Quality of Care in Health Care Settings Essay

Questions Answered What is the problems with attribute misgiving today? Why is quality of anguish wanting in areas? shade of business organization plays an classical role in assuring the standards of nursing performance. By providing specific performance requirements, standards of nursing performance mickle improve and deliver the goods quality of nursing financial aid in wellness care settings (Scope & Standards, pg 33). Quality care is atomic number 53 of the most significant nursing standards of modern age. This particular standard must be down by nurses everyday.One of the main fixs in nursing practice today, is quality of care in the health care setting (iom.edu). Recent reports from the American Nurses Association (ANA) and the Institute of Medicines Quality Initiative (IMQI) brought immediate attention to the public on the collapse of quality of care. The reports focused on the need to recognize, develop, evaluate, and ensure the quality of health care in the U nited States (nursing world.org). Both the ANA and IMQI represent a systematic effort to advance health care quality and patient role safety concerns. Many other institutions apply felt the need for further disciplinary actions to improve quality of care in health care settings.Organizations such as the American Heart Association and Agency for Healthcare investigate and Quality have in any case recommended that the health care system launch a systemic proposal to growth the quality of care. The American Heart Association has made the Quality of Care and Outcomes investigate Interdisciplinary Working Group (QCOR IWG) to provide quality care to heart patients (americanheart.org). The QCOR IWG is a multidisciplinary group committed to making a significant percentage to improving patient outcomes and healthcare quality. The Agency for Healthcare Research and Quality developed a case Healthcare Quality Report to facilitate the needs of patients around the United States. By doin g so, they are breeding awareness to healthcare institutions for the improvement of quality of care (ahrq.gov).Private groups such as the National Quality Forum (NQF), Leapfrog group, and the Joint Commission on Accreditation of Healthcare Organizations (JCAHO)made recommendations and efforts to ensure healthcare quality. alto wreakher of the organizations are trying to make an attempt to lower client dissatisfaction, identify specific quality indicators, and increase the quality of care in every health care institution in the United States (ahrq.gov).A 2004 study, done by the Agency for Healthcare Research and Quality, concluded that 45.1 percent of people were not receiving the care they needed (ahrg.gov). Healthcare systems are now aiming at quality improvement, education, and implementation of quality care (ahrq.gov).The ANA gives reasons for the lack of quality care in institutions today. One of these reasons is the lack of professional care. The registered nurse (RN) has one of the lowest censuses of the healthcare professionals and highest in demand. RNs are now faced with an enormous amount of patients, little epoch to care for their individual needs, and long strenuous call on hours. Longer hours from the nursing shortage lead to RN burn-out. This burn-out creates decreased quality of care, medicaments errors, and an increase of patient safety risks (nursingworld.org).A nurse, D. Thomas, from the local Nursing Home discussed her meter of burn-out. She states,One day, I had thirty patients to care for all by myself. I had two nursing aides that did every topic just medications. The whole day I passed out dozens of meds. They didnt have anyone for the next shift and my coach-and-four asked if I could work some over time. I worked sixteen hours that day. I made three medication errors and two patients had new pressure ulcers, but there was no one else to care for these individuals. The bad thing was, I didnt even care for them, I just handed them their meds. The aides did all of the work because I was so pressured for time. Thats the way it is now, to a greater extent nursing aides and less nurses. No one wants a nurses frolic because it is not what it seems (D. Thomas, in-person interview, October 31, 2007).Some healthcare facilities have instituted more unlicensed personnel to take place of the professional nurse. This is thought to be a way of apace saving money for the institution. Staff substitutions have become majorissues for patients today. In 1996, the ANA conducted a survey examining the concern of the quality of care in health systems. Out of all the adult clients polled, three-fourths indicated a safe concern that good quality of care is harder and harder to find. Thy also concluded that substitutions can be a spry fix to save money, but in the long run, they will minimize the quality of care for the patient (nursingworld.org).Another major issue that limits quality of care is insurers. Insurers are tearing down refund place and decreasing the number of services covered (Scope & Standards, pg 18). I found this statement to be true when I interviewed a patient, C. Erlain, who is a Blue Cross Blue Shield health plan member. He states,My policy does not cover all of my procedures and tests. I am mad because I pay a megabucks of money each month to have good coverage and I dont get the care that I need. One time I was at the doctors and he said that he could solo spend fifteen minutes with me because my insurance does not allow me to go over that amount of time. I was so frustrated. How would I get the care I needed? Even if I got another plan, they would also have restrictions, so I dont get the care that I want or need. If I could say anything to those insurance people, it would be why am I paying for something that doesnt care about my health? Those people only care about the money, not the people. Its unfortunate (C. Erlain, personal interview, November 2, 2007).From my own experie nce in home healthcare, I was only allowed a limited amount of time to spend with the patient depending on their insurance. It was either fifteen minutes, thirty minutes, or one hour. Sadly, this was no perpetually the best scenario for the patient. Although the patient was getting care, it wasnt the care that they would have liked. One patient said to me, Do you have to go already? I was so busy that I could not stay and I knew no one could cover for me, so I left. It saddened me to feel that I hadnt done my job to its full capacity.I had too many patients and too little time. An insurer made my patient visits more of a hello and goodbye.Americans are limited when it comes to healthcare benefits and insurers are escalating insurance premiums (Scope & Standards, pg 18). The estimation of uninsured individuals in the U.S. stinted forty-five millionin 2002 according to the American Hospital Association. Forty-five million Americans will not even have the opportunity to receive any h ealthcare, let alone have quality healthcare (aha.org).To expand the seriousness of the recommendation for quality of care, quality initiatives are going to large and small institutions to implement these suggestions. The government had made the Agency for Healthcare Research and Quality to bring about issues in the quality of care in healthcare settings (ahrq.gov). Implementing this task force helps to improve the quality of healthcare. It also better insures the health client that they will be provided with adequate care for their healthcare needs.Improving quality of care is a team effort. The government bureau, healthcare agencies, and many other organizations are working vigorously to take an dynamical role to enhancing the quality of care in healthcare settings. By doing so, this team effort will reach its goal to help patients to receive the quality of care they deserve.Reference ListAgency for Healthcare Research and Quality. (2007). Guide to Healthcare Quality. Retrieved O ctober 29, 2007, from http//www.ahrq.gov/American Heart Association. (2007). Quality of Care and Outcomes Research Interdisciplinary Working Group. Retrieved October 29, 2007, from http//www.americanheart.org/presenter.jhtml?identifier=3016540/American Hospital Association. (2002). Medical Liability A Looming Crisis? Part I& II. Retrieved November 2, 2007 from http//www.aha.org/aha/research-and-trends/AHA-policy-research/2003-or-earlier.htmlAmerican Nurses Association. (2007). ANAs Safety and Quality Initiative. Retrieved October 28, 2007, from http//nursingworld.org/MainMenuCategories/ThePracticeofProfessionalNursing/PatientSafetyQuality/NDNQI/Research/QIforAcuteCareSettings.aspxAmerican Nurses Association. (2004). Scope and Standards of Practice. Silver Spring, MD ANA.Institute of Medicines Quality Initiative. (2007). Health Care and Quality. Retrieved November 2, 2007 from http//www.iom.edu/CMS/3718.aspx