Question

Suzane 76 years old patient is admitted to the ICU

Case Study, Chapter 1, Health Care Delivery and Evidence-Based Nursing Practice 1. Suzanne Jones, 76-year-old patient with COPD is admitted to the ICU. Mrs. Jones is placed on mechanical ventilation to assist with her breathing. After 2 days on the ventilator, Mrs. Jones is extubated and then transferred to a medical-surgical unit. The medication regimen is adjusted during the hospitalization. Mrs. Jones is discharged home after 6 days. She and her family are pleased with the care she receive in the hospital. a. Describe the quality performance tools that may be used to demonstrate that the care and treatment rendered are both cost-efficient and of high quality b. Describe the quality performance tools that may be used to demonstrate that the nursing care utilized is evidence- based care and high quality, resulting in patient satisfaction and good patient outcomes. 2. The registered nurse working in the cardiac care clinic is tasked with implementing quality improvement measures. To educate the clinic staff, the nurse plans an in-service program to introduce concepts of quality improvement and evidence- based practice. Additionally, the role of the case manager will be included in the presentation. The nurse plans on using care of the patient with Congestive Heart Failure as a template, and prepares sample clinical pathways, care maps, and multidisciplinary action plans.

Answer 1

1.a. Quality performance tools are the prepared strategies to render effective care.The health care institution should prepare and follow the protocol according to their organization.Following a specific protocol helps to give proper care and there by can avoid faults in treatment.In that way protocol is one of the quality performance tool.For example in these case,for treating COPD the institution should have the protocol for patient treatment strategies in providing ventilators and other medicines and period of stay in ICU's and other wards if they have a specific protocol like this the care and treatment provided will be always in efficient manner for all clients getting admitted in the hospital.There the patient progress will be good.It is because of good quality care.By rendering proper care the length of the hospital stay of the client is reduced and hence by rendering proper care its always be a cost effective one.Following and maintaining protocol is the efficient quality performance tool in a cost effective way.

b.Quality performance tool for nursing care can be a checklist or protocol.For example an important sessions of treatment can be prepared as a checklist and all nurses are asked to fill the checklist after every shift hence it clearly shows the missed treatment or care.It helps to find the level of nursing care.By following protocol as it is already prepared one it must be based on scientific principles hence following it always a evidence-based practice.It makes nurses to render proper care in aright time it will make good patient outcome and patient satisfaction.

2.For developing quality performance in the cardiac care unit by having congestive heart failure as a template initially the nurse must start her presentation by explaining about the disease condition and treatment and nursing care in the case.By discussing this all get knowledge about the particular condition.Then she can discuss about the quality performance ideas.As a program she can arrange for demonstration classes for various treatment strategies and nursing care.It helps others to learn easily.She can show the difference in the demonstration of normal practice and a better quality practice.Hence a good practiced is learned by others from the in-service program.