The Joint Commission (TJC) and the Centers for Medicare and Medicaid Services (CMS) have developed standards and core measures that influence payment, accreditation, and patient care. Every health care organization has developed a strategic agenda to meet these standards. The purpose of this paper is to look at the role nurse’s play in supporting a health care facility’s strategic agenda.
Quality Personnel Interview
Interviewee and Setting
To get a more detailed picture of how nurses directly influence patient care, including satisfaction and safety, one must look toward a safety specialist in a health care system. Cassie has worked in the health care field for over 25 years in areas that include social work, case management, HIPPA compliance, quality management and patient relations. She plays the middle man between nursing and the organization’s management in achieving top marks on their strategic agenda. She kindly agreed to sit down and answer questions regarding her role and that of direct nursing’s role supporting core measures. The interview took place in a quiet conference room with no predetermined question set. Despite this many new insights were discovered.
Interview
With only an introduction and the simple question of how she believed direct nursing care influenced the organizations strategic agenda Cassie provided several insights. She illustrated the importance of bedside nurses participation in the initiatives and completing incident reports. The number of initiatives that have been developed are too numerous to list all of them. A few examples of those that have been implemented in the last few years throughout Banner Health include CAUTI, prevention of central line infection, sepsis and deep v...
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Draper, D. , Felland, L. , Liebhaber, A, & Melichar, L. (2008, March). The role of nurses in hospital quality improvement. Retrieved from http://hschange.org/CONTENT/972/
The joint commission. (2011). Retrieved from http://www.jointcommission.org/national_quality_forum_nqf_endorsed_nursing-sensitive_care_performance_measures/
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
Thompson, C & Yang, H(2009). Nurses' decisions, irreducible uncertainty and maximizing nurses' contribution to patient safety. Healthcare Quarterly, 12, 178-185. Retrieved from http://sylvan.live.ecollege.com/ec/crs/default.learn?CourseID=5680139&Survey=1&47=8442907&ClientNodeID=403327&coursenav=1&bhcp=1
After reading the segment of your exposition on the four spheres of political action in nursing one particular detail drew my attention and that was that an organization is not strictly delineated as a facility we are employed by but also as a group of interest. With that in mind, it would be imperative to recognize numerous committees established in the VA to improve and regulate nursing care. For example, I have been part of Veterans' Education group which is focused on maintaining updated information resources available to patients as well as organizing beneficial events to disseminate vital information necessary for prevention and maintenance of wellness. Furthermore, I cannot omit the most valuable to my profession the Certified Diabetes
Merwin, E & Thornlow, D. (2009). Managing to improve quality: the relationship between accreditation standards, safety practices, and patient outcomes. Health Care Managment Review, 34(3), 262-272. DOI: 10.1097/HMR.0b013e3181a16bce
This paper will discuss three theories of decision-making that can be adopted in nursing practice, additionally how decision-making theories are able to be implemented and used. Decision-making in nursing is adopted through the critical thinking process that provides each nurse a model to make the best choices, solve problems and to meet goals in clinical practice (Berman & Kozier 2018, pp. 199-200; Levett-Jones & Hoffman 2013, pp. 4-5). Effective decision-making in nursing is a vital component and part of the role of a registered nurse; each year a substantial number of patients die due to medical errors and poor decision-making (Levett-Jones & Hoffman 2013, pp. 4-5; Nibbelink & Brewer 2017, p. 3). Through the use of effective decision making
Nurses across the globe are saving multiple lives daily. They work hard to take care of various patients with an array of different health problems. They are accountable for not only caring for the patient’s health but also being empathetic and friendly with all visitors. Exactly how many patients is a nurse responsible for keeping safe, comfortable, and alive? It is difficult to say because the nurse to patient ratio policies varies immensely across state borders.
Safety competency is essential for high-quality care in the medical field. Nurses play an important role in setting the bar for quality healthcare services through patient safety mediation and strategies. The QSEN definition of safety is that it “minimizes risk of harm to patients and providers through both system effectiveness and individual performance.” This papers primary purpose is to review and better understand the importance of safety knowledge, skills, and attitude within nursing education, nursing practice, and nursing research. It will provide essential information that links health care quality to overall patient safety.
Murphy J, Quillinan B, Carolan M. "Role of clinical nurse leadership in improving patient care." Nurs Manage 16, no. 8 (2012): 26-28.
Evidence shows that nurse to patient ratios impacts patient safety. The analysis titled "Nurse-to-Patient Ratios Must Increase to Improve Safety" was chosen for review as possible research material for my chosen health care topic of nurse to patient ratios (Duffin, 2012). The analysis is a concise glimpse of the problems that occur with high patient loads and those that suffer because of it. However, the analysis is just that, a glimpse. It is too short to provide any substantial new evidence or add to any existing research on this topic. This essay will evaluate the targeted audience or discourse community as well as the author's relevance or kairos in the writing of this brief analysis.
According to an article in Health Services Research, safety is one of the main reasons that HCAHPS/Press Ganey surveys patients after their hospital stays (Isaac, Zaslavsky, Cleary & Landon, 2010). This positive aspect brought about by HCAHPS/Press Ganey surveys is the re-focus of patient safety, something that should be a top priority and nursing responsibility of all patient care. A direct example of this focus is that if a patient experiences a serious safety event or is harmed by a medical error, his or her overall experience will be negatively impacted. (Isaac et.al., 2010). Cohen (2015) predicts that if the focus of healthcare shifts to the delivery of safe, compassionate, high-quality care, the patient experience and satisfaction with their overall care is likely to rise. There is also evidence that increased patient satisfaction is important for improving patient adherence. How patients perceive the receptiveness of the unit’s hospital staff likely reflects the hospital 's safety culture thus promoting adherence to treatment guidelines (Isaac, Zaslavsky, Cleary & Landon, 2010). Patients are more likely to continue suggested healthy habits and be compliant with their medication if they are satisfied with their healthcare practitioners. Spence & Fida (2015) correlated in their article the relationship between a nurse 's job satisfaction, job retention, and perceived
With the passage of the ACA, the Federal government in collaboration with the states, reformed the “healthcare system by giving more Americans access to quality, affordable health insurance” (Obama Care Facts, Summary, n.d.). Thus, the ANA Agenda for Reform had been partly achieved. In addition, the Agenda also served as a wake-up call that brought key nursing and patients’ issues to the fore, e.g., Safe Staffing, Safe Patient Handling, and Title VIII (Nursing Workforce Development) Funding (ANA, 2016), just to mention a
Quality care, safe practices and principles, and accountability constitute the foundation of any health care organization (Huber, 2014). Addressing patient safety issues and improving health care quality may include reorganizing operations to improve efficiency, coordinating care with interdisciplinary team members, and using information technologies (Wang, Cha, Sebek, McCullough, Parsons, Singer, & Shih, 2014). In this paper, I will review my organization’s quality program goals, objectives, and management structure, how quality improvement (QI) projects are selected, managed, and monitored, and how nursing staff are trained and supported in
Mitchell, P. H. (2008). Defining patient safety and quality care an evidence-based handbook for nurses. Rockville,Maryland: Hughes. DOI: //www.ncbi.nlm.nih.gov/books/NBK2681/
The overall goal for the Quality and Safety Education for Nurses (QSEN) plan is to meet the challenge of educating and preparing future nurses to have the knowledge, skills and attitudes that are essential to frequently progress the quality and safety of the healthcare systems in the continuous improvement of safe practice (QSEN, 2014).Safety reduces the possibility of injury to patients and nurses. It is achieved through system efficiency and individual work performance. Organizations determine which technologies have an effective protocol with efficient practices to support quality and safety care. Guidelines are followed to reduce potential risks of harm to nurses or others. Appropriate policies
Nurses are uniquely qualified to fill a demand for change through leadership. Unlike business minded individuals whose primary outcome concern is monetary, a nurses’ primary concern is organic: a living, breathing, tangible being. In a leadership role, a nurse might consider an organization as if it were a grouping of patients, or perhaps an individual patient, each limb with its own characteristics and distinct concerns. They can effectively categorize and prioritize important personal and professional matters and are therefore ideally positioned to lead change efforts. Perhaps most importantly, effective nurse leaders can provide clarity to the common goal and empower others to see their self-interests served by a better common good (Yancer, 2012).
... and nurses, have greatly improved in their efforts to provide quality care to patients, there are still important clinical components that need further improvement on. By being more efficient in resource utilizations and in the documentations of patient information, hospitals can be greatly benefited in terms of reduced costs, time, and errors, while increasing patient satisfactions. Furthermore, by incorporating indicators in assessing performance and taking steps to find opportunities in improvements, hospitals can decrease certain types of undesirable conditions and events that occur while further increasing the quality of care and delivering safer performance. Resolving the current gaps in care would lay the ways to excellence in clinical quality of care which leads to better patient outcomes, ultimately leading to better health of the community as a whole.
The effects of having a deficient nursing staff are explored in this paper. By reducing the number of nurses in a healthcare facility the quality of care is no longer at its peak. If healthcare facilities were to hire an adequate number of nurses the quality of care would return to its peak. However, as the number of nurses continues to deteriorate current health care team nurses are forced to work with a soaring nurse-to-patient ratio. As the quality of care diminishes hospital stay is extended, which increases the cost of care for the hospital and patient. The severity of the issues that an inadequate nursing staff have are substantial and need to be resolved. This paper examines the abounding effects associated with inadequate