Why Leadership Matters : Observation Of Patient Experience / Care

According to Werner, there are six components to providing quality health care: safety, timeliness, effectiveness, efficiency, equitableness, and lastly the care being patient centered (Cherry & Jacob, 2014, pg. 378). Each component can be broken down to ensure adequate understanding of the acronym STEEP. Safety is explained as keeping the patient free from injury when providing care proposed to making the patient better. Timeliness is referred to as providing care in a timely manner so that the possibility of harming the patient is greatly decreased – even if the delay is unintentional. It is important to understand that harm caused to patients are not done with intent to do harm; however, it is a result of poor quality health care. The third factor, effectiveness, is aimed at providing evidence based care. Not only does the care need to be based on current practices and knowledge;

We believe that in order for children to receive quality care and early learning that suits their individual needs, parents and staff need to work together in a close partnership. The two-way sharing of information is key to this. The nursery team welcomes parents as partners and this relationship needs to be built on trust and understanding. It is important that we, as practitioners, are able to support parents in an open and sensitive manner. The nursery wishes to ensure parents are an integral part of the care and early learning team within the nursery.

one of the key messages is “Strong links between the setting and other professionals such as health visitors and community paediatricians are vital” (EYFS factsheet cited in E105 (2010). This enables the practioners to gain information and advice on activities to promote the child’s development according to the child’s need. For example; to develop a child’s understanding of the routine, an outside practioners suggested to use objects for object reference; i.e. a nappy for when their nappy needs to be changed. This then developed the child’s understanding and in time will make them realise where to go without adult support.

In order to work in partnership with parents, practitioners should work very closely with the parents and carers of each individual child to make sure that there is continuity in provision in the setting and at home by inviting information about children’s interests, sharing information about learning activities, discussing children’s development and accessing children’s progress. Parents and carers are the most continuous adults in a child’s life and that makes the transition process easier for the child as long as they are kept informed about the transition process as the child progresses from the home setting through Foundation Phase settings and then into Key Stage

When talking about quality and safety, the deficiencies with the management and ability of the NHS have their own evidence and signs. This is due to extended and unacceptable waiting times for treatment, medical and non-medical care being of poor quality. Dirty hospitals, inflexible

Healthcare services offered to individuals based on scientific evidence can increase the desired healthcare outcomes prioritizing safety and timeliness. Quality measurement using reliable, valid and standardized tools can analyze the effectiveness and efficiency of purposeful care provided promptly. Quality of care focuses on making the overall care experience better, and safety is an essential component added to quality care to inhibit hospital errors. According to the Journal of Patient Safety, more than 400,000 people die due to hospital errors. Therefore, healthcare teams should ensure safety as the number one priority to protect patients from errors, injuries, accidents, and infections

In every health care setting it is important to give good quality care and excellence service to patient in other for them to maintain their illness independently and also reduce the amount of money spent in the NHS to prevent infections and diseases. Quality is said to be safe, effective and it result to patient positive outcome.

High quality healthcare in today’s National Health Service (NHS) is defined by NHS England (2013) as having three essential components. Firstly clinically effective care that is seen by patients not just clinicians; secondly that care is safe; and third, care that delivers a positive experience for the patient.

I had a busy first week of leadership clinical. Leadership clinical is about being the RN. This entails acting, listening, and knowing what an Rn is expected to know. Therefore, clinical expectations on higher. I believe in the first week that I did meet some level three objectives.

Safety in care not only impacts patients and families who utilise health care services, but also impacts the organisation as a whole (Landgren, 2008). Overwhelming evidence has found that failure to meet quality standards of care may result in negative outcomes, such as increased costs for organisations, permanent injury, increased length of stay for patients and even death (Steinwachs & Hughes, 2008). Furthermore, failure to meet standards of care puts the organisation’s reputation in jeopardy, as this reflects the standard of care that people would expect from such health institutions (Steinwachs & Hughes,

Helen, I totally agree “that as a leader, you have to love and care for those you lead.” I believe that everyone who puts effort in good patient care should be recognized and given the credit for. I have seen leaders who just pat their own backs for meeting certain goals in patient care and ignore those who put the most effort in the patient care. For an example, I know a leader who set deadlines to meet patient goals and once the goals were met, she never brought up the names of the people who worked hard and the manager ended up with big check while others were just given pizza for her celebration. To me that is a bad leadership. To become a good leader, we must recognize all the hard work RN’s and CAN’s put in.

The definition of quality provided by Institute of Medicine (IOM) specifies quality as “The degree to which health services for individuals and populations increase the likelihood of desired health outcomes and are consistent with current professional knowledge”. The AHRQ defines quality as “doing the right thing for the right patient, at the right time in the

“High-quality care is defined in the Fund’s National Scorecard as care that is effective, safe, coordinated, and patient-centered.” This explains that quality in eyes of the commonwealth fund was split into four categories, which I will explain further.

Rivers and Glover (2008) provided a notion that quality of care is of great important in the hospital settings. Quality of care refers to the production of the high quality health and satisfaction of patents. In relation to health practitioners, quality of care is related to technical and doctor-patient interaction. On the other side, technical factor of quality of care links with two dimensions. One is the appropriateness of services and other is skills to provide high quality of care to patients. Improvement in the quality of care contributes to reduction in costs and high level patient satisfaction.

The data are collected from observation of over 100 patients’ visits, 50 of which were observed and audio taped. The research questions that are asked by Davidson are: