Service Improvement

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Chapter 4 SERVICE IMPROVEMENT
Evidence from the studies discussed in chapter 3 suggested how nurses can improve the quality of end of life care for people with dementia. One of the barriers is lack of professional skills and competence for end of life care as highlighted by Davies et al., (2013), who aimed to discover professional perspectives on barriers to delivering high quality palliative care for People with dementia. Service improvement is there to help and improve pathways and processes to benefit patients, carers, and healthcare providers and, it supports clinical excellence (NHS Institute for Innovation and Improvement (NIII) (2010). Service improvement in healthcare has been defined as a “planned and targeted effort …show more content…

However, the frame work is not adequate on its own, service improvement work is about implementing and adapting evidence based practice to the setting (Hopkins et al, 2011). Also, for the service improvement to be achievable there is need for support starting from high levels of management right down to the bottom (The Health Foundation, (2013). The model was designed to be flexible and comprehensive and will show improvement if improvement is realised (Langley et al. 2009). Moule, Evans and Pollard (2013) suggest the Plan, Do, Study Act model offers an evaluation approach that supports innovative practice in the NHS and facilitates public …show more content…

Caldwell, K., Henshaw, L. and Taylor, G. (2011) claim support strategies for nurses include staff support groups, palliative nurse specialist and regular interdisciplinary meetings to discuss end of life care for people with the diagnosis of dementia. I have chosen to implement Professional Skills and Competence for end of life care support strategy as this method of support is regarded as an effective way to provide peer support and stress relief for nurses (Brunero and Stein-Parbury, 2008). Nurses are individually accountable for the practice they deliver (NMC, 2015). Moreover, Ryan et al., (2011), Davies et al, (2014), Thuné-Boyle et al., (2010) and Lawrence et al., (2011) raised important considerations that every nurse should reflect and act upon. Specifically surrounding; understanding dementia, unmet need, assessment skills and attitudes towards

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