Professional Nursing Practice Trimester 1, 2019 Assessment Item 2 Written Assignment (Individual): Quality and Safety 2,000 words Weighting 50% Due Date : Monday 6th May 2019 at 17:00hrs TASK...

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Professional Nursing Practice



Trimester 1, 2019



Assessment Item 2



Written Assignment (Individual):


Quality and Safety


2,000words



Weighting50%



Due Date: Monday 6th May 2019 at 17:00hrs



TASK RATIONALE / AIM:


The Australian Commission on Safety and Quality in Health Care (ACSQHC) leads and coordinates national improvements in safety and quality in health care. It has developed a framework for safe and high quality care with three core principles – that care is consumer centred, driven by information, and organised for safety (ACSQHC, 2010).


In addition to this framework, ACSQHC have developed National Safety and Quality Health Service (NSQHS) Standards to ‘protect the public from harm and to improve the quality of health service provision’ (ACSQHC, 2017, p. 5). The Registered Nurse is integral to every standard that has been developed by the ACSQHC.


This assessment is designed to enable you to demonstrate an understanding of quality and safety in health care through the critical discussion of one of the National Safety and Quality Health Service Standards.


This assessment will address learning outcome 2.



TASK INSTRUCTIONS:


This task requires you to write a 2,000-word assignment. Before you write your assignment, you will need to:


•Choose one of the following National Safety and Quality Health Service (NSQHS) Standards (ACSQHC, 2017) as the topic of your assignment.



  • Clinical governance (Standard 1)

  • Partnering with consumers (Standard 2)

  • Preventing and controlling healthcare-associated infection (Standard 3)this is my chosen standard for this assignment


  • Comprehensive care (Standard 5)

  • Communicating for safety (Standard 6)

  • Blood management (Standard 7)



Please note, the following two NSQHS standards are not included as topic choices.


•Medication safety (Standard 4)


•Recognising and responding to acute deterioration (Standard 8).


Identify the type of process and outcome data that could be collected, analysed and fed back for improvements in care relevant to your chosen standard. (You may wish to refer to the article by Donabedian, 1988, as a starting point). This area for action aligns with step 2.2 of the Australian Safety and Quality Framework for Health Care (ACSQHC, 2010).


Research the topic of quality and safety in health care in Australia then identify and analyse scholarly literature that is relevant to your assignment topic, namely your:



  • chosen standard,

  • a clinical care activity relevant to this standard,

  • process and outcome data required to monitor outcomes/improvements relevant to the standard.


Following these steps, write your assignment. Your assignment should include:


1.An introduction or first paragraph that clearly introduces the topic, identifies the NSQHS standard (from the allocated options), outlines what will be covered in the assignment and provides a thesis statement (what to expect in the assignment).(Approx 250 words)



2.A critical discussion of quality and safety in the Australian health care system, supported by scholarly literature.The explanation demonstrates critical thinking and analysis of the issues; e.g. why quality and safety are important considerations and how these are addressed as part of the core business of health care organisations.(at least five sources published after 2014).
(Approx 500 words)




3.A critical discussion of a clinical care activity relevant to your chosen NSQHS standard, including the risks or impact of low quality care and how it can be improved. Discussion is supported by scholarly literature (at least five sources published after 2014
). (Approx 500 words)



4.A critical discussion of how process and outcome data could be collected, analysed and fed back for improvements in clinical care. Discussion is supported by scholarly literature. (You may wish to refer to the article by Donabedian, 1988, as a starting point). (at least five sources published after 2014).(Approx 500 words)



5.A conclusion which summarises your argument without introducing any new information
. (Approx 250 words)





References:


Australian Commission on Safety and Quality in Health Care (ACSQHC). (2010).Australian safety and quality framework for health care.Retrieved fromhttps://www.safetyandquality.gov.au/national-priorities/australian-safety-and-quality- framework-for-health-care/


Australian Commission on Safety and Quality in Health Care (ACSQHC). (2017).National safety and quality health service standards(2nd ed.). Sydney, Aust.: Author. Retrieved fromhttps://www.safetyandquality.gov.au/our-work/assessment-to-the- nsqhs-standards/


Donabedian, A. (1988). The quality of care: How can it be assessed?JAMA, 260(12), 1743- 1748. doi:10.1001/jama.1988.03410120089033





OTHER ELEMENTS:



  • Provide one reference list at the end of your written assignment which presents at least 15 references from scholarly literature in alphabetical order.

  • State your word count (excluding your reference list) on the Assignment Coversheet.

  • Do not exceed 2,000 words. Words over 2,000 will not be read or marked.

  • Examine the Turnitin report for your draft assignment. If you have text-matching identified in the written section of the assignment, this may be used as the basis of reporting an academic integrity concern.



































































MARKING CRITERIA A2 Quality and Safety



POSSIBLE MARKS




1. Introduction
(Approx 250 words)



•The first paragraph clearly introduces the topic, identifies the NSQHS standard (from the allocated options), outlines what will be covered in the assignment and provides a thesis statement (what to expect in the assignment).



5




2. Quality and Safety in the Australian health care system
(Approx 500 words)




  • Critically discusses quality and safety in the Australian health care system.

  • The explanation demonstrates critical thinking and analysis of the issues;


e.g. why quality and safety are important considerations and how these are addressed as part of the core business of health care organisations.



10





3. Clinical care activity
(Approx 500 words)




  • Identifies and critically discusses a clinical care activity central to the chosen NSQHS standard.

  • The discussion demonstrates critical thinking and analysis of the issues; e.g. the risks or impact of low quality care and how quality can be improved.



10




4. Driven by information
(Approx 500 words)




  • Defines process and outcome data and provides examples of each.

  • Critically discusses how process and outcome data could be collected,


analysed and fed back for improvements in clinical care. The discussion demonstrates critical thinking and analysis of the issues.




10





5. Conclusion
(Approx 250 words)



•Summarises the argument without introducing any new information.



5



























6. Evidence and referencing




  • Demonstrates ability to apply research concepts and principles such as use of databases, critique of quality, relevant and up to date literature.

  • Discussion is supported by at least 15 relevant, high quality,evidence- based, scholarly sources from 2014 onwards.

  • Referencing (in-text citations and reference list entries) as per APA Referencing Guidelines (APA Style 6thEdition).

  • Provides at least 15 references from scholarly literature, in alphabetical order, in onelist which starts on a separate page.



5




7. Academic writing and presentation




  • Is well presented, with correct spelling, grammar, well-constructed sentences and appropriate paragraph structures.

  • Uses academic language throughout.

  • Conforms to the Assignment Presentation Formatting Guidelines.

  • Meets the 2,000-word length requirements (excluding reference list).



5




Total marks



50




Answered Same DayApr 29, 20212805NRSGriffith University

Answer To: Professional Nursing Practice Trimester 1, 2019 Assessment Item 2 Written Assignment...

Dr Khalid answered on May 06 2021
150 Votes
Page 2 of 2
Introduction
Healthcare-associated infections (HAIs) or nosocomial infections impact the health care facility or hospital within 48 hours of patient admission and substantially affect the treatment quality and pharmacotherapeutic outcomes (Haque, Sartelli, McKimm, & Bakar, 2018). These infections also impact the patients within thirty days of their hospital discharge or health care interventions. HAIs in many clinical scenarios also emanate under the impact of surgical complications and adverse drug events. The standard – 3 of NSQHS (National Safety and Quality Health Service) (ACSQHC, 2017) e
ffectively recommends health care practices in the context of controlling, managing, and preventing nosocomial infections or HAIs across the clinical practice environment. The presented paper concisely discusses the standard – 3 criteria while systematically explaining various safety and quality issues related to the prevention and management of HAIs and related complications. The paper also discusses clinical care activities in the context of improving overall health care quality. The paper highlights outcome data and processes that warrant retrieval, analysis, and execution with the objective of improving the patient care quality/outcomes and minimizing the prevalence of HAIs in the hospital setting.
Antimicrobial stewardship, implementation of control systems/infection prevention strategies, quality improvement interventions, and clinical governance (based on outcome data analysis) include some of the robust health care measures that warrant wide-scale implementation to effectively control a range of nosocomial infections across the clinical practice environment.
Quality and Safety in the Australian Health Care System
Quality and safety management practices in the hospital setting reciprocate with effective leadership, training, performance monitoring, external environment, team context, and team characteristics that require consistent improvement in the context of enhancing the patient care outcomes (Singer, Benzer, & Hamdan, 2015). The most frequently evaluated nosocomial infections include, surgical site infections, pneumonia, urinary tract infections, and other bloodstream infections (Arnoldo et al., 2019). The hospital settings and health care organizations deploy several innovative performance systems in the context of controlling nosocomial infections and related comorbidities. For example, clinical documentation through electronic health records substantially facilitates the timely recording and identification of health associated infections. The service-oriented architecture of the electronic health care records helps the clinical teams to configure customized infection prevention strategies in the health care setting (Tseng, et al., 2015). The implementation of the web-based electronic interface in the hospital setting effectively facilitates multidisciplinary communication between engineers, infectious disease physicians, nurses, and hospital administrators that eventually helps to understand the HAI pattern and its causative factors across the clinical practice environment. Evidence-based literature advocates the resolution of complex and cognitive perspectives of nosocomial infection and control across the hospital setting. This requirement warrants the extended utilisation of administrative protocols and clinical techniques by the health care workers during service delivery. The practice of clinical judgment by the health care teams is equally important to challenge the progression of complex HAIs among treated patients (Ruis, Shaffer, Shirley, & Safdar, 2016). The systematic resolution of the patients’ health care demands and utilisation of a comprehensive reward system for HAI risk reduction are highly required to improve the health, wellness, and safety of the patient population.
The quality and safety of health care practices require enhancement while addressing HAI risk factors and related complications in the health care setting. The significant risk factor for nosocomial infections in the hospital setting is related to in the inappropriate use of antibiotics or antimicrobial drugs that not only leads to medical errors but also facilitates the survival of several microorganisms across the clinical practice environment (Murni, Duke, Kinney, Daley, & Soenarto, 2015). Accordingly, the recognition of antimicrobial stewardship is highly needed to systematically enhance safe antibiotic prescribing interventions in the hospital setting (Shah, Joshi, & Ganguly, 2017). Antimicrobial stewardship guides the physicians and nurses in the context of the antimicrobial therapy duration, dosing, and selection for effectively enhancing the patient care outcomes. The limited utilisation of antibiotics and appropriate selection of therapy route based on the patients’ clinical complications are conducive to minimizing antimicrobial resistance in the treated patients. The tracking and prevention of medical errors are highly necessary not only for improving the quality and safety of health care practices but also for eradicating infection control barriers in the healthcare setting (Rodziewicz & Hipskind, 2019). For example, the timely identification of the patients’ injury risks is highly needed to minimize the occurrence of falls/trauma and eventual infection complications. The correct labeling of medical specimens, utilisation of antiseptic measures, and hand-washing techniques’ implementation include some of the necessary steps that require effective compliance by the entire stakeholders across the hospital system (Rodziewicz & Hipskind, 2019).
Risk/Impact of Reduced Care Quality and Clinical Care Activity in the Context of HAI Prevention
The inappropriate pharmacotherapeutic management of the burns patients substantially elevates their risk of nosocomial infections (Mehta et al., 2014). Accordingly, health care professionals require practicing standardized clinical interventions in the context of challenging the progression of HAIs across the clinical practice environment. These clinical care activities...
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