Leadership and Management in Nursing: Quality Improvement Proposal

This Quality Improvement Proposal examines the critical role of leadership and management in nursing, particularly focusing on improving healthcare outcomes. The proposal addresses the challenges of monitoring care processes and emphasizes the importance of data analysis in measuring and enhancing the quality and safety of healthcare. It includes a literature review that underscores the significance of quality improvement (QI) in healthcare, the role of nursing leadership, and the use of data to monitor outcomes. The intervention plan outlines strategies to establish a culture of quality within healthcare organizations, focusing on data collection related to mortality rates, patient satisfaction, and care effectiveness. It details the resources needed, the roles of stakeholders (nurses, physicians, and other medical professionals), and an outcome-based evaluation method. The proposal concludes by reiterating the need for data-driven decision-making and collaborative efforts to improve patient care. References supporting the evidence-based approach are provided, including works from Kilbourne et al. (2018), Moore (2018), Marshall et al. (2016), and Nelson et al. (2016).

Running head: QUALITY IMPROVEMENT PROPOSAL 1
Quality Improvement Proposal
Name
Institution

QUALITY IMPROVEMENT PROPOSAL 2
Leadership and Management in Nursing-Quality Improvement Proposal
Statement of the Problem:
Many healthcare organizations are unable to monitor the outcome of the care process.
Inadequate methods of using data to measure the methods and monitor healthcare outcomes
affect the systems of improvements in the quality and safety of the healthcare process.
Literature Review
Quality improvement (QI) in healthcare involves continuous and systematic actions that
improve health care services and outcomes in the targeted group of patients. The role of every
nursing practice is to promote safety through quality care (Nelson et al. 2016). This consists of
balancing the needs and interests of the nursing association and the public to provide quality and
safe care. Every nurse must employ key leadership styles and theories so that they can provide
safe and efficient care. Analyses of data are vital to monitor the healthcare outcomes within the
target patient group. Either transformational leadership theory or participative leadership theories
can improve nursing leadership effectiveness in different situations (Kilbourne et al. 2018).
Nursing leaders should choose the most effective approach based on the given scenario to
achieve the objectives of the organization through measuring and monitoring data.
Every healthcare setting should use various business principles to manage patient care
needs effectively, including leadership, development of successful plans, teamwork, and using
data to analyze results. However, the nurse must ensure successful care coordination, consisting
of evidence-based practice, teamwork, quality improvements, patient-centered care, and
collaboration, and using data to monitor and evaluate the healthcare outcome (Marshal et al.
2016). Data is used to provide a connection between the level of improved health services and
the desired outcome within the targeted patient population. In that regard, data should be used to

QUALITY IMPROVEMENT PROPOSAL 3
analyze the systems and process, results from the teamwork, and the effectiveness of patient-
centered care.
Intervention Plan
Every healthcare organization and the nursing practitioner must ensure that they establish
a culture of quality in the process and procedures. This involves prioritizing all areas that need
improvement through the collection and analyses of available data. The most important data
includes measuring the mortality rates, rates of re-admission, patient satisfaction and experience,
the usefulness of care, the safety of care practice, and timeliness of care or patient’s ability to
access the care (Nelson et al. 2016). The nursing practitioner should evaluate and analyze the
results to provide accurate and timely analysis, which is essential for monitoring performance
and making effective decisions. The available data should be communicated to all teams.
Resources Needed to Implement Intervention
Measuring the safety of care practice, the effectiveness of care, rates of re-admission,
mortality rates, patient satisfaction and experience, and timeliness of care may require several
methods of data collection, including observation, questionnaire, and interviewing method. The
collected data is analyzed and mean, mode, and median are determined. The analysis of data is
vital in order to establish possible errors and evaluate the quality of care practice (Moore, 2018).
Role of the Stakeholders
The nurse's roles consist of the collection and analysis of data. The nurse will record the
medical history of the patient, collaborate with the team, monitor the healthcare outcome,
educate patients, and manage the illness (Nelson et al. 2016). After the data analysis, the nurse
will communicate the information to other stakeholders, advocate for the health and wellbeing of
the patients, and recommend possible solutions in the treatment and care practice. The physician

QUALITY IMPROVEMENT PROPOSAL 4
and other medical professionals will be involved in diagnosing, treatment, ordering, performing,
and interpreting the data.
Evaluation method
Outcome-based evaluation is the most effective because it allows for the continuous
feedback and effective adjustments of the care processes. Measuring the overall outcome helps
the organization to improve in the care process.
Conclusion
Quality improvement in healthcare practice should involve analyses of data to monitor
healthcare methods and outcomes. This should involve collection data, including mortality rates,
the safety of care practice, rates of re-admission, patient satisfaction and experience, the
effectiveness of care, and timeliness of care. Analysis of collected data will provide guidelines
for the effectiveness and quality of care (Kilbourne et al. 2018). All healthcare professionals
must be involved in the analysis of data to collaborate and improve care practice.
Organization/Presentation
This should involve all stakeholders (nurses, team, physicians, etc.), skills, style of
leadership, leadership structure, strategies, and systems.

QUALITY IMPROVEMENT PROPOSAL 5
Reference
Kilbourne, A. M., Beck, K., Spaeth‐Rublee, B., Ramanuj, P., O'Brien, R. W., Tomoyasu, N., &
Pincus, H. A. (2018). Measuring and improving the quality of mental health care: a
global perspective. World psychiatry, 17(1), 30-38.
Moore, A. P. (2018). Outcome measurement in clinical practice. In Managing Money,
Measurement and Marketing in the Allied Health Professions (pp. 131-141). CRC Press.
Marshall, D. A., Burgos-Liz, L., Pasupathy, K. S., Padula, W. V., IJzerman, M. J., Wong, P.
K., ... & Osgood, N. D. (2016). Transforming healthcare delivery: integrating dynamic
simulation modelling and big data in health economics and outcomes research.
PharmacoEconomics, 34(2), 115-126.
Nelson, E. C., Dixon-Woods, M., Batalden, P. B., Homa, K., Van Citters, A. D., Morgan, T.
S., ... & Lind, C. (2016). Patient focused registries can improve health, care, and science.
Bmj, 354, i3319.