Nurs 4006 Week 6 Discussion – Clinical Nursing Essay

Nurs 4006 Week 6 Discussion – Clinical Nursing Essay

Nurs 4006 Week 6 Discussion – Clinical Nursing Essay

In the article “Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes,” the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers’ efforts in improving patient safety and the quality of care delivered.

Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes. Nurs 4006 Week 6 Discussion – Clinical Nursing Essay

For this Discussion, you will consider the standards that are in place for nurses and how they can be used to improve quality of care.

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To prepare for this Discussion:

Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week’s Resources.

Consider the nurse’s role in supporting the organization’s strategic agenda as it relates to improving clinical outcomes.

Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post. NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers.

By Day 3

Respond to the following:

How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response. Nurs 4006 Week 6 Discussion: Promoting Safety and Quality

What is the impact of the nurse’s role in clinical outcomes for the organization?

Discuss nurse-specific challenges in influencing change in quality improvement.

How does this influence the ability of the organization to achieve its strategic agenda?

Support your response with references from the professional nursing literature.

Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually ? 5 years old) NURS 4006 Topics in Clinical Nursing Essay Assignment Discussion papers.

Read two or more of your colleagues’ postings from the Discussion question (support with evidence if indicated).

By Day 7

Respond with a comment that asks for clarification, provides support for, or contributes additional information to two or more of your colleagues’ postings.

Post a Discussion entry on three different days of the week. Refer to the Discussion Rubric found in the Course Information and Grading Criteria area.

Click on the Reply button below to reveal the textbox for entering your message. Then click on the Submit button to post your message. Nurs 4006 Week 6 Discussion – Clinical Nursing Essay

Currently Reading NURS 4005/NURS 4006:Topics in Clinical Nursing| Week 4

Week 4: Nurse/Patient Empowerment in Practice

Introduction

As a registered nurse you have the power to influence change in patient outcomes. An important aspect of influencing change is identifying areas that need improvement. This is done primarily through measurement of data. There are several different measures to gather data within organizations as well as on a national scale. Some of these measurements include core measures standards best practices evidence-based practices and the National Database of Nursing Quality Indicators (NDNQI). These support mechanisms have also been discussed as a means for helping nurses to deliver quality care and improve patient safety. Each measurement essentially focuses on providing care that is safe effective patient-centered timely efficient and equitable.Nurs 4006 Week 3 Assignment Paper

Although there are several different measurements NDNQI data is used in the process of attaining Magnet Recognition. Magnet Recognition is the highest honor a health care organization can receive for nursing excellence and high-quality patient care. The nurse-specific measures presented in the NDNQI help inform nursing staffs and their organizations of areas where nursing practices can be improved and where nursing practice efforts are producing positive clinical outcomes. Nurses must be directly involved in developing and implementing action plans based on the data presented by the NDNQI.

This week you will explore the importance of nurse empowerment in effecting change and how action plans are created based on the results of the NDNQI as presented on a dashboard. You will also consider how nurses advocate for patients rights even when that means supporting a patient whose personal choices may have negative health outcomes.

Learning Objectives

Students will:

Note:The Assignment related to these Learning Objectives is introduced this week and submitted in Week 5.
Photo Credit: [Eva Katalin Kondoros]/[iStock / Getty Images Plus]/Getty Images
Learning Resources

Note: To access this weeks required library resources please click on the link to the Course Readings List found in the Course Materials section of your Syllabus.

Required Readings

Brown D. S. Aydin C. E. & Donaldson N. (2008). Quartile dashboards: Translating large data sets into performance improvement priorities. Journal of Healthcare Quality 30(6) 1830. doi: 10.1111/j.1945-1474.2008.tb01166.x
Note: You will access this article from the Walden Library databases.
Typically references should be within five to seven years of publication. However this publication is considered a classical research reference pertaining to quality improvement and the use of data sets.
Cole C. Wellard S. & Mummery J. (2014). Problematising autonomy and advocacy in nursing. Nursing Ethics 21(5) 576582. doi: 10.1177/0969733013511362

Note: You will access this article from the Walden Library databases

Garrard L. Boyle D. K. Simon M. Dunton N. & Gajewski B. (2016). Reliability and validity of the NDNQI injury falls measure. Western Journal of Nursing Research 38(1) 111128. doi: 10.1177/019394591454281
Note: You will access this article from the Walden Library databases.
Giancarlo C. Comparcini D. & Simonetti V. (2014). Workplace empowerment and nurses job satisfaction: A systematic literature review. Journal of Nursing Management 22(7) 855871. doi: 10.1111/jonm.12028
Note: You will access this article from the Walden Library databases.
Guglielmi C. L. Stratton M. Healy G. B. Shapiro D. Duffy W. J. Dean B. L. & Groah L. K. (2014). The growing role of patient engagement: Relationship-based care in a changing health care system. AORN 99(4) 517528. doi: 10.1016/j.aorn.2014.02.007

Note: You will access this article from the Walden Library databases.Nurs 4006 Week 3 Assignment Paper

Rock M. J. & Hoebeke R. (2014). Informed consent: Whose duty to inform? MEDSURG Nursing 23(3) 189194. Retrieved from http://web.b.ebscohost.com.ezp.waldenulibrary.org/ehost/pdfviewer/pdfviewer?vid=9&sid=273f009b-d8f5-4cd8-8f01-0973c944bcf7%40sessionmgr104&hid=107

Note: You will access this article from the Walden Library databases.

American Hospital Association. (2003). The patient care partnership: Understanding expectations rights and responsibilities. Retrieved from http://www.aha.org/content/00-10/pcp_english_030730.pdf
Read through this document created by the American Hospital Association. This document was created for inpatient hospital stays. However it is applicable to other practice settings as well.
Montalvo I. (2007). The national database of nursing quality indicators. The Online Journal of Issues in Nursing 12(3). Retrieved from http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
Institute for Healthcare Improvement. (2016). Retrieved from http://www.ihi.org/Pages/default.aspx
The IHI offers numerous resources for improving nursing practice and patient care. Explore a variety of topics and examine some of the resources available.

National Quality Forum. (2016b). Retrieved from http://www.qualityforum.org/Home.aspx
The National Quality Forum (NQF) strives to improve patient safety and reduce medical errors. Explore the NQFs endorsed standards and consider how they apply to nursing practice.
Document: Dashboard Directions (Word document)
Document: Sample Dashboard (Excel spreadsheet)

Required Media

Laureate Education. (Producer). (2009a). Topics in clinical nursing: Accountability and nursing practice [Video file]. Baltimore MD: Author.
Note: The approximate length of this media piece is 15 minutes.

Discussion: Nurse/Patient Empowerment

As a nurse you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.

In this weeks Learning Resources you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role programs such as Patient Care Partnership provide guidance.
For this Discussion you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this weeks Learning Resources. In addition reflect on the media presentation and the information shared by Ms. Manna on patients rights.

By Day 3

Respond to the following:

Support your responsewith references from the professional nursing literature.
Note Initial Post:A 3-paragraph (at least 250350 words) response. Be sure to useevidencefrom the readings and includein-text citations. Utilizeessay-levelwriting practice and skills including the use oftransitional materialandorganizational frames. Avoid quotes;paraphraseto incorporate evidence into your own writing. Areference listis required. Use the mostcurrent evidence(usually 5 years old). Nurs 4006 Week 6 Discussion – Clinical Nursing Essay