Nurses and the Quality of Care Case Study

Nursing Scenario

Over the last 25 years, the delivery of healthcare services is consistently changing. This is from consumers demanding better avenues for receiving them. That is focused decreasing costs and enhancing quality. These problems are directly linked with issues inside a practicum environment. In these situations, nurses are forced to perform a variety of administrative tasks during their shift and are overwhelmed. This means that they do not have the resources or support to improve quality and enhance treatment options. The result is that errors are increasing and more patients are having complications from these issues. Unless some type of drastic action is taken, there is a chance the facility will become involved in medical malpractice litigation and can lose cliental. (Odell, 2009)

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Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.

Nursing sensitive indicators are looking at any challenges patients will face when they are inside the facility. This can assist nurses in improving quality and teamwork. To deal with them, there needs to be strong leadership and education. This is achieved by discussing these issues with other healthcare professionals and working together as a team to address them. Once this occurs, is when everyone is aware of medical and cultural issues. This is the point, when these factors will be taken into account as a part of their treatment protocol. (Odell, 2009)

Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.

The current process is unsustainable. In this case, Watson’s Theory of Human Caring can be used in correlation with numerous indicators to improve quality (i.e. complications, falls, length of stay, the use of restraints, patient and staff satisfaction). It is focusing on how to increase safety, care and quality. This is accomplished by emphasizing a number of variables in conjunction with each other. The most notable include: cultivating spiritual practicing kindness, being supportive, creating a healing environment, teaching, assisting w the patient and allowing for miracles to occur. In these situations, Watson’s theory can become a motto for everyone to follow. This requires monitoring the individual’s condition, informing them of their role in the various treatment protocols and decreasing suffering. (Watson, 2009)

It will be applied by demonstrating the way the lack of safety is hurting the location and atmosphere. This is when they will forge alliances to comprehend what is taking place and the influence it is having. This will occur during the course of many months and through following patient surveys to measure progress. These results will help to decide critical weaknesses and how they can be addressed over the long-term. (Watson, 2009)

Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.

The best ways to address these challenges is to focus on increasing collaboration. This is accomplished by establishing different alliances via managers, employees and other stakeholders. These insights help them to identify the problems and create solutions for addressing them. Moreover, communication needs be strong among various groups. This is because they have their own attitudes surrounding the best approaches in the delivery of healthcare. Their inclusion in the process will help them to feel like they are making a difference. This is when they will become a supporter of these changes and deal with them on the team level. They can talk to others, who are resistant and why these attitudes are creating problems. It is at this point, when these issues can be brought to forefront and critical challenges are addressed. (Jones, 2007) (Kelly, 2013)

In the future, these changes will be standard operating procedures with everyone embracing and following them. The combination of these techniques will address the most critical challenges while they are small. In many ways, one could argue that this is the key for ensuring the strategy is meeting key objectives and is creating a positive environment. (Jones, 2007) (Kelly, 2013)


Jones, R. (2007). Nursing Leadership and Management. Philadelphia, PA: FA Davis

Kelly, P. (2013). Essentials of Nursing Leadership. New York, NY: Cengage.

Odell, M. (2009). Nurse’s Role in Detecting Deterioration in Ward Patients. Journal of Advanced Nursing, 65 (10), 1992 — 2006.

Watson, J. (2011). Human Caring Science. Sudbury, MA: Jones and Bartlett.

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