Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
QSEN Competencies allow nurses to improve the safety and quality of existing healthcare institutions by continually understanding the KSAs – knowledge, skills, and attitudes. These competencies include patient-centered care, teamwork and collaboration, evidence-based practice (EBP), quality improvement (QI), safety, and informatics. The following paper discusses the above competencies and evaluates how systems thinking affects the quality and safety of the regulators and accreditors. According to Case Western Reserve University (n.d.), nurses should integrate patient-centered care values by communicating sensibly and respectfully while addressing patients' needs to other staff members.
The Baylor Scott and White Health (BSWH) Nursing Professional Practice Model serves as the foundation for professional nursing practice. The model is based on the Synergy Model for Patient Care developed by the American Association of Critical Care Nurses (AACN). The synergy model incorporates the care delivery system of nurses, who have the authority, accountability and autonomy to ensure safe patient passage in the clinical decisions of patients and nurses in nursing
The upcoming compendium aims to discuss essential leadership styles and competencies and provide a customized plan for leadership development. Leadership Competence Leadership requires competencies to provide nurse practitioners consistency and safety by developing evidence-based and patient-centered care. The NONPF offers a comprehensive set of competencies that serve as a foundational framework for leveraging technology, enhancing population outcomes, adopting interprofessional practice, employing technology to better serve special populations, and providing patient-centered care based on evidence (NONPF, 2020). The NONPF competencies are designed to equip nurse practitioners with the knowledge, skills, and abilities to effectively navigate the rapidly evolving healthcare landscape and deliver high-quality patient care. By adhering to these competencies, nurse practitioners remain at the forefront of the nursing profession and can provide the best possible care to patients.
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
Transformational leaders, who empower nurses to advocate, understand that communication and professional collaboration are the core ingredients to foster safe nursing care and to collectively advocate for improved health care policies. Of interest, due to communication and collaborative efforts among state hospital associations and the ANA along with the state nurses associations, seven states have enacted safe staffing legislation using the Registered Nurses Safe Staffing Act’s committee approach (ANA, n.d.). Conclusion The essence of an effective nurse leader lies in the ability to inspire and motivate others to action, which begins with communication and professional collaboration skills.
According to the standards set by those of Denver, Colorado and surrounding areas, the norms of those in clinical settings must be in place in order to “promote safety and positive learning and working environments” (Preheim, 2009, p.142). One norm that was established in the nursing education program around the Denver, Colorado area was for the nursing students to attend Alliance for Clinical Education (ACE) meetings. These meetings were conducted in order for the students to voice their concerns and implement initiatives for their programs. They are typically held quarterly in order to brainstorm in order to make conclusions as to which practices and standards are the best in order to improve the learning experiences of the students (Preheim,
My current practice setting is primarily based out of the hospital and quality care measures as well as cost analyses are certainly the biggest concern this day and time. I am constantly making sure that all "quality indicators" are present on each and every cardiac consult that we encounter and making sure that I document the reason why a certain "quality indicator" is not indicated on that individual patient. What I find thought provoking is that although I may discharge a chronic systolic heart failure patient on all the core measure medications and they demonstrated improvement while in the hospital for the 3 to 4 days that they are allowed for that admission, they still bounce right back into the hospital for "congestive heart failure".
The baccalaureate prepared nurse role is crucial in ensuring the successful implementation of quality management in healthcare. The major role of healthcare professionals such as nurses, doctors, and physicians is the delivery of high-quality patient care and safety. However, studies show that some factors that contribute to the low-quality patient care and safety include medical errors, adverse drug events, and negligence of health care providers. The baccalaureate prepared nurse has the responsibility of improving patient outcomes by taking part in quality management processes in the healthcare.
What roles does the nurse play in ensuring the implementation of quality and safety initiatives? The nurse must ensure that all federal guidelines are followed in order to continue to receive funding for the Head Start program. Without these funds Head Start would be unable to continue to operate. Some of the guidelines for funding include quality and safety initiatives that must be followed.
Accepts responsibility for the quality of nursing care and delivers safe, compassionate nursing care using methodical process of assessment, analysis, planning, intervention, and evaluation that focusses on the needs and predilections of patients and their families. Incorporates professional standards and moral principles into nursing practice and provides care to patients and their families.
Astoundingly, the leader part has turned out to be progressively mind boggling because of the moving environment of health care conveyance, to a great extent because of the development of care that has happened at the nursing unit-level. Gigantic change over the previous decade incorporates management of expanded multifaceted nature in clinical nursing rehearse, shorter hospitalizations for all the more intensely sick patients and weights from consistence and administrative organizations. Changes in healthcare financial aspects, progresses in innovation, and basic operations in conveyance frameworks have brought about organizational change in healthcare foundations affecting leaders. Leaders are instrumental in part demonstrating and setting desires for staff s with respect to the significance of excellent, straightforward and patient-centered care. Furthermore, they are the channel of communication between upper management and the bedside staff, giving key messages and setting the way of life for their units and organization (Needleman, et al., 2002).
Gerontological Quality Improvement The population of people over 65-years old has been increasing and will continue to rapidly increase over the years to come. There are many people in skilled nursing homes that need proper nursing care. The nurses and staff need to be proficient in knowing how the body and mind age and the unique care needed to take care of the elderly.
He describe nurses as the front-line leaders in patient care, which makes it very important that standards of care and professionalism are taken seriously and with professionalism, one can provide safe, patient centered and quality care. Leadership pushes for credentials such as certifications and BSN degrees. The organization’s leaders lead by example by holding to a higher standard and pushing for higher education and best practices. Recognizing core values, ethics and standards of care comes from authenticity, while professional power deals with the skill and knowledge to accomplish a task in an appropriate way.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or
