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The concepts of quality improvement in a health care organization
The concepts of quality improvement in a health care organization
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Magnet Recognition Program
Nurses ' are expected to provide tender, comprehensive and compassionate care. To improve the quality of patient care provided, in 1983, American Academy of Nursing started a program that helps identify traits of a hospital which would attract and retain nurses, that provide exceptional quality of care. This study founded what we today know as the Magnet Recognition program and hospitals which have all the "Forces of Magnetism" are awarded title of Magnet Hospitals. To initially apply for Magnet certification, an organization has to fill out an application, provide all the supporting documents and have to reapply for designation every 4 years. As of now, there are 446 Magnet hospitals worldwide out of which 439
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To achieve Magnet status, an organization has to demonstrate its commitment to nursing excellence by working towards improving nursing practice and changing the work environment. One of the documentation required is the educational background of all the nurses, including what percent of nurses have an associate, bachelors or higher degree in nursing. More than seventy-five percent of nurse managers should have at least a Bachelor 's degree. All the data regarding patient quality care needs to be submitted to American Nurses Credentialing Center (ANCC) on a quarterly basis and is compared to benchmark performance and against national benchmark performance. All the data has to be submitted for at least 2 years before the written documentation regarding organizational, nursing achievements and changes are submitted. These organizational changes must demonstrate the health care structure followed by the organization; its effect on the patient care, leadership, management philosophy, and how it has helped achieve a better quality of patient care. After all the documentation has been submitted, ANCC does a three-day intensive on-site review of the organization. After an intensive review of documentation, on-site visit, votes are cast to confer Magnet review to the …show more content…
Few forces are discussed below:
An organization with a shared decision-making system ("Forces of Magnetism"): Managers implement this force by making decisions based on votes among staff including staff nurses and nurse techs. Managers can hold monthly meeting such as on every 3rd Tuesday of the month for both the shifts and discuss issues the unit is facing and ask for solutions. This way staff feels that they have a say on the unit and not feel that their opinions are ignored by managers and directors. Also, a delegate can be picked from each unit or clinical area who can represent the unit on hospital based committees.
A supportive management where communication is placed on high priority and constructive feedback is appreciated ("Forces of Magnetism"): Managers can implement this force by meeting with staff monthly, sending out meeting minutes emails and placing a folder on the unit where staff can read important announcements and acknowledge it. Also, acknowledging staff 's exceptional work in form of thank you notes mailed, emailing feedback and conducting staff 's semi-annual evaluation to provide feedback and improvement opportunities is very important. It helps staff feel appreciated which makes them more receptive to constructive criticism and to
American Nurses Credentialing Center. (n.d.). Magnet Recognition Program Model. Retrieved March 9, 2012, from http://www.nursecredentialing.org/Magnet/ProgramOverview/New-Magnet-Model.aspx
The history of Magnet Status began in 1992. The American Nurse Credentialing Center first developed of the idea of Magnet Status after extensive research studies were perform during the nursing shortage of the 1980’s. The goal was to find out why some hospitals were able to retain and even recruit nurses during the shortage. It was found that of the 165 hospitals that participated, 41 shared seven core attributes. (Chaffee, Leavitt, & Mason, 2007) These seven attributes were the beginning of what have become the fourteen forces of Magnetism. The attributes or forces are based on nursing standards of care. That is the ability of the hospitals, working with the nursing staff to provide the excellent nursing care. That is care for the patient as well as the nursing staff and the hospital as a whole. The programs first awarded Magnet status in 1994. Since then several hundred have reached Magnet Status with several hundred more in the application process. In 2001 the first international hospital was awarded Magnet status. As with the medical field and even nursing all things must change, this includes the Magnet Program. In 1996 the standards and requirements along with the name evolved and changed. The program became known as the Magnet Recognition program for excellence in Nursing Service with requirements moving from internal review to pu...
There are many organizations pursing the accreditation by the American Nurses Credentialing Center (ANCC) Magnet Recognition Program (Pinkerton, 2008). It is a great achievement when an organization receives Magnet recognition. However, “several factors must be considered by those organizations making the decision, and these factors can be grouped and reviewed using the recently released empirical model for the Magnet Recognition Program” (Pinkerton, 2008, p. 323).
Their focus on wellness lines up with Healthy People 2020, and their aim to increase patient satisfaction, improve the health of the community, and reduce the cost of health care is commendable. Centura Health 2020 is a solid step in the right direction to improve health care in Colorado and Kansas. The one thing that seems to be missing however is a plan for employee satisfaction and nurse staffing. Although they briefly mention “intensifying their efforts around nursing satisfaction” (Strategic Plan, 2014), there does not appear to be any further details to address the nurse staffing issues or other nursing issues of interest. Research confirms that nurse staffing and patient outcomes are influenced by the culture of the organization. Magnet-designated hospitals provide a culture of quality and are recognized for excellence in patient care, excellence in nursing, and the ability to attract and retain nurses (Huber, 2010). While Centura health is focused on excellence in patient care, they seem to be missing a critical piece of the puzzle. Excellence in nursing and attracting and retaining nurses are factors that are set quality organizations apart from everyone else. This oversight could make the difference in Centura Health achieving their
There is a shortage of all health care professions throughout the United States. One shortage in particular that society should be very concerned about is the shortage of Registered Nurses. Registered Nurses make up the single largest healthcare profession in the United States. A registered nurse is a vital healthcare professional that has earned a two or four year degree and has the upper-most responsibility in providing direct patient care and staff management in a hospital or other treatment facilities (Registered Nurse (RN) Degree and Career Overview., 2009). This shortage issue is imperative because RN's affect everyone sometime in their lifetime. Nurses serve groups, families and individuals to foster health and prevent disease.
Satisfaction and productivity will be improved when the manager and employees understand each other through improved relationships and understanding of one another.
For hospitals to reach their peak in the healthcare world they must work to achieve a prestigious credential by the American Nurse's Credentialing Center ( Truth about nursing). In order to receive such a credential, hospitals must fulfill a set of criteria that will take a lot of work and reform within the hospital itself. To receive magnet status hospitals have to express the fourteen forces of magnetism along with the strict list of requirements (Flores, 2007). Magnet status along with everything has its benefits along with its problems. This credential has been researched in depth, and some research feels that certain thing should be changed in order for magnet hospitals to be the best they can possible be. Lastly, there is no doubt that magnet status is of great value because of how it transforms hospitals from great to greater.
The magnet recognition program began in the early 1980s as a stride towards promoting nurse retention in the United States. Administrators, directors, staff nurses, and hospital administration gathered together to discuss the essentials of hospital designation. The original research, gathered in 1983, was targeted to identify successful nurse retention. In 1993, the ANCC approved the standards set forth in previous research to become standardized utilizing the forces of magnetism. The 14 characteristics described by the ANCC as “forces of magnetism” define the structure of excellence within the healthcare environment. McClure & Hinshaw (2002), describe the following 14 characteristics that attract and retain nurses to magnet hospitals: “Quality nursing leadership, organizational structure, management style, personal policies and programs, professional models of care, quality of care, quality improvement, consultation and resources, autonomy, community and health organization, nurses as teachers, image of nursing, interdisciplinary relationships, and professional development”.
The Centers for Medicare and Medicaid Services (CMS) have recently begun requiring hospitals to report to the public how they are doing on patient care. Brown, Donaldson and Storer Brown (2008) introduce and explain how facilities can use quartile dashboards to transform large amounts of data into easy to read and understandable tool to be used for reporting as well as to determine areas in need of improvement. By looking at a sample dashboard for an inpatient rehab unit a greater understanding of dashboards and their benefits can be seen. The sample dashboard includes four general areas, including nurse sensitive service line/unit specific indicators, general indicators, patient satisfaction survey indicators and NDNQI data. The overall performance was found to improve over time. There were areas with greater improvement such as length of stay, than others including RN care hours and pressure ulcers. The areas of pressure ulcers and falls did worse the final quarter and can be grouped under the general heading of patient centered nursing care. The area of patient satisfaction saw a steady improvement over the first three quarters only to report the worst numbers the final quarter. A facility then takes the data gathered and uses it to form nursing plan...
Current literature continues to reiterate the indicators of a major shortage of registered nurses (RNs) in the United States. The total RN population has been increasing since 1980, which means that we have more RNs in this country than ever before (Nursing Shortage). Even though the RN population is increasing, it is growing at a much slower rate then when compared to the rate of growth of the U.S. population (Nursing Shortage). We are seeing less skilled nurses “at a time of an increasingly aging population with complex care needs and an increasingly complex technological care environment” (Mion). According to recent data from the Bureau of Labor Statistics and the Department of Health and Human Services, it is estimated that “more than a million new and replacement nurses will be needed over the next decade” (Diagnosis: Critical).
This addresses the environment in which nurses practices and strives for “an innovative environment where strong professional practice flourishes and where the mission, vision, and values come to life to achieve the outcomes believed to be important for the organization” (ANCC, 2008). This type of environment is accomplished by nurses working together towards a strategic plan outlined with facility policies and knowledge-based nursing and skills to achieve desired outcomes and accomplish organizational goals. I believe my facility does a great job with structural empowerment. Our nurse manager makes sure we know what our goals are as a unit. We review hospital satisfaction scores and infection rates to determine what practices need to be addressed for achieving organization and desired outcomes. We work to provide cost-effective care that exceeds national standards for excellence while working to strengthen bonds between staff members and making sure that at our facility “caring comes first”
Since the 1990’s, the interest in nursing and the profession as a whole has decreased dramatically and is still expected to do so over the next 10-15 years according to some researchers. With this nursing shortage, many factors are affected. Organizations have to face challenges of low staffing, higher costs for resources, recruiting and reserving of registered nurses, among liability issues as well. Some of the main issues arising from this nurse shortage are the impact of quality and continuity of care, organizational costs, the effect it has on nursing staff, and etc. However, this not only affects an organization and community, but affects the nurses the same. Nurses are becoming overwhelmed and are questioning the quality of care that each patient deserves. This shortage is not an issue that is to be taken lightly. The repercussions that are faced by both nurses and the organization are critical. Therefore, state funding should be implemented to private hospitals in order to resolve the shortage of nurses. State funds will therefore, relieve the overwhelming burdens on the staff, provide a safe and stress free environment for the patient, and allow appropriate funds needed to keep the facility and organization operational.
To briefly summarize, the report acts to identify nurses as an important faction in enabling access to high quality, affordable health care. This was supported by the development of four fundamental recommend...
The concern over having a BSN into the entry level of nursing has been debated for many years. Since the American Nurses Association has proposed the change, the controversy as to what is the difference has between having an associate’s degree in nursing rather than a bachelor’s degree in nursing has sparked a fire in the health field. The education of a nurse is highly important, because the lives of others are in the hands of a nurse. Nurses tend to spend more time with patients than doctors. Their ability to respond, treat, and communicate is imperative to the health field and overall, the patient’s life. Nurses should be able to understand the definition of what a nurse is, what is expected of a nurse, and the education requirements and options that are available. Going through an associate’s degree program prepares the nurse for a broader and more basic care of patients. BSN programs infiltrate a better understand of nursing as a leader, the health field, and educates the nurse in more detail on the care of patients. There are also more hospitals requiring BSN as an entry level, like Magnet hospitals. These hospitals are shown to provide better care and lower statistics, like in death hospitals.
As a new trainee to the company, communication between the manager and worker are important. Besides that, greater manager involvement in employees working lives can increase the level of attention. Working in a group or team can improve the relationship between my colleagues. Businesses should re-organize production to encourage greater use of team working and introduce personnel departments to encourage greater manager involvement in looking after employees'