Australian Commission on Safety and Quality in Health Care (ACSQHC) PDF

Why do we need ACQSHC? - failure to successfully implement existing knowledge or policies; - inadequate use of tested methods, leading to unfulfilled potential; - poor quality of data or indicators of performance; lack of agreement on the most appropriate measures of patient safety; and...

Why do we need ACQSHC? - failure to successfully implement existing knowledge or policies; - inadequate use of tested methods, leading to unfulfilled potential; - poor quality of data or indicators of performance; lack of agreement on the most appropriate measures of patient safety; and - inadequate measurement through failure to invest in data and reporting systems - Leads and coordinates key improvements - Works in partnership with patients, carers clinicians, state and territory health systems, private sector - Overall goal is to achieve a safe, high quality and sustainable health system [STANDARD] - The ACSQHC have developed a range of standards to achieve their aims. There are currently 10 standards - National Safety and Quality Health Service Standards - Clinical Care Standards - National Safety and Quality Primary and Community Healthcare Standards - The National Clinical Trials Governance Framework - National Safety and Quality Digital Mental Health Standards - National Safety and Quality Mental Health Standards for Community Managed Organisations - Diagnostic Imaging Accreditation Scheme Standards - Pathology Accreditation Standards - Aged Care Quality Standards -- Clinical Care - Cosmetic Surgery Project [Why do we need NSQHS Standards] - The new Australian Commission on Safety and Quality in Health Care is intended to address these concerns by focussing national action to improve quality of care and safety. They do this by: - raising the safety and quality focus in Australia - continuing to build on improvements instituted by the Council - establishing a review with the aim of implementing safety and quality practices more extensively [Miller\'s Competency Pyramid is a framework used in medical education to assess clinical competence. It consists of four levels:] Knows: Basic factual knowledge of concepts. Knows How: Understanding how to apply knowledge in specific situations. Shows How: Demonstrating skills in a simulated or controlled environment. Does: Performing tasks competently in real-world clinical practice. This model helps in evaluating the progression from theoretical knowledge to practical clinical application in healthcare professionals like nurses. [scenario:] Roberta, a first-year nursing student, is learning how to administer medication. Here's how she progresses through Miller\'s Competency Pyramid: Knows: She learns the theory behind medication administration (doses, side effects). Knows How: She understands how to calculate doses and administer them safely. Shows How: During simulation, Roberta successfully demonstrates giving a saline injection. Does: On her clinical placement, she competently administers medication to a patient, under supervision, in a real-life setting. **1. Ethical and Professional Practice** - **NMBA Code of Conduct**: Outlines the professional behavior expected from nurses, including patient safety, integrity, and accountability. - **ICN Code of Ethics**: Guides nurses to provide compassionate care, respect patient autonomy, maintain confidentiality, and advocate for equitable care. - **Standards for Practice**: Establishes competence in providing safe, evidence-based, and person-centered care, ensuring that nurses stay within their scope of practice. **2. Evidence-Based Practice (EBP)** - **Definition**: EBP combines clinical expertise, patient preferences, and the best available evidence to inform healthcare decisions. - **Importance**: It ensures that patient care is based on the most current and relevant research, improving safety and outcomes. - **Application**: Nurses must integrate research into daily practice by staying informed on new studies, guidelines, and treatment options. **3. Communication and Patient Safety** - **Structured Communication**: ISBAR (Introduction, Situation, Background, Assessment, Recommendation) is used to ensure vital patient information is conveyed clearly between healthcare professionals. - **Documentation**: Accurate, clear, and timely documentation supports safe patient care. It should include all relevant information about assessments, treatments, risks, and outcomes. - **Patient Safety Competency Framework**: Emphasizes reducing errors through clear communication, effective teamwork, and maintaining a culture of safety. **4. Reflection and Lifelong Learning** - **Gibbs Reflective Cycle**: Encourages nurses to reflect on their experiences to enhance learning and improve future practice. The cycle includes six stages: description, feelings, evaluation, analysis, conclusion, and action plan. - **Importance in Nursing**: Reflection helps identify strengths, weaknesses, and areas for improvement, fostering continuous professional development. **5. Scope of Practice** - **Maintaining Capability for Practice**: Nurses must work within their scope of practice, which is defined by their education, training, and competence. This includes understanding limitations and when to seek support or supervision. - **Supervision and Delegation**: Nurses are responsible for appropriately delegating tasks based on the competence of others, ensuring patient safety and high standards of care. **6. Patient-Centered Care** - **Informed Consent**: Nurses must ensure patients understand the potential benefits, risks, and alternatives of treatment to make informed decisions. - **Cultural Competence**: Nurses must provide care that respects the cultural, religious, and individual values of each patient, ensuring they feel heard and supported in their care decisions. **7. Patient Advocacy** - **Nurses as Advocates**: Nurses have a duty to advocate for patients\' rights, ensuring they receive appropriate care and treatment, especially when they are unable to do so themselves. - **Legal and Ethical Responsibilities**: This includes maintaining confidentiality, safeguarding patients from harm, and ensuring their wishes are respected. **Confidentiality:** - **Definition**: Refers to the nurse's obligation to protect patient information from unauthorized access or disclosure. - **Key Points**: - Personal health information should not be shared without the patient\'s consent, unless legally required (e.g., public health risks). - Information shared in professional settings (like during handovers) must be relevant to the care being provided. **2. Privacy:** - **Definition**: Relates to the patient\'s right to control who has access to their personal health information. - **Key Points**: - Privacy laws (e.g., Australia's Privacy Act) require health services to manage and store patient data securely. - Patients must be informed about how their information will be used and have the right to access their records. The purpose of the ICN Code of Ethics for nurses is to? provide a reference point to reflect on their conduct Which of the following is not a standard found in the RN Standards for Practice? Which of the following is not an element in the ICN Code of Ethics for Nurses? **Nurses and the public** **Code of Conduct for Nurses** **The Code of Conduct outlines the professional behavior, values, and ethics nurses are expected to adhere to. It covers four domains:** 1. **Practice legally: Complying with laws and regulations governing nursing practice.** 2. **Practice safely, effectively, and collaboratively: Delivering quality care and working with healthcare teams.** 3. **Act with professional integrity: Maintaining honesty, trust, and confidentiality.** 4. **Promote health and well-being: Advocating for patients\' rights and health promotion.** **Registered Nurse Standards for Practice** **These standards define the core competencies and responsibilities of registered nurses. The seven standards include:** 1. **Think critically and analyze nursing practice.** 2. **Engage in therapeutic and professional relationships.** 3. **Maintain the capability for practice by ensuring ongoing learning.** 4. **Comprehensively conduct assessments to inform patient care.** 5. **Develop a plan for nursing practice based on assessment findings.** 6. **Provide safe, appropriate, and responsive quality nursing care.** 7. **Evaluate outcomes to improve practice.** **These standards ensure that registered nurses practice competently, safely, and ethically.** **ICN Code of Ethics for Nurses** **The ICN Code of Ethics is a global framework for ethical nursing practice. It is divided into four elements:** 1. **Nurses and People: Nurses should promote human rights, respect dignity, and ensure patients are informed and involved in their care.** 2. **Nurses and Practice: Nurses must maintain competence and practice within legal and ethical frameworks.** 3. **Nurses and the Profession: Nurses should uphold the integrity of the profession by promoting ethical practices and contributing to knowledge development.** 4. **Nurses and Co-workers: Nurses should foster respectful and collaborative relationships with colleagues and advocate for a supportive work environment.** **Module 6 - Lifelong Learning Philosophy** - **Definition: Lifelong learning refers to continuous development through self-directed study and practice, essential for staying current in nursing.** - **Importance in Nursing:** - **Nurses are responsible for maintaining up-to-date knowledge and skills to provide safe, evidence-based care.** - **Lifelong learning is tied to professional growth, adapting to new healthcare technologies, and evolving patient care practices.** - **Application: Engaging in professional development courses, attending workshops, reading recent research, and reflective practice are ways to stay updated in nursing.** **Module 7 - NSQHS (Part A)** - **National Safety and Quality Health Service Standards (NSQHS):** - **These standards ensure safe, high-quality care in health services across Australia.** - **Key Standards include clinical governance, patient safety, partnering with consumers, and managing safety risks.** - **Aim: To protect the public from harm and improve the quality of healthcare services.** **Module 8 - Safety of the Public (Self-Directed)** - **Public Safety in Nursing:** - **Nurses are accountable for safeguarding the public by adhering to professional guidelines and clinical standards.** - **Maintaining patient safety involves reducing risks, promoting a culture of safety, and preventing harm.** - **Nurses need to advocate for safe care practices and report unsafe environments or behaviors.** **Module 1 - Introduction to NMBA Frameworks** - **NMBA Frameworks:** - **The Nursing and Midwifery Board of Australia provides codes, standards, and guidelines for registered nurses.** - **Core Documents:** - **Code of Conduct for Nurses** - **Registered Nurse Standards for Practice** - **ICN Code of Ethics** - **These frameworks guide professional behavior, scope of practice, and ethical decision-making.** **Module 2 - Introduction to Evidence-Based Practice (EBP)** - **Evidence-Based Practice (EBP):** - **Combines research, clinical expertise, and patient preferences to inform decision-making.** - **Goal: To ensure that patient care is grounded in the best available evidence.** - **Process: Involves critically appraising research, applying findings to patient care, and continuously updating practices with new evidence.** - **EBP improves patient outcomes and healthcare quality.** **These notes provide a comprehensive understanding of professionalism, safety, NMBA frameworks, and EBP in nursing.** **4o** **You said:** **notes** **ChatGPT said:** **ChatGPT** **Here are detailed notes on the requested topics:** **Module 6 - Lifelong Learning Philosophy** - **Philosophy of Lifelong Learning: In nursing, lifelong learning ensures that nurses remain competent and capable as healthcare evolves. This philosophy encourages continuous professional development through formal education, reflective practice, and skills improvement.** - **Importance: Helps maintain evidence-based, patient-centered care. It fosters adaptability to new technologies, treatments, and methodologies.** - **Approaches: Attend conferences, join professional networks, engage in reflective practice, and pursue higher education (like certifications and degrees).** **Module 7 - NSQHS (Part A)** - **National Safety and Quality Health Service Standards (NSQHS): These standards were developed by the Australian Commission on Safety and Quality in Health Care (ACSQHC) to ensure patient safety and high-quality care.** - **Key Standards:** 1. **Clinical Governance: Ensures accountability in delivering safe, quality care.** 2. **Partnering with Consumers: Involves patients in decision-making about their care.** 3. **Preventing and Controlling Healthcare-Associated Infection: Reducing the risk of infections in healthcare settings.** 4. **Medication Safety: Ensures proper handling and administration of medications.** 5. **Comprehensive Care: Providing patient-centered care that addresses individual needs.** 6. **Communicating for Safety: Ensuring that critical information is shared effectively.** 7. **Blood Management: Safe handling and administration of blood products.** 8. **Recognizing and Responding to Acute Deterioration: Timely identification and response to patient deterioration.** **These standards aim to safeguard patients and reduce risks in the healthcare environment.** **Module 8 - Safety of the Public (Self-Directed)** - **Public Safety: Ensuring the safety of patients is a core responsibility in nursing. This module focuses on identifying risks to patient safety and implementing preventive strategies.** - **Key Aspects:** 1. **Incident Reporting: Identifying, documenting, and reporting safety incidents or risks.** 2. **Risk Management: Applying strategies to prevent or mitigate risks to patient safety.** 3. **Patient Advocacy: Ensuring that patients\' rights and safety are upheld in all aspects of care.** **Nurses must be proactive in promoting safe practices, adhering to established protocols, and continuously evaluating patient safety measures.** **Multidisciplinary Team** - **A multidisciplinary team consists of various professionals from different disciplines working independently but coordinating care. Each team member contributes their expertise to the patient\'s treatment plan, but decisions and care plans are usually made separately.** **Interdisciplinary Team** - **In an interdisciplinary team, professionals from different fields collaborate closely to create and implement a joint care plan. Decisions are made collectively, and communication is more integrated to ensure comprehensive patient care.** **Transdisciplinary Team** - **A transdisciplinary team allows professionals to cross traditional boundaries of their disciplines. Members share roles, and the team works as one unit, often with less-defined professional distinctions.** **Conflict Resolution** Allow for flexibility within the team and be alert to opportunities and strategies for effective change Identify potential barriers to success Agree on and implement the framework to be adapted (e.g. shared care, case management) by the MDT Identify opportunities and strategies to assist and promote change within the organisation Take advantage of educational opportunities and team building exercises provided by the organisation Managers within the organisation must recognise that some health care professionals find working in teams more difficult than others and support must be provided to those Conflict Resolution Unclear expectations Poor communication Lack of clear jurisdiction Incompatibilities or disagreements based on difference Conflict of interest Operational or staffing changes