Quality Improvement for Nurse Managers

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Quality Improvement for Nurse Managers

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Quality Improvement for Nurse Managers
Engage Staff and Improve Patient Outcomes

Cynthia Barnard, MBA, MSJS, CPHQ; Barbara J. Hannon, RN, MSN, CPHQ

A complete guide to quality improvement for nurse leaders

This book and CD-ROM clearly outline a nurse leader's role in quality improvement and offer simple instructions to improve patient outcomes through nurse  education and engagement. In an easy-to-understand format, this guide explains how to engage staff, how to choose, measure, and benchmark nursing quality data, and how to use QI projects to achieve positive results.

This resource provides:

  • A simplified approach to quality improvement reporting, benchmarking, and staff engagement
  • Easy-to-understand explanations on how to collect and report data in a meaningful way
  • Specific sections on nursing quality indicators, staff engagement, and benchmarking to help hospitals striving for ANCC Magnet Recognition Program® designation*
  • Customizable tools and templates that you can put to use immediately
  • Practical guidance on a topic many nurses struggle with— a recent poll featured in The Joint Commission's Journal on Quality and Patient Safety found that 40% of nurses are poorly educated about quality improvement

Take a look at the Table of Contents:

CHAPTER 1: Quality Improvement As a Management Tool
Why Quality Improvement Matters
The History of QI in Healthcare Delivery
The History of QI in Nursing
Public Disclosure of Quality Data
What Is Quality?
Quality Is a Property of a System
Quality Improvement and Patient Safety
What Do Leaders Do to Improve Quality?
Common Pitfalls
Self-Assessment Checklist

Chapter 2: The Role of Nursing in QI
Nurses at Every Level
Barriers to Nurse Participation

Chapter 3: Quality Improvement Planning
Mission, Strategy, Leaders, and Customers
Management Goals
Budgeting and resource allocation
Common Pitfalls
Self-Assessment Checklist
Related Concepts

Chapter 4: Quality Measurement, Monitoring, and Analysis
Introduction to Measurement
Data Analysis—An Overview
Common Pitfalls in Data Use
Self-Assessment Checklist

Chapter 5: Nursing Sensitive Indicators
Types of Quality Indicators
ANCC Magnet Recognition Program® Requirements for NSI collection
How to choose your NSIs

Chapter 6: Quality Reporting and Communication
The Importance of Communication in QI
Employee Orientation to Quality
Conducting and Documenting Meetings
Common Pitfalls in Planning a Meeting
Recommendations for Designing Effective Communication
Holding the Quality Meeting
The Quality Meeting
Strategies and Action Plans
Common Pitfalls in Conducting a Meeting
Self-Assessment Checklist: Communication

Chapter 7: Engaging Nurses in QI
The Rules of Engagement
Monitoring and Implementing Different Programs

Chapter 8: Process Improvement Basics
When Measurement Might Lead to a Process Improvement Effort
Introduction to Process
Risks and Benefits of Process Improvement
Cultural Factors: Systems and Blame
Physician Participation on QI Committees and Process Improvement Teams
Critical team success factors and important analytic tools
Common Pitfalls
Self-Assessment Checklist

Learning Objectives

  • Identify potential benefits quality improvement can bring to a unit
  • Describe common quality improvement errors
  • Identify the role of nurses at every level in quality improvement
  • Describe barriers to nurse participation in quality improvement
  • Identify the steps involved when planning a quality improvement program
  • Explain common errors in quality improvement planning
  • Explain how to identify measures
  • Discuss how to analyze data trends
  • Describe common misuses of data
  • Define nursing sensitive indicators
  • Describe the necessary steps for choosing nursing sensitive indicators
  • Explain effective communication methods for better quality improvement
  • Describe confidentiality requirements for quality data
  • Discuss methods to successfully engage staff nurses in quality improvement
  • Describe ways to hold staff nurses accountable for quality improvement efforts
  • Define process improvement
  • Explain the risks and benefits of process improvement
  • Describe cultural factors that affect process improvement

Faculty Disclosure Statement

HCPro Inc. has confirmed that none of the faculty/presenters, planners, contributors, or their partners/spouses have any relevant financial relationships to disclose related to the content of this educational activity.

About the Authors:

Barbara J. Hannon, RN, MSN, CPHQ, is the coordinator of the ANCC Magnet Recognition Program® for the University of Iowa Hospitals & Clinics. She chairs the Professional Nursing Practice Committee and Nursing Retention Committee and is involved in QI activities for the department. In 2007, Hannon was named one of Iowa’s “100 Best Nurses” and, in 2009, was profiled in “20 People Who Make Healthcare Better” by HealthLeaders magazine.  

Cynthia Barnard, MBA, MSJS, CPHQ, is the director of Quality Strategies at Northwestern Memorial Hospital, the primary teaching hospital of Northwestern University’s Feinberg School of Medicine in Chicago. She is Research Assistant Professor in the Institute for Healthcare Studies at the medical school, where she co-directs the advanced course in quality improvement in the Master's Program in Healthcare Quality and Patient Safety.

*MAGNET™, MAGNET RECOGNITION PROGRAM®, and ANCC MAGNET RECOGNITION® are trademarks of the American Nurses Credentialing Center (ANCC). The products and services of HCPro, Inc. and The Greeley Company are neither sponsored nor endorsed by the ANCC. The acronym "MRP" is not a trademark of HCPro or its parent company.

Continuing Education:

If you would like to find out about the availability of nursing contact hours on this or any other HCPro nursing book, please visit our Continuing Education information page, here.

Published: March 2010