Quality improvement tools for nursing practice

2019 ◽  
Vol 17 (3) ◽  
pp. 47-51
Author(s):  
Turna L. Harkness ◽  
Richard L. Pullen
2019 ◽  
pp. 105984051988060 ◽  
Author(s):  
Diane Davis ◽  
Erin D. Maughan ◽  
Krista A. White ◽  
Margaret Slota

A gap analysis was used to examine the scope of school nursing practice in the United States. An investigator-developed 39-item self-assessment survey of scope of school nursing practice was modified from an existing validated tool, organized around the five principles of the National Association of School Nurses’ Framework: Standards of Practice, Quality Improvement, Care Coordination, Community/Public Health, and Leadership and also explored barriers to practice. The survey was sent to a national convenience sample of practicing school nurses. The survey was completed by 3,108 practicing school nurses. Gaps were identified for all principles and were greatest for Quality Improvement and Community/Public Health practice. All practice items were rated more important than the ability to practice that item ( p < .001). Self-identified barriers including workload, school/district expectations, and state regulations accounted for significant variances in practice across four of five principles ( p < .05, p < .001). Recommendations include support for population-focused evidence–based school nursing practice.


2021 ◽  
Author(s):  
Jane M Carrington ◽  
Rene Love

Telehealth is a means for providing care to our rural patients. This mode of healthcare delivery is not without challenges with technology, research, quality improvement, practice and education. Here we present the TRIP-E Meta Model. This model was derived from a two phased process. First, we performed a review of literature and from this developed the first attempt at model development. Second, we took student evaluations from a telehealth education program for Doctor of Nursing Practice students. Based on their feedback, we then further advanced the first model to the TRIP-E Meta Model. This model is a comprehensive guide to research, quality improvement, practice and education. As a meta model, the TRIP-E can have other theories applied for projects. This feature of meta models provide flexibility for the model. We invite others to test this model for its flexibility and usability.


2012 ◽  
Vol 25 (2) ◽  
pp. 194-198 ◽  
Author(s):  
Marian C. Turkel ◽  
Marilyn A. Ray ◽  
Lynne Kornblatt

The discipline of nursing embraces the unitary-transformative paradigm and its theories that focus on nursing with attention to the language of humanbecoming, holism, relationship, authentic presence, caring, ethical interaction, complexity, pattern, energy, and recognition. In hospital nursing practice the medical paradigm is more prevalent and focuses on regulatory compliance, the standardization of technical language of the electronic health record, and the implementation of evidence-based practice initiatives for patient safety and quality improvement. Nursing and nursing theories are considered a moral enterprise; they involve seeking the good or caring for patients, others, and complex systems. With the continued influence of the medical paradigm, the questions for nursing are: what kind of good does nursing want to promote, and what unique contribution to patient care do nurses provide through their language, theories, and practice? A new mnemonic of Recognizing, Connecting, Partnering, and Reflecting is proposed.


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