcomes in a care environment of your choice. Write an assessment (5 pages) in which you set one or more quantitative goals for the outcomes and propose a change plan that is designed to help you achieve the goals.
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.

Knowing what is the best practice for our patients is very important in providing safe and effective care. Understanding best practices can help nurses identify areas of care that need to be improved. To identify areas of need, nurses must use evidence from various sources, such as the literature, clinical practice guidelines (CPG), professional organization practice alerts or position papers, and protocols. These sources of evidence can also be used to set goals for improvement and best practices with an eye toward improving the care experience or outcomes for patients.
The challenge facing many care environments and health care practitioners is how to plan for change and implement changes. For, if we cannot effectively implement changes in practice or procedure, than our goals of improving care will likely amount to nothing. This assessment focuses on allowing you to practice locating, assessing, analyzing, and implementing change strategies in order to improve patient outcomes related to one or more clinical goals.
This assessment will take the form of a data table to identify areas for improvement and to set one or more outcome goals, as well as a narrative describing a change plan that would help you to achieve the goals you have set.
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.
o Develop a data table that accurately reflects the current and desired states of one or more clinical outcomes.
• Competency 2: Develop change strategies for improving the care environment.
o Propose change strategies that will help to achieve the desired state of one or more clinical outcomes.
o Justify the specific change strategies used to achieve desired outcomes.
• Competency 3: Apply quality improvement methods to practice that promote safe, equitable quality of care.
o Explain how change strategies will lead to quality improvement with regard to safety and equitable care.
• Competency 4: Evaluate the efficiency and effectiveness of interprofessional care systems in achieving desired health care improvement outcomes.
o Explain how change strategies will utilize interprofessional considerations to ensure successful implementation.
• Competency 5: Communicate effectively with diverse audiences, in an appropriate form and style, consistent with organizational, professional, and scholarly standards.
o Communicate change plan in a way that makes the data and rationale easily understood and compelling.
o Integrate relevant sources to support assertions, correctly formatting citations and references using current APA style.

Sample Solution

n article targeting the Spanish language classroom, Geeslin (2003) explains why students and teachers should use self-assessment in the classroom, and how to use self-assessment. The author clearly links self-assessment to formative assessments and to the communicative language teaching approach. She states “the incorporation of student self-assessment creates a constructive dialogue between student and instructor and increases the degree to which students are aware of instructional goals for individual assignments (p.857). In their study published in 2014, Salimi, Asghar Kargar, & Zareian, analyzed learners of English as a foreign language (EFL) and self-assessment in order to make the learners more autonomous and to help them take responsibility in evaluating their own performance. The authors investigated the validity and reliability of self-assessment of pronunciation. It is stated that training the learners to evaluate their performance is essential to reliability. The results of the study are positive towards self-assessment. Lappin-Fortin & Rye (2014) investigated the relationship between self-evaluations completed by students and evaluations are done by outside evaluators, or expert raters, in a French pronunciation course. In this study, the researchers focused on general aspects of French pronunciation. They found that there was a significant correlation between the students’ self-evaluations and the experts’ evaluations. Students ranked themselves in a similar way to that of the experts. Additionally, the students’ pronunciation improved over the instructional period. However, this study did not have control and treatment groups, which poses a problem to the pronunciation improvement results, and while having qualitative data in the form of open-ended questions, the researchers did not make use of this data and only presented quantitative results.

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