Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example

Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example

Practicum Activities Reflection

Over the past weeks, I have been training and educating members on the revised Intimate Person Violence Policy for The Medical Assistant in the medical office building. In updating and improving the policy, I looked into the approach and questions used by medical assistants when interacting with members, especially when they roomed themselves. Since the revision also included updated procedures for the proper documentation of the member’s electronic medical records, the training also engaged the MA on the specific actions to take during documentation. Furthermore, I also examined and trained the strategies that help the medical assistant room the patient alone when the family member or person escorting them refuses to allow the member to be roomed alone. Besides, the policy has a guideline for the physicians, Nurse Practitioners, or Physician Assistant procedure for reporting IPV, necessitating a training session with these members. Hence, we have trained the MA on this policy as well as the physicians.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example
Capital Punishment Research

During the training on the revised policy, I focused on what the medical assistant is supposed to do when a member comes in to see their primary care physician. The specific training areas were on how to alleviate barriers to getting the member in the room when the perpetrator does not want to allow the victim to be alone. The objective was to enhance patient communication quality, promote patients’ interests and autonomy, and institute a change that would significantly improve outcomes.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

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Furthermore, I also trained practitioners and physicians on the steps to take when they suspect abuse is occurring, whom to report, and the deadline. I aimed to outline the responsibilities of each member in every interaction and the actions to take in different scenarios. By equipping physicians and MAs with a practical understanding of implementing the improved policy, the change aims to attain better outcomes in intimate partner violence scenarios. I am auditing 15 charts a week for compliance. Remediation for noncompliance is happening with the staff in real time. The two weeks offered good practice experience valuable to my understanding of change implementation and management.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

Health Care Quality and Patient Safety

Coordination of care amongst nurses, pharmacists, doctors, social workers, and other disciplines is increasingly becoming critical as healthcare delivery becomes more integrated. Multidisciplinary teams can function better to improve patient outcomes by practicing interprofessional collaboration, learning to work together, and respecting one another’s opinions. Improved healthcare collaboration is among the main tactics for healthcare reform (Bosch & Mansell, 2018). Collaboration in healthcare has enhanced patient outcomes, including lowering morbidity and death rates, eliminating avoidable adverse drug responses, and optimizing prescription dosages (Bosch & Mansell, 2018). Healthcare professionals have also been demonstrated to benefit from teamwork, which has been shown to decrease excess work and boost job satisfaction.

Interprofessional collaboration among doctors, nurses, and other healthcare team members raises general awareness of the knowledge and abilities of each other (Busari et al., 2018). Additionally, the continual enhancement of collective decision-making helps improve the quality of care (Busari et al., 2018). The ability of nurses and doctors to communicate effectively is a crucial component of interprofessional collaboration and, consequently, of ensuring the quality of care. Therefore, enhancing and maintaining the quality of care requires accurate and continual assessment of communication and collaboration in a clinical work setting.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

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Practicum Project Preparation

StakeholderEngagement ActionCommunication OwnerCommunication ChannelFrequency
Organization administration and executivesProvide project updates, implementation needs, and evaluation progressProject Manager– Meetings – Presentations – Emails – Written communicationWeekly
Project teamCommunicate project progress, expectations, and roles during project implementation and evaluation(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)Project Manager– Meetings – MemosDaily
Nurse leaders and managersKeep informed about project progress, priorities, and practice issuesProject Manager– Meetings – Emails – ConferencesWeekly
CliniciansKeep informed about project progress, education needs for project implementation, and roles in project evaluation.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)Project Manager– Meetings – Emails  Wednesday and Friday
EducatorsCommunicate training program for clinicians involved in the project, training timeline, resources, and needs.Project Manager– Meetings – Presentations – Emails – Written communicationWeekly during the three-week training period
The Joint CommissionKeep informed about project progress and facilitate project monitoring.Project Manager– Emails – Video ConferencesMonthly
PolicymakersInform project outcomes and effectiveness in addressing IPV.Project Manager– Emails – Video ConferencesMonthly
PayorsInform about project progress and roles in helping implement policy framework.Project Manager– Emails – Video ConferencesMonthly
RegulatorsKeep informed about project progress and ethical or regulatory issues arising and provide information to facilitate project monitoring.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)Project Manager– Meetings – Presentations – Emails – Video ConferencesOnce every two weeks
Research CommunityKeep informed about project progress and outcomes.Project Manager– Meetings – Presentations – Emails – Written communicationMonthly
PatientsKeep informed about project progress.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)Project Manager– Emails – Written communication – Social mediaMonthly
Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example
Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example 1

Evidence

During the two-week practicum, I trained the MA and the physicians on the updated Intimate Partner Violence policy. Effective training and education enable informed care delivery, especially to vulnerable populations, which is fundamental in improving healthcare quality and safety. According to an article by Weimer-Elder, Kline, and Schwartz (2022), it is imperative to develop frameworks that guide care delivery and safeguard the patient during interactions, enhancing outcomes during assessments. The article further underlines that incorporating relationship-centered care (RCC) communication program system improves the physician–patient relationship, thus facilitating better care delivery and outcomes. Besides, the project also utilized the remediation for noncompliance approach in real-time, which enables the project manager to identify practical and realistic measures that can be implemented to enable compliance with the updated policy.(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

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References

Bosch, B., & Mansell, H. (2018). Interprofessional collaboration in health care: Lessons to be learned from competitive sports. Canadian pharmacists journal: CPJ = Revue des pharmaciens du Canada: RPC148(4), 176–179. https://doi.org/10.1177/1715163515588106(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

Busari, J. O., Moll, F. M., & Duits, A. J. (2018). Understanding the impact of interprofessional collaboration on the quality of care: a case report from a small-scale resource-limited health care environment. Journal of multidisciplinary healthcare10, 227–234. https://doi.org/10.2147/JMDH.S140042(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

Weimer-Elder, B., Kline, M., & Schwartz, R. (2022). Building a Relationship-Centered Culture in Healthcare: An Organizational Framework for Transformation. Physician Leadership Journal9(3).(Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example)

https://www.ncbi.nlm.nih.gov/

Quality Improvement and Patient Safety Practicum Journal Comprehensive Nursing Essay Example
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