I need answers of all four questions ( Respond to the following) section with ci

Question

I need answers of all four questions (Respond to the following) section with cited reference, Thanks

Discussion: Promoting Safety and Quality

In the article "Managing to Improve Quality: The Relationship Between Accreditation Standards, Safety Practices, and Patient Outcomes," the authors discuss the growing trend by medical insurance companies to eliminate reimbursement for Never Events. As these types of mistakes should be easily preventable, hospitals have developed protocols to lessen or extinguish the occurrence of these events. In addition, The Joint Commission (TJC) and the Centers for Medicare & Medicaid Services (CMS) have developed core measures to guide health care providers' efforts in improving patient safety and the quality of care delivered.

Health care organizations have developed strategic agendas to help meet these standards and reduce the incidence of Never Events. Nurses significantly influence the overall quality of health care provided and play a pivotal role in improving patient outcomes.

Consider the standards that are in place for nurses and how they can be used to improve quality of care.

Review the information at the Joint Commission and Centers for Medicare & Medicaid Services websites on the core measures and standards presented in this week's Learning Resources.

Consider the nurse's role in supporting the organization's strategic agenda as it relates to improving clinical outcomes.

Conduct an Internet search for either a Never Event or a core measure, and select one to address in your post.

By Day 3

Respond to the following:

1.How has the emphasis on quality of care, patient safety, and clinical care outcomes been impacted by specific standards emanating from TJC and/or CMS? Cite your selected core measure or Never Event in your response.

2. What is the impact of the nurse's role in clinical outcomes for the organization?

3. Discuss nurse-specific challenges in influencing change in quality improvement.

4. How does this influence the ability of the organization to achieve its strategic agenda?

Support your response with references from the professional nursing literature.

Explanation / Answer

1Ans:

The mission of the Joint Commission on Accreditation of Healthcare Organizations is to continuously improve the safety and quality of care provided to the public through the provision of health care accreditation and related services that support performance improvement in health care organizations.

Responsible for the administration of Medicare and the Social and Rehabilitation Service (SRS) became responsible for the administration of Medicaid. Both agencies were organized under what was then known as the Department of Health, Education, and Welfare (HEW).

-They provide accreditations to the hospitals after inspecting the standards of the hospitals

-They provide suggestions for the areas of improvement

-TJC also conduct some training programmes to attain patient safety and quality of health care

-It make sure that all certified staff only are eligible for giving the care

-Inspect the certifications of the staff

-It make sure the organization to maintain standard as per the JEI Rules by performing periodic inspections and accreditations.

2Ans:

Nurses have key roles to play as hospitals continue their quest for higher quality and better patient safety. There is not a single skill you learn as a nurse that can’t be used effectively somewhere else. Being a nurse requires you to have very specific skills in order to provide the best possible care to your patients inorder to attain the best clinical outcomes. If the following are the nurses role which can promote better clinical outcomes

If nurses can’nt implement the above things in an orderly manner that will affect the organization finally end up with the bad remark

3Ans:

The nursing profession is one of the most rewarding yet challenging career. Nurses have a major role in the healthcare field and their working conditions should be satisfactory in order to thrive.

The Following challenges are influencing change in quality improvement:

1.Inadequate Staffing: Inadequate staffing is still a big issue in the healthcare field. Whether it is a hospital, nursing home or long term care facility, there are few nurses working on these areas. Due to Inadequate staff there is fall in promoting quality care for increased demand of health care.

2. Continuing Education: Nurses have to demonstrate competence at all times. This would mean that they need to undergo a continuing education and related certification in order to adhere the best practices and maintain quality nursing care services to patients. Although this is beneficial to everyone, taking a continuing education is overwhelming especially to those who are working full time. It can add a lot of stress to the nurses and affect their day to day work in a healthcare facility.so they can not contribute in promoting the change

3. Meeting patient’s satisfaction and expectations: Nurses are already overwhelmed with work but they still need to meet the patient’s satisfaction and expectations. Aside from that, they have to collaborate with fellow nurses, care givers and doctors in order to maintain quality care to the patients. Thus, this impose a great challenge to nurses because of the responsibilities they have to perform in every shift. They also need to stretch their time and effort because underperforming can affect the entire facility. Under these stress conditions the nurse is failed to participate in quality improvement programmes.

4. On-the-job hazards: Sharp containers, slippery floors, communicable diseases and patient lifting are just among the risks that can hamper staff member’s safety. Nurses are the primary caregivers to patients who are constantly at risk for contracting an illness. In fact, some of the uncontrollable hazards can lead to a permanent disability or injury, hence they are trained every now and then to alleviate the risks.

5. Advancement of technology: The advancement of technology has also lead to the advancement of career roles. Nurses who have used the traditional documentation should do it via the internet. They have to adapt to these changes in order to keep an online database about their patient’s medical information. As a healthcare professional in this modern age, keeping abreast with the technology is essential.

Every profession has a different issue that needs to be addressed. With regards to the challenges encountered by nurses, they have to be aware and be proactive on how they deal it. Coordinating with the administration will be a great help, but having a positive attitude and a clear mission will definitely provide a sustainable career in this noble profession.

4Ans:

Nurses have key roles to play as hospitals continue their quest for higher quality and better patient safety. The nursing practice would play a vital role in achieving the all the strategies of the organization. If nurses get an opportunity to learn new things and to behave in a professional manner by controlling their emotions such as anger, sarrows etc, they would do wonders. They act like a psychological supporter, spiritual supporter, friend and philosopher to the patient and his family. As the nurses spend more time with the patients they can propogate about the rules, regulations and standards of the hospital, they are the best promoters of the hospital as well as best care giver and ever trusted people. So “Nurses are inspirable role models”.

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