Quality Nursing Care Paper

Over the past two decades, EBP has expanded on Florence's theories. EBP constitutes the combination of clinical expertise, patient values, and research evidence when making decisions about patient care. In the 1990's, it was determined that just increasing knowledge was not sufficient for improving patient outcomes. To obtain better patient outcomes "new knowledge must be transformed into clinically useful forms, effectively implemented across the entire care team within a systems context,

Florence Nightingale paved the way for patient centered care in nursing. She realized that patients should be treated with dignity, respect and treatments that are in the best health interest of the patient. The Institute of Medicine defines patient-centered care (PCC) as “care that is respectful of and responsive to individual patient preferences, needs and values,” ensuring that patient values guide all clinical decisions. (Finkelstein, 2012) Being hospitalized can be a stressful time for many patients and their families. Nurses spend more time with patients than any other healthcare team member. In patient centered care, nurses provide the knowledge, resources, and support that each client needs to be involved in informed decision-making processes, assume important aspects of total self-care (if capable), and change behaviors to promote health and a better quality of life (Hood, 2015). The overall health outcome of patients revolves around patient centered care. Establishing a healthy nurse-patient relationship is key to patient centered care.

The interdisciplinary field of healthcare continues to evolve and the demand for nurses continue to rise; as does the quality of patient care provided. One could suggest the importance of how patient care began is as significant to understand, where it should be and is going. Health care advocates such as Esther Lucille Brown, whom contributed to the standardization for accreditation nursing education programs, and Florence Nightingale, whom brought nursing to modernization and set the precedence for quality patient centered care continue to influence health care and nursing (Finkleman & Kenner, 2016). Health care leaders of this era influentially lead to organizations, such as Institute of Medicine (IOM) that promotes quality care through core competencies, and the American Nurses Association (ANA) holds true to the legacy of nursing while guiding the future of nursing with foundational guidelines such as the Code of Ethics.

Florence Nightingale was an immense impact on nursing, who “became famous for her revolutionary work as a nurse during the Crimean War” (Kent 30). “She dedicated her life to improving conditions in hospitals, beginning in an army hospital during the Crimean War,” (3 Registered). Her actions were then used by “concerned individuals, rather than by professionally trained nurses” during the Civil War, (Registered 279). Many of Nightingale’s ideas were brought into modern times, but with the improvement of technology and licensed nurses. With the influence and patience of Florence Nightingale, nursing has evolved into an outstanding career.

The concept of environment and its integral role in the delivery of nursing care was among the first identified and documented nursing theory since its early days. Florence Nightingale pioneered the profession of nursing and along with it, pioneered the concept of nursing theory. Her environmental theory was patient focused and incorporated five environmental components needed to promote health. Jarrin (2012) supported that the role of nursing is to promote the best possible environment for the patient to assist in their natural reparative process. According to Rahim (2013), as considered as the profession’s first nurse theorist, Florence Nightingale provided the essential foundation in environmental theory. She believed

Nurses are the primary caregivers in all health care settings. Nursing care is an essential part of patient care and delivered in many diverse settings. The quantity of nurses and their vital role in caregiving are compelling motives for determining their impact to patients’ experiences and outcomes. The degree of patient’s satisfaction with nursing care is an important indicator of the quality of care delivered in health care environments (Atallah, Hamdan-Mansour, Al-Sayed, & Aboshaiqah, 2013). The impact of nursing care on health care quality cannot be overlooked. In the paragraphs that follow to gain and offer a better understanding of the health care quality model, this author will: give a personal interpretation of health care quality, discuss health care trends in the United States and what makes an organization a high or low performing agency, describe how the main goal of the Institute of Medicine (IOM) affects nursing care, and address nursing responsibility to health care quality according to the American Nurses’ Association (ANA) Code of Ethics.

Nursing has evolved as a scientific discipline and is starting to emerge into professional status. One of the great leaders in nursing who helped this change take place was Florence Nightingale. Nightingale is considered as a pioneer in the nursing profession. She has contributed a lot in the field of nursing and her works are considered as assets, and will be remembered for many years.

For the longest time women were never looked up to be hero’s. Women were always given a roll and expected to follow it, that being to marry and have kids, not ever having to truly work. Then, there was Florence Nightingale who believed at an early age, that she could make a difference. In analysis of historical images and poems, Florence Nightingale was represented as a courageous and helpful woman. Propaganda during this time period played a huge role in advertising Nightingale and her accomplishments. Florence Nightingale took a stand during the 1850’s often portrayed as someone who couldn’t succeed in the path she wanted to follow. However, Nightingale quickly earned the nickname “The lady with the lamp” and drastically changed the

There are many aspects that a health care worker must have while working with patients but quality patient care is an aspect that will help exceed while at work. Factors that come with quality patient care are attitude, actions, and quality of work. Having these factors in the right way will show your patients that you care about them and you want to help them.

I have completed 174 hours between both clinical sites. I have completed my primary care hours and have one more day with my women’s health preceptor. The situation discussed below is an example of Joanne Duffy’s Quality Care Model. The Quality Care Model focuses on the importance of forming caring relationships among patients, their families and the healthcare team to improve patient outcomes. During my women’s health rotation, we had a 15 year old girl come to the office because she was having irregular menstrual cycles. I went into the exam room, while my preceptor stayed in his office reviewing charts. When I entered the room, the patient was sitting on the exam table, obviously nervous. She was looking down, shoulders slouched, fidgeting her hands, and swinging her feet. Her mom sat in the chair next to her. I introduced myself to the patient and her mom.

As described by Finkleman (2012), Nursing models provide an infrastructure that decreases variation among nurses, the interventions they will choose, and, ultimately, patient outcomes. There are many barriers and uncontrollable adjustments in the healthcare setting that have lead employers in search for more effective ways of managing patient care and providing nursing care. The nursing care models utilized for a given area is often determined by the specific needs of the patient population and facility. For example, although older models are less likely used in acute care hospitals, those particular models may be more suitable for a long term skilled nursing facility. Despite what nursing care model is used, the ultimate

I feel like high quality care is important in the health care because without it a hospital or a physician's office can't be successful or stay on top. Poor quality of care do nothing but simply push patient away or ruin the business in a heartbeat. In the past couple of years I've noticed a change on the waiting

The concept of environment and its integral role in the delivery of nursing care was among the first identified and documented nursing concept since its early days. Florence Nightingale pioneered the profession of nursing and along with it, pioneered the concept of Nursing Theory. Her Environmental Theory was patient focused and incorporated five environmental components needed to promote health. Jarrin (2012) supported that the role of nursing is to promote the best possible environment for the patient to assist in their natural reparative process. It dates back from the time of ancient Greek philosophers and historians, including Plato, Hippocrates, and Aristotle, whose works are studied by Nightingale in her early years. According to Rahim (2013), as considered as the profession’s first nurse theorist, Florence Nightingale provided the essential foundation in environmental theory. She believed that some laws of nature, when applied and integrated into nursing care, can assist individuals in restoring their health during their illness, and, in those who are already healthy, promote health and prevent illness.

Florence Nightingale, the founder of modern day nursing, has had a huge impact on professionalization and standardization throughout the years. In 1820, Florence Nightingale was born into the aristocratic social sphere and it was the aristocratic woman who visited and brought comfort to the sick and poor. In 1850, Nightingale began her training as a nurse at the institute of St. Vincent de Paul at Alexandria, Egypt. When she was about thirty five years old she gathered a small group of untrained woman to the British hospital where wounded soldiers rested during the Crimean war and provided organization and cleaning of the hospital and provided care for the wounded soldiers. Following the Crimean war, she founded the first training school for Nurses at St. Thomas Hospital in London in 1860, and that would become the model for nursing education in the United States.

Nursing is a profession that takes up a role in providing quality health care for a patient and ensuring that the patient’s holistic health is being recovered. All nurses have different scope of practice, but it is up to the nurse to be able to delegate the appropriate care needed for the patient. According to Quality and Safety Education for Nurses (QSEN) initiated a quality and safety competencies for nursing and proposed targets for the knowledge, skills, and attitudes to be developed in nursing pre-licensure program. Nurses are supposed to master Patient-Centered Care, Teamwork & Collaboration, Evidence Based Practice, Quality Improvement, Safety and Informatics (Quality and Safety Education for Nurses, 2014). Nurses should be able to