Leading Organizations for Quality Improvement Initiatives////Research for Evidence Based Practice
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QUALITYANDSAFETY.docxLeading Organizations for Quality Improvement Initiatives
QUALITY AND SAFETY IN HEALTHCARE AND NURSING PRACTICE
respond to two of your colleagues by expanding upon your colleague’s post or suggesting an additional alternative perspective on quality and safety.
PEER #1
Quality and Safety in Nursing Practice and Healthcare
Safety and quality continue to be crucial elements in nursing practice and healthcare. Among other medical professionals, nurses are crucial to providing high-quality patient care.In order to guarantee that patients have the most excellent possible hospital experience, nurses must collaborate with interdisciplinary team members and make decisions based on predetermined goals (Dempsey & Assi, 2018). According to Hammersla et al. (2021), anticipating the best outcomes and facilitating the correct care for the right client at the right time are essential components of quality in healthcare. Healthcare safety is defined by Nash et al. (2019) as providing high-quality treatment free from medical errors and unwanted side effects. This essay considers how I want to represent safety and quality in nursing practice and healthcare delivery as a DNP-prepared nurse. The foundation of providing patients with high-quality care is safety. The adverse effects of care, including morbidity and mortality, are the main focus of the research that defines patient safety and harm prevention techniques.
Previous Experience with quality and safety
Throughout my nursing career, I have experienced safety and quality firsthand. Under the guidance of my superiors, I have been able to adhere to the use of evidence-based standard operating procedures (SOPs) throughout my career. This inspired me to provide my patients with efficient and timely care. One of my most significant accomplishments throughout my nursing practicum was enabling safe patient care while adhering to numerous patient safety guidelines. Lee et al. (2019) state that to deliver comprehensive, safe, and high-quality care, healthcare professionals should become familiar with these patient safety issues and acquire the necessary skills and knowledge.
In order to decrease the likelihood of unfavorable outcomes, nurses play a crucial role in monitoring and coordinating care (Sherwood & Barnsteiner, 2021). My prior experiences have leaned toward patient engagement because I work in a psychiatric mental health facility where safety is paramount. My areas of interest are providing high-quality healthcare, supporting recovery, and paying close attention to patients to improve their safety. Other categories include preventing health issues, and identifying disease causes and risk factors. Additionally, I have been instrumental in enhancing patients' recuperation by educating and motivating them.
My role as a DNP-Prepared Nurse
Upon obtaining the DNP doctorate, I plan to take advantage of new opportunities to investigate and close the gap between healthy and unhealthy facilities and the gap between the best possible treatment and the quality and safety of the patients provided (Barkell & Synder, 2021). I will assist my facility in creating cohesive, healthy work environments that support patient safety and high-quality treatment. My primary goal as a nurse with a DNP is to provide patient-centered care. I have collaborated with other disciplinary teams in providing care. In addition, my duty as a DNP-prepared nurse is to understand and apply innovation to raise the standard of care provided. One of these is taking an active part in tech-driven advancements such as information systems and health informatics. Taking on leadership responsibilities in policy, education, and health care administration is another function of the DNP-prepared nurse. Mentoring nurses and improving their careers as educators are additional activities that reflect quality and safety for nursing practice and healthcare delivery (Trautman et al., 2018). Additionally, DNP nurses can assess practice and implement quality-improving measures. Also, nurses might strive to advocate for modifications and enhancements to various healthcare policies. My duty as a DNP-prepared nurse is to enforce adherence to the care services provided in my facility using methodical, evidence-based approaches. According to Dempsey and Assi (2018), the two main elements of evidence-based practice are patient safety and high-quality care. Completing my DNP program will allow me to provide better treatment, as evidenced by improved patient outcomes and safety. To increase safety and quality, I will support healthcare programs and advocate for the needs in this area.
References
Barkell, N. P. & Snyder, S. S. (2021). Just culture in healthcare: An integrative review.
Nursing Forum, 56(1), 103-111.https://doi.org/10.1111/nuf.12525
Dempsey, C., & Assi, M. J. (2018). The Impact of Nurse Engagement on Quality, Safety, and the
Experience of Care: What Nurse Leaders Should Know.Nursing administration
Quarterly 42(3), 278-283. https://doi.org/10.1097/NAQ.0000000000000305
Hammersla, M., Belcher, A., Ruccio, L. R., Martin, J., & Bingham, D. (2021). Practice and
Quality Improvement Leaders Survey of Expectations of DNP Graduates' Quality
Improvement Expertise.Nurse educator 46(6),361365.https://doi.org/10.1097/NNE.0000000000001009
Lee, S. E., Scott, L. D., Dahinten, V. S., Vincent, C., Lopez, K. D., & Park, C. G. (2019). Safety
culture, patient safety, and quality of care outcomes: a literature review.Western Journal
of nursing research 41(2), 279-304.
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019).The healthcare quality
book: Vision, strategy, and tools (4th ed.). Health Administration Press
Sherwood, G., & Barnsteiner, J. (Eds.). (2021).Quality and safety in nursing: A competency
approach to improving outcomes. John Wiley & Sons
Trautman, D. E., Idzik, S., Hammersla, M., & Rosseter, R. (2018). Advancing scholarship
through translational research: The role of Ph.D. and DNP prepared nurses.
Online Journal of Issues in Nursing, 23(2)
PEER #2
Quennie Xserenity
Patient safety has been the forefront issue in healthcare for the longest time. Quality and safety measures are integral components of healthcare. The boom of technology made the growth in knowledge of healthcare challenging to ascertain; they both have been profound. More than 70 publications in leading peer-reviewed journals have documented serious quality shortcomings during the last decade alone (Institute of Medicine, 2001). Deprived of critical access to basic health care, more than 40 million Americans remain without health insurance (U.S. Census Bureau, 2000 as cited in Institute of Medicine, 2001).
The healthcare system is complex, so working collaboratively with other disciplines, like pharmacy, physical therapy, doctors, nurses, etc. is essential. However, physician groups, hospitals, and other healthcare organizations operate as silos, often providing care without the benefit of complete information about the patient’s condition, medical history, services provided in different settings, or medications prescribed by other clinicians (Institute of Medicine, 2001).
As a charge nurse and DNP-prepared nurse, I can support quality and safety measures. Right now, just trying hard will not cut it. We have to bridge the gap and cross the chasm. Mistakes happen; we are only human. It is estimated that as many as 98,000 people die in any given year from the medical errors that occur in hospitals (Kohn et al., 2000). The problem is not necessarily that we have bad people in healthcare, but we have a broken system.
Just culture relates to how mistakes should be addressed. Human error and systemic problems are considered in addressing the conduct of individual people instead of universally applying blame and punishment (Ungvarsky, 2023). It advocates fair sentencing for conduct that is deliberately reckless or that flouts safety rules and precautions. Just culture is seen as a way to encourage accountability and identify problem areas that need correction. A strong and effective just culture is a cornerstone of any organization, especially regarding patient safety. It promotes voluntary error reporting so we can address safety-related events promptly, instead of simply assigning blame (Logroño et al., 2023).
References:
Institute of Medicine (U.S.) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st centuryLinks to an external site. Links to an external site. . National Academies Press.
Logroño, K. J., Al-Lenjawi, B. A., Singh, K., & Alomari, A. (2023). Assessment of nurse’s perceived just culture: a cross-sectional study. BMC Nursing, 22(1), 1–9. https://doi.org/10.1186/s12912-023-01478-4
Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health systemLinks to an external site. Links to an external site. . National Academies Press.
Ungvarsky, J. (2023). Just culture. Salem Press Encyclopedia of Health.
