Quality Assurance in Nursing

Quality of care in nursing is the ability to provide what is necessary for the health, welfare, maintenance, and protection of each patient, it is the capacity to satisfy their needs and to provide a care that is beyond their expectations. The care has to be organized, personalized, and appropriated for each patient.

The quality standards for an organisation set down the ‘rules’ around the products and services the business provides, the suppliers and services they use, how staff are recruited and trained and how customer service is dealt with.

Mary considers “Competencies for registered nurses” is affecting her career the most. It helps her to maintain the high standards as a nurse. This document has been implemented by Nursing Council of New Zealand (NCNZ) to ensure the on-going education and compliance with standards for nursing care. It consists of four main parts. They are competences in professional responsibility, management of nursing care, interpersonal relationships and interprofessional care and quality improvement. It requires ability to show knowledge and judgment, and being responsible for own actions and decisions, while assuring safety of the patients, their independence and quality of life and health. Also it requires competences in client assessment and managing the care. The clients care should be sensitive to his/her needs. It is supported by nursing knowledge and evidence based research. Besides to comply with “Competences for registered nurses” the patient care should be cultural sensitive (Nursing Council of New Zealand, 2007). Every 3

Much of my work is proprietary to Geisinger. Special permissions may be granted to view this work if requested. Attached is an example of quality measure education for nursing, advance practitioner and physician education that was created to understand the Medicare required quality measure to prevent a downward payment adjustment in 2017. This presentation was presented to all 42 of the community practice providers and nursing staff during their monthly February or March 2016

Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.

1. Nurse-sensitive performance reviews and quality indicators are vitally important to maintain the health of the nation and the nursing profession in general. Some of the processes used to implement these include monitoring the supply of nursing staff, assessing the skill of such staff, and considering the education or certification of staff. Assessment, intervention, and RN job satisfaction are process indicators that are also important in terms of determining the quality of nursing care at a health facility (ANA, 2012).

Complying with these standards helps to maintain user confidence in providing quality training and delivery of the various qualifications.

Quality and Safety Education in Nursing (QSEN) was started around 2005 by the Robert Wood Johnson Foundation. QSEN's main goal is to “prepare future nurses with knowledge, skills and attitudes (or KSAs) necessary to continuously improve the quality and safety of the healthcare system,” (QSEN, 2017). “Integration of clinical skills with the intellectual capacity to safely manage the complexity of nursing work in key to quality care in a time of diminishing resources,” ( Dolansky, 2013). “It is vital for schools of nursing to meet the needs of today's complex health care systems by including principles of quality and safety throughout the curriculum,” (Lewis, 2016). Within the KSAs are six main categories; patient-centered care, teamwork

quality of patient care, and can be implemented in practice, to provide solutions to nursing

The second category of provisions relates to the nurse’s responsibility to maintain their own proficiency and health environments, delegate appropriately, preserve integrity, and keep their practice and competence current. It is crucial that nurses are proficient and maintain competency in order to deliver high quality care to patients. "The virtue of professional competence calls for continual professional growth and a commitment to lifelong learning. You must practice nursing that’s evidence-based, be knowledgeable about the scope and standards of nursing practice, and have the necessary skills to perform nursing tasks effectively” [ (Lachman, 2008, p. 44) ].

Answering the call light (also called call bell a handheld like that is attached to the patient room wall, above the headboard of the bed) in a timely manner by the nursing staff in hospital setting is necessary to prevent falls that can harm, prolonged stays, and unnecessarily increase the cost of healthcare. However, researches concerning call light uses as it relates to patient safety, patient-care management and patient satisfaction are limited (Meade et al. 2006). Patients and their families emphasize that nurses should monitor patients constantly and provide assistance and answer a call light in a timely manner (Yoder, 2011). Note that the falls may be caused by several factors such as

My experience in both my previous career in nursing and human resources has dealt with approaches in quality improvement in patient safety and different metrics in the turning up organizational behavior as well as up swinging the operations of the organizations respectively. We live in a rapidly changing world, and healthcare industry is not exempted from it. Because I will be playing an indispensable role in the future, I am very interested on the concept of quality improvement and what not and identify possible future challenges and draw lessons from healthcare organizations that has spearhead innovative changes to providing healthcare by pursuing the triple dimensions of the improvement of healthcare in general that is Improving the patient experience of care (including quality and satisfaction); Enriching the health of populations; and Reducing the per capita cost of health care.

A nurse is a health care professional who cares for ill or disabled individuals, their families and communities ensuring that they attain, maintain or recover optimum health and functioning (Crosta, 2013). There are several kinds of nurses classified depending on their education and experiences. As an example,

international standards- Meant to be conducted in a diverse legal and cultural environment within the organization- to adhere to basic principles, promote value adding and improve orgnizational processes and operations,

Determinate standards. Agree on the standards that will be used to measure the success of task’s completion.