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Barriers To Healthcare Services

7 Pages1892 Words127 Views
   

Algonquin College

   

The Healthcare Sector (NSG3111)

   

Added on  2020-03-02

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Threats to the quality process in a healthcare unit are discussed in this document. It explains the events that lead to the condition as well as recommended preventive and rehabilitation measures. The fishbone analysis is also used in the article to address the topic of patient discontent with nurse care quality.

Barriers To Healthcare Services

   

Algonquin College

   

The Healthcare Sector (NSG3111)

   Added on 2020-03-02

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Running head: BARRIES TO QUALITY SERVICE 1Barriers to Quality ServiceStudent’s NameUniversity Affiliation
Barriers To Healthcare Services_1
BARRIERS TO QUALITY SERVICE 2IntroductionThis essay discusses threats to quality process in a healthcare unit. It provides an understanding of the steps that led to the problem and the possible preventive and recovery process. A scholarly article that presents a similar case is addressed and how the organization responded to the problem as well as the similarities between the approaches that were taken. The essay also focuses on the fishbone analysis to address the issue of patient dissatisfaction with the quality of care by nurses. Fishbone is a vital diagnostic tool used for analysis and illustration of problems within the root cause (RCA) analysis (Oleske, 2014). To understand what led to the issue of patient dissatisfaction with the quality of care by nurses, a group of healthcare officers in a healthcare centre involved all their personnel includingthe representative patients in a meeting to ensure everyone took part in the exercise. They called upon one of their team members to facilitate the session with the writing up. A fishbone tool wasPatient’s dissatisfaction with quality of care by nurses Delayed nurse Lack of respect to patient’s dignity and independenceLack of involvement by nurses in decision makingPoor communication -Poor nurse response due to shortage of staff -Nurses failed to uphold patient’s dignity -Lack of communication between team members-Nurses did notinvolve patients or family members in decision making
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BARRIERS TO QUALITY SERVICE 3used to document all the possible causes that could have led to the problem. After the problem statement was agreed upon, the team started to find all the possible causes using the ‘five why’s (what, when, who, where and when) approach’ which was a significant search of the connection in the main causes. Also, this technique enabled the team thoughts and processes to develop as well as look at the possible causes, in preference to closed questions that tend to give a one-wordanswer. Once the team agreed on the ‘possible causes’ of patient dissatisfaction with the quality of care by nurses, they rechecked for the causes to know how and why they impacted the issue. For example, nurses did not involve patients in decision making regarding treatment which madethem upset and felt that their dignity was not held.Through the ‘root cause analysis’ (RCA) technique, the team could find some of the answers to the problem. This comprised of scoping the needs for the patient's notes tracking system as well as opting for a person-centered care (Nicolay et al., 2012). Eventually, the facilitator helped the group to draft the action plan for other phases that provided structure to resolve the issue, and a small project was started for improvement delivery. In the aspect of delayed nurse response because of staff shortage, a post intervention phase was implemented to develop person-centered care. This made the nurses tolerant to everyone including the patient and family members. They developed proper ways of engaging themselves with all the people in the unit which helped them to maintain the dignity of all including the patients. Scholarly Article Addressing a Similar ProblemRespect is an essential element to patients since they need nurses to treat them as individuals as well as engage them personally (Appari and Johnson, 2000). This goes in contraryto everything that nurses have been learned since they are taught to be unemotional as well as
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