NRS 451VN Chamberlain Quality Improvement Initiative Proposal

NRS 451VN Chamberlain Quality Improvement Initiative Proposal

This quality improvement initiative aims to increase staffing in the subacute care unit by increasing staff independence and decreasing reliance on the float pool. This quality improvement initiative would focus on The Harborage’s sub-acute care unit, the registered nurses, unlicensed assistive personnel, and patients only on the sub-acute unit. We will go over the benefits, the need for interprofessional collaboration, the budget, and the evaluation of the quality improvement initiative in greater detail.

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The Advantages of the Quality Improvement Initiative

There are numerous advantages to increasing staff on the subacute unit that benefit both patients and nurses. To begin, adequate nurse staffing levels are associated with positive patient outcomes in both general ward and critical care settings (McGahan et al., 2012). Furthermore, Stone et al. (2007) discovered a significant relationship between nurse staffing levels and pressure ulcers. According to this study, higher nurse staffing levels contributed to a lower incidence of pressure ulcers (Stone et al., 2007). Increased RN staffing has been linked to lower hospital mortality rates, hospital-acquired pneumonia, unplanned extubation, and respiratory failure, according to Shin et al. (2018). Inadequate nurse staffing can impact the quality of patient care and the nurses’ health and well-being (Shin et al., 2018). Safe nurse staffing levels increase retention, overall job satisfaction, and patient satisfaction (Shin et al., 2018). Without consistent staffing, unit RNs risk burnout, job dissatisfaction, intent to leave, and needle stick injuries, which can be costly to the hospital. A higher nurse-to-patient ratio is associated with an increase in adverse nurse outcomes.

Collaboration Among Professionals

The collaboration of the director of nursing, nursing managers, and supervisor would be required to implement the quality mentioned above improvement initiative. The hiring and onboarding team would need to be made aware of the quality improvement initiative to find new nurses to hire. Furthermore, increasing staff in the float pool is required to prevent staff workers from working longer than their required shift time, which can easily lead to burnout and job dissatisfaction. The float pool is precious in any healthcare setting, particularly during the COVID-19 pandemic, when staffing has become a significant issue. Nurses become ill from time to time, and as a result, it is critical to meet the facility’s changing demands. While the subacute unit prefers to keep the same staff during these times, it is better to have enough staff than not enough. The unit can maximize the use of float pool staff by placing them in dedicated positions, allowing the sub-acute care unit to hire seasoned and familiar nurses, thereby expediting orientation to that specific unit.

Justification for the Budget

The overall cost of the facility is expected to change. This includes the need to hire and train new employees. While this is an improvement for the facility, it is essential to note that nurse turnover can be more expensive than hiring new employees. According to Joan and Gates (2007), turnover costs are generally estimated to be 0.75 to 2.0 times the departing individual’s salary, ranging from $22,000 to more than $64,000 per nurse turnover. As previously discussed, nurses will be retained by increasing the number of staff on this specific unit, avoiding this extra cost. This money would be better spent on increasing nursing staff to hire, orient, and train new employees.

Evaluation

Assessing patient and staff satisfaction scores is the best way to evaluate this quality improvement initiative. Patient satisfaction should improve as consistent staffing is implemented in the subacute unit. Furthermore, employee satisfaction can be measured in the same way. Anonymous surveys distributed to nurses may encourage them to be candid about how they feel about the increased staffing. With increased patient satisfaction and nurse staffing on this unit, it is safe to say that the quality improvement initiative of increased nurse staffing has improved patient outcomes, reduced emotional exhaustion in nurses, and increased unit retention.

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References

Jones, C., Gates, M., (2007). The Costs and Benefits of Nurse Turnover: A Business Case for Nurse Retention. OJIN: The Online Journal of Issues in Nursing. Vol. 12 No. 3, Manuscript 4.

McGahan, M., Kucharski, G., & Coyer, F. (2012). Nurse staffing levels and the incidence of mortality and morbidity in the adult intensive care unit: A literature review. Australian Critical Care, 25(2), 64–77. https://doi.org/10.1016/j.aucc.2012.03.003

Shin, S., Park, J. H., & Bae, S. H. (2018). Nurse staffing and nurse outcomes: A systematic review and meta-analysis. Nursing Outlook, 66(3), 273–282.

Stone, P.W., Mooney-Kane, C., Larson, E.L., Horan, T., Glance, L.G., Zwanziger, J., et al (2007). Nurse working conditions and patient safety outcomes. Med Care 2007;45(6):571—8.

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In this assignment, you will propose a quality improvement initiative from your place of employment that could easily be implemented if approved. Assume you are presenting this program to the board for approval of funding. Write an executive summary (650-1,000 words) to present to the board, from which the board will decide to fund your program or project. Include the following:

NRS 451VN Chamberlain Quality Improvement Initiative Proposal

The purpose of the quality improvement initiative.

The target population or audience.

The benefits of the quality improvement initiative.

The interprofessional collaboration that would be required to implement the quality improvement initiative.

The cost or budget justification.

The basis upon which the quality improvement initiative will be evaluated.

You must cite at least three peer-reviewed sources to complete this assignment. Sources must be published within the last five years, appropriate for the assignment criteria, and relevant to nursing practice.