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Integrating the nursing process into a nursing quality improvement program
1Carl T. Hayden Department of Veterans Affairs Medical Center, Phoenix, AZ.
Summary
New Joint Commission nursing standards in 1991 required changes to the nursing process. An implementation plan integrates revised nursing care assessment, planning, intervention, and evaluation into quality improvement programs.
Area of Science:
- Nursing
- Healthcare Quality Improvement
Background:
- In 1991, the Joint Commission introduced revised scoring guidelines for nursing services standards.
- These changes necessitated adaptations in the established nursing process.
Purpose of the Study:
- To outline the necessary modifications to the nursing process (assessment, planning, intervention, evaluation) to meet new standards.
- To present a comprehensive plan for integrating the revised nursing process into a nursing quality improvement (QI) program.
Main Methods:
- Discussion of principles of quality improvement.
- Analysis of aspects of care, standards of nursing practice, and indicators.
- Development of an implementation strategy for revised nursing process integration.
Main Results:
- Identified specific changes required in each phase of the nursing process.
- Provided a framework for incorporating these changes into a QI program.
- Highlighted the interplay between quality improvement principles and nursing practice standards.
Conclusions:
- The revised nursing process is crucial for meeting updated healthcare standards.
- Effective integration into QI programs ensures adherence to standards of nursing practice.
- Focus on care aspects, practice standards, and indicators drives quality nursing.