Quality Improvement Project in Wound Care Competency among Psychiatric Nurses
Introduction
The overall need for improving the quality and performance in the healthcare niche can help the nursing providers with a cost-effective, sustainable, and reliable health care process and enable them to achieve the essential goal of health care delivery, thus enhancing the service delivery among the patients. Quality improvement (QI) has the main objective of performance management: defining the programs, policies, outcomes, and programs. QI in nursing substantively monitors the results of healthcare processes using its improvement technicalities to help design and test the deviations to improve the quality and safety of healthcare systems continuously.
Purpose
The purpose of this paper is to identify how to improve QI in nursing health care. QI lies in using quality principles by defining the challenges, such as undesirable outcomes (Sahni, 1998). According to Pirani, 2019, the QI approach equips the skill of wound care competency to nurses to help provide high-quality wound care to patients. QI in nursing care validates the need to have an essential communication process, and systematic service delivery to the patients. The overall purposes of QI help improve and facilitate the hand on improvement projects.
Significance
QI in nursing has evolved through ages and has helped advance in nursing care. According to iPatientCare, 2020, addressing patient needs requires attributes such as patient safety, system efficiency, and QI. The increased risk of mental illness and wound development has alleviated the costs within hospital centers. Randomized research through qualitative improvement will help with cost savings and controlled trials within the hospital settings (Pirani, 2019). Nursing care alleviation primarily relies on the traditional practice of using memory, pen and paper, and extra efforts to improve patient care. It is quite attainable to improve medical care through the logistics of QI by ensuring the healthcare niche deliberates on the restructuring of the system’s reliability, cost-effectiveness schedules, and sustenance of the healthcare system.
Sample
The research attributes its technicalities in issuing the best of its professional abilities in inpatient care. Ten nurses and their assigned patients were assessed to give the best of the word for quality care. The studies and education on wound care management in acute or long term settings address the professional needs of nurses in mental health hospitals. The assessment samples different patients and nurses to help improve quality care in healthcare.
Setting
The setting of this research is a mental health setting. Mental health Centre is an educational center that provides a platform for identifying the essential requirements in meeting patient needs in wound care competency. Medical environments give about the vital requirement to help meet the need to redesign healthcare reliability and consistency. Nursing homes give first-hand information on wound management and also care for diabetic patients. The effectiveness and the success of the nursing fraternity all depend on the quality of nursing care. QI, in a well-established setting like a mental health hospital, gives the flow of research from the inpatient to the outpatient department. The work environment helps improve efficiency and adaptability.
Intervention
The QI helps in processing how the tools work and also engages in the effectiveness of the system. QI satisfies the system of visualization and optimization of service delivery through root cause identification and providing an optimal solution in an effective process. These steps make up the idealistic approach in ensuring patient safety and satisfaction. The culture of optimizing results makes up the basis of illustrating the need to improve the quality of nursing care in the hospital. Communication makes up the basic flow of service delivery (walker, 2019, p.104). Ensuring the communication flow is systematic helps in intervening in the whole process. Communication goes hand in hand with the nurses’ modern approach in service delivery, thus ensuring excellent facilitation of patient care, thus ensuring critical management in nursing care.
Instruments
The questionnaires developed were made for the collection of data related to QI in nursing and other health-related specificities. The nursing care gives room for patient-nurse engagement for a probable result. On the other end, questionnaires help collect the study through demography, gender, age, and patient respondents. The fundamental question of the data sourcing was how the nurses implement healthcare interventions within the healthcare facilities. The significant role of nurses in healthcare is to positively and generously impact the process of mitigating the potential risks of wounds to mental health patients.
Data analysis
The qualitative survey of the research as per the sample through a thematic approach helps identify and organize different patterns through specific data in localized institutions. The demographic data analyzed per the hospital publication gives different reviews based on nursing care on different health interventions such as wound care, mental illness, and diabetes management. The recurrent risk in healthcare develops different measures, which are educational needs as per the nursing care requirements.
Findings
Basing my research findings on secondary data sources and interviews of around 10 RN nurses, the patients’ needs attributed to how the nurses performed their duties. As illustrated by Pirani, 2020, healthcare simulation and skill evaluation on mental patient care are based on comprehensive patient assessment, condition assessment, injury prevention assessment, cleansing, wound dressing, and changing processes. An individual assessment helps coordinate and determine the criteria used in the intervention of the patients. The limiting aspect is the aspect of generalizability as projected by a walker, 2019. Hospitals, therefore, are challenged by the normal mobility and service issuance as expected.
Implications
The quality of nursing care is a particular concern to the healthcare fraternity. Governments have approached nursing care with a broader approach to help improve the quality of nursing care. Nursing care profoundly relies on professional retention, performance maximization, promotion, and reward of high-quality levels and efficiently meet patient needs. QI in nursing is a special link to innovative and competitive personnel (Abrahamson et al., 2013). Nursing QI’s measurable implication raises the need for improved leadership among nurses in any healthcare fraternity.
Strength and weakness
A qualitative approach to the hospital strength and weakness with a target of diabetic patients and wounded patients explain an in-depth analytical process of nursing management in healthcare. QI in nursing care gives the optimal strength required to carry out the domains in a health scenario successfully. 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). The data limits statistical analysis; thus, the results are not generalizable. The barriers to quality care among the nurses are attributed to a lack of a positive flow of information and timely control of nurses. The majority of nursing home facilities appeal to the necessity of a QI. The unavailability of resources is a concern that contributes to low QI performance in healthcare.
Conclusion
Conclusively, QI is a systematic attribute whose results are just an aftermath of measurable improvement actions within a healthcare system’s niche. QI framework, as projected above, deals with the health status of targeted patient groups. As projected, the data is used to monitor the result of health care processes while using the designs to improve the safety and quality of the health system continuously. It is evident that the QI measurability gives about a cost-effective system, thus its reliability and sustainability in healthcare and enhancing patient outcomes within a facility. The nursing action plan, therefore, establishes proper healthcare goals through strategic healthcare with specified interventions.
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.
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.
Sahni, A. (1998). Seven basic tools that can improve quality. Medical Device and Diagnostic Industry, 4, 89.
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.