Assignment: NSGCB 468 Competency 3

Assignment: NSGCB 468 Competency 3

Assignment: NSGCB 468 Competency 3

Assessment Details

For this assessment, you are asked to conduct a critical review of 5 factors and how they affect quality patient care. You are providing this information in a report that will be shared with executives who are seeking ways of understanding how to build a culture that supports patient safety and provides the needed tools (technology).


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Evaluate factors that influence quality, safe, patient-centered care.

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Shared decision making

Laws, regulations, and policies

Analyze changes in technology and their effect on quality patient care.

Explain the roles of communication, collaboration, and shared decision making.

Consider communication and collaboration between health care team members, between the patient and staff, and involving insurance companies.

Cite a minimum of 2 peer-reviewed sources in an APA-formatted reference page.

Format your assignment as follows:

825-word report

Submit your evaluation.

NSGCB 468 competency 3

Assignment: NSGCB 468 Competency 3 Sample

Quality, safe, and patient-centered care are critical components of any healthcare delivery system. In their study, Lateef et al. (2022) opine that patient-centered care is an essential component of any effective health system as it entails providing quality and safe care to patients and health populations based on their needs. Again, the Agency for Healthcare Research and Quality (AHRQ) (2022) asserts that healthcare quality emanates from safe, effective, patient-centered, timely or prompt, efficient, and equitable care services to patients. Variables like communication, technology, shared decision-making, collaboration, laws, regulations, and policies affect the overall delivery of quality patient-centered, and safe care. The purpose of this paper is to evaluate factors that impact and influence quality, safe, and patient-centered care.

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Technology is a core aspect of modern healthcare because of the benefits that it provides to all stakeholders. Technology enhances efficiency, improves quality, and reduces the overall cost burden of healthcare. Technology affects patient safety by allowing seamless communication and sharing of health information through electronic health records (EHRs) among different care providers and organizations to enhance accuracy and reduce medical errors (Atasoy et al., 2019). Big data collected in health care allows health providers to understand and learn novel and cutting-edge techniques and trends in care provisions. Access to big data enables clinicians to use appropriate preventive approaches more effectively and reduce adverse events and fatalities. Technology enhances patient-centered care through better communication among providers and patients through patient portals, telehealth, and even EHRs. Providers access patient health information to make and implement tailored approaches that meet individual needs (Davidson et al., 2022). Through technology, patients have access to the best diagnostic tools and equipment, new treatment modalities, and methods that lead to fast healing and less discomfort.


Communication is critical to offering better, safe, quality, and patient-centered care. Effective communication between patients and their healthcare teams during the entire treatment process ensures that patients and their caregivers participate in the care plan and make sound decisions and choices. Healthcare providers must develop effective communication skills that empathize and enhance their understanding of issues affecting patients. For instance, communication tools like Situation, Background, Assessment, and Recommendation (SBAR) are critical for nurses during handover to reduce possible medication errors and missed care occasions (Choi et al., 2022). Communication ensures that nurses reduce and prevent the occurrence of errors in their practice settings. Through effective communication, patients attain quality and patient-centered care since providers can understand their needs and tailor interventions based on them. Again, having respectful communication between health professionals and patients reduces the chances of indecision, boosts patient commitment to developed care plans, improves patient adherence to treatment regimens, and improves overall social support for patient safety and satisfaction.


Healthcare providers play complementary roles and work together based on shared responsibilities to generate solutions to care problems and issues. Collaboration is a critical attribute among healthcare providers as it improves decision-making and the delivery of safe and patient-centered care. Providers work in teams like during surgical procedures and in emergency departments (EDs) to deliver quality and safe patient care amidst concerns and high anxiety levels among patients and their families. Collaboration between medical professionals improves patient safety as it reduces and prevents errors through shared decision-making by leveraging shared patient information (Rosen et al., 2018). Adverse events occur when healthcare providers like physicians and pharmacists as well as nurses do not collaborate and know what one prescribes and their effects on patient’s health. Inter-professional collaboration is a critical component of delivering not just quality but also patient-centered care interventions.

Shared Decision-Making

Under a shared decision-making model, physicians and other healthcare providers work together with patients to attain an evidence-informed and value-based approach to care delivery. According to the US Preventive Services Task Force, shared decision-making (SDM) allows patients and clinicians to make health decisions together and protects patients’ rights to have sufficient information and be involved in preventive care decisions (Davidson et al., 2022). Again, SDM ensures that all decisions are patient-centered to improve their health. As such, shared decision-making improves quality, patient safety, and patient-centered as decisions emanate from the interactions between patients and their providers (Pieterse et al., 2019). Shared decision-making implies that providers implement decisions that can improve overall patient safety and access to quality care.

Laws, Regulations, and Policies

Laws, regulations, and policies affect the delivery of safe, quality, and patient-centered since all actions by healthcare organizations and providers must be founded on legal frameworks and structures. For instance, the enactment of the Affordable Care Act and 21st Century CURES Act are critical legislations that impact the quality and safety of patient care. For instance, through the ACA 2010, over 20 million Americans got health insurance coverage that they did not have before (Davidson et al., 2022). As such, policies, even at the organizational level, have significant effects on the quality of care and patient safety. Regulations like Nursing Practice Act, ensure that healthcare providers and organizations operate within set safeguards to protect patients and the general public from any improper conduct and malpractices.


Different variables influence the delivery of quality, safe, and patient-centered care in healthcare facilities. These variables like technology, communication, and laws as well as policies are inevitable and nurses must ensure that they adhere to them to offer quality and patient-centered care. The interactions among the different players in healthcare demonstrate the need for providers to understand and deploy effective approaches that focus on reducing disease burden and improving the quality of care.


Agency for Healthcare Research and Quality (AHRQ) (2022 December). Six Domains of

            Healthcare Quality.

Atasoy, H., Greenwood, B. N., & McCullough, J. S. (2019). The digitization of patient care: a

review of the effects of electronic health records on health care quality and utilization. Annual review of public health, 40, 487-500.

Choi, N., Kim, J., & Kim, H. (2021). The Influence of patient-centeredness on patient safety

            perception among inpatients. Plos one, 16(2), e0246928.

DOI: 10.1371/journal.pone.0246928

Davidson, K. W., Mangione, C. M., Barry, M. J., Nicholson, W. K., Cabana, M. D., Caughey, A.

B., … & US Preventive Services Task Force. (2022). Collaboration and shared decision-making between patients and clinicians in preventive health care decisions and US Preventive Services Task Force Recommendations. JAMA, 327(12), 1171-1176. DOI:10.1001/jama.2022.3267

Lateef, A., & Mhlongo, E. M. (2022). Factors influencing patient-centered care in the primary

health care settings: the impact of the pandemic crisis and nurses’ experience. Open Journal of Nursing, 12(3), 220-233. DOI: 10.4236/ojn.2022.123014

Pieterse, A. H., Stiggelbout, A. M., & Montori, V. M. (2019). Shared decision-making and the

            importance of time. JAMA, 322(1), 25-26. doi:10.1001/jama.2019.3785

Rosen, M. A., DiazGranados, D., Dietz, A. S., Benishek, L. E., Thompson, D., Pronovost, P. J.,

& Weaver, S. J. (2018). Teamwork in healthcare: Key discoveries enabling safer, high-quality care. American Psychologist, 73(4), 433.

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