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Review the Scenario:
Imagine that, for about a year, your nursing unit has been involved in an intensive campaign to improve patient satisfaction scores with pain management. You are getting good data from your patients, as the length of stay in this inpatient geriatric medical nursing unit is only about six days. Your hospital does 100% surveys to inpatients, and the response rate is about 25%, which is higher than it has been. This notwithstanding, the percentage of “patients very satisfied” (top box), with a score of 5, has been in the low 70s. The national benchmark for medical surgical units like yours is about 85% very satisfied. Of all the units in your hospital, your unit is the lowest scoring on this HCAPHS survey. But as your unit is the only geriatric medical nursing unit in the hospital, you’d always thought it was the nature of the patient population.
You have been the day shift representative to the QI team, and the scores on your unit are posted monthly. Here are the numerous strategies tried on your unit and the timeframes.
(Strategies and Interventions attached)
1. For this Discussion, examine the strategies and interventions tried in your unit and consider the following questions: a) Were the strategies effective in creating a sustainable change in your nursing unit
2. b) To what extent can your nurse manager and CNO count on your unit exceeding the national benchmark in the next quarter, the next year? That is, does this run chart have some predictive ability? Does the run chart support the nursing unit’s decision to celebrate? To what extent can the leadership be confident that the trend will continue?
3. Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process.
4. Identify the quality improvement tools and explain how they contributed to the outcome.
Please use at least three scholarly references, APA style, within 5 to 7 years
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