Discussion: Quality and Safety Outcomes

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Discussion: Quality and Safety Outcomes

Discussion: Quality and Safety Outcomes

Discussion: Quality and Safety Outcomes

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Week 1 discussion Discuss your chosen area of practice and how your choice of precepted sites and your preceptor will help prepare you to assume this role on graduation from South University. Week 2 discussion How can you use data for decision making and change processes to promote and improve patient quality and safety outcomes? Describe why nurse leaders must identify supporters and opponents of any change process. Discuss challenges the transformational nurse leader faces with any kind of planned change. Identify two strategies by which the nurse leader successfully monitors structure, processes, and outcomes of the planned change. Describe the role of the nurse leader in damage control when things in the planned change process do not go according to plan. Describe a change in your healthcare organization that occurred within the past six months. What was the nursing leadership’s role in this change and would you consider the nurse leader’s actions effective during the change process? Provide reasons for your answer. As a nurse leader, describe two specific strategies you would use to make certain that staff and healthcare providers have adequate resources to support change in a healthcare system that has finite human and financial resources. Week 3 discussion Describe what you perceive to be a major challenge for nurses who have not been exposed to or worked with evidence-based research. Analyze evidence-based research related to nurse staffing patterns. For example, does having more staff always mean safer or more effective care? Give reasons for your answer. From healthcare administrators’ perspective, evidence-based practice takes time and resources. They may not be willing to support nurses working on evidence-based research since this does not involve direct patient care. Describe at least two strategies you would use to be certain you engage administrators and obtain their support for this important work. Week 4 discussion As a nursing administrator, how will you prevent horizontal and vertical violence in nursing and healthcare? Identify two strategies you would use as a nurse administrator to create a zero tolerance for horizontal or vertical violence. Analyze what you believe are two reasons nurses do not report horizontal or vertical violence in healthcare organizations. Determine what you believe are two linkages between horizontal or vertical violence and impacts on quality of care and patient safety. Week 5 discussion Explain at least three evidence-based strategies for integrating research into nursing leadership. Compare and contrast how research influences patient care and quality outcomes versus practicing from tradition. Analyze what you envision as the nurse administrator’s role in shaping evidence-based practice and nursing research in your clinical setting. Evaluate the role of the nurse administrator in staff performance and management and collective bargaining. Discuss the nurse administrator’s role in helping nurses develop a professional development plan (PDP). Explain how meetings can serve as productive engagement with nurses and staff and provide an opportunity to identify the actions required to meet the organization’s goals and mission. Week 6 discussion The Josie King story is one of many compelling stories about what happens in healthcare systems when things go wrong and patients experience sentinel events, including irreparable harm or, as in the case of Josie, death. Josie was an eighteen-month-old toddler who had been admitted to Johns Hopkins Hospital for burns she suffered accidentally when her mother was giving her a bath. Josie died from medical errors that could have been avoided. Josie’s mother, Sorrel King, recounts how she tried to alert healthcare providers about her little girl’s changing condition and how she was ignored as her baby continued to decline despite the mother’s pleas for help. Josie died from severe dehydration and misused narcotics. Access the following resource to learn more about Josie King: King, S. (2002). About: What happened [Speech transcript]. Retrieved from the Josie King Foundation Web site: http://www.josieking.org/page.cfm?pageID=10 Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Based on Josie King’s story, how can we move away from placing blame on one person and focus instead on the healthcare delivery systems we work in to improve patient safety and quality outcomes? Describe one quality initiative that is occurring in your healthcare organization to improve the quality of patient care and safety to decrease sentinel events and the events that lead to such initiatives. Discussed how we can move away from placing blame on one person and focus on the healthcare delivery systems we work in to improve patient safety and quality outcomes. Described one quality initiative that is occurring in your healthcare organization to improve patient quality of care and safety to decrease sentinel events, and reflected on what led to this initiative. Week 7 discussion Identify one current challenge your healthcare organization is currently working on to improve access to care for all populations in your geographic region and community. Examine the role of the nurse manager in health promotion and disease management for patients and clinical populations with issues related to access to care in your geographic region and community. Analyze issues and challenges confronting your healthcare organization with regard to advocacy for patients, families, and populations with the Leading Health Indicators and access to care.

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