Professional Nursing: Quality Healthcare Service

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Question :


 School of Nursing, Midwifery and Paramedicine 


Unit rationale, description and aim: This unit focuses on contemporary issues impacting on the transition from student nurse to graduate registered nurse within various health care settings. Transition is seen as a multidimensional and complex process. The key issues addressed relate to knowledge and strategies in the areas of leadership, teamwork, clinical decision making, critical thinking, advocacy and responding to change in the healthcare environment as related to technology and models of care delivery. The unit extends and consolidates concepts from both foundation and nursing practice units and is delivered in a blended learning (mixed mode) format.

ASSIGNMENT 2: Industry Reflection National Safety & Quality Standards

Purpose: All students are required to attend an interview when applying for a New Graduate Program or a Registered Nurse Position. As part of the interview process you will be required to reflect on past nursing clinical experiences when answering interview questions. Selecting two of the NSQHS standards please respond to the following question:

Please explain to the panel your understanding of two of the NSQHS standards and discuss relevant clinical nursing experiences from your clinical practicum, providing justification for each based on these patient care experiences.

The NSQHS can be found here: 

1. Clinical Governance 

2. Partnering with Consumers

 3. Preventing and Controlling Health-Associated Infection Standard

. Medication Safety Standard 

5. Comprehensive Care Standard 

6. Communicating for Patient Safety 

7. Blood Management Standard 

8. Recognising and Responding to Acute Deterioration Standard

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Answer :

Today, with advent of new technologies and also due to increased awareness levels among the patients, it is found that the patients are expecting better quality healthcare services from the healthcare organizations and the nursing staff (Sanders et al., 2014). The role of the nursing staff thereby increases in such cases and they need to deliver better results in a given working environment. 

To improve clinical care, the nurses need to be trained on the nursing framework and quality standards to ensure that they will deliver desired objectives in a given healthcare organization. However, before delivering such services, the nursing staff needs to be trained on Clinical Governance (Reynolds et al., 2014). It reflects to a set of practices and a working approach through which the quality of patient care can be improved in a given scenario. 

The nursing staff needs to adhere to the principles of the organization and accordingly deliver as per the expectations of the patients. For this purpose, they need to work on the major components of clinical governance that include - risk management, clinical audit, education and training, evidence-based care practices, patient-centered treatment options, and staffing management (Reynolds et al., 2014). 

The clinical governance standard will guide the nurses to adhere to these principles and thereby shape their practices in this direction. It is important for the nurses to remain accountable for the services they deliver so that they can improve the quality of the services as per the needs of the organization (Al-Ubaydli et al., 2017). 

There are several standards developed for Clinical Governance that include - Overview of the Clinical Care Standards, Acute Stroke Clinical Care Standard, Hip Fracture Care Clinical Care Standard, Osteoarthritis of the Knee Clinical Care Standard, and many more. Each of these standards will provide detailed information on how to deliver services to the patients. It will not only improve the delivery of care services but will also make the nursing staff more knowledgeable in a given working environment (Glowa-Kollisch et al., 2014). 

The importance of following the compliance and other standards will increase that will improve the overall working approach of the nursing staff in a given organization. Similarly, the second standard that needs to be followed in a given environment is Patient and Consumer Centered Care Standard, wherein the nursing staff needs to work with the patients and accordingly serve them with the medical and other supplementary healthcare services (Sunyaev, 2014). 

The role of the nursing staff will change in this scenario, as they are required not only adhering to these standards and other working principles but are also required to work closely with the patients. They need to communicate with them, identify their major concerns, and deploy National Safety and Quality Health Service Standard 2: Partnering with Consumers, carry out clinical audit of the patient, and thereby assist him in his healthcare needs (DeAngelis, 2014). 

The nurse will be required to play the role of a nurse care manager, primary care provider, nutritionist, medical assistant, behavioral specialist, and also an exert that can treat the patient in a better way. By following the given standard on patient-centered care, the nurse will increase the patient engagement and through better coordination will be able to improve care coordination in a given working environment (DeAngelis, 2014). 

The nurses also need to learn using the new technological tools and techniques in a given working environment. They need to adapt to learning the Electronic Health Record System to ensure continuous quality improvement in the healthcare services delivered to the patients. Also, patient can communicate with the nursing staff and can share his or her needs. It will help the patient to quickly recover from the present situation. 

The nurse through this standard needs to define the scale and scope of given condition of the patient, identify alternative solutions, decide on acceptable solution through mutual consultation with the patient, implement the best solution, and then evaluate the effectiveness of the solution. Even, patient will find it better in such conditions. The nurses need to ensure that they follow 4 Cs while delivering patient-centered care in a given working environment. These include - culture, care, communication and collaboration. Only then it will help the patients to receive desired care services and subsequently improve their health conditions from the present situation.

Even, the top-level management needs to monitor the performance of these nursing staff so that they can modify the strategies for the nurse accordingly. The role of the nursing staff will be vital as they will be not only managing the daily routine activities but will also overcome the challenges of the workplace environment. In addition, they need to deliver care services as per the needs and expectations of the patients. By following the two standards discussed in this report, they will be able to improve on their services and will also ensure achieving of required objectives of a given healthcare organization.