Quality improvement in hospital needs and perceived Barriers in wound care management
Introduction
Quality improvement (QI) is a strategy that has a real significance on the hospital’s needs and the perceived barriers in wounds. The effort to improve the quality of nursing in the hospital is critically analyzed to help identify the basic resources and knowledge required to manage wounds within hospital care. Wounds such as diabetic foot and pressure injuries have a real inconvenience to the patients and therefore lack of knowledge and confidence among the nurses would lead to poor performance level on the hospital requirements. QI, in this case, aims at issuing a cost-effective, reliable, and sustainable health care to help achieve the essential healthcare goals. The modalities of the work process need to work along with the professionalism and technicalities of its needs. This paper, therefore, analyses the quality improvement needs in a hospital set up to manage wounds and other nursing care requirements.
Purpose
Wound management and its perceived barriers are a definitive topic for quality improvement. The paper serves the purpose of illustrating how QI in nursing health care can be used in the management of wound care and its perceived barriers. Therefore, the approach of addressing quality within an institution requires different methodologies, as illustrated in this paper, to help meet the patient’s needs. The paper introduces the methodologies of quality care, trained personnel, appropriate medication, and technology usage to help improve newer technologies.
Significance
QI significantly helps bring about the realistic measures in achieving the set nursing care objectives. The indulgence of technology, among other methodologies in ensuring efficiency and effectiveness, is an intuitive process that helps make the process more reliable and efficient (iPatientCare, 2020). Diabetic foot and ulcers require special knowledge and recognition to help in the prevention and management of the expected complications (walker et al. 2019). The high morbidity level for patients with a diabetic foot or rather pressure wounds require special care to reduce the outcomes of mismanagement of the underlying infections. Promoting quality improvement in such a hospital set up therefore helps improve the nursing guidance on inpatient management.
Sample
The QI samples nurses and patients on the management of pressure wounds and diabetes foot. The nursing intervention in the mentioned specifics helps illustrate the QI engagement within a hospital institution. There are systemic challenges while addressing the treatment for patients with diabetic foot and wounds. It is collectively considered that the focus groups help engage the optimal patient engagement to help give professional services.
Setting
The setting of this research was the Johns Hopkins Bay view medical Centre which has a 342-bed capacity. Johns Hopkins Bay view is a university-affiliated institution thus the data collection done in this case is variable and mixed for quality assurance. The thematic approach in this case is designed to focus on the provider’s knowledge and expertise in wound care. The setting satisfies the demographic and clinical requirements and also offers a multivariable point of research.
Intervention
The overarching challenges expressed by patients with diabetes foot, mental health, and severe wounds depend on patient care and quality care. QI, therefore, counters most of the hospital challenges expressed herein. QI efforts work best on the principles of addressing the consistency and analytic approaches within healthcare. These methodologies help define the challenges in solving problems among workers in healthcare institutions. The implementation in health care helps promote the visualization of the optimal solution through problem definition, root cause identification, and analysis, optimal solution based on the root cause, corrective action, implementation, and effectiveness tracking.
Instruments
The questionnaire alongside secondary data collected from health journals and publications from the health websites was used. The questionnaire comprised of 25 items and it needs around 15 -20 minutes. Secondary data such as journals and publications in healthcare are used in dimensions such as demography, health status, sex, and culture within the health care environment. The sources get their data from tests, results such as admissions, and successful discharges within the hospital. Nursing healthcare strategies strategize on ensuring improved healthcare, both mentally and intervention care in healthcare facilities.
Data analysis
The survey done in this research correlates different institutional researches that help identify with organizational patterns with localized demographics. QI analysis among patients and nurses help improve the care attribute within the nursing institutions. The patient needs to require proper healthcare to help advance in good health.
Findings
The ethical responsibility of every nurse is to provide safe and competent care for a quality practice environment. Some factors contribute to safe delivery, competence, ethics, and compassion. The factors include; bridging the clinical niche gap, minimizing interruptions within the system, engaging the management through interprofessional cooperation, and interprofessional cooperation. QI, therefore, helps implement the leadership and managerial aspect of the nurses in the healthcare environment (Pirani, 2020). The availability of the nurses to the patients determine the quality of service issued. Physical examination is a culture used to assess the patients-staff togetherness (walker, 2019, p.102). Wound management and hospital needs are a relatable challenge which is service mobility and its delivery. The skill evaluation requires a comprehensive patient assessment.
Implications
Optimization of efficient healthcare explains the need for quality care between the providers and the clients. The innovative impact of QI in nursing explains the increasing balance between promoting and actualizing patient treatment in nursing homes. The sustenance and efficiency bring about the QI implications within the healthcare system.
Strength and weakness
Pressure wounds and also foot ulcers require an optimal strength to ensure proper care. Expertise required as per the qualitative approach establishes professionalism and work ethics as speculated by the health guidelines. The QI helps develop the leadership aspect for each RN nurse. Established nurses easily meet the right patient needs with the right measure (Abrahamson et al., 2013). Consistency and credibility in information within the hospital is however an issue within the parameters of QI in healthcare.
Conclusion
QI is a targeted field of improvement within any health center especially within the centers for wound management and also the hospital needs aligning. The action plan within the hospital requires special monitoring to help establish proper hospital needs. Managing the barriers through a qualitative approach in nursing is a measurable and cost-effective system that projects a high level of leadership within the hospital. Proper patient care especially in vulnerable set up where wounds are managed requires specified interventions to help quality health care.
Reference
Abrahamson, K., Arling, P., & Arling, G. (2013). A state-sponsored approach to quality improvement in nursing homes: insights from providers. Annals of Long Term Care, 21(7), 20.
iPatientCare. Why Is Quality Improvement in Healthcare Important? 16 Mar. 2020, ipatientcare.com/blog/why-quality-improvement-in-healthcare-is-important/.
Pirani, S. (2019). Implementation of a wound care education project to improve the wound care competency among psychiatric nurses: A quality improvement project and feasibility study. Journal of Psychiatric and Mental Health Nursing.
Walker, C. A., Rahman, A., Gipson-Jones, T. L., & Harris, C. M. (2019). Hospitalists’ Needs Assessment and Perceived Barriers in Wound Care Management: A Quality Improvement Project. Journal of the wound, ostomy, and continence nursing: official publication of The Wound, Ostomy and Continence Nurses Society, 46(2), 98.