Problem
Nurse Administrator, Todd, has just completed online courses related to improving quality and patient safety in healthcare from the Open School Institute for Health Care Improvement. Also, he served as the nursing department's quality improvement advocate for 6 months, and has been given responsibility for program development. He thinks that some of the health care quality indicators that nursing is using are outdated and may not be evidence-based. In addition, he does not see the indicators as addressing critical issues that the ANA (National Database of Nursing Quality Indicators), VA, NQF and TJC have been emphasizing, especially in the areas of falls resulting in injury prevention and falls. He wants to make sure the program is up-to-date, evidence-based, and responsive to accreditation and other regulatory standards.
i. What should Nurse Todd do first to address this issue?
ii. Describe the written materials you must prepare.
iii. What sources can Nurse Todd research to find national standardized performance measures related to nursing?
iv. How should Nurse Todd deal with resistance to change in this situation?
v. Describe the quality tools you could use to frame your project.
vi. Describe the reports you will write about the project.