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Quality Improvement In Healthcare Setting

   

Added on  2020-03-04

7 Pages1947 Words112 Views
Running head: QUALITY IMPROVEMENT IN HEALTHCARE SETTINGSQUALITY IMPROVEMENT IN HEALTHCARE SETTINGSName of the student:Name of the university:Author note:

1QUALITY IMPROVEMENT IN HEALTHCARE SETTINGSThe tool called HCAHPS Survey Instrument is helpful in getting idea about the patient’ssatisfactions in service delivery (Jadotte et al., 2017). With the use of the HCAHPS SurveyInstrument, it was noted that the patients was quite dissatisfied with the quality of care providedby the nurses. As it was a survey, it was not possible to develop a broad idea about the feelingsof the patients but it seemed inevitable form the interviews that the patients seemed themselvesvulnerable and developed a feeling of disempowerment. They felt that the nurses did not respectthe autonomy as well as the dignity of the patients and often tried to impress their owninterventions on them. They did not like to participate in any discussions with the patients whichmade them vulnerable. These made them upset and as a result they were getting depressed oragitated. There is indeed evidences which suggest that the way nurses provide care to patients areimportant in helping patients to recover the disorders. The quality of nursing care provided inhealthcare settings are often researched by different researchers and they have come to the viewthat person centered care is helpful in making patient’s condition stable and develop atherapeutic relationship with them (Melnyk et al., 2014). The patients in my appointed hospitalswas never given a chance to participate in decision making and were not properly educated themwith the intervention they were applying. A similar chapter was selected where more or less asimilar scenario was suggested where the patients complained of lack of readiness andpreparedness of the nurses when they visited them. Lack of shared decision making activitieswere noted by them. They also complained of delayed nurse’s responses as they have noticednurse shortages as a reason . The researchers of one primary article suggested misalignments insystems, care processes and also improper nurses’ response affected the quality of care bymaking patients disempowered and increased their sense of vulnerability. The post interventionphase where they used inculcation of various strategies to develop person centered care was

2QUALITY IMPROVEMENT IN HEALTHCARE SETTINGSindeed found to be fruitful (Storm et al., 2014). Patients suggested that the nurses became morecompassionate and empathetic and considered every one as family members. The nurses developproper ways of engaging themselves with patients and developed a relationship which helpedthem to maintain the patient’s autonomy and dignity (Yost et al., 2015). Thereby by followingthe above mentioned researches, the main intervention that I would apply is to introduce trainingsessions for the nurses to provide them how to adapt strategies of inculcating person centeredapproaches. Moreover the issue of nurse shortages would be to handle to the HR department sothat work pressure and burnout do not hamper the quality of care provided to patients.Another process to review the quality of service provided to patients is to use audits andfeedback interventions. In spite of carrying on regular audits and feedbacks in my organisation,results have been found to be null and therefore the result were becoming futile even after properaudits and feedbacks were conducted. This forced the healthcare center to get confused as theywere not finding the right tool for judging the quality. This scenario of my organisation can beexplained with the work of Ivers et al in the year 2014. According to this researcher and histeam, the ‘business as usual’ mode of audit and feedback never bas become successful in onequarter of their tested healthcare centers but have again failed miserably in another quarter oftheir tested healthcare centers as they have provided null effect on the development of quality ofservices (Gould et al., 2014). They have suggested that understanding their mechanism of actionsand identifying the key active ingredients is extremely important to make the interventionsuccessful. Often following the business as usual approach that evaluates two arm trials of auditand feedback interventions against usual care for common issues and different settings do notbring out proper results. They fail to help in providing new generalizable settings. They continueto keep themselves restricted only to the known areas of healthcare practice and do not allow

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