DELIVERING QUALITY CARE THROUGH EVIDENCE BASED PRACTICE.

LEARNING LOG        09/08/2024

 

The lesson started with an introduction of the module, the module learning outcomes, and the learning outcomes. We had some ice breaker on menti-meter that was very educational and I learnt from those questions and did some group activity. 

We looked at improving safety and quality of care.

Safety is the evidence of harm to patients during the provision of care. 

Quality – standardise care, holistic care , patient- centred care, timely, efficient.

Evidence based-practice in nursing – holistic quality care base in the best most to date research and knowledge rather than traditional method.

For improving safety and quality of care, the following is considered:

  • Influences on safety and quality of care.
  • Service evaluation and improvement methodologies.
  • Audit 
  • Service user and carer involvement.

Key – components of safety and quality in nursing are as follows:

  • Evidence based practice (EBP).
  • Patient centred care.
  • Effective communication.
  • Interprofessional collaboration.
  • Continuous quality improvement (QI).

With regards to change in healthcare, according to (Goldratte, 1990, p.10), “ not every change is an improvement but every improvement  is a change and we cannot improve something unless we change it”.

There are different ways we can choose to improve our services, or innovations. The following are the ways we can improve these services:

  • Personal experience( -ve or +ve experiences that need to be changed).
  • Personal interest(enthusiastic/ passionate about something)
  • Curiosity about something in the media.
  • State of practice in a particular area.
  • Solving a problem.
  • Hot topics under discussion (patient voice/ involving patient in improving care).
  • Personal values.
  • Gaps in practice (discrepancy in practice)
  • Healthcare policy (things beyond your control)
  • epidemical/ demographic /other data(type 2 diabetics, causes of it).

The reasons for changes in healthcare are as follows:

  • To improve the quality of care.
  • The effectiveness of care / treatment/ processes.
  • Patient outcomes.
  • Patient health and well-being.
  • Efficiency of services /treatment.
  • Patient safety.
  • Reduced hospital admission /A&E.
  • Reduced cost /errors.

We were divided into groups for class group work, with different questions. I was in the third group with the question as follows? How can we reduce patient waiting times  in the GP practice? We discussed as a group and concluded with these answers and they are as follows:

  • To organise and prioritise appointments, who urgently need care.
  • Answering questionnaires.
  • Offering phone appointments for non-urgent care.
  • Ensure staff are aware of the delays and enable them to adjust as needed.
  • If you need urgent care, advise alternative help such as 111 or A&E.
  • Doctors to cover any sickness or support on busy days.
  • Update or remind patients of their appointments to ensure they still need the appointments and attend on time to prevent delays.

 

                         KSBs ADDRESSED.

 

                

 

                                                KNOWLEDGE

 

K1: Understand the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and how to fulfil all registration requirements.

K4: Understand the principles of research and how research findings are used to inform evidence-based practice.

K6: Understand and apply relevant legal, regulatory and governance requirements, policies, and ethical frameworks, including any mandatory reporting duties, to all areas of practice. 

K7: Understand the importance of courage and transparency and apply the Duty of Candour.

K8: Understand how discriminatory behaviour is exhibited. 

K10: Understand the principles of epidemiology, demography, and genomics and how these may influence health and well-being outcomes. 

K11: Understand the factors that may lead to inequalities in health outcomes.

K30: Understand the principles of health and safety legislation and regulations and maintain safe work and care environments. 

K33: Understand when to seek appropriate advice to manage a risk and avoid compromising quality of care and health outcomes.

K37: Understand the challenges of providing safe nursing care for people with complex co-morbidities and complex care needs. 

K43: Understand the influence of policy and political drivers that impact health and care provision Skills.

 

                                                   

                                                SKILLS 

 

S1: Act in accordance with the Code: Professional standards of practice and behaviour for nurses, midwives and nursing associates (NMC, 2018), and fulfil all registration requirements. 

S3: Recognise and report any factors that may adversely impact safe and effective care provision. 

S5: Safely demonstrate evidence-based practice in all skills and procedures required for entry to the register: Standards of proficiency for nursing associates Annex A & B (NMC 2018).

S7: Communicate effectively using a range of skills and strategies with colleagues and people at all stages of life and with a range of mental, physical, cognitive and behavioural health challenges.

S9: Develop, manage and maintain appropriate relationships with people, their families, carers and colleagues. 

S11: Report any situations, behaviours or errors that could result in poor care outcomes.

S43: Contribute to team reflection activities to promote improvements in practice and services. 

                                               

 

                                          BEHAVIOURS

 

B1: Treat people with dignity, respecting individual’s diversity, beliefs, culture, needs, values, privacy and preferences 

B2: Show respect and empathy for those you work with, have the courage to challenge areas of concern and work to evidence based best practice 

B3: Be adaptable, reliable and consistent, show discretion, resilience and self-awareness

Leave a Reply