Posted: July 26th, 2023
You have been talking with your team and interacting with patients. You see some patterns that you would like to change to improve quality. Your team is motivated to help.
This week you will identify the focus of your project and anticipate the ethical, legal, and regulatory concerns that may arise in your career as a nursing leader.
For this summative assessment, create a presentation that communicates the focus and scope of your project. You may select from multiple venues to explain the details of your plan. You will demonstrate problem-solving skills as you organize the details of your plan.
Resource: Question Development Tool – Appendix B.
Begin your plan with the following:
Define the problem.
Identify the problem to be addressed and the setting in which it occurs.
Outline your proposal to address the problem.
Identify and discuss ethical, legal, and regulatory concerns relating to the problem.
Explain why you chose the problem.
Support your plan by gathering as much information about your selected problem as possible. Consider both qualitative and quantitative data, for example:
Leader and peer interviews
Quality improvement (QI) reports from the facility
Benchmarking studies/baseline data.
If baseline data is available:
What are the goals?
Are current practices meeting the organizational goals?
Are the prescribed practices followed?
Format your assignment as one of the following:
15- to 20-slide Microsoft® PowerPoint® presentation
The slides should only contain essential information and as little text as possible. Do not design a slide presentation made up of long bullet points. Use speaker notes to convey the details you would give if you were presenting. See create speaker notes from Microsoft® for more help.
Improving Quality in Nursing Leadership: Addressing Ethical, Legal, and Regulatory Concerns
As a nursing leader, it is crucial to identify and address patterns that can improve the quality of care and patient outcomes. This presentation aims to communicate the focus and scope of a project aimed at enhancing quality in healthcare settings. The project will be approached through problem-solving skills, and the ethical, legal, and regulatory aspects related to the problem will be anticipated.
I. Define the Problem:
The problem to be addressed revolves around the suboptimal adherence to evidence-based practices in the healthcare setting, leading to variations in patient care and outcomes. This issue is prevalent in our healthcare facility, affecting patient safety, satisfaction, and overall quality of care.
II. Problem Setting:
The problem is most evident in the inpatient medical-surgical units of our hospital. Despite having established protocols and guidelines, there is a lack of consistency in their implementation, resulting in preventable complications and adverse events.
III. Proposal Outline:
Implementing a Standardized Care Pathway:
Develop evidence-based care pathways for common medical conditions.
Educate healthcare providers on the importance of adherence and its impact on patient outcomes.
Utilize clinical decision support systems to integrate pathways into daily practice.
Strengthening Interdisciplinary Communication:
Facilitate regular team meetings to discuss patient care plans and identify areas of improvement.
Encourage open communication between different healthcare disciplines to promote collaborative care.
Enhancing Quality Improvement Measures:
Analyze patient data to identify trends and areas for improvement.
Implement continuous quality improvement initiatives to monitor and address variations in care.
IV. Ethical, Legal, and Regulatory Concerns:
Ethical challenges may arise concerning patient autonomy and informed consent when implementing standardized care pathways. Ensuring patients are well-informed and actively involved in their care decisions is vital.
Implementing new care protocols may expose the organization to legal risks, especially if proper informed consent procedures are not followed. It is essential to consult legal experts to ensure compliance with all relevant laws and regulations.
Healthcare institutions must comply with various regulatory guidelines and accreditation standards. The project must align with these requirements to avoid penalties and maintain accreditation status.
V. Rationale for Choosing the Problem:
The problem of inconsistent adherence to evidence-based practices significantly impacts patient outcomes and overall healthcare quality. By addressing this issue, we can enhance patient safety, reduce complications, and improve patient satisfaction.
VI. Supporting Data Collection:
To support the proposed plan, data will be gathered from various sources, including:
Leader and peer interviews to gain insights into the challenges faced by healthcare providers.
Patient/customer surveys to understand patient perspectives on the quality of care received.
Quality improvement (QI) reports from the facility to identify previous improvement initiatives and their outcomes.
Benchmarking studies and baseline data from other healthcare institutions to compare and evaluate our performance.
This presentation outlines a comprehensive plan to improve quality in nursing leadership by addressing the issue of inconsistent adherence to evidence-based practices. Anticipating ethical, legal, and regulatory concerns is critical to ensuring the success and sustainability of the project. By implementing standardized care pathways, fostering interdisciplinary communication, and enhancing quality improvement measures, we can create a healthcare environment that prioritizes patient safety and delivers optimal care.
Gaudine, A., & Lamb, M. (2016). Nurses’ experiences of ethical conflict: implications for ethics supports. Journal of Nursing Administration, 46(7/8), 365-370.
Pearsall, C., Rodriguez, C., & Williams, I. (2019). The impact of nursing leadership on patient outcomes: A systematic review. Journal of Nursing Management, 27(1), 3-12.
Zhang, Y., & Wildemuth, B. M. (2016). Qualitative analysis of content. In Applications of social research methods to questions in information and library science (pp. 308-319). ABC-CLIO.
Joint Commission on Accreditation of Healthcare Organizations. (2018). Comprehensive Accreditation Manual for Hospitals. Oakbrook Terrace, IL: Joint Commission Resources.
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