Health Care Culture NUR 630

Health Care Culture NUR 630

Health Care Culture NUR 630 Topic 2

Objectives:

  1. Apply concepts of a “just culture.”
  2. Describe strategies for implementing a culture of safety and excellence.
  3. Explain how Christian worldview principles (CWV) can be used to improve health care culture.

Health Care Culture NUR 630 Topic 2 DQ 1

Using the AHRQ SOPS Surveys webpage, provided in the topic Resources, select the SOPS survey appropriate for the practice setting in which you work. Complete the survey at your site and discuss how your facility scored. What changes would you recommend based on the survey results?

Health Care Culture NUR 630

Sample Approach for Topic 2 DQ 1

The AHRQ Surveys on Patient Safety Culture (SOPS) present an opportunity to analyze patient safety as perceived by care providers in a healthcare facility. The development of survey instruments specific to different care settings has enabled effective analysis of patient safety based on the unique setting characteristics. I work in a skilled nursing facility for long-term patient care.

The AHRQ SOPS tools provided, however, do not present specific survey for this nursing facility. Nevertheless, the website presents a survey tool for nursing homes which share several characteristics with skilled nursing facilities for long term care (AHRQ, 2020).

he survey used for this analysis, therefore, was the SOPS Nursing Home Survey which best captures facility structure in the skilled nursing facility. The SOPS analysis of the skilled nursing facility shows that the facility provides conducive environment for staff to ensure safety but improvements could be implemented for communication to more effectively improve patient safety. 

The survey has five major parts analyzing the culture of safety in the healthcare organization: working in the nursing home, communication, supervision, the nursing home, and overall rating. Among the five categories, the best ratings by staff in the facility were in their experience working in the facility as well as the facility organizational culture in general.

The survey revealed that staff collaboration is high and members help each other out, often working as part of a team. However, it was identified that staff have a lot of work to handle and some may be overwhelmed by this workload. 80% of staff who responded to the survey presented a positive perception of working in the nursing facility while 15% were neutral and only 5% had negative responses.

Moreover, it was concluded that the organization has a very strong culture of safety, often encouraging correction of mistakes and providing opportunity to make changes. Staff identified that the nursing facility makes changes to improve patient safety, the organization is responsive to need for change, and the nursing facility does a great job to keep patients safe. Under this organizational culture category, 95% of responses were positive and 5% were neutral showing that the facility is effective in implementing change and ensuring patient safety.

On the other hand, communication and supervision could be improved in the skilled nursing facility to promote patient safety. Under the communication category, the main problem identified is that staff opinions and feedback are not always implemented in enhancing care safety. The failure to incorporate staff opinions and views in the care process reduces the effectiveness of safety improvement interventions.

Similarly, although supervisors are identified as responding to patient safety issues, most of the respondents showed that supervisors may ignore their input towards safety improvement. Therefore, patient safety is largely based on supervisor views and opinions rather than those of nursing staff.

In the overall rating, 65% of survey participants responded that they would recommend the facility and 35% answered ‘maybe.’ In terms of rating, 70% said the facility is ‘very good’ (4/5) while 30% said it is ‘good’ (3/5). Generally, although the facility performs well in terms of enabling staff and organizational culture, there is room for improvement.

Improving safety in the skilled nursing home is possible through training supervisors and managers on staff involvement in patient safety. The main areas of safety that were identified is that supervisors did not integrate staff opinions and findings in their efforts to boost safety. Research on supervisor collaboration with administrative managers and staff shows that higher levels of job satisfaction are achieved when collaboration is perceived by nurses (Weaver et al., 2019).

Training supervisors on collaborative practice with nurses and managers is thus crucial in enhancing staff job satisfaction and transferring the same to patient safety. Similarly, nurses are at the forefront of care delivery and hence their opinion is instrumental in implementing safety measures. The SOPS survey at the skilled nursing facility shows that although there are high standards and consideration for patient safety, more nurse involvement could be implemented for enhanced safety.

The proposed action is to train supervisors on how to involve nurses in collaborative care and decision-making to improve patient safety. The survey presents the need for a more collaborative approach to improving patient safety.

References

Agency for Healthcare Research and Quality (AHRQ). (2020). SOPS Nursing Home Survey. https://www.ahrq.gov/sites/default/files/wysiwyg/professionals/quality-patient-safety/patientsafetyculture/nursing-home/resources/nh-survey.pdf

Weaver, S. H., Hessels, A. J., Paliwal, M., & Wurmser, T. A. (2019). Administrative supervisors and nursing unit-based managers: Collaboration and job satisfaction. Nursing Economics, 37(2), 67-76.

Health Care Culture NUR 630 Topic 2 DQ 2

Two nurses make a medication error: One causes an adverse event with a patient and the other does not. Should the nurses be disciplined, and, if so, should they be disciplined the same way? Why or why not? How would this be addressed in a just culture?

Health Care Culture Assignment

Assessment Description

The purpose of this assignment is to discuss health care culture and describe how CWV can be used to improve ethical practices. In a 1,000-1,250-word essay, discuss the important factors associated with health care culture. Include the following in your essay:

  1. A definition of health care culture, including culture of excellence and safety.
  2. Two or three examples of principles for building a culture of excellence and safety.
  3. An explanation of the role of various stakeholders in improving health care culture.
  4. An explanation of how Christian worldview (CWV) principles might be used by health care organizations to improve ethical practices, whether the organizations are Christian or not.
  5. Two or three examples of how the integration of faith learning and work at GCU can be implemented by individuals to improve health care culture.

This assignment requires a minimum of three peer-reviewed scholarly sources.

Prepare this assignment according to the guidelines found in the APA Style Guide, located in the Student Success Center.

This assignment uses a rubric. Please review the rubric prior to beginning the assignment to become familiar with the expectations for successful completion.

You are required to submit this assignment to LopesWrite. A link to the LopesWrite technical support articles is located in Class Resources if you need assistance.

Health Care Culture NUR 630 Rubric Criteria Graded

Evidence

Criteria Description

Selects and integrates evidence to support and advance position/purpose; considers other perspectives.

5. Target

5 points

Comprehensive and compelling evidence is included. Multiple other perspectives are integrated effectively.

4. Acceptable

4.6 points

Specific and appropriate evidence is included. Other perspectives are integrated.

3. Approaching

4.4 points

Relevant evidence that includes other perspectives is used.

2. Insufficient

4 points

Evidence is used but is insufficient or of limited relevance. Simplistic explanation or integration of other perspectives is present.

1. Unsatisfactory

0 points

Evidence to support the thesis, position, or purpose is absent. The writing relies entirely on the perspective of the writer.

Development, Structure, and Conclusion

Criteria Description

Advances position or purpose throughout writing; conclusion aligns to and evolves from development.

5. Target

8 points

The thesis, position, or purpose is coherently and cohesively advanced throughout. The progression of ideas is coherent and unified. A convincing and unambiguous conclusion aligns to the development of the purpose.

4. Acceptable

7.36 points

The thesis, position, or purpose is logically advanced throughout. The progression of ideas is coherent and unified. A clear and plausible conclusion aligns to the development of the purpose.

3. Approaching

7.04 points

The thesis, position, or purpose is advanced in most aspects. Ideas clearly build on each other. Conclusion aligns to the development of the purpose.

2. Insufficient

6.4 points

Limited advancement of thesis, position, or purpose is discernable. There are inconsistencies in organization or the relationship of ideas. Conclusion is simplistic and not fully aligned to the development of the purpose.

1. Unsatisfactory

0 points

No advancement of the thesis, position, or purpose is evident. Connections between paragraphs are missing or inappropriate. No conclusion is offered.

Definition of Health Care Culture

Criteria Description

Definition of Health Care Culture

5. Target

11 points

A definition of health care culture, including culture of excellence and culture of safety, is present and thorough.

4. Acceptable

10.12 points

A definition of health care culture, including culture of excellence and culture of safety, is present and detailed.

3. Approaching

9.68 points

A definition of health care culture, including culture of excellence and culture of safety, is present.

2. Insufficient

8.8 points

A definition of health care culture, including culture of excellence and culture of safety is present, but lacks detail or is incomplete.

1. Unsatisfactory

0 points

A definition of health care culture is not present.

Thesis, Position, or Purpose

Criteria Description

Communicates reason for writing and demonstrates awareness of audience.

5. Target

7 points

The thesis, position, or purpose is persuasively developed throughout and skillfully directed to a specific audience.

4. Acceptable

6.44 points

The thesis, position, or purpose is clearly communicated throughout and clearly directed to a specific audience.

3. Approaching

6.16 points

The thesis, position, or purpose is adequately developed. An awareness of the appropriate audience is demonstrated.

2. Insufficient

5.6 points

The thesis, position, or purpose is discernable in most aspects but is occasionally weak or unclear. There is limited awareness of the appropriate audience.

1. Unsatisfactory

0 points

The thesis, position, or purpose is not discernible. No awareness of the appropriate audience is evident.

Scholarly Sources

Criteria Description

Scholarly Sources

5. Target

11 points

A minimum of three peer-reviewed, scholarly sources are present. Sources are distinctive and address all of the requirements stated in the assignment criteria.

4. Acceptable

10.12 points

A minimum of three peer-reviewed, scholarly sources are present. Sources address all of the requirements stated in the assignment criteria.

3. Approaching

9.68 points

A minimum of three peer-reviewed, scholarly sources are present.

2. Insufficient

8.8 points

Two or three peer-reviewed, sources are present, but are not scholarly. Limited research is present.

1. Unsatisfactory

0 points

Peer-reviewed, scholarly sources are not present.

Mechanics of Writing

Criteria Description

Includes spelling, capitalization, punctuation, grammar, language use, sentence structure, etc.

5. Target

5 points

No mechanical errors are present. Skilled control of language choice and sentence structure are used throughout.

4. Acceptable

4.6 points

Few mechanical errors are present. Suitable language choice and sentence structure are used.

3. Approaching

4.4 points

Occasional mechanical errors are present. Language choice is generally appropriate. Varied sentence structure is attempted.

2. Insufficient

4 points

Frequent and repetitive mechanical errors are present. Inconsistencies in language choice or sentence structure are recurrent.

1. Unsatisfactory

0 points

Errors in grammar or syntax are pervasive and impede meaning. Incorrect language choice or sentence structure errors are found throughout.

Explanation of How CWV Principles Might Be Used

Criteria Description

Explanation of How CWV Principles Might Be Used by Health Care Organizations to Improve Their Ethical Practices

5. Target

12 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and thorough.

4. Acceptable

11.04 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present and detailed.

3. Approaching

10.56 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present.

2. Insufficient

9.6 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is present, but lacks detail or is incomplete.

1. Unsatisfactory

0 points

An explanation of how CWV principles might be used by health care organizations to improve ethical practices is not present.

Format/Documentation

Criteria Description

Uses appropriate style, such as APA, MLA, etc., for college, subject, and level; documents sources using citations, footnotes, references, bibliography, etc.,

5. Target

5 points

No errors in formatting or documentation are present. Selectivity in the use of direct quotations and synthesis of sources is demonstrated.

4. Acceptable

4.6 points

Appropriate format and documentation are used with only minor errors.

3. Approaching

4.4 points

Appropriate format and documentation are used, although there are some obvious errors.

2. Insufficient

4 points

Appropriate format is attempted, but some elements are missing. Frequent errors in documentation of sources are evident.

1. Unsatisfactory

0 points

Appropriate format is not used. No documentation of sources is provided.

Examples of How the Integration of Faith, Learning, and Work

Criteria Description

Examples of How the Integration of Faith, Learning, and Work at GCU Can Be Implemented by Individuals to Improve Health Care Culture.

5. Target

12 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and thorough.

4. Acceptable

11.04 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present and detailed.

3. Approaching

10.56 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present.

2. Insufficient

9.6 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are present, but lack details or are incomplete.

1. Unsatisfactory

0 points

Two or three examples of how the integration of faith, learning, and work at GCU can be implemented by individuals to improve health care culture are not present.

Role of Various Stakeholders in Improving Health Care Culture

Criteria Description

Role of Various Stakeholders in Improving Health Care Culture

5. Target

12 points

An explanation of the role of various stakeholders in improving health care culture is present and thorough.

4. Acceptable

11.04 points

An explanation of the role of various stakeholders in improving health care culture is present and detailed.

3. Approaching

10.56 points

An explanation of the role of various stakeholders in improving health care culture is present.

2. Insufficient

9.6 points

An explanation of the role of various stakeholders in improving health care culture is present, but lacks detail or is incomplete.

1. Unsatisfactory

0 points

An explanation of the role of various stakeholders in improving health care culture is not present.

Examples of How to Build a Culture of Excellence and Culture of Safety

Criteria Description

Examples of How to Build a Culture of Excellence and Culture of Safety

5. Target

12 points

Two or three examples of how to build a culture of excellence and a culture of safety are present and thorough. All examples are appropriate.

4. Acceptable

11.04 points

Two or three examples of how to build a culture of excellence and a culture of safety are present and detailed. Most examples are appropriate.

3. Approaching

10.56 points

Two or three examples of how to build a culture of excellence and a culture of safety are present. Some examples are appropriate.

2. Insufficient

9.6 points

Two or three examples of how to build a culture of excellence and a culture of safety are present, but lack details or are incomplete.

1. Unsatisfactory

0 points

Two or three examples of how to build a culture of excellence and a culture of safety are not present.