Quality and Sustainability Assignment: DNP-835A-Patient Outcomes and Sustainable Change

QUALITY & SUSTAINABILITY: PART 1 2

DNP-835A: Patient Outcomes and Sustainable Change

Quality & Safety Measures and the Relationship and Role in Today’s Nursing Practice.

Because of their central role in mitigating the risks inherent in receiving medical treatment for a wide range of illnesses and diagnoses, quality and safety are essential elements in the provision of effective health care services. All nurses must have certain qualities that improve the quality of care they provide to patients. Most often, these standards are based on the aspirations of individuals, groups, and industries with the hope of mainstreaming the methods that have consistently shown to provide the greatest outcomes (Stalter & Mota, 2018). The capacity to evaluate the results of nursing care is essential to the profession. In light of these considerations, this article outlines the connection between quality and safety in modern nursing, provides a case study of the use of quality and safety measures in current practice, and assesses some variables required to evaluate the efficacy of a health care program.

Measures taken to ensure quality and safety are often used as means of increasing productivity. When patterns in regular behavior and their associated effects are uncovered, they make it easier to put those plans into action. Their primary purpose is to direct the development, dissemination, implementation, and assessment of best practices in healthcare. These protocols guarantee that healthcare facilities function in accordance with predetermined norms defined by relevant parties (Sfantou et al., 2017). For instance, they play a crucial role in enhancing service delivery by placing a premium on the customer as the most important stakeholder in any healthcare-related endeavor. Accordingly, it is feasible to develop health facilities that meet and surpass the expectations of customers by contributing to the attainment of quality lifestyles. Measuring quality and safety provides a foundation upon which to build measures of competence, personal development, and responsibility (Stalter & Mota, 2018).

All of these factors are crucial in the healthcare industry because they encourage constant development in anticipation of new problems. Measures are used for a variety of purposes, including infection control, medication safety, error prevention, enhanced patient discharge procedures, and the right patient identification (Rosen et al., 2018). Because of the wide range of patients they treat, hospitals, for instance, have a heightened danger of acting as a conduit for the spread of disease. Furthermore, in certain cases, a lack of expertise or facilities may make it harder to effectively implement preventative measures, speeding up the transmission process. Infections may be avoided with less effort thanks to the restructuring of best practices that has been proven by recent improvements in healthcare (World Health Organization, 2017). As a result, healthcare quality and safety measures are crucial to achieving the stated goals and making for healthier and happier communities.

Barriers, and Facilitators or Methods for Addressing the Barriers, in Today’s Health Care Impacting both Patient and Organizational Outcomes.

· Nurses’ burnout: nurses’ burnout is one of the most debated clinical topics. The term "nurse burnout" refers to a prevalent condition that is defined by a decrease in the amount of energy that nurses have. This decrease in energy presents itself in emotional tiredness, a lack of motivation, and feelings of irritation, and it may lead to a reduction in the amount of work that can be accomplished. The primary reason for this is the current scarcity of medical personnel. To reduce nurses’ burnout, organizational may adopt an empowering leadership, where leaders empower the nurses and other healthcare professional.

· Failure to implement evidence base treatment: Once conclusive proof is not utilized in clinical practice, significant errors in therapeutic decision-making can happen, including the following: the introduction of initiatives that are inefficient; the introduction of initiatives that cause more damage than benefit; the failure to introduce interventions that cause better than harm; and the failure to terminate initiatives that are inefficient or cause more harm than good. This leads to a decrease in patient satisfaction as well as the satisfaction of the medical practitioner, which, in turn, leads to a decrease in the quality of treatment provided, which, ultimately, results in poor patient outcomes. Overcoming this problem requires encouraging nurses to take part in studies, including offering to sponsor some studies to increase involvement.

The Health Care Entity.

The group offers both hemodialysis and peritoneal dialysis to patients at its hospital location. First Healthcare System delivers its dialysis services through a team of highly qualified medical experts, such as nephrologists, RNs, nutritionists, hemodialysis specialists, and psycho-social professionals. Furthermore, the rising necessity for dialysis has made First Healthcare System's services more important in the modern age (Damasiewicz & Polkinghorne, 2020). In this article, we will look at how the institution's many quality outcomes and client safety precautions have contributed to its success. Additionally, the management positions of various groups that need nursing cooperation will be outlined, as will the result information and quality safety sectors necessary in nursing at the facility.

Contemporary Quality and/or Safety Issue that is Measured at the Health Care Entity

After the discovery of COVID-19 in Wuhan, China in late 2019, rapid initiatives were used in the consideration of regulating its propagation to the world at large. The illness stayed undetected for several weeks — because of factors including an average 14-day time of incubation and diverse outcomes all over demographic characteristics. Nevertheless, original explorations uncovered the magnitude of the circumstance and resulted to the establishment of safety and quality initiatives to halt the transmission of the fatal disease while addressing verified instances. Worldwide, techniques including transportation and immigration reduction were incorporated across and within nations to reduce spread (Wiwanitkit & Joob, 2020).

The action helps in obstructing the transmission of the viral infection from regions considered as hotbeds towards low-risk zones. For instance, commuters entering from foreign locations were isolated for 14 days for testing and therapeutic interventions where appropriate. The action was crucial in lessening the introduction of the viral infection into different regions while instituting the requirement for initiatives to avert infection. The establishment of a standard procedure for hand washing and disinfecting was another preventative step. With the ease with which COVID-19 might be spread via a person's respiratory secretions, the organization prioritizes the practice of good hand hygiene to prevent the spread of the virus. With so many clients and customers coming in and out of hospitals and clinics every day, healthcare workers pose a greater threat since they may quickly spread infections to new patients and anyone they come into touch with (Balkin & McDonald, 2020). The use of face masks and keeping large distance between people in public spaces were other factors in the spread of the disease from a person to another.

Quality and Safety Program Used by the Health Care Facility to Address the Quality and Safety Issue

Hand hygiene is a key component of the infection control methods established at First Healthcare System to enhance the effectiveness and safety of dialysis nursing care by lowering the prevalence of healthcare-associated infections (Karkar 2018). When working with dialysis patients, personnel at the facility are required to wear gloves. Due to the recent epidemic, everyone at the facility is now compelled to always wear protective masks. As a result, this helps stop the spread of diseases like COVID-19. Dialysis patients at X also have their wounds bandaged regularly, and there are severe rules against sharing belongings while receiving treatment (Karkar 2018). While patients are undergoing dialysis, nurses play a crucial role in preventing the spread of infection. Nosocomial infections caused by catheters decreased by 10.7 percent, according to research by Jayasree and Afzal (2019).

Implementing a dialysis checklist to guarantee patients get their treatment as recommended is another important step toward achieving these goals. An individual undergoing dialysis should be provided with a checklist outlining all the necessary protocols and procedures (Wong 2019). There are a variety of quality checks performed before, during, and after a session to ensure everyone's safety. It guarantees that only the needles and dialyzes that were authorized for use are used. Further, it guarantees that the proper dialysis process is carried out for the appropriate amount of time (Wong 2019). The dialysis checklist improves patient well-being, clinical results, and the dialysis experience overall. Because it causes changes in how nurses and doctors approach dialysis, the dialysis checklist is crucial for ensuring the health and well-being of patients (Mendes et al., 2020). The dialysis checklist at X has boosted the quality of the result and patient safety, contributing to First Healthcare System’s success in dialysis. Seventy-three percent of individuals undergoing dialysis in the research by Thomas et al. (2016) said they felt more secure with the usage of a dialysis checklist. Researchers also found that 93 percent of renal nurses felt a dialysis checklist improved their efficiency on the job.

References

ASSIGNMENT 2:

Please see the ATTACHED Quality and Sustainability Paper: Part 1

Quality and Sustainability Paper: Part 2

Assessment Description

The purpose of this assignment is to determine what is needed to promote successful implementation and sustainability of a quality or safety program for your selected health care entity/issue. 

General Guidelines:

Use the following information to ensure successful completion of the assignment:

· This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

· Doctoral learners are required to use APA style for their writing assignments. The APA Style Guide is located in the Student Success Center.

· This assignment requires that you support your position by referencing six to eight scholarly resources. At least three of your supporting references must be from scholarly sources other than the assigned readings.

· You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

· Learners will submit this assignment using the assignment dropbox in the digital classroom. In addition, learners must upload this deliverable to the Learner Dissertation Page (LDP) in the DNP PI Workspace for later use.

Directions:

Write a paper (2,000-2,500 words) that provides the following:

1. Incorporate all necessary revisions and corrections suggested by your instructor for Part 1. Synthesize the different elements of Part 1 and Part 2 into one paper using transitions to connect ideas and concepts.

2. Evaluate current evidenced-based quality and/or safety program designs that can be implemented to improve the quality and/or safety outcomes for your selected quality and/safety issue at your identified health care entity. Based on this evaluation, propose an evidence-based quality and/or safety program to address your selected issue from Part 1. Explain how your proposed design will better improve the outcomes for the selected quality and/or safety issue as compared to the program currently in place at the health care entity.

3. Identify potential obstacles (such as economics or ethical issues) that may hinder the implementation of the proposed quality and/or safety program and suggest ways to overcome these.

4. Identify stakeholders within the selected health care entity with whom you may need to collaborate and discuss the role of each stakeholder in the implementation of the proposed program. In the identification of stakeholders, also include specific groups and leaders that are needed.

5. Identify a change management theory you will use to support the implementation of your quality and/or safety program. Provide evidence that supports the use of this theory within the program you designed.

6. Discuss the expected outcomes of the implementation of your proposed quality and/or safety program and ways to ensure sustainability of the expected outcomes.

RESOURCES