Implementing the ten-step monitoring and evaluation process in nursing practice

Area of Science:

• Healthcare Management
• Nursing Quality Improvement
• Program Evaluation

Background:

• Quality assurance is crucial in healthcare settings.
• The Joint Commission provides standards for monitoring and evaluation.
• Professional practice programs enhance nursing care delivery.

Purpose of the Study:

• To demonstrate the application of the Joint Commission's ten-step monitoring and evaluation process.
• To outline the development of a quality assurance program within a hospital's nursing division.
• To establish a framework for a professional practice program based on nursing diagnosis.

Main Methods:

• Utilized the ten-step monitoring and evaluation process.
• Developed a conceptual model of nursing practice.
• Implemented the process within the Nursing Division of Robert Wood Johnson University Hospital.
• Established a system with professional nursing staff responsibility through elected representatives.

Main Results:

• Successful implementation of a program meeting quality assurance standards.
• Demonstrated a practical application of a structured monitoring and evaluation process.
• Established a nursing practice model grounded in nursing diagnosis.
• Empowered professional nursing staff with system responsibility.

Conclusions:

• The ten-step monitoring and evaluation process is effective for developing quality assurance programs.
• A conceptual model based on nursing diagnosis provides a strong framework for professional practice.
• Nursing staff involvement is key to the success of quality improvement initiatives.