Quality Improvement Paper

I have had the privilege to interview The Senior Chief Nurse Administrator/Health Research Analyst of the James A. Haley VA Medical Center. Dr. Jola Massengale Worked as a Registered Nurse for over twenty years, and in 2011 she earned her doctorate in Nursing Health Administration. Short after her graduation, she was promoted to Chief of Nursing Research, and two years later, she became the Senior Chief Nurse Administrator/Health Research Analyst. She was chosen for this interview because, in 2016, she was one of the key leaders to revamp the way the organization conducted their Las strategic planning process. Although the meeting was scheduled for one hour, it only lasted thirty minutes since Dr. Massengale was called away by the Hospital

The main stakeholders that have impact and influence the way healthcare is delivered today are well known throughout the nursing community. One of those certifying bodies is Magnet, and they are an accrediting agency that is a mark of excellence for a hospital that has been awarded their mark. The journey to Magnet designation is long and complicated, however; designation is attainable and beneficial in multiple ways. Obtaining designation is a 4 step process with application, documentation, appraisal and site visit, and finally, notification to identify if the appointment has been achieved or denied. Magnet designation is not without cost, however, as there are ANCC fees, NDNQI costs, document preparation, and site visit expenses among others.

First, I have been a nurse for 18 years. I have worked at three hospitals that were not Magnet when I started and were Magnet when I left. In my eyes Magnet status was designed as a money making scheme by the American Nursing Association and is used as a marketing tool by health care facilities to attract more patients, (and their money), and to attract nursing so as to stay ahead of the nursing shortage curve.

Conclusion When magnet hospitals meet all the requirements, studies have proven better working conditions and improved outcomes. With magnet hospital involving nursing staff in patient care decisions, it makes them feel they are a part of something special. Magnet hospitals strive for excellence making it appealing to nurses looking for employment. When the nurses are taken care of and are happy in the workplace, it plays a role in a

NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.

Each morning patients came in for assessment and the treatment team developed or altered existing treatment protocols. I longed to be part of this team, working to stabilize each patient so they could return home to pursue their goals. The nurses stood out to me as the team members at ground zero in the unit, working directly with patients, and advocating for them in meetings. As a Nurse Practitioner, I will provide this same standard of holistic care to my patients, taking into consideration their biological, social, psychological and cultural needs while developing and implementing treatment decisions.

Performance Review Policy At C&A, all employees will be evaluated semi-annually. At this point, C&A will utilize the Management by Objectives to evaluate all employees of the company. As a start-up, it is imperative the core group of individuals come together to establish S.M.A.R.T. goals for each position, department and eventually, individual employees. Each department, and employee, will propose five to ten goals they would like to complete and the CEO and/or COO will determine if the goals are in line with the company’s overall objectives. Then together, they will come up with measureable ways to meet the established goals.

Please answer the following questions, 1. State your understanding of your main duties and responsibilities. My duties are to provide efficient and knowledgeable care to those patients in critical conditions, using nursing process and nursing judgement. My responsibility is to provide competent care and promoting patients safety. 2.

Using SWOT analysis, the “Strength” would be to motivate and engage registered nurses who are supportive of the management and leadership of the nurse managers. Using eIMR has the potential of reducing healthcare cost and medication error; which can enhance patient safety (Spratt and Dickson, 2088). It can also promote positive attitude of nurses towards computerisation (Kipturgo et al., 2014). “Weakness” in SWOT analysis would be the time and resources required to train the nursing staff in using the eIMR system. Extra budget is needed for training the nursing staff and a new IT support teams is needed for the new system.

Evaluation and Placement As a twenty- year old college student, I set my sights on teaching Advance Placement United States History. That was the goal. However, things did not work out how I had initially planned. I began my teaching career co-teaching every hour, working with three different general education teachers, and juggling multiple subject areas. The special education world was very different than anything that I had previously been a part of.

Managers have to understand how to engage employees and be able to assist in their development by setting goals and expectations. Using the feedback Julia has received from executives helps her development as well. Being able to use the feedback she has received will assist her in developing employees. Communication is essential in the management role as well. Communicating expectations and holding not only the employee

UMESH MISRA MKT 6301 HARLEY DAVIDSON 1. A description of what you believe to be the key issue(s)/challenge(s) facing this organisation and justification. Marketing issues/challenges: • One of the marketing issues faced by Harley Davidson was, should they continue to sponsor posse rider or not. Crafting Posse ride in such a way that the company can capitalize on its success and its profit making potential.

Wheeling hospital collected data for patient satisfaction was collected from 4/1/2016 to 3/31/2017. Wheeling hospital completed 1779 surveys in this period with a response rate of 26%. This was a bit shocking due to more people taking the survey than previous thought. The state average of patient’s reporting their nurses communicated well is 81%, while the national is 80%. The hospital’s average was only 77%, and was not very shocking due to the importance of nurses being advocates for their patients.

Nurses play an essential role in the healthcare industry. The nurse workforce is made up of licensed nurses: registered nurses (RNs), licensed vocational nurses (LVNs) and licensed practical nurses (LPNs), along with nurse aides. Registered nurses are responsible for assessments of patients’ needs, development of care plans, medication administration, and treatments, while licensed vocational nurses perform specific care under the delegation of the registered nurses and supervisions. Nursing aides perform activities of daily living (unskilled attention) to the patient. Adequate nursing staffing is essential to both patient care and outcomes, also to the retention of nurses while inadequate staffing creates problems for both the patients and

Chapter Two: Literature Review This chapter provides a review of the literature that has studied related topics to the concepts of Total Quality Management (TQM) and Teamwork among healthcare environment. The literature review included a search of multiple databases: Science direct, Pubmed, Google scholar and Wiley online library. The keywords utilized in the search engines were: Total quality management, teamwork, teamwork in healthcare and teamwork improvement. Organizations all over the world have to use different techniques for quality improvement.