Quality improvement is not a new concept for hospitals. Hospitals have had quality improvement departments and employed related staff for many years.
What is the most important responsibilities of nurses in hospitals for quality improvement?
Dear Dr. Nader. This is an interesting question. find below may opinions on the topic of discussion.
Assuring good services is an ethical obligation of every healthcare provider globally. As such over the years there has been an effort to improve the quality of healthcare services. In view of this, the responsibilities of a nurse in Quality Improvement include:
• Provision of therapeutic Ward which is physically, socially and psychologically conducive for the patients.
• Staffing: The nurse should ensure that the hospital/ward/unit is adequately covered with nursing staff of relevant cadre and specialty.
• Good interpersonal communication with patients.
• Delivering quality nursing care to patients as at when due.
• Delegation of Responsibility: The nurse leaders should delegate responsibility to subordinates by considering their knowledge, skills and attitudes.
• Leadership style: The nurse leaders should adapt different leadership style in order to get optimal performance and high productivity from subordinates.
• Discipline/Control: The nurse is expected at all times to have a good control of staff and the activities in the unit/ward/hospital. Etc.
Dear Dr.Nader,Thanks for putting a wonderful question which is nowadays considered vital for quality care,With regard to patient perspective,Nurses are the key personnels to provide quality care to the patients,they should be play a key role in minimizing healthcare costs to the patients,they play a pivotal role in infection control and not but the least they should be in forefront in establishing evidence based practice in conjunction with latest technology to produce the best quality care to the patients,so with regard to the nurse perspective quality care promotes when he/she is working with correct nurse patient ratio,there should be no over burden to them so that they can give there best,also continued nursing education plays a major role among nurses in knowing and understanding recent advances in health care industry,in nutshell its a collective responsibility of healthcare professionals to give quality care to the patients,but nurses are the key leaders to explore them to the best as they are the single most point of contact with the patients.
As the nation's hospitals face increasing demands to participate in a wide range of quality improvement activities, the role and influence of nurses in these efforts is also increasing, according to a new study by the Center for Studying Health System Change (HSC). Hospital organizational cultures set the stage for quality improvement and nurses' roles in those activities. Hospitals with supportive leadership, a philosophy of quality as everyone's responsibility, individual accountability, physician and nurse champions, and effective feedback reportedly offer greater promise for successful staff engagement in improvement activities. Yet hospitals confront challenges with regard to nursing involvement, including: scarcity of nursing resources; difficulty engaging nurses at all levels--from bedside to management; growing demands to participate in more, often duplicative, quality improvement activities; the burdensome nature of data collection and reporting; and shortcomings of traditional nursing education in preparing nurses for their evolving role in today's contemporary hospital setting. Because nurses are the key caregivers in hospitals, they can significantly influence the quality of care provided and, ultimately, treatment and patient outcomes. Consequently, hospitals' pursuit of high-quality patient care is dependent, at least in part, on their ability to engage and use nursing resources effectively, which will likely become more challenging as these resources become increasingly limited.
Read this articles
https://author.ilr.cornell.edu/laborPrograms/events/upload/The-Role-of-Nureses-in-Hopsital-Quality-Improvement.pdf
http://www.hschange.com/CONTENT/972/972.pdf
Patient is the most important person in nursing care and I think if a nurse consider the patient as a human, not a person who lies down on the bed and take care of him/ her in all dimensions, his/ her responsibility is accomplished.
Moliere tells" 'One must eat to live and not live to eat.'
I think hospitals must serve to patients as a main goal and the magnificent hospitals shouldn't be more important than the patients. We need a real notice to them as the base on nursing.
I think the most responsibility of a nurse is a real acceptance his/ her role to accomplish the duties that should meet them as a nurse.
Efforts by hospitals to control costs have had major effects on nurses. Lower rates of entry into the nurse workforce, and the impact on long-term shortages of nurses, have been attributed in part to the perceptions by potential nurses that the quality of care by a nurse is low. As a result, improvement of quality of care will not be a successful plan in hospitals.
Effective and empathically communication with their patients may be the greatest strength and most important responsibilities of nurses in hospitals for improvement of quality.
Nurses, who spend the most time with patients of any clinician, are crucial in providing effective patient education while assuaging patient concerns and keeping their fears at bay.
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