NR718 Promoting Quality and Safety Essay
Advanced practice nurses (APNs) are essential in advancing quality and safety in healthcare systems. They possess the expertise and abilities as clinical and health systems leaders to identify problems, use evidence-based interventions and evaluate the effectiveness of these interventions (Htay & Whitehead, 2021). This paper examines the role of APNs as clinical and health systems leaders to promote quality and safety by discussing a quality or safety initiative at my organization to determine the success of the evidence-based intervention.
A quality initiative was implemented to address our organization’s high incidence of patient falls. Falls among psychiatric patients can lead to serious injuries, increase the length of hospital stay, and have a negative impact on the patient’s quality of life (Najafpour et al., 2019). The problem was identified through incident reports and a literature review, which showed that falls are a significant concern in psychiatric patients and that evidence-based interventions can help reduce falls.
My organization implemented evidence-based strategies, including educating staff and patients, modifying the environment and using patient-centered care plans. The staff were trained on strategies to prevent falls, including assessing the patient for falls, communication and documentation (Heng et al., 2020). Patients were also educated on fall risks and provided with non-slip footwear and visual cues, such as signs and labels, to identify fall hazards. Environmental modifications included the removal of clutter and obstacles, the installation of handrails and grab bars, and using bed and chair alarms.
One of the essential duties of a clinical health system leader is evaluating the effectiveness of evidence-based interventions. This can be accomplished by measuring outcomes like the number of falls before and after the intervention, their severity, and their effect on the length of hospital stay (Heng et al., 2020). APN leaders can also solicit feedback from staff and patients through surveys, focus groups, and one-on-one interviews to assess the intervention’s effectiveness and identify improvement areas. The evaluation results can then modify the intervention and improve patient outcomes.
Heng, H., Jazayeri, D., Shaw, L., Kiegaldie, D., Hill, A.-M., & Morris, M. E. (2020). Hospital falls prevention with patient education: A scoping review. BMC Geriatrics, 20(1). https://doi.org/10.1186/s12877-020-01515-w
Htay, M., & Whitehead, D. (2021). The effectiveness of the role of advanced nurse practitioners compared to physician-led or usual care: A systematic review. International Journal of Nursing Studies Advances, 3(3), 100034. https://doi.org/10.1016/j.ijnsa.2021.100034
Najafpour, Z., Godarzi, Z., Arab, M., & Yaseri, M. (2019). Risk factors for falls in hospital in-patients: A prospective nested case-control study. International Journal of Health Policy and Management, 8(5), 300–306. https://doi.org/10.15171/ijhpm.2019.11
The purpose of this discussion is to examine the role of the APN as a clinical and health systems leader to promote quality and safety.
Review the lesson and readings from this week and respond to the following:
Examine a quality or safety initiative at your organization. Explain how the problem was identified and what evidence-based intervention was implemented to address the problem.
As a clinical or health systems leader, how would you determine if the evidence-based intervention was successful?
Please click on the following link to review the DNP Discussion Guidelines on the Student Resource Center program page:
Link (webpage): DNP Discussion GuidelinesLinks to an external site.
This discussion enables the student to meet the following program competencies:
Integrates scientific underpinnings into everyday clinical practice. (POs 3, 5)
Applies organizational and system leadership skills to affect systemic changes in corporate culture and to promote continuous improvement in clinical outcomes. (PO 6)
Uses analytic methods to translate critically appraised research and other evidence into clinical scholarship for innovative practice improvements. (POs 3, 5)
Appraises current information systems and technologies to improve health care. (POs 6, 7)
Analyzes health care policies to advocate for equitable health care and social justice to all populations and those at risk due to social determinants of health. (POs 2, 9)
Translates a synthesis of research and population data to support preventative care and improve the nation’s health. (PO 1)
Leads others in professional identity, advanced clinical judgment, systems thinking, resilience, and accountability in selecting, implementing, and evaluating clinical care. (POs 1, 4)
This discussion enables the student to meet the following course outcomes:
Identify advanced practice leadership competencies. (PCs 2, 4, 5; POs 2, 6)
Apply various strategies to improve access to quality, cost-effective healthcare. (PCs 5, 7, 8; POs 1, 4, 9)
Utilize translation science to affect evidence-based practice change to impact quality and safety of patient care. (PCs 1, 3; POs 3, 5)
Translate research into clinical practice to provide optimal wellness and disease prevention throughout the patient population. (PCs 1, 3, 5, 7, 8; POs 1, 3, 4, 9)