In the leadership in care delivery course, we were assigned to a hospital to perform clinical hours and provide care to four patients. Additionally, the purpose of this paper is to explain and provide examples on how our patient care included the concepts of Quality and Safety Education for Nursing (QSEN) competencies, delegation, handoff reporting, and a reflection of the clinical experience. Quality and Safety Education for Nursing (QSEN) Competencies QSEN consists of six competencies: patient centered care, quality improvement, teamwork and collaboration, safety, informatics, and evidence based practice. To provide patient-centered care, I had to educate the patient when administering medications on why the patient was taking the medication and side effects. Care had to be individualized with each patient and it included providing respect with his or her decisions in their care. An example includes respecting the decision when a patient refused to take lactulose because it made him have frequent bowel movements. In EPIC, we would chart patient refused the medicine resulting in providing patient-centered care. For quality improvement, the unit has data on how many infections have occurred with central lines and utilize benchmarks and evidence-based practice guidelines to prevent infections. For instance, I had to perform proper hand washing and scrub the hub for at least 30 seconds with alcohol pads to prevent infections in patients who have intravenous lines.
Delegation Paper Breanna Lake Department of Nursing, Davenport University NURS433: Nurse Manager and Leader Professor Debbie Bosworth February 17, 2023 Delegation Paper Introduction For my leadership experience, I spent seven weeks on a medical-surgical unit in Hastings, Michigan. I worked alongside my nurse preceptor on night shift, and as the clinical experience unfolded, I learned numerous new skills and gained knowledge that will be extremely beneficial moving forward in my nursing career. I evaluated the hospital’s mission statement, the leadership and communication styles among team members, and I evaluated how my skills and leadership style evolved over the course of the clinical rotation. General Information
Objective One During my clinical day three, I demonstrated entry-level competence in professional nursing practice in caring for patients with multiple and/or complex unmet human needs. I addressed safety needs, safety in medication administration, effective communication, and surveillance for my patients. First, I addressed safety needs my ensuring the appropriate safety measures were implemented for the patients. Some of the safety measures included, wearing non-skid socks, wearing a yellow armband which indicated fall risk, keeping the bed in lowest position, two side rails up, bed locked, and the call light within reach.
Nursing Bedside Reporting, Patient Safety, And Satisfaction Scores The American Nurses Association estimates that up to 80% of serious medical errors involve miscommunication between caregivers when patients are transferred or handed off during shift report (ANA 2012). In the nursing profession change of shifts require the successful transfer of information from nurse to nurse to prevent medical errors and adverse events (Sullivan, 2010). Research shows that when patients are included and engaged in their health care there is greater potential to lead to measurable improvements in safety and quality of care.
The Baylor Scott and White Health (BSWH) Nursing Professional Practice Model serves as the foundation for professional nursing practice. The model is based on the Synergy Model for Patient Care developed by the American Association of Critical Care Nurses (AACN). The synergy model incorporates the care delivery system of nurses, who have the authority, accountability and autonomy to ensure safe patient passage in the clinical decisions of patients and nurses in nursing
In order for the future of health care to change, changes must begin at the top with stakeholders, the hierarchy and nursing management, nurses as leaders within their organizations. According to Disch J. (2008), nurses as leaders within their organizations need to also step forward, CNEs have the background, perspective, and platform to help their organizations seriously tackle safety issues that jeopardize patient care and that face nurses and their colleagues daily, and are the essential building blocks of all health systems--and
As future Clinical Nurse Leaders (CNLs) we have a huge role in improving patient outcomes within our microsystems. The Joint Commission has recognized the CNL role as being a important contribution to the resolution of healthcare’s safety concerns (Reid, 2013). The CNL role not only improves safety but also manages and improves the overall quality of patient care experiences. For my quality improvement project I plan to design and implement a intervention that will improve the patient experiences on a busy psychiatric unit.
Nursing administration on a national level is best described by The National Center for HealthCare Leadership (NCHL). This is a non profit organization that exemplifies quality care and leadership in the 21 st century. The goal of this organization is to improve healthcare on a national level through efficient and effective management that is in accordance with it’s mission. In keeping with it ’s mission, NCHL embarked upon an ambitious initiative with the support of the Robert Wood Johnson Foundation, examining the role of the senior leadership team in promoting quality and safety in his/her organization (Disch, Dreher, Davidson, Sinioris, & Wainio, 2011).
The clinical nurse leader covers a broad spectrum of responsibilities, and is intended to facilitate cohesiveness of patient care between various departments. However, there tends to be some misunderstanding of the role amongst the general public. On one hand, the clinical nurse leader may be viewed as an authoritative position, serving in a supervisor role. In contrast, others view the clinical nurse leader role as that of a floor nurse, who possesses a higher level of education and skill set, able to “apply system-level thinking” (Baernholdt and Cottingham 2011). Rankin (2015) compares the role of the clinical nurse leader in the nursing profession to that of an attending physician with resident physicians.
My current practice setting is primarily based out of the hospital and quality care measures as well as cost analyses are certainly the biggest concern this day and time. I am constantly making sure that all "quality indicators" are present on each and every cardiac consult that we encounter and making sure that I document the reason why a certain "quality indicator" is not indicated on that individual patient. What I find thought provoking is that although I may discharge a chronic systolic heart failure patient on all the core measure medications and they demonstrated improvement while in the hospital for the 3 to 4 days that they are allowed for that admission, they still bounce right back into the hospital for "congestive heart failure".
Gerontological Quality Improvement The population of people over 65-years old has been increasing and will continue to rapidly increase over the years to come. There are many people in skilled nursing homes that need proper nursing care. The nurses and staff need to be proficient in knowing how the body and mind age and the unique care needed to take care of the elderly.
The baccalaureate prepared nurse role is crucial in ensuring the successful implementation of quality management in healthcare. The major role of healthcare professionals such as nurses, doctors, and physicians is the delivery of high-quality patient care and safety. However, studies show that some factors that contribute to the low-quality patient care and safety include medical errors, adverse drug events, and negligence of health care providers. The baccalaureate prepared nurse has the responsibility of improving patient outcomes by taking part in quality management processes in the healthcare.
He describe nurses as the front-line leaders in patient care, which makes it very important that standards of care and professionalism are taken seriously and with professionalism, one can provide safe, patient centered and quality care. Leadership pushes for credentials such as certifications and BSN degrees. The organization’s leaders lead by example by holding to a higher standard and pushing for higher education and best practices. Recognizing core values, ethics and standards of care comes from authenticity, while professional power deals with the skill and knowledge to accomplish a task in an appropriate way.
Astoundingly, the leader part has turned out to be progressively mind boggling because of the moving environment of health care conveyance, to a great extent because of the development of care that has happened at the nursing unit-level. Gigantic change over the previous decade incorporates management of expanded multifaceted nature in clinical nursing rehearse, shorter hospitalizations for all the more intensely sick patients and weights from consistence and administrative organizations. Changes in healthcare financial aspects, progresses in innovation, and basic operations in conveyance frameworks have brought about organizational change in healthcare foundations affecting leaders. Leaders are instrumental in part demonstrating and setting desires for staff s with respect to the significance of excellent, straightforward and patient-centered care. Furthermore, they are the channel of communication between upper management and the bedside staff, giving key messages and setting the way of life for their units and organization (Needleman, et al., 2002).
Accepts responsibility for the quality of nursing care and delivers safe, compassionate nursing care using methodical process of assessment, analysis, planning, intervention, and evaluation that focusses on the needs and predilections of patients and their families. Incorporates professional standards and moral principles into nursing practice and provides care to patients and their families.
They are able to connect, communicate and coordinate across multiple departments, professional opinions and voices, and the daily schedules of patients. Advocating and designing care with the patient and family is a true skills set and cultural attribute that adds tremendously to a culture of safety and patient – centeredness but requires the most able leadership to build these bridges across the many professionals engaged in care. Building this culture is a leadership challenge and there is no one in my experience better able to make these changes than nursing leaders ( Maureen Bisognano, 2009). Nurses should not just be at the bedside or within the nursing community but must be involved as leaders and decision – makers throughout the healthcare system. As Maureen Bisognano (2009) points out, the best nurses are accomplished envoys among different players and interests involved in direct patient care, which is a skill needed throughout organizations and businesses, not just in hospitals or