Healthcare leadership principles for improving patient care

Healthcare leadership principles for improving patient care.
Introduction: Plans and programs to improve the quality and safety of patient care can now be more precisely targeted thanks to nursing-sensitive outcome indicators that were developed as part of a national initiative spearheaded by the American Nurses Association. Common nursing-sensitive indicators include the following results:

Urinary tract infections, pressure ulcers, pneumonia, deep vein thrombosis, and other hospital-acquired conditions

Healthcare leadership principles for improving patient care

Effective leadership practices for improving healthcare quality
Medical emergency: patient falls
Infection, respiratory failure, and metabolic abnormalities are just some of the risks that patients face after surgery.
How long a patient stays in the hospital
The Prevalence of Restrictions
Failure to rescue is becoming more common, which could lead to more injuries and deaths.
Satisfaction of Patients
Relationship between nurse contentment and available positions


Mr. J, 72, is a retired rabbi who has been diagnosed with moderate dementia. Following a tumble at home, he was sent to the hospital for treatment of a fractured right hip. He’s sleepy from the painkillers, but he can still answer basic inquiries.

His daughter traveled eight hours to see him in the hospital a week after he was admitted. She went to his room and found him bound to the bed. Although Mr. J was a little groggy, he recognized his daughter and asked her to unlock his wrists so he could be taken to the restroom. His daughter dispatched a certified nursing assistant (CNA) to help her dad get to the restroom after removing his cuffs. A red, flattened patch across Mr. J’s lower spine, resembling a terrible sunburn, was seen by his daughter as the CNA was helping him sit up in bed. The CNA she told about it assured her there was no need for alarm. As soon as he stands up, it’ll be gone. The CNA accompanied Mr. J to the bathroom and then helped him go back into bed, where she reapplied the restraints by having him lie on his back.
Healthcare leadership principles for improving patient care

Mr. J. placed an order for a regular, kosher, chopped meat diet. Mr. J was home alone when his supper tray arrived the day after his daughter’s arrival. After 30 minutes, the nurse came in and saw that Mr. J had eaten around 75% of the meal. The dish identified as “normal, chopped meat” on the menu. A hunk of pork cutlet lay in its final resting place on the tray.

After informing her superior, the nurse was told to keep the matter quiet. We’ll make it. The nurse in charge immediately informed her counterpart in the kitchen about the mistake. The kitchen manager informed the on-duty workers of the situation.

There was no mention of what had happened when the patient’s daughter came to visit later that night.

The following evening, the daughter witnessed the tray being brought in by the dietary staff member at dinnertime. Worker: “I’m really sorry about the pork cutlet last night,” addressed to patient’s daughter. When the daughter inquired as to the cause of the delay, she was told that the order had been confused. After that, the daughter questioned the nurse further about the ordeal. When the daughter asked the nurse if it was true, the nurse confirmed what had happened but added, “Half a pork cutlet never killed anyone.”

Healthcare leadership principles for improving patient care

Daughter called doctor, who contacted hospital administration. The doctor, who is also Jewish, informed the administrator that he had received multiple complaints from Jewish inpatients over the previous six months about the hospital’s alleged disregard for the patients’ dietary restrictions.

The hospital has 65 beds and is located in a small town with a small Jewish population. Those few Jewish residents of the village travel 20 miles to the nearest city with a Jewish hospital for treatment.


Please conduct the following analysis of the scenario (a two to three page paper is recommended):

A. Explain how familiarity with nursing-sensitive indicators would have helped these nurses spot potential barriers to care.

B. Evaluate the hospital’s data on nursing-sensitive indicators (such pressure ulcer incidence and restraint prevalence) to determine how they might be used to improve quality of care for all patients.
Healthcare leadership principles for improving patient care

C. Assess the system resources, referrals, and colleagues you as the nurse shift supervisor could use to address this ethical dilemma.

D. Give credit to the original author of any material that is quoted, paraphrased, or summarized in your paper or project. All information utilized from other sources must be credited, both in the form of an in-text citation indicating where in the submission the source is used and a full reference to that source.
Information Location Date Created by Author Title (e.g., publisher, journal, or website URL)

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