Nursing Assignment: Quality Improvement Activity in Healthcare at ABC

This nursing assignment focuses on a quality improvement activity: patient-centred care. The student, a registered nurse, identifies the need for improved patient-centred care at ABC health service, highlighting its importance for patient safety and well-being. The assignment outlines the student's role in leading a team to implement this improvement, detailing the processes involved, such as gathering patient information, revising medication, and addressing mobility issues. Challenges encountered, including conflicts, time management, and miscommunication, are discussed, alongside evidence-based strategies to overcome them, such as team meetings, shift scheduling, and complete documentation. The report emphasizes the importance of communication and collaboration in improving patient care and outcomes, referencing National Health and Medical Research Council guidelines.

Running Head: NURSING ASSIGNMENT
Nursing Assignment
Name of the student:
Name of the university:
Author note:

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Identification of quality improvement activity and their important to improve patient safety
Conferring to National Health and Medical Research Council (2019), Quality
improvements activity is a particular activity which is done to monitor, assess and improve
the health care quality in a health care organization. To improve the quality of care different
activities are implied such as, speech language pathology and clinically care related quality
improvement initiatives. Patient centred care is the care provided to the patient by the health
care professional in order to get effective result based on the health condition, physical and
emotional need of the patient. If the care is not done properly it can lead to negative impacts
on the patient’s health. As a registered nurse, it is assigned to me by the nurse unit manger to
implement a quality improvement activity. I observed that at ABC health service, patient
centred care is not provided to every patient, which results in patient health deterioration.
Hence, the quality improvement activity identified in the assignment is patient centred care
improvement, as it is one of the most important aspect that should be followed in the health
care organizations. It is observed that patient suffering from different disease needs different
care with respect to their diet, medication, physical activities and hygiene, instead it is not
followed properly in hospitals which lead to decline in patient’s health. Patient centred care
should be followed in every health care organization as it helps in providing effective result
and lead to exponential increase in patient’s health. Patient centred care also helps to
maintain patient’s safety as it assists patient to overcome their anxiety and fear through which
is done by direct communication with the patient. In addition, it also improves the mental and
physical quality of life for individual suffering from acute illness and speeds the recovery
process.
Role in leading a team to work on this project:
Patient centred care is provided with the help of several health care professional such
as physician, registered nurses and other health care staffs. It is not possible without team

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support, hence a team is selected for the implementation of the patient’s centred care activity.
My role in the team is to supervise, that the changes required for the activity is implementing
or not. At first it is required to gather different members who will be involved in team and
after that, different roles are assigned to the team by me. To improve the quality of patient’s
centred care, different model is used which must be followed by every team member.
According to that, at first resources (patient’s medical past history) were collected through
interview. Then all the documents are collected and based on that his/her diet chart was
prepared. After that based on the data obtained, medication of the patient is revised. In
addition, the mobility issue of the patient is also taken in consideration before implementing
the patient centred care activity. After implementation of the activity, outcomes of the
activity is evaluated each day by the healthcare staff and reported to me. In case of the patient
suffering from mental disability, physical therapy is introduced.
Identification of challenges experienced in leading a team
To achieve a goal along with help of a team, it is necessary to identify challenges and
strategies are provided to avoid those challenges. In leading a team, different challenges were
encountered. During my experience of a nursing leader, certain conflicts was encountered
among the team member due to difference in their contrasting view. Everyone has different
view regarding their implementation of the activity and hence implementing the activity by
taking everyone’s view into consideration is a challenge. Management of time is also a
challenge which is observed frequently. In case of patient suffering from mobility
complication, a 24 hours nurse is required, but everyone is not comfortable to work behind
their shift timing. Another challenge observed during my experience is miscommunication
among the team members. Due to miscommunication, some of the team members remain
uninformed about the important facts regarding the implementation of the activity. To
introduce a patient centred care, interpersonal communication with the patient is extremely

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necessary to understand their pain and worry. Miscommunication among the patient and the
healthcare staff is also identified, because of incomplete documentation. Gathering resources,
documentation, implementation and evaluation needs huge amount of man power, but the
number of members are very less. Conflict between the staff member of different generation
because of their contrasting value are beliefs are also noticed which hindered the
implementation of the activity.
Evidence based strategies to manage these challenges
During my experience, different challenges are encountered with respect to
miscommunication, management of time, conflicts and work force. To avoid further conflicts
among the team member regarding contrasting views, suggestion from every team member is
considered. Based on the suggestion the plan was implemented. Another challenge which is
observed frequently is the miscommunication or the misinformation. To avoid
miscommunication, it is decided that during meetings everyone will have to present so that
no one misses any important information. Along with that, details regarding every important
function, will also be mailed to everyone. Management of time also act as a challenge, as
everyone is not comfortable with working overtime. To manage such challenges, different
shift timing is given to the team members. Through different shift timing, patient will also get
required care and time as well as health care staff also do not have to work beyond their shift
timing. Another challenge which is observed several time during my experience is the
incomplete documentation which leads to miscommunication among patient and the health
care staff. To avoid such miscommunication, document regarding patient’s past medical
history, their emotional and physical needs, and other important information should be noted
completely and distributed to each and every member of the team. To manage the generation
conflict, meetings is conducted regularly.

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Refrences:
National Health and Medical Research Council. (2019). Ethical Considerations in Quality
Assurance and Evaluation Activities. Retrieved from
http://www.wacountry.health.wa.gov.au/fileadmin/sections/committees_and_networks/
Research_and_Ethics/Ethics/e111_ethical_considerations_in_quality_assurance_140326.pdf