Analyze the influence of early quality improvement theories and philosophies on the development of the quality indicators you selected

Walden University Quality Indicators | nurs 8302 | Walden University

Pressure ulcers and falls are the two most sensitive quality indicators for nurses that I’ve chosen. These indicators were developed using early quality improvement theories. The philosophy of W. Edwards Deming’s Total Quality Management (TQM) and the Plan-Do-Study-Act (PDSA) cycle have had a significant impact on the development of quality indicators. TQM emphasizes quality improvement through customer involvement and teamwork. The PDSA cycle is a systemic approach to quality improvements. This involves making changes and then studying the outcomes to evaluate the effect of each intervention. These concepts have been used to create nurse-sensitive indicators which aim to increase the quality of patient care.

One nursing research article I selected is “Effectiveness of pressure ulcer prevention strategies for adult patients in intensive care units: a systematic review.” The study aimed to identify effective strategies for preventing pressure ulcers in the ICU. It was found that patients admitted to the ICU with pressure ulcers were less likely to develop them by using pressure-reducing equipment, regular positioning, and skin evaluations. These findings highlight the need to implement these strategies in clinical practice, to decrease the risk of developing pressure ulcers.

The second nursing research article I selected is “Patient Falls in Acute Care Hospitals: An Integrative Review.” The study aimed to identify the factors associated with patient falls in acute care hospitals. Study results showed that medication, age and cognitive impairment were all associated with a higher risk of falling. This study confirms the need to identify patients who are at highest risk of falling and implement fall prevention strategies like non-slip shoes, bed alarms and patient education in order to decrease the chance of them falling.

These indicators could influence how I practice. They may emphasize the need to implement evidence-based strategies that prevent falls and pressure ulcers. In order to prevent pressure ulcers in patients most at-risk, I ensure that they are given and used, as well as fall prevention strategies, for those who have high falls risk. It is my responsibility to educate families and patients about the importance and strategies for preventing falls and pressure ulcers. These nurse-sensitive indicators can help us improve our care for patients, and lower the likelihood of adverse events.

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