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S

TUDENT

N

AME

:

_

____________________________

P

ROJECT

N

AME

:

___________________

Who, When, How, Where will we intervene?

How will we know our change resulted in improvement?

Test your change and document what you learned.

What methods are you

using to evaluate the effectiveness of the intervention?

How will you know that the intervention is working

–

what trends will you look for in the data?

What might be some other ways you can measure the effectiveness and success of the intervention?

If your change

is

unsuc

cessful, or less successful than

desired, what

are other potential interventions that could be

tried?

What will you do to sustain the successful change you made?

Is there opportunity to spread the change to others

(unit/team/patient population, process, etc.)?

How will you know if the change “stuck”?

–

W

hen will you measure again

? H

ow often will you re

–

measure?

P

LAN

D

O

S

TUDY

A

C

T

STUDENT NAME:_____________________________ PROJECT NAME: ___________________

Who, When, How, Where will we intervene?

How will we know our change resulted in improvement?

Test your change and document what you learned.

What methods are you using to evaluate the effectiveness of the intervention?

How will you know that the intervention is working- what trends will you look for in the data?

What might be some other ways you can measure the effectiveness and success of the intervention?

If your change is unsuccessful, or less successful than desired, what are other potential interventions that could be

tried?

What will you do to sustain the successful change you made?

Is there opportunity to spread the change to others (unit/team/patient population, process, etc.)?

How will you know if the change “stuck”? – When will you measure again? How often will you re-measure?

PLAN

DO

STUDY

ACT

NURS 498

FOCUS Assignment

Fair

Good

Ex

cellent

Score

Plan (2

5%)

Discusses

the plan for

implementation of a QI

project.

Does not list enough

steps to clearly

outline the intended

implementation plan.

Limited discussion or

omitted pertinent

information regarding

the who, what,

where, when.

0

–

14

points

Lists steps to be

completed for project

implementation, but

omits some

information regarding

who, what, where and

when.

15

–

17

points

Clearly identifies the

who, what, where,

and when of project

implementation, with

comprehensive

listing

of the steps and

resources required.

18

–

2

0

points

D0 (25%)

Identifies appropriate

change and leadership

theories to facilitate

implementation.

Considers potential

barriers and facilitators

to project

implementation.

Incomplete list of

barriers and

facilitators. No

discuss of theories to

assist in

implementation.

0

–

14

points

Fairly c

omprehensive

list of potential barriers

and facilitators. Only

identifies a change

theory

or

a leadership

theory.

15

–

17

points

Identifies an

appropria

te change

and leadership theory.

Comprehensive list of

barriers and

facilitators to project

implementation.

18

–

20

points

Study (25%)

Explains methods for

evaluating effectiveness

of QI intervention,

driven by both

quantitative and

qualitative

methods

Incorrect or missing

information on data

collection and

measurement. No

discussion of

alternative methods

for evaluation of

effectiveness.

0

–

14

points

Lists

some methods of

data collection. Limited

discussion on alternate

methods for evaluat

ing

effectiveness of the

intervention.

15

–

17

points

Correctly and

comprehensively

discusses the process

for collecting,

measuring and

evaluating data

sources for project

evaluation. Considers

both empirical and

anecdotal data

sources.

18

–

2

0

points

Act

(25%)

Identifies alternative

methods for achieving

desired outcomes and

methods for sustaining

change.

Information omitted

regarding feasible

alternatives,

dissemination of

information and/or

re

–

evaluation

techniques.

0

–

14

points

Provides a thoughtful

list

of alternatives that

may or may not be

suitable for the

selected issue or

setting. Limited

discussion on

dissemination or re

–

evaluation techniques.

15

–

17

points

Provides a

comprehensive

list of

feasible alternatives to

consi

der, as well as

discusses methods for

sustaining and

disseminating the

change. Identifies

intervals in which to

re

–

evaluate

effectiveness of the

intervention

18

–

20

points

Communicates through

writing that is concise,

balanced and logically

organized

(

1

0

%)

Communicates through

w

riting

that

is not

concise, balanced or

logically organized

0

–

6

points

Communicates through

writing that

is not concise

and is inconsistent in

balance and logic

7

–

8

points

Communicates through

writing that is

concise,

balanced, and logically

organized

9

–

10

points

NURS 498 FOCUS Assignment

Fair Good Excellent Score

Plan (25%)

Discusses the plan for

implementation of a QI

project.

Does not list enough

steps to clearly

outline the intended

implementation plan.

Limited discussion or

omitted pertinent

information regarding

the who, what,

where, when.

0-14 points

Lists steps to be

completed for project

implementation, but

omits some

information regarding

who, what, where and

when.

15-17 points

Clearly identifies the

who, what, where,

and…