How will you, as a future DNP-prepared nurse, keep patients safe?

Discussion: Quality and Safety in Healthcare and Nursing Practice
How will you, as a future DNP-prepared nurse, keep patients safe? This is a multi-layered question with many different answers, yet it is important to note that—as the nurse leader—quality and safety measures are at the forefront of how you deliver nursing practice.
Quality and safety measures are integral components in healthcare. There is documentation across multiple decades of disparities and inequities in quality health care delivery. “Despite recent improvements in some aspects of population health, many disparities have persisted or even worsened” (Ransom, 2023, p. 181).
Understanding the prominence of error, it is important to consider your role as a DNP-prepared nurse.
For this Discussion, take a moment to consider your experience with quality and safety in your nursing practice. Examine how the selected organization integrates principles of just culture and addresses health equity. Reflect on your experience and consider how your role may support quality and safety measures.
Mistakes happen. Even though your healthcare organization may establish a target of “zero” preventable harm, human factors, and gaps in system processes will result in some error. Reporting errors initiates the inquiry process to activate necessary stakeholders to create a plan to identify, act, and mitigate future risk of harm.
• How might your practice change if reporting mistakes was welcomed versus penalized?
• How might this practice change lead to a better understanding of quality improvement and safety needs?
• How might patient safety be improved?
To prepare:
• Review the Learning Resources for this week.
• Reflect on your experience with nursing practice, specifically as it relates to the function of quality and safety. For example, consider how your current organization supports quality, safety, and health equity.
• Reflect on the role and obligations of the DNP-prepared RN in nursing care delivery and quality improvement

Post a scholarly response to the following criteria:
• Explain the rationale for the recent increased focus on health equity and quality improvement.
• Analyze the role of a DNP-prepared nurse leading, participating, and promoting patient care quality improvement and safety.
• Analyze the role of the DNP-prepared nurse in promoting just culture within a healthcare organization.

Required Readings

o American Association of Colleges of Nursing. (2024). The essentialsLinks to an external site.. AACN. https://www.aacnnursing.org/essentials

o Dang, D., Dearholt, S. L., Bissett, K., Ascenzi, J., & Whalen, M. (2021). Johns Hopkins evidence-based practice for nurses and healthcare professionals: Model and guidelines (4th ed.). Sigma Theta Tau International.
 Chapter 1, “Evidence-Based Practice: Context, Concerns, and Challenges” (pp. 3–10)
 Chapter 2, “Creating a Supportive EBP Environment” (pp. 13–37)
 Chapter 3, “The Johns Hopkins Evidence-Based Practice (JHEBP) Model for Nurses and Healthcare Professionals (HCPs) Process Overview” (pp. 43–66)

o John Hopkins Nursing. (2025). John Hopkins EBP bundle/JHEBP & searching the literature combo course | 2025. https://www.ijhn-education.org/

 This resource will be used throughout the course, please access via the Walden University Bookstore Download Walden University Bookstoreusing the outlined instructions.

o Walden University, LLC. (n.d.). Doctor of Nursing Practice (DNP) practicum manualLinks to an external site.. Walden University. https://academicguides.waldenu.edu/dnp-practicum-manual

o White, K. M., Dudley-Brown, S., & Terhaar, M. F. (Eds.). (2024). Translation of evidence into nursing and healthcare (4th ed.). Springer Publishing Company.
 Chapter 4, ”Translation of Evidence to Improve Clinical Outcomes” (pp. 68—100)
 Chapter 5, “Translation of Evidence for Improving Safety and Quality” (pp. 101—121)
 Chapter 6, “Translation of Evidence for Leadership” (pp. 122—143)

Required Readings
• Barkell, N. P., & Snyder, S. S. (2021). Just culture in healthcare: An integrative reviewLinks to an external site.. Nursing Forum, 56(1), 103–111.

• Institute of Medicine (U.S.) Committee on Quality of Health Care in America. (2001). Crossing the quality chasm: A new health system for the 21st century. National Academies Press. https://doi.org/10.17226/10027
o “Executive SummaryLinks to an external site.” (pp. 1–20 only)

• Centers for Disease Control and Prevention. (2022, July 1). What is health equity?Links to an external site. CDC. https://www.cdc.gov/healthequity/whatis/index.html

• Ransom, E. R., Joshi, M. S., Ransom, S. B., & Nash, D. B. (Eds.). (2023). The healthcare quality book: Vision, strategy, and tools (5th ed.). Health Administration Press & Association of University Programs in Health Administration.

o Chapter 1, “Overview of Healthcare QualityLinks to an external site.” (pp. 4–31)
o Chapter 6, “Health Equity and DiversityLinks to an external site.” (pp. 178–203)

• Ungvarsky, J. (2023). Just cultureLinks to an external site.. Salem Press Encyclopedia of Health.

Optional Resources
Note: Works published more than 5 years ago are works seminal to the field.
• American Nurses Association. (2010, January 28). Just cultureLinks to an external site. [Position statement]. https://www.nursingworld.org/~4afe07/globalassets/practiceandpolicy/health-and-safety/just_culture.pdf

• Boysen, P. G., II. (2013). Just culture: A foundation for balanced accountability and patient safetyLinks to an external site.. Ochsner Journal, 13(3), 400–406.

• Institute for Healthcare ImprovementLinks to an external site.. (n.d.). https://www.ihi.org

• Kohn, L. T., Corrigan, J. M., & Donaldson, M. S. (Eds). (2000). To err is human: Building a safer health systemLinks to an external site.. National Academies Press.

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