Nurse/Patient Empowerment in Practice
As a registered nurse, you have the power to influence change in patient outcomes. An important aspect of influencing change is identifying areas that need improvement. This is done primarily through measurement of data. There are several different measures to gather data within organizations as well as on a national scale. Some of these measurements include core measures, standards, best practices, evidence-based practices, and the National Database of Nursing Quality Indicators (NDNQI). These support mechanisms have also been discussed as a means for helping nurses to deliver quality care and improve patient safety. Each measurement essentially focuses on providing care that is safe, effective, patient-centered, timely, efficient, and equitable.
Although there are several different measurements, NDNQI data is used in the process of attaining Magnet Recognition. Magnet Recognition is the highest honor a health care organization can receive for nursing excellence and high-quality patient care. The nurse-specific measures presented in the NDNQI help inform nursing staffs and their organizations of areas where nursing practices can be improved and where nursing practice efforts are producing positive clinical outcomes. Nurses must be directly involved in developing and implementing action plans based on the data presented by the NDNQI.
This week, you will explore the importance of nurse empowerment in effecting change and how action plans are created based on the results of the NDNQI as presented on a dashboard. You will also consider how nurses advocate for patientsâ€™ rights, even when that means supporting a patient whose personal choices may have negative health outcomes.
Discussion: Nurse/Patient Empowerment
As a nurse, you are the individual who has the ability to empower patients in the decision-making process pertaining to their health care. In addition, you are in a unique position to empower your nursing colleagues to improve job satisfaction and use performance indicator data from dashboards to effect social change.
In this weekâ€™s Learning Resources, you examined both the National Database of Nursing Quality Indicators (NDNQI) and the key role nurses play as advocates for patient rights. To assist nurses in being better prepared for this role, programs such as Patient Care Partnership provide guidance.
For this Discussion, you will analyze the use of quality improvement data and discuss how this data can help empower both patients and nurses. Review the Patient Care Partnership information presented in this weekâ€™s Resources. In addition, reflect on the media presentation and the information shared by Ms. Manna on patientsâ€™ rights.
Respond to the following:
What are the best strategies the nurse can employ to empower patients and support patientsâ€™ rights to improve quality of care? (Some considerations to keep in mind may include: providing information on effectiveness, risks, and benefits of alternative treatments.)
In what ways can NDNQI data from dashboards or quality improvement data be used to support nurse empowerment in practice?
How has your institution empowered the nursing staff through the use of quality improvement data?
Provide an example of how you have personally empowered either a patient or a fellow nurse.
Support your response with references from the professional nursing literature.
Note Initial Post: A 3-paragraph (at least 350 words) response. Be sure to use evidence from the readings and include in-text citations. Utilize essay-level writing practice and skills, including the use of transitional material and organizational frames. Avoid quotes; paraphrase to incorporate evidence into your own writing. A reference list is required. Use the most current evidence (usually â‰¤ 5 years old).
Brown, D. S., Aydin, C. E., & Donaldson, N. (2008). Quartile dashboards: Translating large data sets into performance improvement priorities. Journal of Healthcare Quality, 30(6), 18â€“30. http://doi.org/ 10.1111/j.1945-1474.2008.tb01166.x
Typically, references should be within five to seven years of publication. However, this publication is considered a classical research reference pertaining to quality improvement and the use of data sets.
Cole, C., Wellard, S., & Mummery, J. (2014). Problematising autonomy and advocacy in nursing. Nursing Ethics, 21(5), 576â€“582. http://doi.org/10.1177/0969733013511362
Garrard, L., Boyle, D. K., Simon, M., Dunton, N., & Gajewski, B. (2016). Reliability and validity of the NDNQIÂ® injury falls measure. Western Journal of Nursing Research, 38(1), 111-128. http://doi.org/10.1177/019394591454281
Giancarlo, C., Comparcini, D., & Simonetti, V. (2014). Workplace empowerment and nursesâ€™ job satisfaction: A systematic literature review. Journal of Nursing Management, 22(7), 855-871. http://doi.org/10.1111/jonm.12028
Guglielmi, C. L., Stratton, M., Healy, G. B., Shapiro, D., Duffy, W. J., Dean, B. L., & Groah, L. K. (2014). The growing role of patient engagement: Relationship-based care in a changing health care system. Association of PerOperative Registered Nurses Journal, 99(4), 517â€“528. http://doi.org/10.1016/j.aorn.2014.02.007
Rock, M.J. & Hoebeke, R. (2014). Informed consent: Whose duty to inform? MedSurg Nursing, 23(3), 189-194.
American Hospital Association. (2003). The patient care partnership: Understanding expectations, rights and responsibilities. http://www.aha.org/content/00-10/pcp_english_030730.pdf
Read through this document created by the American Hospital Association. This document was created for inpatient hospital stays. However, it is applicable to other practice settings as well.
Montalvo, I. (2007). The national database of nursing quality indicators. The Online Journal of Issues in Nursing, 12(3). http://www.nursingworld.org/MainMenuCategories/ANAMarketplace/ANAPeriodicals/OJIN/TableofContents/Volume122007/No3Sept07/NursingQualityIndicators.html
Institute for Healthcare Improvement. (2016). http://www.ihi.org/Pages/default.aspx
The IHI offers numerous resources for improving nursing practice and patient care. Explore a variety of topics and examine some of the resources available.
National Quality Forum. (2016). http://www.qualityforum.org/Home.aspx
The National Quality Forum (NQF) strives to improve patient safety and reduce medical errors. Explore the NQFâ€™s endorsed standards and consider how they apply to nursing practice.
Document: Dashboard Directions (Word document)
Document: Sample Dashboard (Excel workbook)
Walden University, LLC. (2009). Topics in clinical nursing: Accountability and nursing practice [Video]. Walden University Blackboard. https://class.waldenu.edu
Note: The approximate length of this media piece is 15 minutes.
Accessible player –Downloads–Download Video w/CCDownload AudioDownload Transcript