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Quality Assurance in Nursing Practice

Posted by user on June 18, 2013 in Uncategorized with No Comments


Introduction
The patient’s health care desires and utility needs form the benchmark for the ascertainment of the quality of nursing standards and performances adopted by a healthcare organization. Quality assurance is nursing care is thus defined from a patient’s perspective. It refers to a strategy adopted by a health care organization for the delivery of the best possible health care services to both internal and external customers to the institution. In addition, quality assurance extends beyond the implementation of health care systems to enhance the effectiveness and efficiency of management and performances in health care organizations to implementation of the best employees’ performance culture (Cowan, Norman & Coopamah, 2005). Quality improvement in a nursing care thus encompasses both the commitment of managers to the delivery of the best possible health care services, the involvement of employees in the implementation of these effectiveness and efficacy performance procedures and the infrastructural improvement of a health organization to facilitate the managerial proposed organizational standards and performances. The health care customers define the best possible nursing care, which can be realized by an institution in number of the institution’s capacity to handle a specified volume of customers within a specified time, the timeliness of nursing care delivery and the effectiveness of the nursing care provided in solving/satisfying a customer’s health care problem or need.
Quality Control Methodologies
Measurement of the quality of nursing services provided by a health care institution can be done from either as a task analysis or quality control perspective. Task analysis based quality assurance begins with setting of quality assurance measurement objectives. This objective is realized through a continuous measurement of a health care institution employees’ performance against specified performance standards. The performance quality is benchmarked on authoritative quality standards stipulated for a health care institution together with the short-term goals of employees’ performance required for the realization of the institutions quality objectives. Quality assurance measurement of nursing care then involves the measurement of the weakness or strengths of a health care organization’s performance relative to the authoritative standards of an optimal quality performance of a health care institution together with the quality objectives set out by individual health care institutions (Kitson, Harvey & McCormack, 1998). A weakness rating of nursing care performance in a health care institution is followed by managerial interventions to correct the identified weakness to raise the performance to the standardized and objectivity levels. Notwithstanding the standard and objective commensuration of a strength rating of nursing care performance, the state doesn’t call for the relaxation of the management instead proposals are formulated to improve the successful and strong performance at the health care institution. In such a context, quality assurance measurement of a nursing care performance is deemed as a correctional and improvement objective health care procedural incentive. Subsequently, motivation of the nursing employees in successful and strong health care institutions is also encompassed within the quality assurance management of nursing care performances.
Determinants of Quality Assurance in Nursing Care
With the nursing care quality standards and objective benchmarked the customers’ satisfaction or complaint the awareness of the populace about their nursing care rights as envisaged in the constitution is paramount. In addition, the populace is required to be assertive in demanding these rights from nursing care institutions (Patidar, 2013). Petition and legal litigation against pervasive abuse and negligence of these rights by nursing care institutions also helps in the improvement of nursing care quality standards and objectives pursued by the institution’s management.
Resource allocation for nursing care services in terms of personnel, infrastructural and monetary resources determines the quality of nursing care feasible in a health care organization. Personnel training, skills and experience determine the industriousness of nursing staff in delivering quality nursing care. Equally, motivational issues of nursing staff, which goes beyond remuneration to encouragement and commendation gestures for their exemplary performance, inhibit their morale to perform diligently. The honesty or dishonesty of nursing staffs to professional and general code of ethics also determines the quality of nursing care in a health care institution, which is weighted in regard to the patients’ satisfaction or complaint. Besides the nursing care personnel, infrastructural and equipment resources allocated for nursing care determines the quality of nursing care deliverable by a health care institutions. In addition, government budgetary allocations to the health care department also determine the amount of money available for footing recurrent expenditure for payment of nursing care staff. This affects the nurses: population ratio, which determines the maximum capacity of nursing care quality threshold feasible by a specific health care institution.
Besides the government, nursing care personnel are also liable for infrastructural systems and equipments inefficiencies in health care institutions. This is attributed to their role in the maintenance of the nursing care infrastructural systems and equipments for their continued sustainable use in the administration and delivery of nursing care. Maintenance of nursing care infrastructural systems and equipments thus promotes the sustenance of quality standards of nursing care performances and keeps the quality objective of a health care institution on course.
Customers attending a health care institution also directly or indirectly interfere with the quality delivery of nursing care. This is attributed to unbecoming behavior of customers and other health institutions attendants, which include irrational, impulsive and uncouth behavior, which impinges the morale of the nursing care employees (Masters, 2013). Such behavior is attributed to sentimental or pathological state of the patients, which is either an impulsive reaction of the customer’s to laxity of the nursing care staff or an irrational customer’s temperament. This in turns affect the quality of nursing care delivered by a health care institution in terms of the number of customers administered to in a single day and the customer’s satisfaction or complaint for the nursing care performance at the institution.
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Procedurals for the Implementation of a Quality Assurance Program in Nursing Care
A quality assurance program is implemented incrementally or comprehensively in a single face. In both cases, intricate planning of the quality assurance program is made before its implementation. Quality assurance program is also implemented as an organizational change initiative, which involves an overhaul of both the staff’s performances and the organization infrastructural system, which influences particular performance capabilities.
Quality assurance program begins with the lobbying of nursing care organization leaders to buy in the idea of steering the performance of the organization towards target quality performance standards and objectives. Lobbying of nursing care organization leaders is facilitated through organization of seminars, populace awareness campaign and special meetings of organizational executives. A face to face appointment and interviews with nursing care organization leaders is also scheduled as a means of lobbying the adoption or commitment to a quality standard or objective initiative.
Before embarking on organizational leaders lobbying campaign, a preliminary inquiry is made in order to describe the quality status of an organization in terms of the current performances of its staff and the condition of its infrastructural systems. A baseline sturdy of an organization’s current performance competence and infrastructural condition, helps in the formulation of rational quality assurance standards and objectives.
A baseline sturdy of a nursing care organization performance is followed by the formulation of the vision and purposes of a quality assurance standard or objective. This also involves the formulation of stepwise efforts in terms of performances and infrastructural changes required to steer the organization to the prospectively formulated standards and objectives. A quality assurance program thus begins with the building a consensus with a nursing care organization management on the quality standards and objectives to be pursued/realized by the organization at a specified period of time and the level of quality performance to be attained (Patidar, 2013). The vision statement is then used to initiate a new performance culture and environment at the health care organization to improve the employees’ day to day performances to the level required for the realization of the quality standards and objectives formulated in the purpose statement of the quality assurance program.
A quality assurance program then proceeds with the establishment of an oversight management committee to oversee the implementation of the quality assurance program. A structure is also implemented to facilitate interoperable and seamless cooperation and coordination of a nursing care general management staff and the quality assurance program oversight management committee.
Resource allocation in terms of both technicians and finances is also sourced from outside sources to fund the quality assurance program (Masters, 2013). This is then followed by the formulation a plan for the operationalization of the quality assurance program in nature of who, what, when and how the program is to be implemented. A quality assurance program is concluded by the implementation of a critical management system and dissemination of experience for the performance and administration of the quality assurance program.

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