Elective 2-1 Quality health care nursing

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  • Detailed description of the characteristics/ measurements for a product, service, or outcome.
  • Outlines what the profession expects of its members
  • Elective 2-1 Quality health care nursing

    1. 1. QUALITY HEALTH CARE NURSING 1
    2. 2. “QUALITY HEALTH CARE NURSING” 2
    3. 3. StandardsStatements of expectations 3
    4. 4. Inputs, processes, behaviors and outcomes of health system 4
    5. 5. Standardsour quest for quality care 5
    6. 6. IMPORTANTTo address issues. 6
    7. 7. IMPORTANTGuide the nursing practice 7
    8. 8. IMPORTANT Validate the quality of servicesrendered by health organization. 8
    9. 9. STANDARD OPERATING PROCEDUREPROTOCOLS (SOP)GUIDELINES SPECIFICATION 9
    10. 10. PROTOCOL Detailed planSequence of actions 10
    11. 11. Expected Manner Method Process 11
    12. 12. Specifications 12
    13. 13. Ex. Guidelines for vascular injury in frostbite cases 13
    14. 14. Ensures staff are up- to-date& 14
    15. 15. What are the importance of standards? 15
    16. 16. Importanceof standards Outlinesexpectations 16
    17. 17. Importance of standards Guides and directsprofessional nursing practice 17
    18. 18. Importance of standardsFramework for developing competencies 18
    19. 19. Importanceof standards 19
    20. 20. Methodology for Setting Standards 20
    21. 21. 1. Identify a function or systemEx. Primary:• Acute respiratory infection mgt• Maternal and child care services 21
    22. 22. Hospital-based: 22
    23. 23. 2 Steps Screening Approach1. Identify High-volume High-risk Problem prone2. Select additional criteria Importance & feasibility 23
    24. 24. 2. Identify a team to address standards1. Select individuals/groups 24
    25. 25. 2. Identify a team to address standards2. Organize the working group 25
    26. 26. 2. Identify a team to address standards3. Develop approval process for the standards 26
    27. 27. 3. Identify inputs, process, or outcomes of the function or system and define the quality characteristics a. Define area of topic b. Identify methods & desired outcomes c. State scope of care and identify important aspects of care d. State the level of health care system for which the stds are being developed 27
    28. 28. 4. Develop or Adopt Standards Can be: 1. Case management plans 3. Clinical Care Protocols 2. Critical paths 28
    29. 29.  Outline the anticipated/ standard length of stay Expected clinical outcomes, goals and interventions involved in the care of a given case of client. 29
    30. 30. Critical PathSequencing and timing of interventionsDesigned to minimize delays in services and resources used maximize the quality of care. 30
    31. 31. Clinical Care Protocol guidelines that are explicit, criteria- based plans 31
    32. 32. 5. Develop indicators Measurable terms IMPORTANTMonitoring of compliance to the standard 32
    33. 33. 6. Assess the appropriateness of standardsAssess for VALIDITYAssess for RELIABILITYAssess for CLARITYAssess for APPLICABILITY 33
    34. 34. 7. Frames of Reference for Developing Standards Structure standards1. Physical characteristic2. Org’l structure3. resources 34
    35. 35. 7. Frames of Reference for Developing Standards Processstandards Behavior if nurses 35
    36. 36. 7. Frames of Reference for Developing Standards Outcome standardsChanges that should occur as a result of the intervention 36
    37. 37. Types of Nursing Standards 37
    38. 38. Standards of Practice Standards of Care Focuses on provider of care - nurse Focuses on recipient of care – patient/client What he does What he expect/ receive 38
    39. 39. Patients’ Bill of Rights 39
    40. 40. Case 1An 80-year old woman is in a persistent vegetative state as a result of cardiovascular accident.She has always talked about signing a living will requesting that heroic measures not be taken, but her family wants “everything that can be done to be done.”Whose wishes should prevail?What ethical principles would come into play in this decision process? 40
    41. 41. Case 2One night, Maria called her friend, Jade, at home to tell her that she had just tested positive for HIV. Jade is a nurse at a local community health center and works with Liza, Maria’s sister. The next day, Jade sees Liza and assuming she knows about Maria’s HIV test.” She does not have Maria’s written consent for this disclosure.Did Jade violate the confidentiality law?Why do you say so? 41
    42. 42. Patient’s Bill of Rights1. RIGHT TO COMPETENT CARE 42
    43. 43. Patient’s Bill of Rights2. FREEDOM FROM HARM 43
    44. 44. Patient’s Bill of Rights3. RIGHT TO INFORMED CONSENT 44
    45. 45. Patient’s Bill of Rights4. RIGHT TO WITHDRAW FROM PARTICIPATION 45
    46. 46. Patient’s Bill of Rights5. RIGHT TO CONFIDENTIALITY OF INFORMATION 46
    47. 47. Patient’s Bill of Rights6. RIGHT TO BE TREATED WITH DIGNITY AND RESPECT 47
    48. 48. PATIENTS’ RESPONSIBILITIES 48
    49. 49. 1. Providing accurate information 49
    50. 50. 2. Complying with instructions 50
    51. 51. 3. Informing the physician of refusal of treatment 51
    52. 52. 4. Paying hospital charges 52
    53. 53. 5. Following hospital rules and regulations 53
    54. 54. 6. Showing respect and consideration 54

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