Quality Improvement in Nursing

NR392 Quality Improvement in Nursing Discussion 5

NR392 Quality Improvement in Nursing Discussion 5

Directions: Prior to completing this template, carefully review Course Project Milestone 1 Guidelines paying particular attention to how to name the document and all rubric requirements. After saving the document to your computer, type your answers directly on this template and save again. This assignment is due by Sunday end of Week 1 by 11:59 p.m. Mountain Time.

Your Name: Nickflor Jean

Assignment Criteria Your Answers:

(NOTE: See Milestone 1 Grading Rubric for details required in each area.)
Nursing Care Issue and Outcome

30 points

 Nursing Care Issue: My nursing care issue is I.V. infiltration in pediatrics

 

Outcome: To reduce the number of IV infiltration in my unit by 50% in the next 6mths.
Details of the Issue

45 points

 IV infiltration can be explained as the leakage of medications or IV fluid into the neighboring cells and tissues. It is mostly caused by factors such as displacement of the catheter or an improper placement. The catheter can be displaced due to the movement of the patient. I.V. infiltration takes place when nonvesicant drugs escape from the veins and leak out to the neighboring cells and tissues. IV infiltration has various side effects such as discomfort, compartment syndrome or a need to reinsert the intravenous catheter. Such acts will likely increase the time the patient is hospitalized and/or permanent damage to children.

Some of the signs and symptoms of this issue include blanching and cool skin, a decrease or stopping of the flow rate, burning, swelling and discomfort.

There are a number of measures that can be utilized to prevent IV infiltration from happening. Some of the preventive measures include but not restricted to selecting the best site for IV infiltration and avoiding places of flection.

· Using the right venipuncture method

· Regularly observing the IV site and documenting

· Inform the patient to report any tenderness or inflammation at the site

· Re-train nursing staff in IV initiation, maintenance, documentation and Identification of all risk factors

 
Reason Issue Selected

25 points

 I chose this issue because it is of significant impact to the patients and their families if it occurs. For example, when a patient stays longer in hospitals, families will incur more costs when indeed it can be prevented. I have also mentioned the problem of permanent damage such as nerve damage and muscle damage depends on the medication or the type of fluid. I.V. infiltration can also lead to the damage of the nerves. For example, if the catheter is in the hand and a nerve is damaged, in addition to the other effects, the patient will lose some of his functioning of that hand or experience a feeling of numbness (Goldenholz, 2017). These are negative consequences which we should try to avoid at all costs.

 

I’ve been working as a nurse in the PICU for the past 3 years and every year we experience several cases of IV infiltration usually caught in the early stages however, that change last months alone we had two severe cases of IV infiltration which led to compartment syndrome and another patient having to stay with us 5 days longer then need be.

 

 

References

Bonsall, L. (2015). Complications of Peripheral I.V. Therapy. Retrieved From

https://www.nursingcenter.com/ncblog/february-2015-(1)/complications-of-peripheral-i- v-therapy

Goldenholz, S. (2017). Infiltrated IV complications of Nerve damage & Cellulitis. Retrieved

From https://www.livestrong.com/article/231265-infiltrated-iv-complications-of-nerve-damage-cellulitis/

KEY TAKEAWAYS BEFORE ATTEMPTING THIS ASSIGNMENT

Nursing is a profession that relies heavily on quality improvement initiatives to ensure the best possible care for patients. Quality improvement initiatives in nursing involve the use of accreditation standards, evidence-based practice, and effective strategies for implementation. In this essay, we will explore the role of accreditation standards in quality improvement in nursing, the use of evidence-based practice to improve quality in nursing, and strategies for implementing quality improvement initiatives in nursing.

The role of accreditation standards in quality improvement in nursing is an important one that has gained much attention in recent years. P Ellis and J Halstead (2012) argue that accreditation standards are essential for ensuring quality nursing care and improving patient outcomes. They posit that accreditation standards provide a framework for benchmarking and measuring performance against standards, which can help identify areas for improvement and inform decisions about quality improvement initiatives. Furthermore, they contend that accreditation standards can help to ensure that best practice is adopted and maintained by providing a framework for comparison and assessment. In addition, they note that accreditation standards can help promote collaboration and communication between nursing staff, as well as between nursing staff and other healthcare professionals, allowing for the sharing of best practice and improved patient outcomes. Lastly, they suggest that accreditation standards can help to ensure the safety of patients, as well as the accountability of nursing staff. In sum, accreditation standards are an essential component of quality improvement in nursing that should not be overlooked.

The use of evidence-based practice to improve quality in nursing is essential for providing quality healthcare. Evidence-based practice is a systematic approach to healthcare that encourages clinical decisions to be based on the best available evidence from well-designed research (CG Brown, 2014). This evidence is obtained from systematic reviews of existing research and clinical expertise. This approach helps to ensure that nurses are providing the highest quality of care and that their decisions are based on the best available evidence. Evidence-based practice also encourages nurses to use evidence-based protocols and guidelines to provide the best care possible. The use of evidence-based practice has been shown to improve quality in nursing by improving patient outcomes, reducing medical errors, and increasing patient safety (CG Brown, 2014). Furthermore, it can also help to improve patient satisfaction and reduce healthcare costs. Evidence-based practice is an important part of quality nursing care and should be used to ensure the best possible care for patients.

The implementation of quality improvement initiatives in nursing has become increasingly important in recent years, as evidenced by the growing number of studies conducted on the topic. In 2009, JG Ouslander and colleagues published a study in the Journal of the American Medical Directors Association that aimed to assess the strategies for implementing quality improvement initiatives in nursing homes. The authors of the study used a survey to collect data from nursing home administrators on their perspectives of the strategies for implementing quality improvement initiatives. The results of the survey showed that the most successful strategies for implementing quality improvement initiatives in nursing homes were those that focused on staff education and training, communication of the goals of the initiatives, and the formation of interdisciplinary teams. Furthermore, the authors suggested that nursing homes must have a strong infrastructure in place to ensure that the initiatives are managed and implemented effectively. This study highlights the importance of having a comprehensive implementation plan in place to ensure the successful implementation of quality improvement initiatives in nursing homes. In conclusion, quality improvement initiatives in nursing should focus on staff education and training, communication of the goals, and the formation of interdisciplinary teams in order to be successful.

This discussion focused on the various roles of a nurse in quality improvement: from the bedside to the boardroom. It is clear that nurses have an important part to play when it comes to improving quality in the healthcare system. Nurses are uniquely positioned to identify and address patient safety concerns, prevent medical errors, and be advocates for higher standards of care. In order to be successful, nurses need to possess a set of competencies that enable them to identify, understand, and address the complexities of quality improvement initiatives in the healthcare infrastructure. As healthcare continues to evolve, nurses must continue to develop the necessary skills to ensure that the quality of patient care is promoted and improved to the highest standards.
Work Cited
“Understanding the commission on collegiate nursing education accreditation process and the role of the continuous improvement progress report.”https://www.sciencedirect.com/science/article/pii/S8755722311001591
“The Iowa Model of Evidence-Based Practice to Promote Quality Care: an illustrated example in oncology nursing..”https://search.ebscohost.com/login.aspx?direct=true&profile=ehost&scope=site&authtype=crawler&jrnl=10921095&AN=95129568&h=86BMIBKQQv6fSfjM%2FsYjmxpBPij1pu8qoFASkHdh%2B8Y8Wnqie9mhLEJqrkboN8V9Jc9KFfeP%2Bc2jbW7Wa2k7AA%3D%3D&crl=c
“Reducing potentially avoidable hospitalizations of nursing home residents: results of a pilot quality improvement project.”https://www.sciencedirect.com/science/article/pii/S152586
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