Nurse sensitive quality care - structure process-outcome
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This document discusses Donabedian's model for evaluating the quality of healthcare using structure, process, and outcome measures. The model suggests that structure influences process, and process influences outcomes. Structure refers to attributes like staffing levels, education, and facilities. Process measures examine how care is provided, like following protocols. Outcome measures evaluate the results of care, such as infection rates or patient satisfaction. The document provides examples of nurse-sensitive measures for each category.
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Nurse scientists as knowledge brokers
Nurse scientists serve as knowledge brokers by linking researchers and decision makers. They facilitate interaction between these groups to support evidence-based decision making in healthcare. Nurse scientists require extensive knowledge in their specialty areas and perform research by developing solutions, running experiments, and applying for grants. Their work involves producing and disseminating knowledge for government agencies, universities, and private organizations. Nurse scientists influence nursing practice by assisting with workforce planning, setting standards and processes, and designing systems to measure and improve quality of care.
Quality control of healthcare
This document discusses quality control in healthcare. It defines quality healthcare and how it is measured using indicators of structure, process, and outcomes. Evidence shows the need to improve quality through reducing errors and inappropriate care. Quality can be achieved by either building or inspecting it, using quality assurance or quality improvement approaches. Factors influencing quality include provider skills, system structure, resources, and education. Tools to improve quality include education, guidelines, and peer review. A comprehensive strategy is needed using incentives, data monitoring, patient empowerment, standards, and information systems to support continuous quality development.
Nursing Leader Driving quality care
Nurses play a pivotal role in hospital quality improvement initiatives. As the staff that spends the most time at the patient bedside, nurses are well-positioned to identify issues and make improvements. However, nurses face challenges in becoming more involved due to limited resources, competing demands on their time, and the need for cultural changes. Hospitals must support nurse leadership in quality improvement through dedicated programs, accountability measures, and by valuing nurse feedback to continuously enhance care quality and safety.
Introduction to PCMH RN (abreviated)
This document outlines an agenda for a training on the role of registered nurses in primary care settings. It discusses the chronic care model, which emphasizes coordinated care systems to better manage chronic conditions. It also reviews the American Academy of Ambulatory Care Nursing standards of practice, which define ambulatory nursing practice through six standards on the nursing process and ten on professional performance. The document emphasizes the importance of nurses in areas like care coordination, patient education, and provider support in primary care settings to improve outcomes for patients with chronic conditions.
philosophy,aims & objectives of nursing management, current trends and issues...
One of the most important human activities is managing. Management is the process of designing and maintaining an environment in which individuals, working together in groups, efficiently accomplish selected aims, managers are changed with the responsibility of taking actions that will make it possible for individuals to make their best contributions to group objectives. Management thus applies to small and large organizations.
2016 Veronicah Change Poster
This document discusses improving nurses' involvement in decision making using Kurt Lewin's three stage change theory of unfreezing, movement, and refreezing. The change would be tested using the PDSA model and occur first on one unit of a nursing home. Nurses would participate in empowerment programs to prepare them for decision making involvement through education and staff meetings. Outcomes like job satisfaction, retention, patient outcomes would be measured. Currently there is a top-down communication approach and lack of staff input. The change aims to increase interactions between leaders and staff for improved job satisfaction, productivity and patient outcomes.
Quality and Safety - Vision:2025
Quality and safety, Vision 2025, Specific challenges of Nursing on quality, Quality improvement division, Fish bone technique,QI model, PDCA, Role of Nurse, Empowerment, Nursing positioning and policies,
Breast masses
The document discusses quality improvement in healthcare. It states that improving quality can reduce costs by better managing care processes. Quality healthcare should be safe, effective, patient-centered, timely, efficient and equitable. There are various outcomes of clinical processes including physical outcomes like complications, service outcomes like patient satisfaction, and cost outcomes. Variation exists in clinical practice due to factors like complexity, lack of knowledge, and human error. Clinical standards help address variation through approaches like peer review and assessing practitioner competence.
Nursing Process
The Nursing Process is a framework that helps organize and deliver nursing care through five main steps: assessment, nursing diagnosis, planning, implementation, and evaluation. It provides an orderly and systematic method for planning and providing care, enhances nursing efficiency, and increases care quality. During the assessment step, nurses gather both subjective and objective data on the client's health history, current status, and potential problems through various sources like interviews, examinations, and record reviews. This comprehensive data collection helps identify client needs and priorities to guide the development of the subsequent nursing diagnosis and care plan.
FNU Troubling Clinical Experience Nursing Scope Discussion.docx
1) The document discusses patient safety and error prevention in nursing practice. It covers types of errors, root cause analysis, and human factors that can contribute to errors.
2) It summarizes recommendations from several reports on improving patient safety through better systems, use of technology, training, and involving patients in their own care.
3) The importance of critical thinking in nursing is discussed as well as approaches nurses can take to develop critical thinking skills like using the nursing process, concept mapping, journaling, and group discussions.
FNU Troubling Clinical Experience Nursing Scope Discussion.docx
1) The document discusses patient safety and error prevention in nursing practice. It outlines common medical errors and approaches to analyzing errors, including root cause analysis.
2) Key strategies to improve safety discussed are checklists, standardized procedures, limiting work hours and fatigue, and involving patients in their own care. National organizations provide safety goals and endorse safe practices.
3) Critical thinking is important for nurses to provide safe care through clinical judgment, reasoning, and reflection on practice. Approaches to developing critical thinking discussed are the nursing process, concept mapping, journaling, and group discussions.
Evidence-Based Practice_2.pdf
Evidence-based practice in nursing involves integrating the best available research evidence, clinical expertise, and patient preferences to guide clinical decision-making and improve patient outcomes. It is a systematic approach that requires nurses to formulate clinical questions, search for relevant research, critically appraise the evidence, synthesize findings, integrate the evidence into care, and evaluate outcomes. Implementing evidence-based practice enhances patient care, ensures quality and safety, and advances the nursing profession through lifelong learning.
61021f2409df3a092c5a1db20178d6ea.pdf
Evidence-based practice in nursing involves integrating the best available research evidence, clinical expertise, and patient preferences to guide clinical decision-making and improve patient outcomes. It is a systematic approach that requires nurses to formulate clinical questions, search for relevant research, critically appraise the evidence, synthesize findings, integrate the evidence into care, and evaluate outcomes. Implementing evidence-based practice enhances patient care, ensures quality and safety, and advances the nursing profession through lifelong learning.
Evidence-Based Practice.pdf
Evidence-based practice in nursing involves integrating the best available research evidence, clinical expertise, and patient preferences to guide clinical decision-making and improve patient outcomes. It is a systematic approach that requires nurses to formulate clinical questions, search for relevant research, critically appraise the evidence, synthesize findings, integrate the evidence into care, and evaluate outcomes. Implementing evidence-based practice enhances patient care, ensures quality and safety, and advances the nursing profession through lifelong learning.
IMMUNOTHERAPY.pptx setwgwegawegy4WEFTEGTe
The document discusses the nursing process, which includes assessment, diagnosis, planning, implementation, and evaluation. It describes the steps of each component in detail. For example, it explains that assessment involves gathering various types of data on the patient, including medical history, mental status, and psychosocial factors. Diagnosis involves determining nursing diagnoses based on standards like NANDA. Planning considers principles like being safe, evidence-based, and individualized. Implementation involves both basic and advanced nursing interventions. Evaluation assesses the patient's response to treatment.
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Nurse sensitive quality care - structure process-outcome
- 1. Nurse-Sensitive Quality Care - (Conceptual Model) Structure of Care Nursing Care Processes Patient Outcomes Donabedian Model
- 2. Quality Assessment Antecedents Structure Process Outcome Factors that can influence structure, process: Environmental factors Patient factors (also influence outcomes) Organiza- tional character- istics Interactions between healthcare practitioner & patient Changes (desirable or undesirable) in individuals & populations Donabedian’s Structure – Process - Outcome
- 3. Example Measures for Nursing-Sensitive Care Structure Process Outcome • Size • Teaching status • Payer mix • Magnet status • CNO/manager • Practice environment (e.g., autonomy) • NHPPD • Staff mix • Use of agency staff • Education • Specialty Certification • Other credentials • Turnover • Risk assessment • Implementation of prevention protocols • Pain management • Medication administration • Counseling • Communication, teamwork, decision making • Injury falls • HAPUs • Nosocomial infections • “Failure to rescue” • Mobility • Satisfaction with care • Unplanned readmissions
- 4. Structure: Indicated by the supply, equipment, skill-level, facilities and education/ certification status Example: Availability of physicians and/or nurses providing care. Process: Measure aspects of nursing care such as frequency of assessment and intervention- how the system works Example: Is tracheostomy care done as per policy? Outcomes: Improve if there is a greater quantity or quality of care- the final product Example: What is the infection rate? How many tracheostomies block? Structure Process Outcome
- 5. Donabedian’s Model for Improvement