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urses are the direct providers of care so when it comes to…

 

urses are the direct providers of care so when it comes to providing continuous quality of care, we need to arm ourselves with the most current evidence based practices and feedback regarding our practice. With the most current EBP and feedback from patients, families and all staff members. We can utilize this information to improve our quality of care.

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In Palliative care one way we try to continuously improve quality of care in my department is to collaborate with all care team members involved and rely on their expertise and input, and update them on any palliative issues or concerns of the patient. One study “Effect of continual quality improvement of palliative care consultation teams by iterative, customer satisfaction survey-driven evaluation” did this by surveying physicians and nurses of a 678 bed hospital, surveys were sent out in October of 2019 and 500 responses were received, the surveys showed lack of knowledge in Palliative care, the team took to holding workshops, newsletters and client rounds. Surveys were sent again in March of 2020 showing improvements. One of the quality improvement frameworks we use is Kaizen. “Although these frameworks differ in size, speediness of decision-making, and intervals of reevaluations, their core components share critical and result-driven planning” (Kawabata, N. & Nin, M., 2021).

Another area for quality improvement would be advanced education in regards to specialty areas such as Palliative care. The National Consensus Project Clinical Practice Guidelines for Quality Palliative Care (NCP) Guidelines specifically focuses on two key concepts. “First, palliative care is inclusive of all people with serious illness, regardless of setting, diagnosis, prognosis, or age. Second, timely consideration of palliative care is the responsibility of all clinicians and disciplines caring for the seriously ill, including primary care practices, specialist care practices (e.g., oncology or neurology), hospitalists, nursing home staff, as well as palliative care specialist teams such as hospice, hospital, and community-based palliative care teams” (Ferrell, B., et al., 2018). Using this as an educational tool among all care team members, patients will be consulted on by Palliative care sooner and start their relationship early on which shows improved outcomes.

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