Empirical Quality Results: Quality of Care in Nursing

Empirical Quality Results: Quality of Care in Nursing

The facility has shown a Force of Magnetism in this area and poor quality of care. The deficiency was due to the failure to provide timely care and services for patients with complex needs. The solution will be implementing a new approach that includes additional staff training, documentation, and monitoring to ensure timely care delivery. The facility will meet with its medical director to develop a plan of action that includes specific metrics and outcomes on which they will measure and report. The nursing component of the Magnet model is designed to assess how well the organization delivers care across all patient populations, from newborns to those who are dying. This section focuses on specific domains within this larger domain. (Sloane et al., 2018). Each domain addresses a different aspect of quality and safety, although some overlap may occur between them. When it comes to the quality of care in nursing, the purpose of this section is to determine if an organization is delivering safe and effective nursing care for patients requiring complex care. This indicator assesses whether patients receive timely interventions that address their needs during transitions between settings or stages in their treatment. This paper seeks to assess a magnetic force and quality of care in a facility that strives to achieve magnet status.

Executive Summary

In the report’s empirical quality results section, the examiners indicated a deficiency in the quality of care in nursing. The criterion cited was “Quality of Care in Nursing,” and the evidence or metric used was “Nurse Staffing Ratios.” The ANCC defines Magnet status as an honor bestowed upon hospitals that provide quality care and safe practices above their peers. The ANCC recognizes five components of Magnet status: clinical excellence, nursing excellence, patient experience, leadership and innovation, and workforce diversity and inclusion. Evidence-based practice is a cornerstone of quality improvement and patient safety. Nurses must be able to access current information about best practices, including research findings and guidelines, to help them make decisions about appropriate care for their patients. Evidence-based practice also provides an essential mechanism for evaluating whether interventions are effective or ineffective in outcomes. In this case, the remedy would be providing the required training to the staff and ensuring all the resources, ranging from human labor to the medical equipment required to provide clients with proper care.

Purpose

This executive summary aims to provide an overview of the findings from the Magnet report as it relates to the quality of care in nursing. The report identified a deficiency in terms of the quality of care. In addition, the ANCC Magnet Report provides an in-depth analysis of the nursing culture, quality indicators, and patient satisfaction. The report is based on a review of the following: quality indicators that measure nursing culture, including teamwork and collaboration, communication, leadership, workforce development, and patient safety.

Background

The context of the situation is that I am in an organization where we are working towards Magnet status. The facility has been out of compliance for three years regarding the quality of care. In addition to the Force of Magnetism deficiency, multiple other supporting findings indicate this is an ongoing problem. The documentation shows no policies or procedures to support improvement efforts. This information also indicates no plans for improvement or corrective action by the administration or staff members (Boscart et al., 2018). Also, there is no evidence that any staff members have received training on using quality improvement tools. As a result, it is difficult to pinpoint current issues or enhance the provision of high-quality healthcare. Since this is an ongoing issue, it will continue to affect organizational outcomes until a plan for correction is developed and implemented by administration and staff members. The potential impact of deficiency on patient and staff outcomes (Lood et al., 2019). The potential impact of this deficiency is an increase in readmissions, infection rates, and fall incidents due to nurses being unable to provide timely medication administration or documentation. This results in delayed discharge times or failure to meet discharge criteria set by physicians or other healthcare professionals.

Criteria/Findings

The findings in this case scenario are based on a survey conducted by ANCC to determine the level of compliance with their Magnet standards. It is important to note that this was not an audit or evaluation but a survey of nurses and patients within the facility (Chang, and Hui, 2019). In addition, it is essential to note that nursing staff was asked how they perceived the quality of care at their current facility. The survey results identified two areas where Magnet status was lacking: clinical decision-making and teamwork and cooperation. The results also indicated that nurses reported feeling supported by their management team (94% strongly agreed), which is a positive sign for Magnet status (Lood et al., 2019). The data also showed that patient satisfaction was high at 92%, which is another good indicator for Magnet status.

Report Analysis

In this case, the ANCC used a deficiency in the nursing care quality as the reason for their visit. The deficiency was related to patient falls, related explicitly to documentation practices. According to the evaluation team, the “fall risk screening tool” and how it should be utilized with patients were not covered by written policies or procedures. The hospital has already developed policies and procedures for fall risk screening and has started training staff on these practices (Sion et al., 2020). They are also working toward developing an electronic system for tracking falls and injuries to better track and analyze data about these events. The improvement plans include having a full review by all nurses who may come in contact with patients at risk for falls so they can share best practices and learn from each other. Additionally, they will develop an electronic tracking system so that there is more accountability behind using this tool consistently throughout each shift.

From the findings, we can conclude:

· Quality indicators ANCC evaluators use include patient satisfaction and clinical decision-making (Labrague et al ., 2020).

· The facility lacks compliance with these standards (less than 90%).

· Nurses report feeling supported by management teams, but there are still some areas where improvement can be made regarding teamwork/cooperation among staff members (Brady et al., 2019).

Recommendations

The recommended solution is to implement a standardized approach for obtaining patient satisfaction data from patients with open-ended questions about their experience during their hospital stay. This survey would be administered at discharge, and the results would be used to improve the quality of care by addressing patient needs and concerns. The implementation will require collaboration with clinical leadership, finance, and IT departments to create and implement this process into our electronic health record (EHR) (Labrague et al ., 2020). The impact will be improved quality of care through increased communication between staff and patients, resulting in fewer complications or readmissions for postoperative care needs.

The nursing unit at the hospital has received a deficiency in the quality of care. The report indicates that our nurses are not following evidence-based medication administration and documentation practices. Because of this, the ANCC advised that we install an electronic medication administration record (EMAR) system to raise the standard of nursing care we deliver. The EMAR system will help us meet the standards for MagnetT status (Boscart et al., 2018). This system will allow us to identify potential errors before they occur, preventing potential medical errors in our unit. In addition, it will allow us to improve our patient outcomes by ensuring that they receive the most appropriate medications at the correct time intervals. Finally, we can use this knowledge to educate better and train our nurses so they are knowledgeable of medication safety issues and can prevent errors from occurring in the future.

Conclusion

This paper examines the evidence for the quality of care in nursing. The authors identified a gap in the literature and created a new model for evaluating the quality of nursing care. First, the recommended solution is to set up a standardized approach to provide client satisfaction information. Even though implementing an EMAR system will aid in achieving a magnet status, the new EMR system requires time and money. Still, several partners within our organization have already implemented this type of software. They have been able to share their experiences with us so that we know what steps need to be taken and when they need to be completed before we can begin using this new technology. 

References

Boscart, V. M., Sidani, S., Poss, J., Davey, M., d’Avernas, J., Brown, P., ... & Costa, A. P. (2018). The associations between staffing hours and quality of care indicators in long-term care. BMC health services research, 18(1), 1-7.

Brady, S., Lee, N., Gibbons, K., & Bogossian, F. (2019). Woman-centered care: an integrative review of the empirical literature. International journal of nursing studies, 94, 107-119.

Chang, L. Y., & Hsiu-Hui, Y. U. (2019). The relationship between nursing workload, quality of care, and nursing payment in intensive care units. The Journal of Nursing Research, 27(1), 1.

Labrague, L. J., De los Santos, J. A. A., Tsaras, K., Galabay, J. R., Falguera, C. C., Rosales, R. A., & Firmo, C. N. (2020). The association of nurse caring behaviors on missed nursing care, adverse patient events and perceived quality of care: A cross‐sectional study. Journal of Nursing Management, 28(8), 2257-2265.

Lood, Q., Kirkevold, M., Sjögren, K., Bergland, Å., Sandman, P. O., & Edvardsson, D. (2019). Associations between person-centered climate and perceived quality of care in nursing homes: A cross‐sectional study of relatives’ experiences. Journal of advanced nursing, 75(11), 2526-2534.

Sion, K. Y., Verbeek, H., Zwakhalen, S. M., Odekerken-Schröder, G., Schols, J. M., & Hamers, J. P. (2020). Themes related to the experienced quality of care in nursing homes from the resident’s perspective: a systematic literature review and thematic synthesis. Gerontology and geriatric medicine, 6, 2333721420931964.

Sloane, D. M., Smith, H. L., McHugh, M. D., & Aiken, L. H. (2018). Effect of changes in hospital nursing resources on improvements in patient safety and quality of care: a panel study. Medical care, 56(12), 1001.