Download - Standard 10. Quality of Practice
Standard 10. Quality of Practice
The registered nurse contributes to quality nursing practice.
Quality of Practice: Some Characteristics
The Quality of Practice standard addresses the role of registered nurses and APRNs in assuring quality patient care. Quality care is:• Safe• Patient centered• Effective• Timely• Efficient• Equitable
RNs and Quality of PracticeRegistered nurses contribute to quality care through direct and indirect care.
Direct care activities:• Using the nursing process to provide
evidence-based, patient-centered care• Implementing research based nursing care
policies, procedures, and guidelines• Monitoring and evaluating effectiveness of
care using indicators such as nurse-sensitive outcomes
RNs and Quality of PracticeIndirect care activities: • Participating on interdisciplinary teams to
assure continuity of care • Identifying and working to correct barriers to
quality care• Formulating recommendations to improve
nursing practice • Participating in efforts to minimize costs and
resource utilization and increase efficiency
APRNs and Quality of PracticeAPRNs contribute to quality care through:• Providing leadership in the design and
implementation of quality improvement initiatives • Utilizing sound research findings to identify and
implement innovations in practice to improve patient outcomes
• Generating research questions pertinent to quality patient outcomes
• Initiating and project managing changes in the delivery system to remove barriers to quality care
Quality Practice: Some Organizations
Resources and policy groups focused on quality care:• American Nurses Association National Database of Nursing
Quality Indicators (NDNQI, 2011) http://www.nursingquality.org
• Agency for Healthcare Research and Quality (AHRQ, 2011) http://www.ahrg.gov
• Institute for Healthcare Improvement (IHI, 2011) http://www.ihi.org
• National Quality Forum (NQF, 2011) http://www.qualityforum.org
• The Joint Commission (2011) http://www.Centerfortransforminghealthcare.org