outcomes and improve nurse satisfaction and retention Duffy 2018 Parts of the

Outcomes and improve nurse satisfaction and retention

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outcomes and improve nurse satisfaction and retention ( Duffy, 2018). Parts of the QCM theory that I identify with are reprioritization of nursing actions with increased emphasis on human relations and less focus on routine tasks, latest technology or equipment and the facilitation of health through relationships and nurse caring. Caring relationships is the core concept of the QCM grounded in caring behaviors and attitudes ( Duffy, 2018). Caring behaviors included in the QCM theory include mutual problem solving , attentive reassurance , human respect , encouraging manner , healing environment, appreciation of unique meanings , affiliation needs and basic human needs (Duffy, 2018). Over time, caring behaviors result in the recipient “feeling cared for,” a positive emotion comprised of contentment, met needs, acceptance, and validation (Duffy, 2018). Duffy’s QCM theory helps achieve the Culturally and Linguistically Appropriate Services (CLAS) standards to advance health equity. The purpose of CLAS is to attain the highest level of health for all people. CLAS consists of 15 standards designed to advance health equity, improve the quality of health services and help eliminate health care disparities (Wagner, 2013). The 15 standards are as follows; provide effective, understandable, and respectful quality care and services that are responsive to diverse cultural health beliefs and practices, governance, leadership, and workforce, communication and language assistance, and engagement, continuous improvement, and accountability (Wagner, 2013). To achieve health equity, everyone is valued equally, ongoing efforts are made to address avoidable inequalities and injustices and health care disparities are eliminated. Duffy’s QCM theory focuses on the concept of caring relationships and aims to advance patient-centeredness and quality-care work culture. Implementation of Duffy’s theory into practice helps to meet CLAS standards and advance health equity in many ways. Duffy’s model is heavily tied to the concept of patient centered care (PCC). PCC is centered around the patient priorities and one of the mentioned patient priorities is equity of services therefore, many aspects in the QCM are aimed at achieving this equity of care (Duffy, 2018). According to the literature, lack of cultural competence and sensitivity among health and healthcare professionals has been associated with health disparities (HHS, 2019). Duffy’s QCM framework focuses on the need for caring relationships. These relationships require and improve cultural competency because the nurse focuses on the social, cultural, and linguistic needs of patients. To better understand and communicate with patients, one must be culturally competent and patient-provider relationships over time will further strengthen this
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competency. Furthermore, caring relationships assist in developing sensitivity and awareness of oneself and one’s relationships with others.
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