For this journal entry, examine your thoughts regarding quality in healthcare. Consider how healthcare has changed during your time in practice. Identify where you believe quality and safety improvements have been made and what areas continue to be of concern for you. As a masters prepared nurse, explain how you can improve quality and patient safety.

QUESTION

This week, you will reflect critically on what you have learned relevant to the focus of this module as you respond from a perspective of an informed scholar and future masters prepared nurse leader.

For this journal entry, examine your thoughts regarding quality in healthcare. Consider how healthcare has changed during your time in practice. Identify where you believe quality and safety improvements have been made and what areas continue to be of concern for you. As a masters prepared nurse, explain how you can improve quality and patient safety.

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For this journal entry, examine your thoughts regarding quality in healthcare. Consider how healthcare has changed during your time in practice. Identify where you believe quality and safety improvements have been made and what areas continue to be of concern for you. As a masters prepared nurse, explain how you can improve quality and patient safety.
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Post all reflections in the journal tool. The journal entry should demonstrate critical thinking, self-awareness, and thoughts concerning the module topic. Additionally, this activity provides an opportunity to reflect on your learning and experience toward reaching course and program outcomes. The journal entry should be approximately one page in length and references are not required.

Refer to the Nursing Master’s Library Guide (Links to an external site.) for additional assistance. You can locate your specific course by clicking on the drop down menu under, the Courses tab.

ANSWER

 Reflections on Quality in Healthcare: A Master’s Prepared Nurse Leader’s Perspective

Introduction

Throughout my time in practice as a Master’s prepared nurse leader, I have witnessed significant changes in healthcare, particularly in terms of quality and patient safety. This journal entry serves as a critical reflection on these transformations and identifies areas of improvement as well as ongoing concerns. Additionally, as a Master’s prepared nurse leader, I will explore how I can contribute to enhancing quality and patient safety in healthcare.

Evolution of Quality and Safety in Healthcare

Over the years, healthcare has undergone a remarkable shift towards a greater emphasis on quality and safety. One notable improvement has been the widespread implementation of evidence-based practice (EBP). The integration of research evidence into clinical decision-making has enhanced the delivery of care, resulting in better patient outcomes. As a Master’s prepared nurse leader, I have actively promoted EBP by fostering a culture of inquiry among healthcare providers and facilitating the translation of research findings into practice.

Furthermore, advancements in technology have played a pivotal role in improving quality and safety. The adoption of electronic health records (EHRs) has streamlined documentation, facilitated information sharing, and minimized errors associated with paper-based systems. Additionally, the utilization of decision support systems and clinical decision-making tools has supported healthcare providers in making more accurate and informed decisions, reducing the potential for errors.

Areas of Continuing Concern

While progress has been made, there are several areas that continue to raise concerns regarding quality and patient safety. One significant challenge is the persisting issue of medication errors (Rodziewicz, 2023). Despite the implementation of various safety measures, medication errors remain a leading cause of adverse events in healthcare settings. As a Master’s prepared nurse leader, I recognize the importance of ongoing education, rigorous medication reconciliation processes, and the promotion of a blame-free culture to address this issue effectively.

Another area of concern is healthcare-associated infections (HAIs). Despite significant efforts to improve infection prevention and control practices, HAIs continue to pose a threat to patient safety (Haque et al., 2018). As a Master’s prepared nurse leader, I can contribute to addressing this concern by advocating for strict adherence to infection control protocols, promoting a culture of hand hygiene, and implementing comprehensive surveillance systems to monitor and respond to HAIs effectively.

Improving Quality and Patient Safety

As a Master’s prepared nurse leader, I have a crucial role in improving quality and patient safety within healthcare organizations. Firstly, I can advocate for the integration of quality improvement initiatives into organizational strategies and policies. By actively participating in quality improvement committees and engaging with stakeholders, I can contribute to the development and implementation of evidence-based practices that prioritize patient safety

Secondly, I can foster a culture of safety by promoting open communication, teamwork, and interdisciplinary collaboration (O’Daniel, 2008c). Creating an environment where healthcare providers feel comfortable reporting errors or near misses without fear of retribution is essential. Encouraging a learning culture through root cause analysis and continuous quality improvement initiatives can facilitate the identification of system failures and the implementation of preventive measures.

Lastly, I can champion the importance of ongoing education and professional development for healthcare providers. By facilitating access to educational resources, workshops, and conferences, I can empower nurses and other team members to stay updated on best practices and evidence-based interventions, thus enhancing the overall quality of care.

Conclusion

In conclusion, as a Master’s prepared nurse leader, I have witnessed significant improvements in quality and patient safety in healthcare, such as the integration of evidence-based practice and advancements in technology. However, challenges persist, including medication errors and healthcare-associated infections. By advocating for evidence-based practice, fostering a culture of safety, and promoting ongoing education, I can contribute to enhancing quality and patient safety in healthcare. As we continue to evolve, it is imperative to remain vigilant, critically analyze current practices, and actively engage in initiatives that prioritize the well-being of patients.

References

Haque, M., Sartelli, M., McKimm, J., & Bakar, M. A. (2018). Health care-associated infections – an overview. Infection and Drug Resistance, Volume 11, 2321–2333. https://doi.org/10.2147/idr.s177247 

O’Daniel, M. (2008c, April 1). Professional Communication and Team Collaboration. Patient Safety and Quality – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK2637/ 

Rodziewicz, T. L. (2023, May 2). Medical Error Reduction and Prevention. StatPearls – NCBI Bookshelf. https://www.ncbi.nlm.nih.gov/books/NBK499956/

 

 

 

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