Quality & Safety In Nursing
Case Summary
The matter of quality and safety in nursing takes center stage among several health care sectors across the globe. Notably, the various disparities associated with ethnicity and race that exist in the United States are directly linked to the lower quality of health care among minority groups. Many research studies, as well as public health care reports, show that specific needs of culturally and linguistically diverse individuals, are often underserved. Minority groups succumb to negative treatment, which in turn results in differential health care outcomes. Besides, some healthcare personnel does not seem to be competent with basic fundamental principles leading to poor quality and unsafe nursing techniques (Mackintosh, Watson, Rance, & Sandall, 2016). To address such issues in the United States, profound changes in the entire health care system are necessary.
For this reason, health care institutions in the United States have endeavored to adopt the appropriate and competent service delivery practices and strategies that would enhance the quality and safety of these various minority groups. Besides, the primary objective in nursing is to reduce discrimination among health care workers, curb the disparities associated with health care, and enhances cross-cultural communications as well as ensuring swift responsiveness to the health needs of a diverse population. The paper analyzes the potential strategies to address the needs of a diverse patient population and the core competencies for health care professions.
Potential Strategies to Address the Needs of a Diverse Patient Population
Health care institutions and organizations need to adopt specific strategies to address the needs of an ever-increasing culturally appropriately and linguistically diverse patient population. For instance, employing more health care workers from diverse backgrounds would be an effective strategy for the health care organization (Shepherd, Willis-Esqueda, Newton, Sivasubramaniam, & Paradies, 2019). Precisely, this enables the staff of the institution to speak a variety of languages and understand the needs of patients from minority groups. Further, they should also involve professional interpreters as well as intercultural mediators in their systems.
These would ensure smooth communication between the patients and health care providers. In addition to that, patients from diverse cultures should be involved in the development of health care services, as this would result in a more responsive care strategy (Truong, Paradies, & Priest, 2014). Precisely, this is because the patients and diverse communities can involve in the implementation of new care changes. These approaches should target the disadvantaged minority groups that would often be neglected in the implementation processes. Therefore, they should primarily focus on the challenge of creating an inclusive health care system.
Core Competencies for Health Care Professionals
All health care professionals should possess particular core competencies to provide the appropriate care to patients from diverse backgrounds. For instance, they should be able to apply quality improvements through analyzing the hazards and errors in treatment and finding an effective way to avoid or minimize them (Agarwal, 2014). Precisely, they should be able to implement and comprehend the fundamental design standards. They ought to be precise about their objectives in a particular health care setting and how they will assess the improvement after a change has occurred. Furthermore, these health care professionals should be able to implement evidence-based practice. Perhaps this can prevent or reduce the wastage of health care resources through promoting continuous health practices. These professionals should be able to appropriately utilize evidence to deliver patient care to diverse patient populations. Besides, this enables them to know whether the treatment is producing improved outcomes. Health care professionals should also be able to provide patient-centered services to patients (Johnson, 2016). Moreover, this ensures that clinical decisions are guided by the values and needs of the patients.
Conclusion
In summation, the quality and safety of health care among culturally and linguistically diverse patient population is still low, which has led to poor quality of life among the various minority groups in the United States. However, health care institutions should adopt specific approaches to realize significant improvements in this area. Besides, they could employ more health care workers from diverse backgrounds who can speak a variety of languages and understand the needs of patients from minority groups. Nevertheless, all the health care personnel should possess core competencies, the ability to implement and understand fundamental design standards. Moreover, they should also be able to apply evidence-based practice when delivering health care services to their patients.
References
Agarwal, R. (2014). Quality-Improvement Measures as Effective Ways of Preventing Laboratory Errors. Laboratory Medicine, 45(2), e80-e88. doi:10.1309/lmd0yifptowzonad
Johnson, J. K. (2016). Case studies in patient safety. Case studies in patient safety: Foundations for core competencies. Burlington, MA: Jones & Bartlett Learning.
Mackintosh, N., Watson, K., Rance, S., & Sandall, J. (2016). I’m Left in Fear: An Account of Harm in Maternity Care. The Story of Amelia (United Kingdom). United Kingdom: Jones & Bartlett Learning.
Shepherd, S. M., Willis-Esqueda, C., Newton, D., Sivasubramaniam, D., & Paradies, Y. (2019).
The challenge of cultural competence in the workplace: perspectives of healthcare providers. BMC Health Services Research, 19(1). doi:10.1186/s12913-019-3959-7
Truong, M., Paradies, Y., & Priest, N. (2014). Interventions to improve cultural competency in healthcare: a systematic review of reviews. BMC Health Services Research, 14(1). doi:10.1186/1472-6963-14-99
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Question 
Readings: Chapters 8 and 9 in the textbook (3rd edition), Chapters 4 and 7 in textbook (2nd edition)
View video on “Just Culture” at: https://www.youtube.com/watch?v=5mR6e-uhR7c
Quality & Safety In Nursing
Skim the following IOM reports:
Aspden, P., Wolcott, J., Bootman, J. L., & Cronenwett, L. R. (Eds.). (2007). Preventing medication
errors: Quality chasm series. http://www.nap.edu/catalog.php?record_id=11623
Frankel, Leonard, & Denham (2006). Fair and just culture, team behavior, and leadership
engagement: The tools to achieve high reliability. Retrieved from
http://www.ncbi.nlm.nih.gov/pmc/articles/PMC1955339/
Stead, W. W., & Lin, H. S. (Eds.). (2009). Computational technology for effective health care:
Immediate steps and strategic directions. http://www.nap.edu/catalog.php?record_id=12572
Discussion Question 2:
Do you have a “Just Culture” at your place of nursing employment? If you do, please explain how this culture is communicated and reinforced within the workplace. Provide an example of a situation in which “Just Culture” was evident.
If you do not have a “Just Culture” at your place of nursing employment, how might it be initiated? Provide an example of a situation in which a “Just Culture” orientation would have been useful and effective.
A common finding in nursing informatics is that nurses develop work arounds when the technology does not work or is inadequate for documentation.
What examples have you seen of work arounds in your practice setting?
What issues do the work arounds present for patient safety and care quality?
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