NSG 557 - Assignment On Proposal For Quality Development

Running head: PROPASAL FOR QUALITY DEVELOPMENT
PROPASAL FOR QUALITY DEVELOPMENT
Name of the student:
Name of the university:
Author note:

Introduction:
Problem description:
It is human nature to complete any task with the shortest methods and by spending the
last time on the task. Healthcare professionals are no less and therefore these activities often lead
to many adverse as well as legal complicacies. These actions may lead to or be a result of at risk
behaviors (Carayon et al. 2014). Often at risk behaviors taken by the health care practitioners
result them in compromising the patient safety. Due to the immediate benefit they get, they fail
to look at the harm they are exposing the patients to harm and making them risk their lives
(Graban 2016). As these behaviors often result in saved time, convenience and comfort, the
perceived benefits of taking shortcuts gradually tend to make the healthcare practitioners more
exposed to making it a habit. Often the most harmful effects ha are noticed in the hospitals due to
his at risk behaviors of the professionals are medication errors (Van Bogaert et al. 2014).
Medication errors mainly take place when nurses follow improper routes of drug administration,
improper application of medicines without seeing the expiry work or without even seeing the
names properly, improper timing of the medication administration, overdose or under dose of
medications and many others (Laschinger 2014). Hence, due to all these errors caused by the
nurse either due to at risk behaviors or due to ignorance of taking their profession seriously, the
main sufferers are the patients (Tourangeau 2016). As a result the quality of care provided is
compromised and even the patients have longer hospitals stays, poor health and overflow of
resources.
Available knowledge:

Medication error is found to be one of the main reasons which harm the quality of the care which
is provided to patients. Often nursing professionals and the doctors who tend to provide
medication to patients are the main people who are responsible for the blunders. Different types
of errors are noted any researchers over time which not only increases the risk of the lives of
patients but also tend to increase their status in hospitals and sufferings (Hall et al. 2016). Some
of them are the inappropriate crushing as well as slicing of the medication, in adequate use of
fluids and also improper food and antacid ingestion with medication. Others include incorrect
administrations of neutral fluids, expired or incorrect medication administration and also under
dosing or overdoing of medication. Moreover misdiagnosis and incorrect prescription use and
also incorrect duration and frequency of medication make the patients vulnerable to danger.
Researchers have stated that many of the errors can be avoided by paying attention as well as
strictly adhering to instructions that were told to them during their training courses. Often
besides at risk behaviors as one of the major factors for medication errors, others have been also
noted like the facilities being understaffed, lack of experienced workforce and certified nurses,
exposure to huge workload, burning out due to job stress and many others (Burston, Chaboyer
and Gillespie 2014). Some other organizational flaws include improper monitoring bodies,
falling short of standards due to resource allocation., inappropriate provision of help to
newcomer nurses, lack of proper policies , lack of medical equipments and many others (Auer et
al. 2014). Therefore, in order to get over the all the barriers and provide a quality and safe care to
patients, modification of hospital organizations and work environments are extremely important.
Rationale:
A governing body would be applied to action that would be in charge of the first intervention
which would be bringing an overall change of the work environment. These would be structured
by including management and leadership; proper workplace deployment, work processes as well

as organization culture which would promote the environment of safe medication administrations
the second intervention would be allocating experienced senior nurses in the ratio of 1.10 who
will mainly be monitoring the ways by which nurses are providing medicines to patients (James
2013). They will be mainly allocated to note down the skills of the nurses and to look over how
to develop the skills for better administration. Thirdly, there should be allocation of the nurses in
teams which would comprise of a manager, two senior nurses and four junior nurses along with
enrolled nurses. The manager would be mainly helping in developing a teamwork spirit among
the healthcare professionals. Research shapes that often working in a team boosts up the spirits
of those who show at risk behaviors or those who are morally not confident. Teamwork increases
collaborative work which in turn helps them to learn from each other’s mistakes and develop
skills and knowledge. Fourthly, training classes should be introduced and a groups of trainers
would be allocated who would mainly provide importance to incorporating evidence based
practices o the nurses sp that they can easily take the help of evidences whenever they are
confused or whenever they are in dilemma of following a medication plan of a patients. Fifthly,
the higher powers of the organization mainly of the directors and Ceo should encourage and take
initiates to encourage a vulture of safety (Johnson et al. 2014). By the term, one means
maintaining a the product of the individuals as well as group values, attitudes, competencies,
patterns as well as proficiency of the health and safety p[programs. Often both individuals and
team motivation and satisfaction develops and atmosphere where those who are lagging behind
develop the capability t try their best to overcome their false and negative aspects and emerge out
with right sets of skills and knowledge s. Researchers have shown that organizations with
positive safety culture always remain guided by mutual rust and shared perceptions of
importance of safety and confidence in different error preventing strategies.