 QUALITY

ASSURANCE IN
NURSING
 INTRODUCTION

 The expense of quality is an
interactive process between customer
and provider.
 Quality assurance usually focuses
on material , good work and service
provided effectively
 Any lack in service provided causes
decrease in quality
QUALITY
It is degree to which health service for
individuals and population increase the
likelihood of desired health outcomes and are
consistent with current professional knowledge
  [Joint
COMMISSIO
N]
Accreditation of health care organization ,
2002 [JCAHO]
ASSURANCE :it is statement or indication that inspires
confidence

QUALITY ASSURANCE : It is an on
going , systematic ,comprehensive
evaluation of health care services and
impact of those services on health care
services
-KOZIER

 NURSING : nursing is a unique

function of nurse is to assist in
individual sick or well in
performance of those activities
contributing to health or its
 recovery or to a peaceful death that
he would perform unaided if he had
necessary strength will or
knowledge and to do this in such a
way as to help him to gain
independence as rapidly as possible.
 -virginia
Henderson
 OBJECTIVES
 To ensure the delivery of quality
client care.
 To demonstrate efforts of health
care providers to provide good
results .
 To evaluate achievement of
nursing care
 To support delivery of nursing
care with administrative and
managerial services.
 To explain quality assurance
models as pre-requisite for quality
nursing care
 To state code of ethics and
professional conduct for nurses in
india
 To appreciate importance of
practicing standard safety measures
 Plan and conduct patient
teaching sessions
 To identify appropriate
management resources in given
situation
 PURPOSES
 It is required to
introduce code of
ethics and professional
conduct for nurses in
india.
 To prepare staff
nurse for
implementation quality
assurance model in
nursing
 To provide best care
to patients by
maintaining standards.
PRINCIPLES
 Customer focus- it
focuses on patients,
care with standard and
 recent medical
knowledge.
LEADERSHIP : it helps to inculcate
qualities of leadership in staff
INVOLVEMENT OF PEOPLE – it should
involve maximum nursing staff so that
standards can be maintained
PROCESS APPROACH : there should be
a systematic and planned approach to
provide quality care
FACTUAL APPROACH TO DECISION
MAKING -: there should be fact or
appropriate reason in taking certain
decision for quality assurance of
patient
DEVELOPMENT OF A QUALITY
ASSURANCE PROGRAM
 Foster commitment of quality
 Conduct a preliminary review of
quality related to activities .
 Develop the ;purpose and vision
for the quality assurance effort
 Assign responsibility for quality
assurance
 Critical management system
 Develop a written quality
assurance plan
APPROACHES FOR
QUALITY
ASSURANCE
PROGRAM
 IN this 2 types
 1.general approach
 2.specific approach
 GENERAL APPROACHES
 It involves large governing of
official bodys evaluation of persons
or agency abilty to meet the
standard at a given time
 CREDENTIALING
 It is a process of determining and
maintaining nursing standards
 FUNCTIONAL
COMPONENTS OF
CREDENTIALING PROCESS
 According to hinsvark,
credentialing process has 4
functional components
 1. To produce a quality product
 2.to confer a unique identity.
 3.to provider an dpublic
 4.to control the profession
 2.LICENSURE
 Individual licensure is a
contract between
profession and state in
which profession is
granted control over entry
into and exists from
profession and over
quality of professional
practice.
 ACCREDITATION
 Accreditation is the act of granting
credit or recognition especially to an
educational institution that
maintains suitable standards.
 CERTIFICATION
 Certification is usually a voluntary
process with in the professions.
 A persons educational
achievement ,experience and
performance on examination are
used to determine persons
qualification for functioning in an
identified specialty area
 SPECIFIC APPROACHES
 Quality assurances are methods used
to evaluate identified instances of
provider and client interaction
 PEER REVIEW COMMITTEE
 These are designed to monitor client
specific aspects of care appropriate for
certain levels of care .
 NURSING AUDIT : nursing audit is
evalution of patient care through
analysis of written records maintained
by nurses in patients treatment profile
 MODELS OF QUALITY ASSURANCE
 System model: is used for
implementation of unit based quality
assurance program
 It involves making changes in
organizational structure and individual.
 ROLE OF A NURSE;
 Role of nurse is to participate in
quality improvement team
 Properly supervises and check
whether patient is receiving proper
care or not .
 C0ntribute innovation and
improvement of patient care.
 Participating in improvement projects
and patient safety initiatives
 Participating in CNE programs and
inservice education programs.
 Participate in research works related
to quality assurance.
 MODEL APPLICATION
 STRUCTURE
 OUTCOME

 FUTURSTIC NURSING
 INTRODUCTION
 It is time for nursing to question and
redefine its role within system and take
steps to bring about the future that the
nursing profession is to achieve.
 MODERN NURSING:
 DEFINITION: The art of using the latest
technology and science to promote quality
of life is defined by patients and families
through out their life experiences from
birth to the end of life
 FUTURSTIC
 Meaning : [INNOVATIVE AND
REVOLUTIONARY]
 Innovation is the action of introducing a
new method , idea or product
 ASPECTS OF FUTURISTIC NURSING
 NURSING EDUCATION
 NURSING SERVICES
 NURSING EDUCATION:
 FUTURE ISSUES: -multiple settings
 -critical thinking

 -require extensive knowledge

 CAUSES OF CHANGES IN NURSING EDUCATION

 -changing demographics
 Technological explosion
 Globalization
 Changing era
 Impact of health policy
 Collaborative practice
 Nursing shortage
 FUTURE DIRECTIONS FOR STUDENTS
EDUCATION
 STUDENT CENTERED LEARNING
 ADAPTIVE CURRICULUM
 TEACHING INNOVATION
 SYSTEM APPROACH
 MEDICAL EDUCATION

