Quality Control in Quality Control in NursingNursing

Avril AllgoodAvril Allgood

OutlineOutline IntroductionIntroduction

EducationEducation

PracticePractice

TechnologyTechnology

ConclusionConclusion

Range of nursing rolesRange of nursing roles 3 basic levels3 basic levels

Nurse educatorsNurse educators Size of WorkforceSize of Workforce Advancing educationAdvancing education Greater power = greater Greater power = greater

controlcontrol

Nurse Managed CentersNurse Managed Centers Case managersCase managers

Possible solutionsPossible solutions AdaptationAdaptation SMART cardsSMART cards Glucose monitoringGlucose monitoring effectseffects

Learning ObjectivesLearning Objectives

By the end of this presentation, you By the end of this presentation, you should be able to identify:should be able to identify:

How you currently affect nursing qualityHow you currently affect nursing quality

Methods of improving qualityMethods of improving quality

Levels of control over qualityLevels of control over quality

Ways in which you might positively Ways in which you might positively influence nursing qualityinfluence nursing quality

IntroductionIntroduction

Patient carePatient care EducatorEducator ManagerManager RecruiterRecruiter Therapist Therapist ResearcherResearcher AdministratorAdministrator Case managerCase manager The list goes on…The list goes on…

Why are Standards Important?Why are Standards Important?

Why are Standards Important?Why are Standards Important?

3 Paths to Quality3 Paths to Quality

EducationEducation

PracticePractice

TechnologyTechnology

EDUCATION

Nurse

Educators

Size

DOES

Matter!

Advancing

Education

Both the nurse and the community

benefit from continued education

PRACTICE

Nurse

Managed

Centers

(NMCs)

Nurse Managed CentersNurse Managed Centers

Superior results in:Superior results in: Patient independencePatient independence Health promotionHealth promotion Stress managementStress management ComplianceCompliance Patient satisfactionPatient satisfaction Coping skillsCoping skills Functional statusFunctional status Use of preventative Use of preventative

servicesservices

Improved incidence of:Improved incidence of: ER visitsER visits Urgent care visitsUrgent care visits Repeat hospitalizationsRepeat hospitalizations

Case Managers

QualificationsQualifications

At least 3 years of related clinical At least 3 years of related clinical experienceexperience

A high degree of intelligenceA high degree of intelligence

Superior communication and Superior communication and interpersonal skillsinterpersonal skills

Technology

and the

Future

of

Nursing

No,

that’s not why!

Continuous

Glucose

Monitoring

System

CONCLUSION

ReferencesReferencesAllen, L. (2008). The nursing shortage continues as faculty shortage grows. Allen, L. (2008). The nursing shortage continues as faculty shortage grows. Nursing Economics, 26,Nursing Economics, 26,

35-40.35-40.

Bower, F. L. & McCollough, C. (2004). Nurse shortage or nursing shortage: Have we missed the real Bower, F. L. & McCollough, C. (2004). Nurse shortage or nursing shortage: Have we missed the real

problem? problem? Nursing Economics, 22, Nursing Economics, 22, 200-203.200-203.

Coddington, J. A., & Sands, L. P. (2008). Cost of health care and quality outcomes of patients at Coddington, J. A., & Sands, L. P. (2008). Cost of health care and quality outcomes of patients at

nurse-managed clinics. nurse-managed clinics. Nursing Economics, 26, Nursing Economics, 26, 75-84.75-84.

Marion, L., O’Sullivan, A. L., Crabtree, K., Fontana, S., & Price, M. M. (2003). The practice doctorate Marion, L., O’Sullivan, A. L., Crabtree, K., Fontana, S., & Price, M. M. (2003). The practice doctorate

in nursing: Future or fringe? in nursing: Future or fringe? Topics in Advanced Practice Nursing eJournal, 3Topics in Advanced Practice Nursing eJournal, 3(2). Retrieved (2). Retrieved

October 19, 2005, from October 19, 2005, from www.medscape.com/viewarticle/453247www.medscape.com/viewarticle/453247

Marquis, B. L., & Huston, C. J. (2009). Marquis, B. L., & Huston, C. J. (2009). Leadership roles and management functions in nursingLeadership roles and management functions in nursing. New . New

York: Lippincott, Williams & Wilkins.York: Lippincott, Williams & Wilkins.

Smith, A. P. (2003). Case management: Key to access, quality, and financial success. Smith, A. P. (2003). Case management: Key to access, quality, and financial success. Nursing Nursing

Economics, 21, Economics, 21, 237-244.237-244.

Question 1Question 1What does the Nurse Reinvestment What does the Nurse Reinvestment

Act Provide?Act Provide?

A)A) Loan forgivenessLoan forgiveness

B)B) Retirement investment programsRetirement investment programs

C)C) Profit sharingProfit sharing

D)D) None of the aboveNone of the above

Answer 1Answer 1

A) Loan ForgivenessA) Loan Forgiveness

Question 2Question 2What are some ways thatWhat are some ways thatnurses can have a broadernurses can have a broaderimpact on quality control?impact on quality control?

(Choose all that apply)(Choose all that apply)

A)A) Continue education and Continue education and become a manager or become a manager or educatoreducator

B)B) Advocate for new/adapted Advocate for new/adapted technologytechnology

C)C) Help develop standards for Help develop standards for practicepractice

D)D) Bring your own Band-Aids to Bring your own Band-Aids to work, because they have work, because they have Strawberry Shortcake on Strawberry Shortcake on themthem

Answer 2Answer 2

A, B, & CA, B, & C

Winner!

Question 3Question 3What are some What are some

benefits of SMART benefits of SMART cards?cards? (choose all that (choose all that

apply)apply)

A)A) Easily carried for Easily carried for immediate access in immediate access in an emergencyan emergency

B)B) Easily read by Easily read by anyoneanyone

C)C) Increased accuracy & Increased accuracy & efficiencyefficiency

D)D) Replace space & Replace space & time-consuming time-consuming paper chartspaper charts

E)E) Improve patients’ Improve patients’ self-esteemself-esteem

Answer 3Answer 3

A, C, & DA, C, & D

You’re a Champion!

Question 4Question 4Factors that affect quality of care include Factors that affect quality of care include

nurse-to-patient ratios, time nurse-to-patient ratios, time management, accuracy, and:management, accuracy, and: (choose all (choose all

that apply)that apply)

A)A) Aesthetically pleasing roomsAesthetically pleasing roomsB)B) Access to affordable careAccess to affordable careC)C) Staff uniformsStaff uniformsD)D) Collaboration between healthcare team Collaboration between healthcare team

membersmembersE)E) Patient involvementPatient involvement

Answer 4Answer 4

B, D, & EB, D, & E

Last one; I promise!Last one; I promise!Which types of nurses are involved in Which types of nurses are involved in

Quality Control?Quality Control?

A)A) Bedside nursesBedside nurses

B)B) Case ManagersCase Managers

C)C) Nurse practitionersNurse practitioners

D)D) Nurse educatorsNurse educators

E)E) All of the aboveAll of the above

The Final SolutionThe Final Solution

E) All of the aboveE) All of the above

The End. We all knew it

was coming.

Anyone want to share Anyone want to share experiences?experiences?

Anyone?Anyone?

Jan?Jan?