Quality Improvement Initiative Assignment 2022

Running head: QUALITY IMPROVEMENT INITIATIVE
QUALITY IMPROVEMENT INITIATIVE
Name of Student:
Name of University:
Author’s Note:

QUALITY IMPROVEMENT INITIATIVE
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Introduction
Quality improvement initiative is defined as an approach by health service for well-being
of population that tends to improve the heath outcome of people. The occurrence of falls in
elderly people has risen in the health care setting, which is mainly because of inadequacy of
nursing staffs. Therefore, the main aim of the project is to improve the practice of the nurse and
make them efficient in giving quality care to the patient, which targets to lower the risk falls and
ensure patient safety.
Purpose of the quality improvement
Nurses are the crucial factor in influencing the quality of care to the patient in hospital. In
the report of institute of medicine, the importance of nursing staffs has mentioned in improving
the quality of care. However, the present scenarios of the nursing staffs are leaving negative
impression and outcome with poor health outcome of the patient. In the recent survey by Cho et
al. (2015) it was found that the major risk of falls in hospital are due to inadequate nursing staffs
who are not conscious and responsible towards their work. Author describes that patient and the
family depends on the support of the nurse, however, when there is limit resource, nurse end up
in limiting their level of care. Haines et al. (2015) has mentioned in his study that inadequate
nursing staffs are connected with medication error, infection, falls and even death of the patient.
The major reason identified are related to low nursing budget, shortage of nurse, workload,
overtime, night shifts and lack of training and knowledge in nurses. All such reason are
converged to poor nursing staffs, which has cause inefficient quality of care. Therefore, the main
aim of the proposal is to get a step to improve the quality of care by extemporizing the nursing
staffs and lower the risk and incidence of falls among the elderly patient.

QUALITY IMPROVEMENT INITIATIVE
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Target population
There are large numbers of group of people who became victim of inadequate nursing
staffs and are the risk of falls. These includes children, pregnant women, injured men and elderly
patient. Among them, the elderly patient are at huge risks of falls due to weak strength (Reeves
et al., 2018). Falls in older adults may result in fracture of bone and injury. It is reported in the
study of Marcarelli et al. (2017) that wound in older people takes more than usual time and have
78% probability to develop infection due to their low immune functioning. Additionally Järvinen
et al. (2015) has discussed that recovery from bone fractures in older people are sometime very
slow or irreversible due to decline rate of bone cell division and mechanism. Hence, in account
of the literature, it is inferred that the target population for quality improvement initiative would
be elderly patient of above 65 years of old. To add up, registered nurse and health worker will be
included in the target population.
Benefits of the quality improvement initiative
A number of aspects of quality care are linked with falls and these aspect are impaired
with inefficient working of the nursing staffs. The main benefit of the project is related to good
health outcome of the elderly patient. The patient will get effective care by the staffs, which will
reduce the incidence of falls in hospitals. The quality of nursing care will result in effective
intervention for the patient regarding their safety. It will lower the health burden cause by falls in
patient in health care sector. Through steps, taken nurse would be able to implement best
strategies to prevent falls in the hospital. It is reviewed from the study of Douthit et al. (2015)
that it is important for the elderly patient to be handled with care as any ignorance from the nurse
can cause lethal consequences. Therefore, step need to be applied in health care setting in care of
patient and prevent risk of falls. Many studies have shown that several pilot projects has been