Nursing Leadership: Quality Improvement in Health Care
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Questions and Answers

What is the first step in the improvement process as outlined?

  • Carry out the change on a small scale
  • Evaluate what was learned
  • Select a solution for improvement
  • Develop a change plan (correct)

    • What does the 'DO' phase primarily involve?

  • Measuring and comparing results
  • Testing the change on a small scale (correct)
  • Collecting staff feedback on the changes
  • Implementing the change across the entire organization

    • During which phase is progress of the solution checked?

  • CHECK (correct)
  • ACT
  • DO
  • PLAN

    • Which of the following is NOT a part of the improvement cycle?

    <p>Implementing a feedback system</p> Signup and view all the answers

    What is a key aspect of the 'ACT' phase?

    <p>Adopt the change and test under different conditions</p> Signup and view all the answers

    What is a criterion or standard in the quality control process?

    <p>A predetermined level of excellence.</p> Signup and view all the answers

    What does the 7 M's of Management refer to within the quality assurance context?

    <p>Materials, Methods, Money, Management, Machine, Manpower, and Measurement.</p> Signup and view all the answers

    Which term is also known as Continuous Quality Improvement?

    <p>Total Quality Management (TQM).</p> Signup and view all the answers

    What is the primary goal of Quality Assurance/TQM?

    <p>Quality Nursing Care with a difference.</p> Signup and view all the answers

    What is indicated by the need for educational or corrective measures in the quality control process?

    <p>The standard was not met.</p> Signup and view all the answers

    In what context is the Competency Standards for Nursing Practice in the Philippines relevant?

    <p>It serves as a quality assurance benchmark.</p> Signup and view all the answers

    What does the term 'predetermined level of excellence' imply?

    <p>A fixed standard that is not subject to change.</p> Signup and view all the answers

    Why is the quest for quality described as an ongoing process?

    <p>There is always room for improvement.</p> Signup and view all the answers

    What is the primary purpose of a check sheet?

    <p>To collect data efficiently in real-time</p> Signup and view all the answers

    How does the Nominal Group Technique ensure equality among participants?

    <p>By collecting ideas anonymously</p> Signup and view all the answers

    What is quantitative information referred to in the context of a check sheet?

    <p>Tally sheet</p> Signup and view all the answers

    What role does the moderator play in the Nominal Group Technique?

    <p>To collect and analyze votes</p> Signup and view all the answers

    What can be deduced from the location and number of marks on a check sheet?

    <p>The significance of the data collected</p> Signup and view all the answers

    Which of the following describes a typical feature of a check sheet?

    <p>It is blank and allows for quick data recording.</p> Signup and view all the answers

    Which principle is associated with the development of the Nominal Group Technique?

    <p>Kurt Lewin</p> Signup and view all the answers

    Which statement best represents the vote collection method in the Nominal Group Technique?

    <p>Votes are gathered by show of hands.</p> Signup and view all the answers

    What is the correct definition of a histogram?

    <p>A graphical representation of the probability density function.</p> Signup and view all the answers

    What is a significant characteristic of Quality Circles?

    <p>They meet regularly on company time.</p> Signup and view all the answers

    What is typically not a focus area for Quality Circles?

    <p>Increasing individual salaries.</p> Signup and view all the answers

    What happens if the length of the intervals on the x-axis of a histogram is set to 1?

    <p>It visually represents relative frequency.</p> Signup and view all the answers

    Which statement regarding Quality Circles is true?

    <p>They usually have a proportion of savings for environmental improvements.</p> Signup and view all the answers

    What is a primary use of a radar chart?

    <p>To display multivariate data in a two-dimensional format.</p> Signup and view all the answers

    What is the total area of a histogram?

    <p>It always equals 1.</p> Signup and view all the answers

    What do Quality Circles aim to address?

    <p>Dehumanizing aspects of labor.</p> Signup and view all the answers

    What percentage of nursing organizations implement effective waste management programs?

    <p>80%</p> Signup and view all the answers

    What is the passing rate in the NLE (Nurse Licensure Examination) per school?

    <p>80%</p> Signup and view all the answers

    How often must a professional nursing license be renewed?

    <p>Every 3 years</p> Signup and view all the answers

    What is required for 100% compliance concerning the integrity of professional registry?

    <p>Regular audits</p> Signup and view all the answers

    What percentage of filed complaints must be resolved according to the roadmap?

    <p>100%</p> Signup and view all the answers

    What is the duration of IV therapy license renewal?

    <p>Every 3 years</p> Signup and view all the answers

    How often must research protocols be conducted according to the standards?

    <p>Every 5 years</p> Signup and view all the answers

    What is a key aspect of the nursing profession's roadmap from 2010 to 2030?

    <p>Recreating the image of a professional nurse</p> Signup and view all the answers

    What is the goal for the involvement of nursing professional organizations related to economic development?

    <p>Continuous upgrading of employment standards</p> Signup and view all the answers

    What is one of the pillars of a strong republic as mentioned in the context?

    <p>Good governance</p> Signup and view all the answers

    What is the primary role of the Chief Nurse/director in hospitals with a capacity above 100 beds?

    <p>Ensure quality of patient care and nursing services</p> Signup and view all the answers

    Which qualification is NOT required for a Nurse educator?

    <p>Bachelor of Science in Nursing</p> Signup and view all the answers

    Which mnemonic is associated with public health nursing?

    <p>OWIRA</p> Signup and view all the answers

    What does 'C' in the mnemonic CRVNSCID stand for?

    <p>Care for laborers/workers</p> Signup and view all the answers

    Which of the following is NOT a component of nursing education?

    <p>Budget management</p> Signup and view all the answers

    Which aspect does NOT fall under independent nursing practice?

    <p>Management of hospital affairs</p> Signup and view all the answers

    What does the acronym DOLE stand for in relation to partner agencies?

    <p>Department of Labor and Employment</p> Signup and view all the answers

    Which of the following represents an advanced nursing practice?

    <p>Primary nursing</p> Signup and view all the answers

    In the mnemonic MMAR, what does the second 'M' stand for?

    <p>Master's Degree</p> Signup and view all the answers

    What fundamental role is highlighted in occupational health nursing?

    <p>Counseling and referral</p> Signup and view all the answers

    Which nursing role requires four years of experience and master's level education focused on quality assurance?

    <p>Quality assurance coordinator</p> Signup and view all the answers

    What feature is unique to private duty nursing compared to other nursing modalities?

    <p>Focus on a single patient</p> Signup and view all the answers

    In the context of nursing informatics, which element does NOT belong to its definition?

    <p>Hospital administration</p> Signup and view all the answers

    Which of the following characteristics is NOT associated with the 'D' in the DACC mnemonic?

    <p>Direct supervision</p> Signup and view all the answers

    Which nursing role is described as requiring a master's degree and four years of experience focused on staff development?

    <p>Staff development coordinator</p> Signup and view all the answers

    Study Notes

    Nursing Leadership and Management: Continuous Quality Improvement and Risk Management

    • Quality is defined as customer satisfaction, meeting standards, meeting criteria, consistent use of products or services, and cost effectiveness. It's an ongoing process.
    • Quality control is a specific method for evaluating, monitoring, or regulating services to consumers. This involves performance appraisals, product and customer evaluations, online reviews, and feedback. Using this method, organizations determine if standards are being met.
    • Quality health care aims to increase the likelihood of desired health outcomes and is consistent with professional knowledge.
    • Quality control processes include retrospective, concurrent, and prospective audits. Structure audits determine if the structure (environment, resources) of healthcare delivery supports quality.
    • Quality is an ongoing process, and there is always room for improvement.
    • Continuous Quality Improvement (CQI) is a process for improving outcomes based on customer needs, rather than just meeting criteria.

    Audits

    • Audits are systematic and official examinations of records, processes, structures, environments, or accounts.
    • Retrospective audits occur after service is provided. Concurrent audits occur while service is being provided. Prospective audits are used for future direction. Structure audits focus on the resources and environment.
    • Audits are valuable for identifying areas that need improvement.

    Quality Improvement in Healthcare

    • Quality improvement is crucial in healthcare because of its impact on patient outcomes, client satisfaction, and resource utilization.
    • Quality improvement uses a systematic, organized process for continuous improvement.
    • Healthcare professionals should strive for efficiency and efficacy, considering structure, process, and outcomes.
    • Processes and practices should improve continuously, rather than being stagnant.

    Quality Improvement Principles

    • Customer Satisfaction (Outcome): Focus on the patient experience and achieving desired outcomes.
    • Continuous and Long-term Improvement in Processes and Output (Process): Continuously improve processes and outputs to ensure efficiency and quality.
    • Involvement of the entire workforce (Structure): Use teamwork and collaboration to achieve quality improvement goals.

    Quality Improvement Methods

    • PDCA Cycle (Plan, Do, Check, Act): A structured problem-solving method for process improvement.
    • Focus Methodology: Concentrates on identifying areas requiring the most attention. It improves the quality of processes and outcomes.
    • Benchmarking: Identifies best practices among competitors or other organizations to measure improvement.
    • Brainstorming: A creative process to generate a large number of ideas for solutions to problems, stimulating idea generation among members, and increase their creativity in problem solving.

    Quality Improvement Tools

    • Fishbone diagrams (cause-and-effect diagrams) identify potential causes of a problem.
    • Affinity diagrams organize ideas and put them into categories.
    • Flowcharts visualize the steps in a process. Check sheets collect data. Histograms provide a visual summary of data distribution.
    • Pareto charts help prioritize problems or defects.
    • Matrix diagrams show the relationship between items or variables.
    • Scatter diagrams show the relationship between two variables.

    Professional Adjustments in Nursing

    • Nurses should be highly competent, possessing knowledge and training with a commitment for continuous learning and improvement.
    • Nursing involves special values, knowledge, training or experience.
    • Attributes such as accountability and autonomy are essential for practice.

    Additional Notes

    • Quality improvement is a continuous process that requires ongoing evaluation and adaptation of strategies.
    • Quality improvement in healthcare is vital for achieving optimal patient outcomes and ensuring patient safety.
    • Different tools and techniques are used to achieve quality improvement goals (e.g, PDCA cycle, Fishbone diagrams, etc.)
    • All stakeholders should work in harmony to achieve the goals of quality improvement; team building and effective communication are very important.

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    Related Documents

    Nursing Leadership and Management PDF

    Description

    Explore the principles of Continuous Quality Improvement (CQI) and Risk Management in nursing leadership. This quiz covers methods for evaluating healthcare services, quality control processes, and the importance of customer satisfaction in delivering quality health care. Test your knowledge on how to ensure consistent and effective health outcomes through strategic management practices.

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