A6a Rationale for Recommended Change The rationale for this system changes

A6a rationale for recommended change the rationale

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A6a. Rationale for Recommended Change The rationale for this system changes stems from the low scores on the patient exit surveys and review of the nurse to patient staffing levels. The increase in nurse staffing to a safer
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ADVANCED NURSING PRACTICE FIELD EXPERIENCE 8 1 to 8, will provide the medical team greater coverage and assessment abilities. Since all persons are in the facility involuntarily, their length of stay, amount of as needed medication used, and chance for recidivism to the facility will be greatly reduced. The goal is to increase staff and patient safety, to provide a more patient centered level of care, one where the patient feels that they have a voice in course of their care. It has been shown that “larger number of patients per nurse and poor work environment increase the incidence of patient adverse events” [ CITATION Cho16 \l 1033 ]. Adverse events in an acute inpatient behavioral health facility can be large events, there is increased risk of harm to both the patient and the staff, with a chance for increased secondary trauma to be inflicted upon the patient. This needs to be avoided at all costs so that the patient sees that their stay at the facility is meant for healing. Patients who continually re-decompensate upon discharge from the facility place a burden on the emergency departments and emergency services. Creating a stronger more successful discharge plan will increase the patient’s success out in the community and increasing their chances for not decompensating. That will decrease the burden on a limited amount of community resources, allowing the opportunity for other patients to receive faster more expedient care. A6b. Measures to Evaluate The national standard that needs to be implemented to measure this recommended change is the National Database of Nursing Quality Indicators or NDNQI. They are known for their mission statement of “to aid the registered nurse in patient safety and quality improvement efforts by providing research-based national comparative data on nursing care and the relationship to patient outcomes” [ CITATION NDN11 \l 1033 ]. This standard is logical and applicable because this system is able to “unit-level comparisons of staffing data and patient outcomes with units in like hospitals”[ CITATION NDN11 \l 1033 ]. The NDNQI assessment
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ADVANCED NURSING PRACTICE FIELD EXPERIENCE 9 should be administered just prior to launch of the new business model and then 3, 6, & 9 months post go live. This will give the facility a good assessment of how things are shaping up on the unit and whether there is a shift that needs to have its staffing levels re-evaluated. Along with the NDNQI the internal patient satisfaction scores will continued to be disseminated and collected on each and every patient. It is understood that the patient safety scores are not a national benchmark, the organization however has many years’ worth of data collected and monitoring
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  • Spring '17
  • Nursing, National Database of Nursing Quality Indicators

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