Quality Assurance In Nursing

Submitted to Presented by
Mrs. ANNAMMA SUMON BHANWAR LAL DEWNA
ASSOCIATE PROFESSOR
GCON, JODHPUR
MSc. NURSING (PREVIOUS)

GCON, JODHPUR
 Introduction

The expense of quality is an interactive process between the customer

& provider. quality assurance usually focuses on material, good work
& and service provided effectively. any lack of service provided causes
a decrease in quality.
Quality

It is the degree to which health services for individuals & and populations increase the
likelihood of desired health outcomes & and are consistent with current professional knowledge.

-Joint Commission on Accreditation of Health Care Organization,2002 (JCAHO)

Assurance
It is a statement or indication that inspires confidence.

Quality Assurance

Quality assurance is an ongoing, systematic, comprehensive evaluation of health care services

& impact of those services on health care services.
-
-Kozier
 Purposes

• To introduce code of ethics and professional conduct for nurses in

India.
• To prepare nursing personal for implementation of quality assurance
model in nursing
• To provide the best care to patients by maintaining standards
 Objectives

• To ensure the delivery of quality client care.

• To demonstrate the efforts of healthcare providers to provide good
results.
• To formulate a plan of care.
• To evaluate the achievement of nursing care.
• To support the delivery of nursing care with administrative &
managerial services.
 Principles

• Customer focus
• Leadership
• Involvement of People
• Process approach
• Factual approach to decision making
 OBJECTIVES(CONT.)

• To explain quality assurance models as a pre-requisite for quality nursing care.

• To state the code of ethics and professional conduct for nurses in India.
• To appreciate the importance of practicing standard safety measures.
• Plan & conduct patient teaching sessions.
• To identify appropriate management techniques to be used for managing
resources in a given situation.
APPROACHES FOR QUALITY ASSURANCE
PROGRAM

• 1. General Approach
• 2. Specific Approach
 •Credentialing
1.General •Licensure
Approach •Aaccreditation
•Certification
 • Peer review committee
• Nursing Audit
• Utilization Review
I. Prospective
II. Concurrent
2. Specific III. Retrospective
• Evaluation Studies
Approach • Client satisfaction
• Incident review
• Risk management
• Malpractice litigation
• Quality improvement
 EVALUATION STUDIES

Donabedian’s
Structure-Process-Outcome model
Tracer model
Sentinel Model
MODELS
OF
QUALITY Input Throughput Output Feedback
ASSURANC
E
• 1. SYSTEM
MODEL
 Principles

• Continuous quality improvement

• Knowledge of customer expectation
• Processes of customer supplier relationship
• Belief in people
• Statistical analysis
• Cost of poor quality
2. ANA QUALITY ASSURANCE MODEL

Identify
values
Identify
Re-evaluation Standards &
criteria

Secure
Take action
measurement

Make
Choose Action
measurement
Identify
course
of action
 Quality Indicators

• Structure Indicators
• Process Indicators
• Outcome Indicators
 ROLE OF A NURSE IN QUALITY ASSURANCE

Innovation CNE &

Appraisal and
Team member Supervise and Inservice
Evaluation
Improvement education
 FACTORS AFFECTING QUALITY ASSURANCE
IN NURSING CARE
Unreasonable Absence of a
Lack of Personnel Improper
Patients and well-informed
Resources problems maintenance
Attendants population
Lack of Lack of good Absence of
Absence of Lack of
incident hospital patient
accreditation nursing care
review information satisfaction
laws records
procedures system surveys

Miscellaneous
factors
What are quality assurance models in India for nurses?
 CONCLUSION

• Quality Assurance program will help to improve the quality of nursing

care and professional development. Individuals with the profession
must assume responsibility for their professional actions and be
answerable to the recipient for their care The Nurses Participate in
continuing educational programs and in-service educational programs
for continuing professional development. The Periodic and continuing
appraisal and evaluation of the health care situation of the patient is
essential also Participate in research works related to quality assurance
 BIBLIOGRAPHY

1) Basher Shabeer P., “ A concise textbook of advance nursing

practice”2nd Ed. Delhi 2016 Emmess publication pp 48 to 60.

• www.wikipedia .com