Health Care to Improvement Needed for Nursing Education
Berwick Health Care Needed to Improve
Berwick (2008) released a video describing the six dimensions of quality outlined in the Crossing the Quality Chasm report. The following are the areas Berwick outlined that health care needed to improve on and the current levels of performance in all six areas still needing improvement:
1. Safety not harming people with the care that is provided.
2. Effectiveness avoiding overuse of things that do not help and ensuring the use of things that do help.
3. Patient centeredness people should be in control of their own care by making decisions about what affects them.
4. Timeliness avoiding delays by reducing needless wait times to be seen by a provider.
5. Efficiency avoiding waste by reducing duplication of tests and procedures, giving things that do not help. and losing ideas of the workforce by not listening to employee solutions. Equity closing the gap in justice as it relates to who receives health care in type and extent.
Nursing Alliance for Quality Care In Health Care System
In response to the concern for safe, better quality care, the Nursing Alliance for Quality Care (NAQC) a partnership of the leading health and nursing organizations in the United States proposed a strategic policy in 2010 to advocate for the highest quality consumer centered care. This policy aims to work with patients, nurses, and policymakers to encourage and promote optimal health care to consumers. The NAQC (2010) established four goals addressing key areas to support excellence in the delivery of health care:
1.Consumer centered health care: Establish nursing health and safety goals to achieve safe, effective, timely, efficient and equitable patient-centered care.
2. Performance measurement and public reporting: Advocate for the development, implementation, and public reporting of performance measures that reflect nursing's contribution to patient care.
3. Advocacy: Establish policy reform focused on evidence based nursing practice to improve patient care.
4. Nursing Alliance for Quality Care Leadership: Promote nursing's capability to serve in leadership roles that advance patient care standards.
Health Care Coordinator to Promote Health Care System
In 2012, the NAQC issued another initiative as part of its drive to address care coordination and to promote patient engagement during care. In this announcement, nine core principles were released to encourage nurses and other healthcare providers to improve the quality and safety of the care they deliver. The focus is on developing policies that will lead to the integration of patients and their families in the decisions of their care.
According to the NAQC (2012), the following principles should be at the core of professional nursing practice:
1. High quality care is based on a dynamic partnership between healthcare providers, patients, and their families. There must be a mutual respect of privacy, decision making, and ethical behaviors.
2. The relationship must be established on confidentiality, and the patient has the right to make his or her own decisions.
3. There are mutual responsibilities and accountability that must be observed by all parties to be effective.
4. Healthcare providers must understand to what extent the patient can engage in his or her own care and advocate for those patients who are not able to fully participate.
5. All interactions with the patient and family must respect the boundaries that protect the patient as well as healthcare providers.
6. Patient advocacy is a representation of a functioning dynamic partnership.
7. The patient provider relationship is centered on respect for the patient's rights, which includes mutuality.
8. Mutual decision making is based on the sharing of information.
9. Healthcare providers must be aware of the health literacy level and appreciate the diversity of cultural backgrounds of their patients and families to allow for full patient engagement.
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