Highlights
In this assessment task, you are asked to identify an area of nursing practice that would benefit from a quality improvement process in order to improve quality and patient safety outcomes. Your idea could come from your healthcare experiences as a student, healthcare worker or even as a patient. What have you seen that is inefficient and could be solved by a quality improvement project?
To identify an area of nursing practice for a quality improvement project you should reflect on your clinical placement experiences. You can think about these questions to assist you; Have you experienced a time when the patient care or processes were not ideal? Did you think that this practice could be improved? Was there something that you thought could be done differently to make the process more efficient for the patient?
To help get you thinking, some examples of an area of nursing practice that would benefit from a quality improvement process in order to improve quality and patient safety outcomes could include;
Patients waiting longer than necessary for a procedure due to a failure in process
Incorrect information communicated leading to medication errors for the patient.
Inefficient systems regarding staff handover that increase nursing workload.
If you are really struggling to come up with an area of nursing practice for a quality improvement project based on your personal experiences, you can consider using one of the case studies below instead
Pressure injury
Sepsis
You should reflect on the cases as if you were involved as part of the healthcare team and identify an area of nursing practice from that case that would benefit from a quality improvement process in order to improve quality and patient safety. Please note that these case studies are not current, some of the nursing care may be slightly outdated in the videos so you should consider the larger issues that occurred rather than focusing on small areas of technical practice, .
Your essay should be structured in the following way and cover these points.
1) Introduction
Identify the area of nursing practice that would benefit from a quality improvement process (hereafter … your identified topic). Why is it (or is likely to be) a problem and who is most likely to be impacted by this? Briefly state which NSQHS Standard/s that this area of nursing practice addresses. Describe your identified topic. This should include details on the setting (ward type, location etc.) and what inefficiencies/errors you noticed that prompted you to consider that this could be done in a different way to improve the process.
2) Review of the literature
Evaluate the literature regarding research that has been done in relation to your identified topic. Discuss the evidence related to the extent of the problem/issue, the causative factors and the potential solutions for your identified topic.
3) Discussion of quality improvement project
Following your review of the literature, you should now have identified some potential solutions for your identified topic. In this section, you need to describe which of these solution/s you will put in place as your quality improvement project to improve your identified topic. Consider your SMART goal/s and specify; what your quality improvement idea is, what would be needed to implement this in practice, who are the key stakeholders, how will you measure the change (how will you know your project was or was not successful), what the likely impact is on staff and patients and how you will plan for the change you made to be sustained into practice in the long term.
4) Policies, procedures and/or clinical practice guidelines
Identify evidence-based resources (policies and/or procedures and/or clinical practice guidelines) that are relevant to your topic and discuss how these either informed your topic (for example clinical practice guidelines) or how your quality improvement project may affect current policy and/or procedure.
5) Australian Safety and Quality Framework
Quality improvement projects should be aligned with each of the elements of the Australian Safety and Quality Framework. Describe how your quality improvement project aligns with each of the three principals (Consumer centred, driven by information, organised for safety) in the Australian Safety and Quality Framework.
6) Conclusion
Conclude the main the findings of your paper and discuss the implications of your quality improvement project in terms of improving quality and patient safety outcomes.
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