course material

1. Measuring and Monitoring Quality of Care
Instructions: Respond by extending, refuting/correcting, or adding additional nuance. Must
be in current 7th edition APA format with academic references cite. Must be grammatically
correct.Measuring and Monitoring Quality of CarePart of the job of the advanced nurses is to
measure and monitor performance. The practice is essential in determining the efficacy of
the approach used in caring. It provides feedback that helps in the promotion of the quality
of care for the AP nurses. It is also a social responsibility to assess the impact of the care
offered on the outcomes of the patients (Pantaleon, 2019). The activity promotes evidence-
based practice as it leads to an improved quality of care. The discussion will suggest the
various approaches of monitoring and measuring the quality of care and patient
outcomes.Most of the responsibilities and variables that nurses measure are those outlined
I the definition of nursing. They include health promotion, protection, prevention,
alleviation of suffering, and health optimization. The new regulations are shifting the focus
towards outcome-based practice. The shift is in response to the economic and quality
concerns and the reimbursement policies formulated. The fee paid is determined by the
NP’s value, and measuring it helps determine the reimbursement and quality of care.
Organizations also use the same model in appraising the NPs. It helps to know the NPs who
are saving hospital costs and improving the outcomes of patients (Jones, 2016). It assists in
retaining excellent NPs and letting go or training the others.There are various components
that NPs can use in the measuring and monitoring of patient outcomes. One of the
approaches is to focus on patient experience. Patient experience plays an essential role as it
determines the quality of care. Nurses can use the parameter to assess the progress of the
care and measure the outcomes (Pantaleon, 2019). Elements of patient experience include
the quality of communication with the nurses, patients, and other stakeholders involved in
care provision. The communication has to be clear, precise, and use the right channel.
Communication improves understanding between the care provider and the nurses. Pain
management is the other measurement indicator as patients whose pain gets managed well
experience positive outcomes. The nurse can also ensure the patients stay in a clean and
quiet environment that facilitates healing.The other important parameter to measure for
nurses includes the process. The process is critical as it examines the actual activities that
promote the quality of care, such as diagnosis, screening, and surgical care. The nurse can
measure it by calculating the time taken to diagnose patients and assess them. The process
needs to be effective to reduce time wastage and improve the accuracy of diagnosis (Jones,
2016). Patient outcomes are another element to monitor and measure. It is the aspect that

2. can get seen and measured by the public. Mortality is the initial variable as it measures the
number of deaths that the nurses have experienced in caring for patients. When the deaths
are high, it calls for analysis to determine the reason for it. Hospital-acquired infections are
another indicator of quality and safe care. Effective nurses have minimal numbers of
patients who develop hospital infections (Pantaleon, 2019). Such cases lead to an increased
cost of care as patients incur additional expenses in treatment, length of stay in hospitals,
and quality of life. Efficiency is another way of measuring NP performance. NPs should
make sure that the care provided is cost-effective. The focus on preventive care is critical as
it reduces medical costs that the hospital and the patient would incur.