NRS 415 Topic 5 DQ 1
Continuous quality improvement (CQI) is the responsibility of all nurses and is vital when addressing the challenges of the health care industry. Provide an example of how you would apply CQI in your current or past position. If you are new to health care, select a nurse practice issue and discuss how you would apply CQI to address the issue. Discuss a quality improvement method that could be used to support CQI in your example.
Initial discussion question posts should be a minimum of 200 words and include at least two references cited using APA format. Responses to peers or faculty should be 100-150 words and include one reference. Refer to “RN-BSN Discussion Question Rubric” and “RN-BSN Participation Rubric,” located in Class Resources, to understand the expectations for initial discussion question posts and participation posts, respectively.
American Association of Colleges of Nursing Core Competencies for Professional Nursing Education
This assignment aligns to AACN Core Competency 5.1.
In my previous position as a nurse working in a busy hospital, one of the most important areas for continuous quality improvement (CQI) was the process of administering medication to patients. To address this issue, I instituted a routine review of the procedures that are followed on the unit for the administration of medication. To do this, it was necessary to carry out systematic examinations of the records pertaining to the administration of medication, to observe the workflow, and to engage in conversations with the nursing staff (Hill et al., 2020). We were able to conduct targeted interventions, such as having additional training sessions, revising protocols, and improving communication within the healthcare team, because we were able to detect any gaps or flaws in the process. We made gradual modifications, regularly monitored the impact, and altered our techniques accordingly, which led to an improvement in the accuracy of drug administration and patient safety (Hill et al., 2020). This was accomplished through the utilization of the Plan-Do-Study-Act (PDSA) cycle.
When it comes to nurse practice, compliance with hand hygiene is a common issue that frequently calls for continuing professional development (CQI). The practice of maintaining proper hand hygiene is an essential component of infection control; nevertheless, ensuring regular compliance can be difficult (Hill et al., 2020). In this circumstance, a nurse can commence a CQI project by first evaluating the existing hand hygiene procedures through direct observation and reviewing compliance data. This is the first step in the process. It is possible that Lean Six Sigma, a methodical strategy that seeks to increase productivity while simultaneously reducing waste, will be selected as the method for quality improvement (Wang & Yao, 2021). The nurse would be guided through the process of defining the problem, measuring the baseline compliance rates, analyzing the root causes of non-compliance, implementing targeted improvements (such as educational campaigns, access to hand hygiene resources, and regular feedback), and establishing control measures to sustain the improvement over time by using the Define-Measure-Analyze-Improve-Control (DMAIC) methodology that is a part of Lean Six Sigma (Wang & Yao, 2021).
The process of continuously improving quality is one that is both dynamic and collaborative, and it encompasses the entire healthcare team and its members. It is possible for nurses to actively contribute to the development of the quality and safety of patient care in their specific healthcare settings by adopting evidence-based improvement approaches, systematic assessment, and focused interventions (Wang & Yao, 2021).
Hill, J. E., Stephani, A. M., Sapple, P., & Clegg, A. J. (2020). The effectiveness of continuous quality improvement for developing professional practice and improving health care outcomes: a systematic review. Implementation Science, 15(1), 1-14. https://doi.org/10.1186/s13012-020-0975-2
Wang, F., & Yao, D. (2021). Application effect of continuous quality improvement measures on patient satisfaction and quality of life in gynecological nursing. American Journal of Translational Research, 13(6), 6391. https://www.ncbi.nlm.nih.gov/pmc/articles/PMC8290808/REPLY