HLT-362 Topic 4 DQ 2: Describe the difference between research and quality improvement.

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HLT-362 Topic 4 DQ 2: Describe the difference between research and quality improvement.

HLT362V Topic 4 Discussion 2

Describe the difference between research and quality improvement. Provide a workplace example where qualitative and quantitative research is …..and how it was use within your organization. When replying to peers, discuss how these research findings might be incorporated into another health care setting.

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Good job you did this week explaining the different experimental research studies we use in health sciences and the difference between research and quality improvement.

This week you learned about important topics including:

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  • Differentiating between experimental research, quasi-experimental research, and non-experimental research.
  • Identifying the key differences between qualitative and quantitative research.
  • Differentiating between research and quality improvement.

Watch “What’s the Difference Between Research and QI” on the YouTube website located at https://www.youtube.com/watch?v=hyWJLhyKWjQ to understand the difference between research and quality improvement.

Marlene Alvarez

Feb 24, 2023, 10:18 PM

The main goal of research is to increase the knowledge and understanding of a specific variable and its possible correlation between another variable. One example would be assessing and analyzing the effectiveness of a drug. Quality improvement, on the other hand focuses on the collection of data and statistics to improve health outcomes.

An example of this would be overtime data collected stating certain amounts of insulin helps control blood sugar better and the amount of times insulin is needed to help better control blood sugars. This is all data that is collected overtime, and overall helps improve health. Health care providers and nurses carry out a QI project, it may not be the implementation of something new, but it may be improvement upon something that is already in place (Helbig, 2020). “Quantitative research usually aims to provide precise, unbiased estimates of parameters of interest for the entire population which requires a large, randomly selected sample” (Hannigan, 2018). 

Quantitative research uses numbers and numeric variables (Helbig, 2020). Qualitative research is collected through descriptive characteristics that cannot be measured with numbers like quantitative research can (Helbig, 2020). Instead of numbers they use open-ended questions, interviews, and observation. In my hospital, leadership uses qualitative research to assess patients’ satisfaction in their hospital and ensure they feel they are receiving the care the need and anything else. They ensure this by rounding on patients and asking them open ended questions on their stay and interviewing the patient.

Based on the data collected from patients, leadership connects with the managers on the floor to work on the areas needed according to the patient’s needs. In my workplace we quantitative research by assessing the number of times a patient is readmitted. My hospital strives to have a good turn around and when patients constantly are readmitted there is something not going right in the course of direction.

My hospital keeps track of the readmissions and when people get admitted we assess them for high risk of being readmitted as well. When patients are readmitted case management and social worker instantly get a notification to look into their care at home and any possible needs they may need to further reduce readmissions. 

Reference 

  • Hannigan, A. (2018, June). Public and patient involvement in Quantitative Health Research: A statistical perspective. Health expectations : an international journal of public participation in health care and health policy. Retrieved February 24, 2023, from https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6250860/ 
  • Helbig, J. (2020). Reader. BibliU. Retrieved February 22, 2023, from https://bibliu.com/app/#/view/books/1000000000581/epub/Chapter4.html#page_50 

Marie Jueni

replied to Marlene Alvarez

Feb 25, 2023, 9:25 AM

Great post. Incorporating of research findings in another health care setting may take time since in healthcare research, results diffuse only slowly into clinical practice, and there is a need to bridge the gap between research and practice. A rise in the amount of research results available does not automatically translate into improved patient care and treatment. 

Evidence suggests that it sometimes takes more than a decade to implement research results in clinical practice, and that it is often difficult to sustain innovations over time. Deepening our understanding of the factors which prohibit or promote this interplay in local practice and the operationalization and use of research results in daily clinical life is vital in order to bridge the continuing gap between healthcare research and practice

Reference

Esohe Jolaoluwa

replied toMarlene Alvarez

Feb 26, 2023, 3:52 PM

Research is used to collect data that gives the most effective medication; data collected for research must be approved and obtain consent; this is to ensure no harm is done to participants. Managers should constantly collect data for quality improvement by interviewing the patients, checking our charting, and being sure our medication pass is accurate (Wim, 2018). 

To add to your post, qualitative research records its findings in numbers, while quantitative research is used to provide support when one needs to draw a general conclusion and predict the outcomes. Qualitative research may be used to research patient satisfaction through interviews.

Reference

  • Wim, N. K. (2018). Quality Improvement in Evidence-Based Management for HealthCare Settings. https://doi.org/10.1108/MD-10-2018-004

 

Feb 24, 2023, 9:22 PM

To generate new information, researchers use a technique (quantitative or qualitative). EBP looks for and utilizes the most up-to-date clinical data, which is frequently derived from research, when making patient-care choices. To enhance patient outcomes, QI employs methodical methods.

Quality assurance (QA) is a continuous improvement process centered on humans, according to the Health Resources and Services Administration (HRSA), whereas quality improvement (QI) is a continuous improvement approach focused on procedures and systems.

Provide a workplace example where qualitative and quantitative research is applied and how it was used within your organization. Quantitative research, such as online surveys, is more numbers-oriented and can aid in the evaluation of hypotheses generated by qualitative research. Adding a quantitative component to qualitative research might help you get a more comprehensive (and measurable) picture of the topic you’re studying.

Qualitative data includes the color of a football player’s hair, the color of automobiles in a parking lot, the letter grades of pupils in a classroom, the kinds of coins in a jar, and the shape of sweets in a variety pack, if no numerical value is ascribed to any of these descriptors. According to a study on workplace drug usage prevention, both qualitative and quantitative techniques have problems.

Qualitative Research Methodologies

When commencing your assessment, qualitative approaches are a fantastic place to start. These techniques might help you describe a problem and give insight into your intervention strategy. Observation, management meetings, focus groups, one-on-one interviews, and expert consultation can all be used to accomplish this.

Quantitative Approaches

Quantitative approaches are advantageous since they require less time to implement than qualitative ones. They’re also easier to assess, and they could offer more objective, unambiguous findings. Pre-existing data, self-report studies, and drug testing can all help with this.

Reference:

  • Cleland, J. (2015). Exploring versus measuring: considering the fundamental differences between qualitative and quantitative research. Researching medical education, 1-14.Newhouse, R. P., Pettit, J. C., Poe, S., & Rocco, L. (2006).
  • The slippery slope: differentiating between quality improvement and research. JONA: The Journal of Nursing Administration, 36(4), 211-219.
  • Grimshaw, J., Eccles, M., Thomas, R., MacLennan, G., Ramsay, C., Fraser, C., & Vale, L. (2006). Toward evidence-based quality improvement. Journal of general internal medicine, 21(2), S14.
  • Abildgaard, J. S., Saksvik, P. Ø., & Nielsen, K. (2016). How to measure the intervention process? An assessment of qualitative and quantitative approaches to data collection in the process evaluation of organizational interventions. Frontiers in Psychology, 7, 1380.

Quality improvement (QI) is driven by data and used to improve quality care.  QI studies can be used to benefit the patient, system, or processes in healthcare services.  Data is collected over a period of time in healthcare facilities for patient safety.  (Helbig, 2018)  I have seen QI information collected at the hospital where I work a few times.  One QI project involved CHF bundles.  Another QI project assessed the UTIs acquired or not acquired with foley catheter use/insertion, foley care, and reduced foley catheter use which is something most healthcare settings are interested in improving. Projects such as this help provide clarity to staff and patients.

Research has the goal of generating knowledge by testing the effectiveness of interventions while QI combines the implementation of new or existing knowledge in a setting.  (Backhouse & Ogunlayi, 2020)  QI and research methods both use a consistent methodology.  Using the above sample of acquired UTIs, a research hypothesis can be tested and measured to compare rates of UTIs and length of stays or comorbidity such as diabetes.  The QI then tests an intervention resulting from the research.  Qualitatively this information can be used to see why UTIs are occurring in various settings and quantitatively the information can correlate with the variables in which UTIs occur.

References:

Quality improvement is a core function of good clinical care. Research is defined as a systematic investigation, including research development, testing and evaluation, designed to develop or contribute to generalizable knowledge (Faiman, 2021). Research provides the data necessary for certain variables while quality improvement works with issues necessary to improve situations. Quantitative research is used to confirm or test a theory or hypothesis, and qualitative research is used to understand concepts, thoughts or experience (Ambrose et al. 2021).

Quantitative research deals with numbers and statistics, while qualitative research deals with words and meanings. Quantitative methods allow one to systematically measure variables and test hypotheses. Qualitative methods allow one to explore concepts and experiences in more detail using the data at hand (Faiman, 2021).

Oftentimes, quantitative research is obtained through analysis of data. My workplace strives to reduce fall incidents among patients. Hence, there is a quarterly report on the number of fall incidents. This quantitative research is done by collecting and analyzing the data of patients that had a fall, their age, diagnoses, time they fell and circumstances.

Also, upon admission, all patients are assessed for falls using certain variables. Through the quantitative research, the organization further proposes some measures for quality improvement regarding fall incidents. For instance, having made all the research on falls, my organization would adopt concepts to eliminate or reduce fall incidence. This quality improvement is done through interviews, reviews and opinions.

Reference

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