Journal of nursing care quality
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The Quality Assessment and Performance Improvement (QAPI) model seeks to improve the structures and processes of delivering healthcare to gain better outcomes in patient care. The goal of the model described in this article is to create an integrated approach for hospitals to meet the Center for Medicare & Medicaid Services (CMS) quality requirements. ⋯ The Safety without Restraint task force of Swedish Covenant Hospital was created to evaluate compliance with CMS restraint standards and identify discrepancies that would provide multiple opportunities to improve performance. The use of this model provided nurse leaders an opportunity to improve patient care as well as meet the CMS requirements for QAPI.
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Ethnographic methods can provide insights into patients' perceptions of quality of care. We used ethnographic methods to examine problems related to answering patient call lights on one inpatient unit in the hospital. ⋯ These included answering the call bell, communicating the patient's request, and following through with the request. Results of this study provided a deeper understanding of the nuances of power and control embedded within the issue of patient-caregiver communication and empowered unit staff to find solutions to the call bell problem.
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The purpose of this research was to examine the incidents of verbal abuse faced by nurses in the workplace in the last year. Data were collected from 290 hospital nurses in Turkey. The study found that the majority of nurses had faced verbal abuse (n = 233, 80.3%). The findings from the research confirm the need for urgent and continuous plans for addressing verbal abuse in the workplace and for adoption of zero tolerance.