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" (North, 2005)
Plan Design
As indicated from the literature review, an effective approach to establishing a performance improvement process is to establish a 'Champion" to drive the process through the organization and to obtain ensure management is on track with the program and the efforts of the performance improvement staff
. The role of nurses in performance improvement programs is critical and integral to the overall effectiveness of the program. According to, "Nurses are critical to the delivery of high-quality, efficient care. Lessons from Magnet program hospitals and hospitals implementing front-line staff driven performance improvement programs such as Transforming Care at the Bedside illustrate how nurses and staff, supported by leadership, can be actively involved in improving both the quality and the efficiency of hospital care." (Needleman, Hassmiller, 2009)
The reference is to illustrate how critical nurses are to the overall effectiveness of a performance improvement program. The time frame for the program is 3 years with an annual review using a zero-based budgeting approach. The appropriate plan design to reduce turnover, improve patient quality, and improve the yield per bed is to integrate nurses into the bedside care with more vigor and to increase the use of nurses aides for the non-critical care activity. To commence the activity, data is collected using scorecards on the unit that records nurse input per shift regarding activities performed at the patient bedside that correlates directly to increasing patient satisfaction. Patient surveys are distributed...
Nursing turnover rates are additionally tracked and morale surveys are distributed every three months to gauge current sentiment and for feedback on improvement.
The expected result of implementing the recommended performance improvement program is a reduction in turnover by 1/2 from current levels by the end of the third year of operations.
References
Clark, D.D., Savitz, L.A., & Pingree, S.B. (2010). Cost cutting in health systems without compromising quality care.Frontiers of Health Services Management, 27(2), 19. Retrieved from http://search.proquest.com/docview/822775241?accountid=13044
Day, G.E., Minichiello, V., & Madison, J. (2006). Nursing morale: What does the literature reveal? Australian Health Review, 30(4), 516. Retrieved from http://search.proquest.com/docview/231735205?accountid=13044
Kaldenberg, D.O., & Gobeli, DH (1995). Total quality management practices and business outcomes: Ev. Journal of Small Business Management, 33(1), 21. Retrieved from http://search.proquest.com/docview/221005570?accountid=13044
Needleman, J., & Hassmiller, S. (2009). The role of nurses in improving hospital quality and efficiency: Real-world results. Health Affairs, 28(4), W625. Retrieved from http://search.proquest.com/docview/852726889?accountid=13044
Runy, L.A. (2008). The nurse and patient safety. Hospitals & Health Networks, 82(11), 43. Retrieved fromhttp://search.proquest.com/docview/215296658?accountid=13044
Nursing 201 Nursing Process PaperClient ProfileThe patient is a white 80year old whose religion is unknown and was admitted on February 2, 2022, for a UTI infection. Care for the patient began on the day of admission. He is a father of three and a grandfather of five, living with his spouse. The social-economic status of the patient is low to middle class had a career as a factory worker.
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