Walden NURS4221 Week 3 Discussion

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Applying Performance Improvement Tools

Read the following scenario:

Imagine that, for about a year, your nursing unit has been
involved in an intensive campaign to improve patient satisfaction scores with
pain management. You are getting good data from your patients, as the length of
stay on this inpatient geriatric medical nursing unit is only about 6 days.
Your hospital does 100% survey to inpatients, and the response rate is about
25%, which is higher than it has been. This notwithstanding, the percent of
“patient very satisfied” (top box), with a score of 5, has been in the low 70s.
The national benchmark for medical surgical units like yours is about 85% very
satisfied. Of all the units in your hospital, your unit is the lowest scoring
on this HCAPHS survey. But as your unit is the only geriatric medical nursing
unit in the hospital, you’d always thought it was the nature of the patient
population.

You have been the day shift representative to the QI team,
and the scores on your unit are posted monthly. Here are the numerous
strategies that have been tried on your unit and the timeframes.

For this Discussion, examine the strategies and
interventions tried in your unit and consider the following questions: a) Were
the strategies effective in creating a sustainable change on your nursing unit,
and b) To what extent can your nurse manager and CNO count on your unit
eclipsing the national benchmark in the next quarter, the next year? That is,
does this run chart have some predictive ability? Does the run chart support
the nursing unit’s decision to celebrate? To what extent can the leadership be
confident that the trend will continue?

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