Quality of Care in Health Care Settings Essay

Questions Answered What is the problems with part worry today? Why is woodland of business organisation lacking in beas? lineament of bearing plays an important role in assuring the standards of breast feeding implementation. By providing specific performance requirements, standards of nursing performance can repair and provide prime(prenominal) of nursing premeditation in health c atomic number 18 sets (Scope & Standards, pg 33). persona care is unity of the most substantive nursing standards of modern time. This particular standard must be enforced by nurses bothday.One of the main concerns in nursing practice today, is note of care in the health care setting (iom.edu). Recent reports from the American Nurses Association (ANA) and the Institute of Medicines look Initiative (IMQI) brought immediate attention to the public on the collapse of caliber of care. The reports focused on the need to recognize, develop, evaluate, and ensure the quality of health care in t he United States (nursing world.org). Both the ANA and IMQI represent a systematic military campaign to advance health care quality and enduring safety concerns. some(prenominal) other institutions wee-wee felt the need for further disciplinary actions to improve quality of care in health care settings.Organizations such as the American Heart Association and performance for health care inquiry and eccentric permit also recommended that the healthcare system launch a systemic project to increase the quality of care. The American Heart Association has made the Quality of flush and pop outcomes Research Interdisciplinary Working Group (QCOR IWG) to provide quality care to heart patients (americanheart.org). The QCOR IWG is a multidisciplinary group committed to making a significant contribution to improving patient outcomes and healthcare quality. The Agency for healthcare Research and Quality developed a National Healthcare Quality Report to facilitate the needs of patien ts around the United States. By doing so, they are raising awareness to healthcare institutions for the improvement of quality of care (ahrq.gov). hush-hush groups such as the National Quality Forum (NQF), Leapfrog group, and the pronounce Commission on Accreditation of Healthcare Organizations (JCAHO)made recommendations and efforts to ensure healthcare quality. on the all told of the organizations are trying to make an attempt to lower client dissatisfaction, nominate specific quality indicators, and increase the quality of care in every health care institution in the United States (ahrq.gov).A 2004 study, do by the Agency for Healthcare Research and Quality, concluded that 45.1 percent of peck were not receiving the care they needed (ahrg.gov). Healthcare systems are now aiming at quality improvement, education, and implementation of quality care (ahrq.gov).The ANA gives reasons for the lack of quality care in institutions today. One of these reasons is the lack of professi onal care. The registered nurse (RN) has one of the concluding censuses of the healthcare professionals and highest in demand. RNs are now face up with an enormous amount of patients, little time to care for their individual needs, and coherent strenuous work hours. Longer hours from the nursing shortage lead to RN burn-out. This burn-out creates decreased quality of care, medications errors, and an increase of patient safety risks (nursingworld.org).A nurse, D. Thomas, from the local anesthetic Nursing Home discussed her time of burn-out. She states,One day, I had thirty patients to care for entirely by myself. I had two nursing aides that did everything except medications. The whole day I passed out dozens of meds. They didnt ca-ca anyone for the following shift and my manager asked if I could work some over time. I worked sixteen hours that day. I made three medication errors and two patients had bran-new pressure ulcers, but there was no one else to care for these individ uals. The unhealthful thing was, I didnt even care for them, I honest handed them their meds. The aides did all of the work because I was so pressured for time. Thats the way it is now, more nursing aides and less nurses. No one wants a nurses job because it is not what it seems (D. Thomas, personal interview, October 31, 2007). nearly healthcare facilities have instituted more unlicensed personnel to take perspective of the professional nurse. This is thought to be a way of quickly prudence money for the institution. Staff substitutions have become major sequels for patients today. In 1996, the ANA conducted a survey examining the concern of the quality of care in health systems. Out of all the adult clients polled, three-fourths indicated a serious concern that cracking quality of care is harder and harder to find. Thy also concluded that substitutions can be a quick fix to save money, but in the long run, they for spring up minimize the quality of care for the patient (nur singworld.org).Another major issue that limits quality of care is insurers. Insurers are tearing down refund evaluate and decreasing the number of services covered (Scope & Standards, pg 18). I found this bidding to be true when I interviewed a patient, C. Erlain, who is a Blue crisscross Blue Shield health plan member. He states,My insurance does not cover all of my procedures and tests. I am mad because I hire a lot of money each month to have secure coverage and I dont get the care that I need. One time I was at the doctors and he said that he could only spend fifteen minutes with me because my insurance does not bear me to go over that amount of time. I was so frustrated. How would I get the care I needed? Even if I got another plan, they would also have restrictions, so I dont get the care that I want or need. If I could say anything to those insurance people, it would be why am I paying for something that doesnt care about my health? Those people only care about the mone y, not the people. Its unfortunate (C. Erlain, personal interview, November 2, 2007).From my own experience in home healthcare, I was only allowed a limited amount of time to spend with the patient depending on their insurance. It was either fifteen minutes, thirty minutes, or one hour. Sadly, this was no always the best scenario for the patient. Although the patient was getting care, it wasnt the care that they would have liked. One patient said to me, Do you have to go already? I was so busy that I could not stay and I knew no one could cover for me, so I left. It saddened me to feel that I hadnt done my job to its full capacity.I had too many patients and too little time. An insurer made my patient visits more of a hello and goodbye.Americans are limited when it comes to healthcare benefits and insurers are escalating insurance premiums (Scope & Standards, pg 18). The musical theme of uninsured individuals in the U.S. reached forty-five millionin 2002 according to the American H ospital Association. Forty-five million Americans will not even have the opportunity to receive any healthcare, let alone have quality healthcare (aha.org).To expand the seriousness of the recommendation for quality of care, quality initiatives are going to large and small institutions to implement these suggestions. The government had made the Agency for Healthcare Research and Quality to bring about issues in the quality of care in healthcare settings (ahrq.gov). Implementing this task force champions to improve the quality of healthcare. It also better insures the health client that they will be provided with fitting care for their healthcare needs.Improving quality of care is a group effort. The government bureau, healthcare agencies, and many other organizations are working vigorously to take an active role to enhancing the quality of care in healthcare settings. By doing so, this team effort will reach its goal to help patients to receive the quality of care they deserve.Re ference ListAgency for Healthcare Research and Quality. (2007). Guide to Healthcare Quality. Retrieved October 29, 2007, from http//www.ahrq.gov/American Heart Association. (2007). Quality of Care and Outcomes Research Interdisciplinary Working Group. Retrieved October 29, 2007, from http//www.americanheart.org/presenter.jhtml?identifier=3016540/American Hospital Association. (2002). Medical obligation A Looming Crisis? Part I& II. Retrieved November 2, 2007 from http//www.aha.org/aha/research-and-trends/AHA-policy-research/2003-or-earlier.htmlAmerican Nurses Association. (2007). ANAs Safety and Quality Initiative. Retrieved October 28, 2007, from http//nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/NDNQI/Research/QIforAcuteCareSettings.aspxAmerican Nurses Association. (2004). Scope and Standards of Practice. Silver Spring, MD ANA.Institute of Medicines Quality Initiative. (2007). Health Care and Quality. Retrieved November 2, 2007 from ht tp//www.iom.edu/CMS/3718.aspx