Patient Safety and Quality of Care: A Study on Nottingham Health Profile

This study focuses on the Nottingham Health Profile as an indicator of patient safety and quality of care. It discusses the use of the profile in assessing health status, measuring indicators of patient safety, and evaluating quality improvement programs. The study also explores the application of the profile in clinical practice and offers solutions for clinical problem-solving. Overall, it provides valuable insights into enhancing patient safety and quality of care.

PATIENT SAFETY
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Table of Contents
Introduction................................................................................................................................2
Discussion of indicator...............................................................................................................2
Summary of literature................................................................................................................3
Solution for clinical problem solving.........................................................................................5
Evaluation of quality improvement program.............................................................................7
Conclusion..................................................................................................................................8
Reference list..............................................................................................................................9
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Introduction
The indicator of patient safety and patient quality develops and maintains the requirement for
multidimensional, reachable quality actions which can be utilized in order to gauge
performance in the healthcare. Salisbury Private Nursing home based in Australia and this
provides the greatest feasible quality care related to individual requirements
(salisburyhome.com.au, 2019). This study mainly aims at the Nottingham Health Profile of
safety and quality of the patient.
Discussion of indicator
Indicator of patient safety or patient quality
The indicator is evidence related and can be utilized to recognize differences in the standard
of care contributed on both the outpatient and inpatient basis. Such actions are presently
arranged into four sections, these are the Paediatric Quality Indicators, Patient Safety
Indicators, Inpatient Quality Indicators and Prevention Quality Indicators. Nottingham Health
Profile has aspired for primary health care in order to contribute a brief sign of perceived
physical, social and emotional health issues of the patient in Australia. The Nottingham
Health Profile is a common patient-reported result action which seeks in order to measure the
subjective status of the health.
A comprehensive discussion on contextual factors
The Nottingham Health Profile has been utilized in order to assess health status in different
non-rheumatologic and arthritic situations. As per Dekker (2016), perceived distress and joint
pain are measured by the Nottingham Health Profile at the time of analgesic and NSAID
therapy. In fact, it can be said that the Nottingham Health Profile has also been utilized in
order to evaluate the disability in patients with hip osteoarthritis. According to Veauthier et
al. (2015), this is predictive of slacking of entire hip replacements in a potential study of
patients.
A comprehensive discussion of methods used for measurement of indicator
The Nottingham Health Profile composes of 2 sections, the 1st section aims at health which
mainly composes of 38 things deal with social isolation, emotional reaction, mobility, sleep,
energy and pain. The 2nd section aims at the life sections influences which compose of 7
things deal with issues about holidays, hobbies, sexual function, family life, social life,
housework and occupation (McFadden et al. 2015).
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The Nottingham Health Profile is a questionnaire framed in order to measure the view of the
patients of their own status of health, in a number of locations. Data and information are
received before mapped care home discharge. All the consecutive in-patients who have
visited by the geriatric consultation group reaching the inclusion fact are recruited. Boamah et
al. (2018) have added that the inclusion facts are that the matter needs to suffer from
minimum one of the situations which are as follows:
● Psychological, functional and persistent medical issues which interfered with their
release to home. Care users with terminal suffering are excluded.
● Abnormal mental status evaluated by the process of confusion assessment.
● Incapability to stand from a bed or chair or to walk without help.
On the viewpoint of Lee et al. (2016), functional status is assessed utilizing the CI that is
Charlson Index and BI that is Barthel Index which ranges from 0 to 100 which are divided as
per the cognitive operation as measured with the MMSE that is Mini-Mental State
Examination. The Health-Related Quality of Life is evaluated by the means of Nottingham
Health Profile which is interview managed by a guided geriatrician.
Summary of literature
A quality indicator is measured facts of healthcare, which highlight the performance of the
healthcare supplier or the system of healthcare. As opined by Mitchell et al. (2016), the
indicator has an important duty in programmes in order to enhance and assess healthcare, for
example, public reporting, financial incentives, contracts, certification, accreditation and
educational feedback. In terms of the widespread present interest in improving and measuring
patient safety and the indicators of potential quality based on potentially preventable
complexities of medical care status special attention. However, Yüksel et al. (2018) have
added that the indicator of patient safety measures the intent in order to evaluate, monitor and
identify unintended hazardous or events situations in the delivery of healthcare, which can
have led to casual health situations for a patient. Health service is committed to contributing a
secure or safe environment for the visitors, staff and patients. In fact, the securities in a
hospital organization sustain visitors, staff and patients safe from an improper attitude like
aggression and violence (World Health Organization, 2017).
On the other hand, Panagioti et al. (2018) have informed that in order to keep visitors,
patients and staff safe, care homes utilizes a scale of security actions, involving the usage of
an electronic access control procedure for doorways, duress alarms for employee and CCTV
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cameras. It has been mentioned that this is essential that one respects visiting hours as well as
rest durations for the patients at the time of day. In case one desires to bring anything for their
admitted relative, the care home needs to check it properly. Most of the hospitals have
security arrangements and staff in order to secure hospital staff and patients in order to make
sure that they are safe.
Usage of indicator in clinical practice
Osteoarthritis is a general degenerative joint disease which basically influences the knee joint
with a great prevalence. As per Davinelli et al. (2017), the KOA that is Knee Osteoarthritis
has an influence on independence and functioning mainly in women of Australia where the
patients of KOA mainly report restrictions in their lives on a regular basis, involving leisure
tasks, work and primary activities, as well as such restrictions, influenced patients who are
basically retired and even those are still working. In fact, radiographic progression has been
reported in Australian patients with early KOA. However, Aveling et al. (2016) have
mentioned that the Nottingham Health Profile is a common tool which is framed in order to
reflect the lay concepts of the status of health in the resistance to the professional
explanations of health. This contributes multiple results which may be helpful to the
researchers as well as the clinicians who are performing to measure the distinctive impacts of
their treatment a situation on several domains of Health-Related Quality of Life. As cited by
Vaismoradi et al. (2015), the Nottingham Health Profile is mainly utilized in the assessment
of cardiac care users with the myocardial infarction, patients with rheumatoid arthritis and
care users with lower limb ischemia. The Nottingham Health Profile has been got to be
excessively reliable for the population with Osteoarthritis.
On the viewpoint of Garip et al. (2016), the Nottingham Health Profile is simple to utilize
with stroke care users as well as may be utilized with those who mainly cannot maintain more
complex mood questionnaires like GHQ that is General Health Questionnaire. The stroke
care users rate their feelings, emotions and health of social isolation. The Nottingham Health
Profile emotion scores correspond with the objective actions of GHQ, length of hospital stay
and disability. However, Shahabeddin et al. (2018) have demonstrated that the Nottingham
Health Profile is a proper indicator of combining their elements and depressed mood into an
entire score provides the highest accuracy. The care users with great scores at 1 month carried
on with in order to report huge amounts of issues at 6 months after their stroke. Most of the
care users experienced social isolation, disturbed sleep and pain which is essential, potentially
treatable issues not mainly contemplated in the maintenance of stroke care users. Most of the
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care users with issues do not see their common practitioner or any other source of assistance,
as well as additional, follow up is required.
As per Hoffman et al. (2019), a crucial strength of the Nottingham Health Profile is that this
is related to the customer definitions of health retrieved from the individual in the group. It
can be stated that the language in the Nottingham Health Profile is easy as well as the range
needs only a minimal scale of reading capability. It has been seen that utilizing the
Nottingham Health Profile which compares to a common control population care users with
the CLLI have a extremely minimized quality of life. Nakhasi et al. (2019) have mentioned
that the MSTS functional assessment system utilizing the Nottingham Health Profile protocol
in order to measure the Quality of Life of a care user with the hostile musculoskeletal
tumours.
The Nottingham Health Profile is basically utilized six dimensional like physical mobility,
social isolation, sleep, emotional reactions and pain as well as energy generic status of the
health questionnaire. In fact, Gallagher and Mazor (2015) have added that Nottingham Health
Profile has experienced assessment and even both weaknesses and strengths have been
illustrated. The Nottingham Health Profile index of Distress is a twenty-four thing action of
suffering based distress implanted in the Nottingham Health Profile. When this has not been
excessively utilized or assess, present information has not showcased promise as well as
recommend that this can contribute a one-dimensional action of suffering based distress. The
higher amount of things needs to enhance the precision and reliability of scores. The
Nottingham Health Profile has a proper potential in order to face the restrictions interlinked
with the Nottingham Health Profile section scores.
Solution for clinical problem solving
As opined by Reis et al. (2018), with the ageing of society, the management of the quality of
life for older adults is maximizing essential. In fact, the disability levels related to the tasks of
living on a daily basis are the conventional result measures in the older adults, the usage of
questionnaires established in the care home to measure Health Related Quality of Life
contributes both practical and conceptual benefits like a higher capability in order to
discriminate among the individuals and communities as well as in order to track
transformations over time. It has been seen that the care users with KOA have a notably
poorer Quality of Life between all the subscales of the Nottingham Health Profile except for
the social isolation in comparison with health management.
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PDSA Cycle
Insufficient reliability has even been explained for some sections of such questionnaires in
Salisbury Private Nursing home. At last, this has been contradicted that the individual with
the emotional impairment is not able of one subjective Health-Related Quality of Life
evaluation. Moreover, some empirical evidence recommends that older adult care users with
a medium degree of emotional impairment can take consistent and reliable Health-Related
Quality of Life evaluation.
Tool: Nottingham Health Profile
Level: Circulation of surveys
Round: 1st Try
Plan
The care home, Salisbury Private Nursing mainly needs to plan to examine the procedure of
providing satisfaction surveys as well as receiving them filled out. After receiving those they
need to get back to those care users. They need to run this procedure for minimum 20
completed surveys in a week at the time of this campaign. Some of the steps which need to be
executed by Salisbury Private Nursing are as follows:
● They need to showcase the surveys at the desk of checkout.
● The attendant of checkout need to motivate the care user in order to sill out the survey
as well as keep this in the box following this survey.
● In fact, they need to try this for at least a week.
Do
While prosecuting this procedure, Salisbury Private Nursing has observed the following:
● They have noticed that the care users often have other things in order to participate to
at such time, such as paying or creating an appointment for services as well as do not
feel that they may take on other activity at the same time.
● In fact, the area of checkout can get backed up and busy at times.
● The attendant of checkout often remembered to request the care user in case they may
like to round out the survey.
Study
At the end of the week, it has been seen that Salisbury Private Nursing has only 7 surveys
returned. Such a procedure does not work properly in their care home.
Act
The care users do not desire to stay to round out the survey as soon as they have completed
their visit. Salisbury Private Nursing requires providing care users with a direction in order to
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round out their survey while they have actually time. Salisbury Private Nursing needs to
motivate them in order to round out while they get back home as well as offer one stamped
envelope in order to mail the survey round back to them.
Figure 1: PSDA Cycle
(Source: Created by Author)
Evaluation of quality improvement program
The most reported restriction on a frequent basis is a great proportion of missing. It may be
partly because of the difficulties with the self-completion, based on the great prevalence of
particular impairments like manual dexterity or vision issues among older adults.
Additionally, the rates tend in order to enhance while the questionnaire is interviewer-
managed. The other restriction is that some things or also health sections are non-applicable
to individuals with an extreme disability. As per Kiani (2016), the Nottingham Health Profile
is widely utilized in epidemiological and clinical studies as this is applicable not only in order
to assess self-rating health based diseases or situations between the care users but even to
instigate the management of the health of the common population as well as track the health
issues based on habits, social life, family, housework and work. This tool can be utilized to
sensitively and effectively assess subjective health. Such a tool also accomplishing permits
differences within as well as between illness communities. In the outpatient department of
healthcare, the Nottingham Health Profile is even culture-free as well as they have also been
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PlanStudyDoAct

utilized as a reliable and proper instrument between the doctors or care providers in Salisbury
Private Nursing.
According to the viewpoint of Tabali et al. (2015), information from the care users with
Nottingham Health Profile is taken from the 3 sources; these mainly include postal survey
information from care users getting care at the outpatient department, consecutive
Nottingham Health Profile outpatients except other essential disorders and the consecutive
care users accomplishing criteria for the interventions for the Nottingham Health Profile.
Maximizing pressures on the heath administrators in order to contribute health care facilities
effectively and efficiently has illustrated the requirement for proper actions of results.
Utilizing these actions, Salisbury Private Nursing requires being capable to explain as well as
worth the scale of health status in communities and individuals as well as in order to quantify
and analyse transformations around time. For Salisbury Private Nursing home, the
Nottingham Health Profile is a standard instrument for the survey of the health related issues
in the population but is useful and valid in an equal manner as a means of assessing the result
of social or medical interventions.
Conclusion
In conclusion, it can be said that the Nottingham Health Profile Health-Related Quality of
Life is influenced in the patients of Australia with the basic health issues and may be utilized
as an action in order to throw back pain, radiographic severity and physical performance.
Moreover, emotional reactions, energy, sleep, pain and physical mobility things are basically
reported without social isolation section ascribed to various morals and cultures of the
communities.
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