Exam 13: Providing Patient Value While Achieving Quality, Safety, and Cost-Effectiveness

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Write one component of a nursing care plan that illustrates personalized care.

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The nurse should include the patient in developing the care plan. The nurse can determine what goals the patient has and how the patient feels they can best meet those goals. For example, if a patient has a nursing diagnosis of acute pain, the nurse can work with the patient to develop a goal of "patient will report a decrease in pain (level 3) by the end of the shift, 8pm." The nurse can ask the patient what best relieves their pain to develop interventions. The patient might feel better when rotating positions every hour. An intervention for the nurse would be to assist the patient in changing positions every hour. If the patient states heat helps relieve pain, the nurse can add an intervention of applying heat every hour for 10 minutes at one time. The patient is more likely to meet their goal if they are involved in planning their own care.

In order to be patient centered in our work, we must actively listen to what health care services our patients want and what has value to them. How do you as a nurse engage in active listening with a patient?

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Active listening involves looking at the patient when they are speaking, paying attention, and using non-judgmental statements that demonstrate reflection and clarifying and summarizing what the patient communicated.

Generally, it is believed that when quality improves, cost is reduced. What statements would you make to defend this position?

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Providing a high quality of care leads to improved patient outcomes. Poor staffing can lead to reduction in quality. Using evidence-based practice in patient care improves both quality and safety, thus reducing costs.

As a health care team member, how would you go about fostering a "blame-free" environment to encourage and foster the reporting of errors or incidents?

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Give an example of how you use evidence-based practice in your daily work.

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Define evidence-based practice and explain its relevance to nursing.

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What are the benefits and the barriers that you see in the implementation of evidence-based practice within your organization?

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Identify the basic factors that affect the cost of quality.

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Patient safety is of utmost importance in healthcare. As professionals, we need to encourage the reporting of any errors or untoward incidents. As a nursing leader, how would you go about fostering a "blame-free" environment to encourage and foster the reporting of errors or incidents?

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How can you as a nurse or nursing manager influence the cost of quality?

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