A Failure Modes and Effects Analysis (FMEA) will be used to project the likelihood that the suggested improvement plan would not fail. Lastly, key roles nurses would play in improving the quality of care in the Mr. B scenario will be discussed. A. Root Cause Analysis A root cause analysis (RCA) is “a process for identifying the basic or causal factors that underlie variation in performance, including the occurrence or possible occurrence of a sentinel event” (Cherry & Jacob, 2011, p. 442). The participants during the root cause analysis would be the emergency room physician (Dr. T.), the Mr. B’s LPN and RN (Nurse J) during the time of the sentinel event, the emergency room nurse manager, and the chief nursing officer (CNO) of the hospital. These members would meet in a root cause analysis meeting to discuss the causative factors that created Mr. B’s sentinel event.
Organizational Systems and Quality Leadership Nursing sensitive indicators are designed to demonstrate the organization, procedures, and results of quality nursing care. Each of these areas can be broken down into key aspects that reflect the areas evaluated for quality. Organization indicators include the number of nurses available within a healthcare facility, the degree to which the nursing staff is trained (including the education and certification levels of the staff), and the ability of the nursing staff to execute their training (American Nurses Association, 2014). Procedure indicators are comprised of the aspects of actual care and include assessment and intervention measures, job satisfaction measures, and patient reflections on care. Results indicators evaluate measure the quantity or quality of patient care.
Nursing Sensitive Indicators 1 Western Governor’s University Nursing Sensitive Indicators 2 Identifying Issues Using Nursing Sensitive Indicators Nursing sensitive indicators are key in recognizing problems that interfere with patient care. In this scenario, nursing sensitive indicators may have been utilized to avoid such issues. Nursing indicators are used in evaluating patient care quality. Multiple issues in this scenario have outcomes which are directly affected by nursing care, thus classifying them as nursing “sensitive”. Mr. J was in restraints in this case.
MISSION STATEMENT 1 Mission Statement RUP1 Keri Philp Washington Governors University MISSION STATEMENT Mission Statement RUP1 A.Differences Between a Regulatory Agency and a Professional Nursing Organization. Within the mission statement for the Washington Board of Nursing (Nursing Care Quality Assurance Commission) is “…to assure safe/quality nursing care for the people of Washington State” (Washington State Department of Health, 2014). Regulatory agencies such as the 2 Washington State Board of Nursing implement public safety by regulating the standards of nursing conduct and practice, licensing and continuing education for nurses by defining the scope of nursing practice, monitoring and auditing required continuing education credits (CE) and providing nurse licensure testing for qualified individuals. The board of nursing also investigates public and professional complaints against licensed practitioners. If the investigation of the accusations leads to verification of the complaint the Nursing Care Quality Assurance Commission enforces disciplinary action which can include revocation of the practitioner’s license.
In the care of the patient Mr. J, utilizing nursing-sensitive indicators could have greatly assisted the nurses and aids in identifying issues that may interfere with patient care and cause negative patient outcomes. The ANA has defined a number of nursing-sensitive indicators in the National Database of Nursing Quality Indicators (NDNQI). The national database program collects these designated indicators and analyzes their prevalence in an effort to prevent these negative patient outcomes and make recommendations about how they may be avoided (ANA, 2009). There were a number of errors made in the patient’s care, and closer adherence and understanding of these guidelines would have proven useful in guiding these personnel in his care. Without paying attention to these quality indicators, some care may have fallen through the cracks, some may have not been identified in a time-frame that was meaningful or useful, and much of the care the patient received may have been detrimental to his condition.
(IOM, 2010, p.xi) Although the nursing process brought a bounty of offering to the healthcare table, the IOM recognized that major improvements would have to be made. Specifically, to prepare the enlarging workforce of nursing, changes in scopes of practice, advances in education, improvements in the nursing continuum of care, and transformation in nursing leadership would have to be implemented. The IOM’s proactive nursing blueprint would extend to national, state, and local levels to transform necessary healthcare policies. (IOM, 2010, p. xii) This paper will focus on the impact of IOM’s report concerning nursing education, nursing practice in primary care, and the nurse’s role in leadership. Emphasis will also be made concerning how I would change my practice to reflect the goals of the IOM report.
Organizational Systems and Quality Leadership Task 1 Western Governors University A. Embedded in the founding principles of nursing is the responsibility of nurses to measure, evaluate and improve practice. Hospitals use data and clinical tools to compare themselves to other healthcare organizations in an effort to achieve quality patient outcomes. Having an understanding of the principles of nurse-sensitive indicators, organizational leaders can advance patient care throughout the hospital. A. Nursing-Sensitive Indicators Healthcare organizations and regulatory agencies recognized a relationship between nursing interventions and overall quality of patient care in the mid 1990’s (Erickson, 2011). This is when nursing-sensitive indicators (NSIs) were introduced as a means to measure patient outcomes.
In this task I will be exploring the different types of communication available and how vital they are in a health and social care sector. If care practitioners have demonstrate bad communication skills it will have a negative impact on the image of the health sector and also on the service users in terms of not getting the care they need or not getting the right information about the care they are about to receive. In the health and social care profession, effective communication is absolutely vital as it allows health workers to carry out their jobs effectively and also good communication creates a good relationship and a strong bond between care workers and care receivers and also it enables care workers to to effectively carry out their work responsibilities by allowing them to work peacefully and effectively with their colleagues. People who suffer fro communication impairments are at a risk of being unable to effectively communicate with their health care providers which could have a negative impact of their health in form of the type and quality of care that they receive. They are different forms of communication available for example one to one, group, formal, informal, verbal, oral and so on.
Critical awareness is crucial to being a registered nurse or midwife. Hamer and Collinson (1999) suggest nurses should be more questioning, try to see more than one side of an argument; try to be objective rather than subjective; weigh the evidence; make judgements based on reason, evidence or logic; look at the meaning behind the facts; identify issues arising from the facts; and recognise when further evidence is needed. “A nurse is responsible to ensure that the standard of the nurse’s practice conforms with professional standards with the object of enhancing the safety of the individual, any significant other person and colleagues” (ANMC 2007 clause 2). This is echoed by the United Kingdom Nursing and Midwifery Council in their Code of Conduct which states: “You are personally accountable for your practice. This means you are answerable for your
Research is the systematic investigation into and study of materials and sources in order to establish facts and reach new conclusions (Oxford Dictionary 2011). The ultimate goal of research is to develop, refine and expand upon a body of knowledge providing evidence to either support or reject clinical practice (Polit and Beck 2004). Evidence based practice is broadly defined as the use of the best clinical evidence in making client care decisions (Polit and Beck 2004), and is agreed to ensure safe practice (Sackett 1996). By giving care based on evidence, a nurse acts as an advocate, working to their Code (NMC 2008a), helping clients to access relevant health and social care. In this essay the author looks at the role of the nurse in managing the safe withdrawal of clients detoxifying from alcohol on an inpatient unit.