1QUALITY IMPROVEMENT Healthcare organization is continuously evolving in delivering effective care to the patients.Forprovidingregularqualitativecaretowardsthepatients,thehealthcare organization needs to monitor and evaluate the quality of services (Willis, 2018). Nursing professionals are the frontline healthcare professions that deliver services. Therefore, the healthcare organization needs to assess the quality measures and formulate a practical quality plan that involves the nursing professionals for enhancing the quality. The adverse events or near-miss incidents are the major causes of decreasing qualitative care. Therefore, I would like to evaluate the conflicts or errors that have impacted the quality of our healthcare organization. I worked as a registered nurse, and my organization monitor at regular intervals for improving the issues that have impacted on the quality of care. The quality improvement initiative of the organization includes the total quality management tool. Quality management contains four major elements. These elements are quality planning, quality assurance, quality control, and quality improvement (Sallis, 2014). The first quality improvement initiative that has been taken in the organization is providing practical training to the nursing professionals of the organization as it was found that nurses often lack the knowledge to perform an evidence based approach and in medical administration errors. The training that was provided by the organization includes usage of practical projects for developing skills, online modules, role plays, simulation, and conducted regular workshops or seminars for the latest evidence based practice. The quality initiative taken by the organization is related to the major conditions that have reduced the quality of health outcomes of the organization. From analyzing closely about the health outcomes, it was found that significant factors that impacted on the health outcomes are lack of knowledge in nursing professionals and vital cultural competence. The nurses who have joined the organization just after their graduation tends to make more errors
2QUALITY IMPROVEMENT as compared to the other nurses (Whiteheadet al.,2016). These newly joined nurses lack experience in administrating medicines, identifies any possible reaction, and unable to counsel the patients or their family members (The Joint Commission, 2020). Another major problem was unable to follow or practice the evidence based guidelines for treating and monitoring the patients. The nurses were facing difficulties in active communication with the patients, especially while delivering any sad news. Therefore, the quality initiation of providing training and conducting workshops has been implemented for reducing these factors and improving the deliveries of qualitative care by the nursing professionals. The success of the quality improvementinitiative can be measured by setting benchmarks and achieving the benchmarks would help in measuring the outcomes. The benchmarksthatwereincludedformeasuringtheoutcomesareimprovedinpatient experience, patient health outcomes, and effective communication. Effective assurance of quality and performance requires the measurement of the outcomes. Outcome-based practice or measuring outcome would identify the key factors that need to improve. With the help of training, the major outcome can be seen as effective communication. The role-play and usage of the practical project has helped in the practice of evidence based practice. The evidence based practice has reduced the medical errors that were majorly occurred by the newly joined nursing professionals. The online module training has also helped nurses to adopt new technology and medicines or any techniques for delivering care. Although the quality improvement techniques have improved efficiency in addressing the issues that the nursing professionals were facing. Few other measures needed to be measured, improving the clinical supervision and adoption of electronic technology that would enhance the overall quality. Nursing professionally works under stress and mostly ends up working under enormous pressure. The nurses who are lacking with experiences tend to increase their anxiety and decrease their confidence level to perform their duties. It is
3QUALITY IMPROVEMENT essential for the supervisor or nursing leader to ensure their support for building their trust and confidence. The clinical supervision would help the nurses to share their experience and knowledge with their senior colleagues or supervisor to enhance their practices in delivering the care. The quality initiative cannot be done only with the support of single professionals. It has to be done by incorporating multiple other professionals of the hospital or healthcare organization (Vachonet al.,2015). Nursing professionals work in teams, and the teams consist of multiple professionals such as physician, therapists, social workers, and other clinical technicians. Hence, their impact on nurses would also affect the outcomes. The training that has been provided for enhancing the knowledge of nurses, and by incorporating other professionals, it would improve in sharing responsibility, accountability and would work together for achieving the shared goals. The other professionals in the teams have a different perspective in delivering the care. According to Gadolin & Andersson (2017), quality would improve by aligning with other professional logic and building a strong working relationship. It would further help in fostering the institution's work, would bridge the multiple institutional logics, and also helps in overcoming the possible barriers that come up in the healthcare organization (Dickerson & Latina, 2017). Whileanalyzingthemeasuresofqualityimprovement,Ihavespokentothe administration, nursing leaders, and senior management of the hospital. They have shared the positive outcomes of the measure that is training for the nurses. They have realized that due to heavy patient flow and increased in the multiple needs of the patients, nurses often need to work more than their shifts timing and stay busy in the entire schedule of their duty. Therefore, sometimes it increases the administration error and finds difficulties in receiving any support from other colleagues and supervisors. The senior management has encountered some problems in taking the feedback from the nurses and other clinical professionals about
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4QUALITY IMPROVEMENT the efficacy of the training in their course of duties or their communications. The nursing leaders have also mentioned that the nurses who have just joined after graduation are facing anxiety while delivering the care and often fail in communicating or bringing any issues under the supervisor's notice. The guidelines and protocols of providing the necessary treatment are not mostly followed due to the lack of knowledge. The recommendation for additional indicators has already been discussed, and those were clinical supervision and usage of electronic technology. Apart from this, the grading system for the nurses during the deliveries of training is necessary. The scores would help in analyzing the knowledge level and effectiveness of the training or the measures of QI (Bagattinietal.,2019).Electroniccommunicationisverymuchefficientinquick communication during the emergences, and also it would help the nurses to communicate with the respective physicians directly. The technology would also help in sharing the information of the patient before the nurse handover the patient under the care of other nurses. One such technique is Information communication technology (ICT), it is for storing the medical records of the patients and also helps in easy retrieval of information whenever necessary (Arvanitis & Loukis, 2016). This technology helps in promoting a patient-centric approach, thus results in improving quality along with the experience of the patients. The quality improvement protocols such as Plan-Do-Check-Act (PDCA) cycle are necessary to evaluate along with analyzing the measures or tools of quality improvement (QI) (Johnson, 2016). The PDCA cycle is a four-step method that would help in analyzing the effectiveness of the actions that have been taken by the healthcare organization in improving the quality. The planning is the initial stage that would formulate an overview for addressing the issues, the second stage would implement the plan, and the third stage checks the implementation and impact of it. The following final stage would analyze the pitfalls and
5QUALITY IMPROVEMENT necessarily act upon it. This cycle would help in improving the measures of QI and is a continuous approach to improving quality. Hospitals or healthcare organization is a setting that has to deliver their service in higher quality. Therefore, the decision related to the quality improvement must include the professions from multiple disciplines. As the caregivers work in a team for effective in providing efficient deliveries of care to the patients. The ethical consideration is necessary for improving the care that would benefit the care providers along with care seekers.
6QUALITY IMPROVEMENT References Arvanitis, S., & Loukis, E. N. (2016). Investigating the effects of ICT on innovation and performance of European hospitals: an exploratory study.The European Journal of Health Economics,17(4), 403-418. Bagattini, F., Karlsson, I., Rebane, J., & Papapetrou, P. (2019). A classification framework for exploiting sparse multi-variate temporal features with application to adverse drug eventdetectioninmedicalrecords.BMCmedicalinformaticsanddecision making,19(1), 7. Dickerson, J., & Latina, A. (2017). Team nursing: A collaborative approach improves patient care.Nursing2019,47(10), 16-17. Gadolin, C., & Andersson, T. (2017). Healthcare quality improvement work: a professional employee perspective. International journal of health care quality assurance. Johnson, C. N. (2016). The benefits of PDCA.Quality Progress,49(1), 45. Sallis, E. (2014).Total quality management in education. Routledge. The Joint commission. (2020).Nursing Care Center 2020 National Patient Safety Goals. Jointcommission.org.Retrieved20March2020,from https://www.jointcommission.org/standards/national-patient-safety-goals/nursing- care-center-2020-national-patient-safety-goals/. Vachon, B., Désorcy, B., Gaboury, I., Camirand, M., Rodrigue, J., Quesnel, L., ... & Grimshaw, J. (2015). Combining administrative data feedback, reflection and action planning to engage primary care professionals in quality improvement: qualitative assessment of short term program outcomes.BMC health services research,15(1), 391.
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7QUALITY IMPROVEMENT Whitehead, B., Owen, P., Henshaw, L., Beddingham, E., & Simmons, M. (2016). Supporting newly qualified nurse transition: A case study in a UK hospital.Nurse education today,36, 58-63. Willis, M. A. (2018). Improving Lean Healthcare Effectiveness.Scholar Archive,4061. Yu, M., & ja Kang, K. (2017). Effectiveness of a role-play simulation program involving the sbar technique: A quasi-experimental study. Nurse Education Today, 53, 41-47.