Question

The nursing leadership committee of a community based health center is concerned about recent indicators of lower than standard quali committee wants to have a high patient outcome and recognizes the need to address the following from inpatient and outpatient data. The care issues: The most recent quarter of patient satisfaction surveys, the nurse leader of the inpatient facility that satisfaction scores are below the mean for other inpatient facilities in the region (this information is provided by the contracted company who administers the survey) In particular, patients report low satisfaction with nurse-patient interaction. In the comments ction, two common themes are: 1) complaints about "hardly ever seeing a nurse": and 2) feeling unprepared to go home In reviewing the number and type of missed appointments for the past six months, the nurse leader of a community-based outpatient clinic notes that Hispanic patients are 3 times more likely than Caucasian patients to miss their scheduled appointments. The nurse leader confers with the head of the pharmacy that is part of the clinic and discovers that, likewise, Hispanic patients are the least likely of all racial/ethnic groups to get their medication refills Likewise, the most recent data from the annual human resources department indicate low job satisfaction among RNs throughout the health care center. Specifically, the majority of RNs report being overwhelmed by the amount of "paper work and performance of non nursing duties. There are also several comments from RNs related to dissatisfaction with the number of agency, "travel", and PRN nurses that are used. For example, one comment states, "Not a week goes by where I am not orienting someone new to the unit Issue/Problem: Changes need to be made to increase patient satisfaction with nursing care and increase RN job satisfaction. A disparity exists between Hispanic patients and Caucasian patients in terms of adherence to scheduled medical appointments and medication. Assignment: Choose the major elements/factors/things/processes that can be changed that can affect both patient satisfaction with nursing care, and RN job satisfaction. Design a Hispanics receiving care from the clinic.