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1. NURS 4220 Quality Improvement Plan Focus PDSA
NURS 4220 Quality Improvement Plan Focus PDSANURS 4220 Quality Improvement Plan
Focus PDSAAccording to Yoder-Wise (2019), nurses serve as the backbone of healthcare
with a notably higher number nation-wide with the respect and platform to positively
influence patients, caregivers, the community, leaders, and providers. Providing care within
the organization must support the organizational culture and the mission, vision, and values
(Yoder-Wise, 2019). Nurses and other healthcare professionals are responsible for
maintaining competency and advocating for the patients by continually researching and
searching for the most current evidence-based care.Nurses must maintain their
accountability to themselves, the organization, and the patients that they provide care. A
nurse must also possess the skill of emotional intelligence to effectively communicate for
the needs of their patients, the healthcare team, and yet maintain their values (Yoder-Wise,
2019). Nurses should support the Quadruple Aim to improve care access, provide the
highest quality care, maintain cost-effectiveness, and holistically take care of themselves
(Yoder-Wise, 2019).Within the large-integrated health system that I have worked for in the
last 20 years, safety and quality are embedded in the CEO and CNO culture. When looking at
the culture, the leaders have designed a just culture around reporting safety concerns,
errors, and near-misses. The system processes are reviewed without placing blame on the
individual(s). There has been much education on safety behaviors with things such as “Use
5ive saves lives”. Know five includes practicing with a questioning attitude, communicating,
following red rules (verification of patient identifiers), and self-check. The self-check
consists of the STAR technique to Stop, Think, Act, and Review.The culture of safety has
been fully shared with everyone in the organization. The CNO has worked diligently to shift
the culture where we now utilize a shared governance model; to allow involvement of all
the team levels to address safety concerns and make evidence-based practice changes.
Concerning the financial support from leaders with a budget, the great thing about the
organizational leaders is that they stay a few steps ahead of global, economic, and various
concerns to support safe patient care, allow a fantastic organization to work, and always
look out for the team. The CEO has a blog to enable team members to talk with him, and he
holds meetings to provide valuable updates, especially during the COVID crisis. I can
honestly say I cannot think of any better healthcare organization that I would instead work
within. It is a team, and everyone is valued.Reference:Yoder-Wise, P. S. (2019). Leading and
managing in nursing (7th ed.). St. Louis, MO: Mosby.ORDER NOW FOR CUSTOMIZED,
PLAGIARISM-FREE PAPERSNurses are the backbone of an organization and are expected to

2. lead, manage, and follow to help meet a health care’s quadruple aim. The purpose of a
quadruple aim is to improve access to care, quality and cost of care, and the work conditions
of the team (Yoder-Wise, 2019). It is the role of the nurse to advocate for patients and for
change so that the quality of care being provided and patient safety can have positive
outcomes. Organizations may utilize data generated from EHR’s of patient encounters to
identify ways to improve and determine which interventions and models are most
beneficial (Yoder-Wise, 2019). Nurses must remain competent in care being provided to
promote effective outcomes and be willing to adapt to change as needed to improve the
quality of patient care and improve patient outcomes and satisfaction. NURS 4220 Quality
Improvement Plan Focus PDSAAt a recent organization that I had the chance to be apart of,
they adapted the Just culture model. According to Bashaw & Lounsbery (2012), Just Culture
embraces system failures, errors, and weaknesses for the purpose of turning them into
educational opportunities for improvement and learning (Bashaw & Lounsbury, 2012). The
mission statement for the organization was to create and operate a patient centered,
integrated system that provides Safe, High Quality, Compassionate, and Sustainable health
care. The just culture model allowed the staff to feel secure and know that they could build a
relationship with leadership to collaborate and discuss concerns to improve patient care
and promote safety. This allowed for the nurses and other staff to provide input and feel like
their voices were heard. The just culture approach allows staff to report safety issues, near
misses, and other concerns without fear of being reprimanded but instead using it as a
learning experience to improve the quality of care being provided and prevent sentinel
events.The leadership style of the CNO in the organization was transformational.
Transformational leadership allows for a transparent approach and encourages staff to
become involved with effective communication methods and incorporate positive insights
to bring about positive change (Yoder-Wise, 2019). The senior leadership was adaptive to
improving patient safety and supported utilizing the budget to ensure that positive changes
were made to improve outcomes. Value based purchasing was adapted to improve patient
outcomes and also ensure the organization is benefiting from increased revenue. For
example, implementing an updated charting system such as EPIC can ensure that nurses are
more time efficient and effective with care provided and documentation time. As stated by
Yoder-Wise, “Automated clinical information systems that support integrated practice at
the point of care will also increase efficiency and improve patient outcomes”(Yoder-Wise,
2019, pg.366). Strategies that can be implemented to move the organization to performing
higher would include utilizing a shared decision making process that remains transparent
and open to change. Implementing a shared vision and team learning approach can allow
for collaboration and shared ideas to envision positive outcomes(Yoder-Wise, 2019).
Integrating evidence-based approaches can also allow staff to provide input and present
data to senior leadership so that the most effective care is incorporated when caring for
patients. As nurses, we spend the most time at bedside with patients and we are the eyes
and ears of health care and must identify and advocate for change to improve the quality of
patient care.