NURS FPX 6210 Assessment 1

NURS FPX 6210 Assessment 1 Care Setting Environmental Analysis

The healthcare sector is one of the fastest-growing industries in the new world. Hence, it is essential for any care setting to develop and sustain competitiveness first, for it has to battle numerous challenges and competitions. The first of them is that a need for more staff training is the primary concern that hinders the performance of an organisation in a particular care setting. At the same time, competitive advantage implies the existing factors that give the organisation an advantage and provide services more efficiently than the competition (Twin, 2022). To do this very effectively, an organisation must prove the degree of difference more profound than the competing sectors.

Moreover, for continuous improvement and enhancement of competitive advantage, the leaders must also consider environmental needs. As seen in this section, this will assist in modulating risks and the absence of adequate elements from the external milieu. However, this study critiques the identified care setting to determine the benefits of the achieved goals.

Stories and Evidence about Best Organizational Performance

During interviews in the city hospital, the respondents mentioned that sustained shortages were observed in the healthcare system concerning qualified staff when the COVID-19 pandemic intensified sify. It was also clear that an effective organisation is also rapid in responding to a crisis, as was shown by the behaviour of the hospital. Of course, this also meant that there were often not enough trained personnel to provide adequate levels of care, and this specifically led to higher levels of medication errors, excessive workloads and thus staff burnout, and lower levels of satisfaction both for the staff and the patient, and increased costs in the healthcare service sector. Analysis of the results culminated in the understanding that the hospital has been registering a very high speed in response to the COVID-19 pandemic. Additionally, the hospital admitted many patients rapidly and started its work to treat the patients receiving them. Nevertheless, this critical work demonstrated that patient quality and safety did not only depend on this attribute. One of the persistent business preconditions is described by Porter (2008) as regular training, a crucial success factor for driving an organisation’s development more than a competitor’s.

Relevance to Quality and Safety

The above story demonstrates how the hospital could not achieve its quality and safety goals during the COVID-19 pandemic. The hospital’s response to the crisis was characterised by a lack of training, personnel education, and an incrA lack of training, personnel education, and increased workload characterised the hospital’s response to (crisis-era et al., 2018). All these shortcomings greatly hindered the achievement of quality and safety goals.

Positive Themes and Uncertainty

The positive aspects depicted in the story include patient safety, time efficiency in managing crises, multi-disciplinary teamwork and communication, and flexibility when dealing with unanticipated situations. Several gaps in the synthesis could help the synthesis to be more thorough: adequate training of healthcare staff, some specifics of dealing with COVID-19 patients, how to properly manage burnout, job satisfaction, and data about the patient satisfaction rates of the hospitals in question during this unprecedented time.

One case is the experience of the global healthcare systems in handling the COVID-19 outbreak. However, COVID did not take healthcare professionals off guard for long. Throughout the intensity and the shifts in the situation, healthcare staff worked tirelessly to ensure the protection of the patients and the provision of the best care possible. It became one of the leading causes of worry in hospital systems, and preventive measures were taken to minimise the chances of spreading the disease by ensuring the use of protective gear, limitations on the number of visitors allowed inside the hospitals, and strict measures on the cleaning and disinfection of surfaces and equipment. Moreover, healthcare givers exchanged information through a multidisciplinary approach and developed new treatment procedures like convalescent plasma and monoclonal antibodies. A significant challenge, which included an inadequate number of staff in the unit and a high probability of contracting the virus, did not deter them from providing quality care to the affected patients. Nurses sacrifice long hours. Most of the time, they work even at night; hence, they have little time for their families. To ensure patients receive the best care, some even extended their responsibilities by working in the intensive care units or assuring end-of-life care. Of course, such actions have helped sequester the virus and prevent it from spreading while saving countless lives (Peters et al., 2019).

Another is Electronic Health Records (EHRs), which are tools that can be used to support specimen knowledge. EHRs are electronic, individually identifiable patient records accessible to healthcare providers. At any time, EHRs help avoid mistakes and provide an overall and more effective reference picture of a patient’s condition and all-inclusive state. Finallalertsrts for drug interactions and logic relo may make EHRs helpful in reducing the likelihood of medication errors.

Finally, new measures have been implemented to improve patient safety and increase the quality of care in healthcare facilities. For example, “rapid reaction teams” are stationed in various hospitals to respond instantly to changes in a patient’s condition, such as high blood pressure falling drastically (Lancaster et al., 2020). These changes might indicate adverse outcomes, so the actions of those healthcare organisations’ staff can ensure the outcomes are improved before the research turns out to be negative. Additionally, some mechanisms can help reduce HAIs in various hospitals, such as antibiotic stewardship and hand hygiene (Harun et al., 2022). Research shows that earlier implemented measures to address these issues were associated with reduced cases of HAIs.

Measures of EHRs, COVID-19 prevention measures not marked down in patients’ charts, patient safety initiatives aimed at reducing HAIs, and other measures have been implemented in healthcare to improve patient safety and the quality of care. Such data to support these initiatives pinpoints their effectiveness in enhancing patient experiences and preventing adverse events.

Positive Themes

Collaboration and partnerships among healthcare stakeholders play a significant role and are pleasant. In all of the scenarios stated above, different healthcare practitioners worked together to design policies that would help improve the safety of patients and the quality of the healthcare services offered. Statistics, achievements, and recognition can prove that these points are accurate. For example, efforts implemented toward achieving EHRs may be quack or receive an award if healthcare systems have applied the EHR adequately. A notable recognition is that organisations such as The Joint Commission and the National Council for Quality Assurance can confirm that healthcare organisations follow a set of care protocols. Consequently, it may be possible to obtain information proving that particular actions have benefited the clinical environment, for instance, low incidences of HAIs and better patient outcomes. It is vital to note that these bright ideas and evidence may be used in any form of healthcare. 

Goals for Improvement

Below, I am presenting you with a few possible positive, reachable goals for improving the quality and safety of our care setting, as we are a city hospital.

This is necessary to improve interprofessional relations between the teams and the patients and establish measures to help boost patient satisfaction rates. (Lotfi et al., 2019).

Nursing, medical doctor, and pharmacist employees’ training standards boost care results. As stated in recent research, it was revealed that various simulation sessions allowed the validation, taxonomy, and staff training through the fast dissemination of substantive derived from previous sessions with all employees across the firm (Foong et al., 2020). Lower the Acquired development at a healthcare facility infection rates by applying evidence-based best practice measures, such as increasing compliance with hand hygiene, enhancing cleaning and tidiness of healthcare facility environments, and enforcing antimicrobial stewardship programs (Gidey et al., p. 312, 2023).

Promoting valorised cultural care, diverse staff hiring, and community organisation collaboration to modify factors that affect health to support the cultural competence plan and decrease health inequalities. Healthcare facilities could develop and implement various patient communication plans to enhance patient understanding and participation in treatment. This may involve providing the patients with handouts, translating to known local languages where necessary, and using small, understandable words to explain some medical concepts. Therefore, hospitals should use safety measures in pharmacology, including bar codes and alerts on drug interactions, to reduce the chance of prescription errors. They may also influence patient and healthcare professional behaviour and knowledge regarding safe drug consumption.

This may be achieved by hospitals making easy access to their services by offering telemedicine services, increasing the number of hours they operate, and reducing the time it takes to schedule an appointment. This may improve the quality of service delivery and the patient’s results, thus enhancing patient satisfaction. Ensure hospitals develop discharge and patient education programs to prevent readmissions. Information may also be used to track readmission concerns and identify areas of high concern.

Here are some policies, procedures, or practices for addressing staffing shortages in healthcare environments: Talent management and Staff training and development are two methods.

Ethical and Culturally Sensitive Improvements

The advancement of quality and safety measures would introduce improvements in care that are moral and culturally appropriate. An ethical need in healthcare delivery is to inflict patient harm; therefore, decreasing the rate of HAIs is an example of this. Healthcare organisations might enable patients to connect with professionals of this or that ethnic background, hence increasing the number of representatives of the healthcare world among people of different cultures and language levels. It may help enhance the prospects for patients’ health and reduce concerns associated with communication gaps. In addition, there is a possibility of multicultural healthcare providers with innovative understanding of their patients, thus improving cultural sensitivity and overall patient care. Finally, enhancing drug safety and reducing readmission can best meet patients’ needs by providing them with excellent protection and better outcomes. Here, by focusing on such objectives, healthcare facilities can prove that they are willing to provide ethical and culturally sensitive treatment to their patients, which is imperative when addressing social justice and health equity initiatives Handtke et al., (2019).

Alignment with Mission and Vision of Care Settings

Thus, the identified goals must align with the healthcare facility’s mission, vision, and values to ensure that verified objectives are realistic and crucial for the City Hospital’s organisational development and improving the quality and safety of the supplied services. The recommended goals to reduce HAIs, increase interpersonal communication with patients, increase drug safety, increase access to care, and reduce readmissions reflect the facility’s mission, vision, and corporate values statement. For example, decreasing prescription errors and healthcare-associated infections is linked to patient safety, while increasing patient’s accessibility to availing treatment and communicating with them is related to patient-centred care. Low readmissions are also helpful in discharge planning for an organisation’s objectives of improved client status and decreased expenditure on medical costs. Suppose that improvements in quality and safe patient outcomes are the aims of City Hospital. In that case, the latter must ensure its staffing targets are compatible with its religious beliefs.

Assumptions

Achieving the below-outlined goals in satisfying the proposals aimed at improving the quality and safety of a healthcare organisation’s patient care can cause ethical and culturally sensitive movements. Training, supporting, providing resources, and developing policies for workers can help handle ethical questions better (Hunt et al., 2011).

The education of health care staff plays a vital role in minimising ORs and enhancing care outcomes, thus holding the care setting accountable as part of its mission towards becoming a premier care facility offering excellent and safe care. Adhering to the policies to eradicate HCIs enhances patient safety, increases rural relevancy, and eliminates the gaps in patients’ standard care. It complies with the safety- accountability-diversity-and-inclusion plan of the care setting. The following is the ValOT Analysis of Care Setting from Section Two – Understanding the Context.

Narrative description: SWOT is a tool for strategic planning that aims to define the characteristics of persons or organisations: strengths, weaknesses, opportunities, and threats (Teoli et al., 2019). It is time for a SWOT analysis, which is a Strengths, Weaknesses, Opportunities, and Threats analysis of a business entity done by evaluating the internal and external business environment and firm resources available. I used the SWOT Analysis Worksheet for healthcare organisations by the Centers for Medicare and Medicaid Services (CMS) in its simplest form as a guide to conduct the analysis. Internal and external organisational environment: I analysed factors that affect a hospital’s endeavour to attain quality and safety. It was objective; thus, I tried to factor in other views and contradicting evidence to balance it. The key findings of the analysis about quality and safety are described as follows: The key findings of the analysis about quality and safety are described as follows:

Strengths:

• The hospital organised itself well during the COVID-19 pandemic and admitted the commandments almost immediately.
• There is a mission, vision, and values according to the hospital’s requirement for a suitable priority and safety plan.
• These strengths can enhance job performance and demonstrate top-notch, safe care delivery and better patient performance.

Weaknesses:

• Concerns in the hospital, such as a shortage of qualified staff, poor quality of care, and increased prescription errors, resulted in repercussions for the staff during COVID-19.
• The findings highlight the following recommendations: Hand hygiene compliance and environmental cleaning in the hospital need to be enhanced to decrease HAIs.
• Patient engagement in healthcare settings based on communication between employees and customers can be strengthened to deliver patient-centred care.

These drawbacks can lead to the failure to attain the desired quality and safety standards in providing care since quality and skilled staff are cut, workload and frustrations for workers are created, and health-expensive costs are pushed up.

Opportunities:

• From the hospital’s perspective, the hospital can ensure that adequate training is offered to the healthcare staff to help improve care processes and reduce staff burnout.
• Updated infection control and prevention measures should be strictly followed in hospitals to decrease HAIs and enhance patient safety.
• The hospital can collaborate with governmental and non-governmental organisations to influence and change the social determinants of health that affect the population and decrease health inequalities.

The following opportunities can help offer avenues to improve the quality of safety plans by putting into practice the research findings and adopting creativity in solving problems.

Threats:

• To manage and facilitate the change, the hospital might need to seek assistance in executing the strategies outlined above.
• Forcing the hospital’s practices to change can require more support staff to accept the new training or infection control strategies.
• These other health organisations may threaten the hospital’s stability by challenging its quality and safety results.
• These threats can interfere with the delivery of quality and safety in care because they result in a need for more resources and more demand. This makes planning and managing for improved efficiency and positive outcomes pertinent.

In conclusion, the SWOT of the hospital analysis highlights all the factors that define its strengths and weaknesses as well as opportunities and threats that might impede its achieving the set quality and safety goals. Thus, the hospital must focus on mitigating the effect of its weaknesses while at the same time strengthening its areas of strength and realising opportunities to lessen risks and increase the chances of delivering quality, safe and culturally sensitive care to patients (Strongitharm, 2022).