Evaluation of Quality in Health Care for DNPs: A Practical Guide for Health Care Professionals

421 Pages·2021·5.161 MB·English

by  Joanne V. Hickey (editor) & Eileen R. Giardino (editor)

GH
THIRD EDITION
iaic THIRD EDITION
rk
EVALUATION QUALITY HEALTH CARE de
of in iy
n
o
for DNPs
E
Joanne V. Hickey, V EVALUATION
PhD, RN, FAAN, FCCM
A
Eileen R. Giardino, PhD, MSN, APRN, RN, ANP-C, FNP L

EDITORS U
of
A
Now in its third edition, this award-winning text is the only advanced practice nursing text to present
T
effective, systematic, and in-depth evaluations of all aspects of health care quality. Comprehensive
I Q UA L I T Y
in scope, it distills best practice information from numerous sources to facilitate utmost competency for O
APN and DNP graduates. The third edition keeps pace with the rapidly evolving health care market by in
N
presenting a more comprehensive range of evaluation strategies for analyzing quality, safety, and value

in health care practice and programs. It provides a completely new chapter on evaluation of simulation o
programs to improve clinician competency and patient care technology. Qf H E A LT H C A R E
An increased focus on the application of quality improvement is woven throughout, including the quality U
improvement–research continuum and an emphasis on interdisciplinary collaboration and teamwork. A
New case studies, specific examples from a variety of QI projects, and content specifically geared to im- L
for DNPs
prove teamwork also add to the book’s outstanding value. The text also delves into the theoretical basis of I
T
evaluation and its application as an integral part of contemporary practice. It includes evaluation models
that enable nurses to address economic and financial viability, and guides readers through the translation Y
of outcomes from evaluation into health care policy. Additionally, the text now includes PowerPoints for i
n
instructors.
H
E
NEW TO THE THIRD EDITION:
A
• New chapter: Evaluation of Simulation to Support Ongoing Competency of the Health Care Workforce
L
• Additional case studies and specific examples from QI projects T
• Increased focus on teamwork and collaboration H
• Enhanced discussion of theoretical foundations of evaluation approaches
C
• New focus on program evaluation and dissemination of findings
A
KEY FEATURES: R
E
• Addresses AACN competencies and scope of practice

• Helps students integrate best and evidence-based practices into care f
o
• Provides guidance on practical methods and tools for quality improvement project r

D
• Presents evaluation models enabling nurses to address economic and financial viability
N
• Includes evaluations of organizations, systems, standards for practice, health care redesign, and the
challenges of electronic medical records P
s
• Purchase includes digital access for use on most mobile
devices or computers ISBN 978-0-8261-7522-9
E
• Includes supplemental PowerPoints for instructors DT
IH
T
I
IR
O
D Joanne V. Hickey
N
Eileen R. Giardino
11 W. 42nd Street
9 780826 175229
New York, NY 10036-8002 EDITORS
www.springerpub.com
Evaluation of Quality in Health Care
for DNPs
Joanne V. Hickey, PhD, RN, FAAN, FCCM, is professor emerita, after recently retiring from
the University of Texas Health Science Center at Houston, Cizik School of Nursing. In addi-
tion to teaching at the master, clinical practice and clinical research at the master, Doctor of
Nursing Practice (DNP), and PhD levels, she has held a number of administrative positions
including track director for the Acute Care Nurse Practitioner and Critical Clinical Nurse
Specialist programs, department chairperson and assistant dean for Acute and Continuing
Care, and program director for the DNP Program, the first DNP program in Texas. She held
the Patricia L. Starck/PARTNERS Professorship in Nursing. Dr. Hickey received a diploma
in nursing from Roger Williams General Hospital School of Nursing, a baccalaureate degree
in nursing from Boston College, in MSN from the University of Rhode Island, an MA in
counseling from Rhode Island College, a PhD from the University of Texas at Austin, and a
post-master’s certificate, acute care nurse practitioner from Duke University. She is a Fellow
of the American Academy of Nursing and a Fellow of the American College of Critical Care
Medicine. She is a member of numerous professional organizations including the American
Nurses Association, Sigma Theta Tau International, Society of Critical Care Medicine, and
American Association of Neuroscience Nursing.
Eileen R. Giardino, PhD, MSN, APRN, RN, ANP-C, FNP, is associate professor at Rush Univer-
sity and retired from the University of Texas Health Science Center at Houston, Cizik School
of Nursing. In addition to teaching at the bachelor, master, and Doctor of Nursing Practice
(DNP) levels, she has held a number of administrative positions including director of Under-
graduate Programs and track director for the Clinical Nurse Specialist and Family Nurse
Practitioner programs. Dr. Giardino received a baccalaureate degree in nursing from the
University of Pennsylvania, an MSN from Widener University, a PhD from the University of
Pennsylvania, and post-master’s certificates as an adult nurse practitioner and family nurse
practitioner from LaSalle University. She is a member of numerous professional organiza-
tions including the American Nurses Association and Sigma Theta Tau International.
Evaluation of Quality in Health Care
for DNPs
Third Edition
Joanne V. Hickey, PhD, RN, FAAN, FCCM
Eileen R. Giardino, PhD, MSN, APRN, RN, ANP-C, FNP
EDITORS
Copyright © 2022 Springer Publishing Company, LLC
All rights reserved.
First Springer Publishing edition 2012; subsequent edition 2016.
No part of this publication may be reproduced, stored in a retrieval system, or transmitted in any form or by any means,
electronic, mechanical, photocopying, recording, or otherwise, without the prior permission of Springer Publishing Company,
LLC, or authorization through payment of the appropriate fees to the Copyright Clearance Center, Inc., 222 Rosewood Drive,
Danvers, MA 01923, 978-750-8400, fax [phone], [email protected] or on the Web at www.copyright.com.
Springer Publishing Company, LLC
11 West 42nd Street, New York, NY 10036
www.springerpub.com
connect.springerpub.com/
Acquisitions Editor: Joseph Morita
Compositor: S4Carlisle Publishing Services
ISBN: 978-0-8261-7522-9
ebook ISBN: 978-0-8261-7523-6
DOI: 10.1891/9780826175236
SUPPLEMENTS:
Instructor Materials:
Qualified instructors may request supplements by emailing [email protected]
Instructor’s PowerPoints ISBN: 978-0-8261-7525-0
21 22 23 24 25 / 5 4 3 2 1
The author and the publisher of this Work have made every effort to use sources believed to be reliable to provide
information that is accurate and compatible with the standards generally accepted at the time of publication. Because
medical science is continually advancing, our knowledge base continues to expand. Therefore, as new information
becomes available, changes in procedures become necessary. We recommend that the reader always consult current
research and specific institutional policies before performing any clinical procedure or delivering any medication. The
author and publisher shall not be liable for any special, consequential, or exemplary damages resulting, in whole or in
part, from the readers’ use of, or reliance on, the information contained in this book. The publisher has no responsibility
for the persistence or accuracy of URLs for external or third-party Internet websites referred to in this publication and does
not guarantee that any content on such websites is, or will remain, accurate or appropriate.
Library of Congress Cataloging-in-Publication Data
Names: Hickey, Joanne V., editor | Giardino, Eileen R., editor.
Title: Evaluation of quality in health care for DNPs / [edited by] Joanne
V. Hickey, Eileen R. Giardino.
Other titles: Evaluation of health care quality in advanced practice nursing.
Identifiers: LCCN 2021016458 (print) | LCCN 2021016459 (ebook) | ISBN
9780826175229 (cloth) | ISBN 9780826175236 (ebook)
Subjects: MESH: Nursing Audit | Advanced Practice Nursing | Evaluation
Studies as Topic | Program Evaluation | Quality of Health Care
Classification: LCC RT85.5 (print) | LCC RT85.5 (ebook) | NLM WY 100.5 |
DDC 610.73068–dc23
LC record available at https://lccn.loc.gov/2021016458
LC ebook record available at https://lccn.loc.gov/2021016459
Publisher’s Note: New and used products purchased from third-party sellers are not guaranteed for quality, authenticity,
or access to any included digital components.
Printed in the United States of America.
We dedicate this book to:
● Students and colleagues (current and future) . . . and particularly advanced practice nurses,
who have an unprecedented opportunity to impact new models of health care that will influ-
ence health care organizations, clinical practice, and health policy for an ultimate transfor-
mation of the health care system.
● Our contributing authors . . . recognized experts in their disciplines; these leaders are much
sought after for their expertise in practice, education, research, and consultation. Our request
to share their knowledge through writing was met with gracious acceptance and production
of excellent manuscripts. Their passion for the quality of health care and especially the role
of evaluation in achieving health care quality is the heart and soul of this book.
● Our husbands supported our passion and commitment for working on this book. Jim Hickey
and Angelo Giardino served as wise listeners and counsels as we grappled with the best ways
to organize ideas and find the right words to illuminate the work of evaluation.

CONTENTS
Contributors ix
Preface xiii
Acknowledgments xvii
SECTION I: FOUNDATIONS OF EVALUATION
1. Evaluation and Advanced Nursing Practice: The Mandate
for Evaluation 3
Joanne V. Hickey
2. The Nature of Evidence as a Basis for Evaluation 37
Joanne V. Hickey
3. Models for Evaluation in Advanced Nursing Practice 65
Joanne V. Hickey
4. Evaluation and Outcomes 93
Eileen R. Giardino
5. Financial Evaluation 115
Eileen R. Giardino and Angelo P. Giardino
SECTION II: EVALUATION OF HEALTH CARE ORGANIZATIONAL IMPERATIVES
6. Evaluation of Organizations and Systems 147
Nancy Manning Crider and Beth Ulrich
7. Evaluation of Health Care Information Systems
and Patient Care Technology 167
Juliana J. Brixey and V. Gail Roberson Turner
vii
viii CONTENTS
8. Planning a Program or Project Evaluation 189
Joanne V. Hickey
9. Evaluation in Quality Improvement 215
Eileen R. Giardino
10. Evaluation of Patient Care Based on Standards, Guidelines,
and Protocols 247
Ronda G. Hughes
11. Evaluation of Interprofessional Health Care Teams 267
Joanne V. Hickey
12. Evaluation of Simulation to Support Ongoing Competency of the
Health Care Workforce 299
Kristen Starnes-Ott and M. Roseann Diehl
SECTION III: EVALUATION OF POPULATIONS AND HEALTH POLICY
13. Evaluation of Populations and Population Health 329
Joanne V. Hickey
14. Evaluation of Health Policy: From Problem to Practice 351
Joyce L. Batcheller, Peggy L. Landrum, Nancy Manning Crider,
and Patricia S. Yoder-Wise
15. Drivers of Change, Impact, and Challenges for Evaluation
of Health Care 371
Joanne V. Hickey and Eileen R. Giardino
Index 383
CONTRIBUTORS
Joyce L. Batcheller, DNP, RN, NEA-BC, FANOL, FAAN Adjunct Professor, School
of Nursing, Texas Tech University Health Sciences Center, Lubbock, Texas; Execu-
tive Nurse Advisor, AMN Healthcare; President, CNO Space
Dr. Batcheller has years of high-level experience in nursing administration as a chief
nursing officer and leader in health policy.
Juliana J. Brixey, PhD, MPH, RN Associate Professor of Biomedical Informatics
and Nursing, Department of Graduate Studies, Cizik School of Nursing and School
of Biomedical Informatics, University of Texas Health Science Center at Houston,
Houston, Texas
Dr. Brixey is director of the informatics track in the Doctor of Nursing Practice program
at the School of Nursing and also teaches in the School of Informatics.
Nancy Manning Crider, DrPH, MS, RN, NEA-BC Assistant Professor, Depart-
ment of Graduate Studies, Cizik School of Nursing, University of Texas Health Sci-
ence Center at Houston, Houston, Texas
Dr. Crider has a long career in nursing administration, nursing education, and research.
She teaches in the nurse executive track in the Doctor of Nursing Practice program.
M. Roseann Diehl, PhD, DNP, CRNA Professor of Professional Practice, Harris
College of Nursing & Health Sciences, Texas Christian University, Nurse Anesthesia
Program, Fort Worth, Texas
Dr. Diehl teaches in the nurse anesthesia program, practices as a CRNA, and is an expert
in simulation education.
Angelo P. Giardino, MD, PhD, MPH Wilma T. Gibson Presidential Professor and
Chair of the Department of Pediatrics at the University of Utah School of Medicine,
Salt Lake City, Utah
Dr. Giardino is chief medical officer at Intermountain Primary Children’s Hospital in
Salt Lake City, Utah.
ix