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Assessment 3 Instructions: Improvement Plan In-Service Presentation

Hypo

School of Nursing and Health Sciences, Capella University

NURS-FPX4020: Improving Quality of Care and Patient Safety

Lisa Prince-Clark

February, 2023
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Improvement Plan In-Service Presentation

Hello, I am Hypo. I am delighted to be here today to present the Improvement Plan In-

Service Presentation. I will provide an overview of the plans for implementation. In this

presentation, I will discuss the goals of the plan, how it will benefit nurses and other healthcare

professionals, and provide a timeline for implementation. I will also discuss the resources

available to support nurses in implementing the plan.

I'm confident that by the end of this presentation, you'll have a better understanding of

why this plan is necessary, and how it can help to make our organization more successful. The

goal of my presentation is to ensure that nurses have the necessary knowledge and skills to

successfully implement the plan and take advantage of the benefits it offers. My presentation will

mentor and guide the nurses. Nurse mentoring provides an opportunity to nurses and midwives

to strengthen people-centered health systems, with its flexible design and implementation

making it an exciting development (Hoover et al., 2020). So, without further delay, let's get

started.

Agenda and Outcomes of In-service Training

Nurses and midwives are essential for the support of health systems and to achieve

universal health facilities. In fact, there is a shortage of 17.4 million health workers globally, 9

million (or more than 50%) are nurses and midwives are part of the largest segment of the health

workforce. In-service nurse mentor training is becoming increasingly recognized as an effective

tool for improving healthcare quality in rural communities where healthcare resources are
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limited. However, there is limited evidence concerning how to effectively implement large-scale

nurse mentoring programs. This approach focuses on the intricate ways in which in-service

mentorship can be incorporated into existing structures. Exploring and mentoring nurses through

in-service training is a good step to facilitate clinical excellence (Koon et al., 2020).

Consistent support to health professionals can be facilitated through training, coaching, and

mentoring. Training is often provided alongside clinical education, through preceptorships or

other tailored programs that help students transition to practice or improve the capabilities of

existing practitioners. For decades, preceptorship has been an integral part of the nursing

profession, with preceptors serving as role models for students, inspiring them to develop their

clinical abilities and recognize the importance of nursing practice. Preceptorship is widely seen

as an effective way to maximize the advantages of clinical education, aiding in the attainment of

skills, knowledge, and confidence, and aiding in professional socialization. Hence coaching is an

interactive strategy that allows instructors to guide trainees in a way that enhances their specific

clinical skills (Jönsson et al., 2021).

Outcomes

Questions about the relevance of the training curriculum, suitability of the training

platforms, and the impact of the training on immunization data handling competencies and

service providing remain a cause of worry. The solution to these problems can be obtained from

the outcomes of in-service training. The outcomes of in-service training for nurses can include

improved patient safety and care, increased confidence and competence in the workplace,

improved communication between nurses and other healthcare staff, and increased job
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satisfaction. Through training, Healthcare workers become able to take part in the fight against

vaccine-preventable diseases, as they are responsible for the documentation, management,

analysis, interpretation, and appropriate use of patient data (Nicol et al., 2019).

Knowledge about Medication Error

Medication errors pose a serious risk of iatrogenic harm in the healthcare system and are a

common source of malpractice claims against anesthesiologists. Iatrogenic harm is harm caused

by medical treatment or advice. This includes errors in diagnosis or treatment, adverse reactions

to medications, and complications from invasive procedures. Examples of iatrogenic harm

include surgical mistakes, hospital-acquired infections, misdiagnoses, and negative interactions

between drugs. Anesthesia and critical care medicine are particularly vulnerable to medication

errors due to the use of potent, fast-acting drugs with a narrow dose range in a short time period,

with the potential for disastrous consequences if errors occur (Hemanth Kumar et al., 2019).

In assessment two I have mentioned the report of 21 patients. To these patients, tranexamic

acid was given during spinal anesthesia. These patients were admitted to the intensive care unit

and are experiencing life-threatening neurological and cardiac complications. In 20 patients, the

error was caused by a mistake in the ampoule selection, as the healthcare staff did not properly

read and verify the label. The error was due to human factors, such as organizational policies,

drug dispensing and storage, and preparation for spinal anesthesia.

Anesthesia beginners are supposed to quickly become experts in performing tasks without

direct supervision. However, this can lead to medical errors if they rely solely on memorizing
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information without understanding the underlying principles. Anesthesia trainees often face the

challenge of performing patient clinical encounters early in their training without direct

supervision or expert role models to provide guidance and feedback. In many hospitals, this may

mean that trainees are learning tasks beyond the scope of the syllabus with inconsistent teaching

and evaluation. This can present a risk of medical errors if they are relying solely on rote

memorization. Gagné's Instructional Design model can be used to effectively create a

comprehensive lesson plan to facilitate the teaching of non-procedural skills in a small group

environment (Berger-Estilita & Greif, 2020).

Safe Medication Administration

The new graduate registered nurses reported feeling that their clinical expertise

improvement process was hindered by the stress of medication administration and the resulting

difficulty managing their time. They felt that, despite progress, they were still struggling to gain

a full understanding of patient care and safety. To adopt a safety culture that encourages safe

practices in our new nurses, they need to be provided with support and guidance to facilitate the

transition from student to registered nurse, allowing them to shift their focus from time

management and task completion to patient safety and holistic care. The new graduate registered

nurses' experiences and understanding of practice will help coordinators and senior nurses to

plan and provide the relevant information and education. This will help reduce the risk of errors

occurring during this time (Murray et al., 2019).

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Components of Good Quality Care

In nursing homes, registered nurses often experience high levels of job dissatisfaction and

burnout, which can lead to turnover. This is a significant issue in this setting and interventions to

improve the nurse work environment are necessary to increase nursing staff retention and

improve care quality. The evidence is clear that improved nurse work environments are

associated with improved patient safety, as well as reduced staff burnout and job dissatisfaction

in hospitals (White et al., 2020).

Safety Improvement Plan

According to the World Health Organization, patient safety is defined as the elimination of

preventable harm to patients and the prevention of unnecessary harm caused by healthcare

providers. Studies have indicated that unsafe care leads to the loss of 64 million disability-

adjusted life years each year around the world. Patient harm while receiving healthcare is

regarded as one of the leading 10 causes of death and disability worldwide Adherence to the

principles of patient safety is essential to ensuring the quality of care and avoiding practice

mistakes. Identifying individual and systemic factors sheds light on the necessity of using

nursing care practice to promote adherence to patient-safety principles. It is needed to gain a

better understanding of the measures needed to strengthen nurse compliance with patient-safety

principles and their influence on patient-safety results (Vaismoradi et al., 2020).

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The Plan Goals

According to a study by (Koon et al., 2019) medication reconciliation errors account for up

to one-third of all medication errors. Implementing a standardized process for medication

reconciliation can reduce these errors and help ensure that patients receive the correct

medications. A standardized medication reconciliation process is used to ensure that all

medications are accurately documented and tracked.

Establish a clear set of protocols for medication administration and storage, including

limiting access to medication to authorized personnel. A study published by (Shamshad et al.,

2020) indicated that having clear protocols and policies in place for medication administration,

storage, and access can help reduce the risk of medication errors.

Increase education and training on medication safety for all healthcare professionals.

Providing education and training on medication safety can help healthcare professionals improve

their understanding of medication processes and improve their ability to identify and prevent

potential medication errors (Simamora & Fathi, 2019).

Utilize technology solutions to improve medication safety and reduce errors, such as

automated dispensing systems and barcode scanning. (Li et al., 2021) found that using automated

dispensing systems and barcode scanning can help reduce medication.

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Audience Role and Importance

Audience importance

The audience plays an important role in nursing. Audience members provide feedback and

support to the nurse, helping the nurse to develop and improve their practice. Audience members

can include patients, families, peers, colleagues, supervisors, and other healthcare professionals.

Through listening and responding to their feedback, nurses can gain a deeper understanding of

their practice and learn new ways to improve their care. Additionally, audience members can

help build relationships and trust between healthcare professionals and patients, making it easier

to provide effective care (Hafermalz & Riemer, 2020).

Benefits of Participants in the Improvement Plan

According to a study published in the Journal of Surgical Education, nurses who

participated in an improvement plan reported increased knowledge and skills related to their

practice. The study also found that nurses who participated in the improvement plan had an

improved perception of the work environment, were more engaged in their practice, and felt

more supported by their colleagues. Additionally, it is found that nurses who participated in the

improvement plan were more likely to adhere to safety protocols, resulting in improved patient

safety. Thus, participating in an improvement plan of in-service presentation of the nursing

domain can have numerous benefits for nurses, including increased knowledge, improved work

environment, increased engagement, and improved patient safety (Ameryoun et al., 2019).
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New Process and Skills Practice

In-service education remains an essential and relevant tool for nurses around the world due

to its ability to be adapted to meet the changing demands of nursing practice. In-service

education is cost-effective and minimally disruptive to patient care and staffing levels, making it

an ideal way to provide nurses with the necessary education and training (Jackson et al., 2019).

New processes and skills practice in In-service training for nurses can provide a number of

benefits, including improved patient outcomes, increased job satisfaction, and career satisfaction.

In addition, nurses who receive the new processes and skills training can also benefit from

improved communication and collaboration with other healthcare professionals, which can

further enhance their ability to provide quality care. Additionally, nurses may benefit from

improved knowledge and skills, which can help them to better understand and manage patients

and their needs. Finally, in-service training can provide nurses with the opportunity to network

with other healthcare professionals, which can help them to stay up-to-date with the latest

developments in the field (Thomsen & Jensen, 2019).

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References

Ameryoun, A., Pakpour, A. H., Nikoobakht, M., Saffari, M., Yaseri, M., O'Garo, K.-G. N., &

Koenig, H. G. (2019). Effectiveness of an in-service education program to improve patient

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Berger-Estilita, J., & Greif, R. (2020). Using Gagné’s “Instructional design” to teach clinically

applicable knowledge in small groups. Trends in Anaesthesia and Critical Care, 35, 11–

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Hafermalz, E., & Riemer, K. (2020). Productive and connected while working from home: What

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