Week 10: Quality Practice Environments
nursing organisations - correct answer-quality practice is governed by ICN, CNA, Candian
Federation of Nurses (CFN)
examining quality practice environments - correct answer-it is important to examine quality
practice environments because it is essential to "delivery of safe, compassionate,
competent, and ethical care" (CNA, 2015a, para 1)
It is also necessary for positive patient outcomes.
Without the examination of quality practice environments, it can lead to RNs being burnt out,
lack of RN recruitment/retention, unsafe staffing levels, and many more that can affect
patient quality of care
7 characteristics of a quality practice environment - correct answer-i. communication and
collaboration
ii. responsibility and accountability
iii. safe and realistic workload
iv. leadership
v. support for information & knowledge management
vi. professional development
vii. workplace culture
there are 3 outcomes: clients, nurses, organizations
client outcomes - correct answer-increased workload of RNs has poorer outcomes for
patients.
Reducing RN fatigue improves patient safety
nurse outcomes - correct answer-new nurses may experience burnout r/t negative
workplaces
absenteeism in nursing is a serious issue.
absenteeism - correct answer-when an employee doesn't show up for work
organizational outcomes - correct answer-must identify the rights of nurses and pts
, -a safe work place encourages a positive environment
-need "sustained, concerted, and collaborative efforts"
safe nurse staffing - correct answer-means "an appropriate number of nurses is available at
all times"
-it is complex to determine optimal staffing
-> RNs must at the decision table
-> use research to justify RN numbers
-> manage flow and admission of patients
-> increase in RN levels has increases in positive patient outcomes
The ICN calls on... - correct answer--nurses associations to collaborate w/ government
-employers to ensure safe nurse staffing
-individual nurses to act, regardless of role
CNA and CFNU jointly says... - correct answer-" all nurses have the right to work in a
respectful environment that is free from any form of violence and bullying and to work where
these are not tolerated as part of a nurse's job"
shared responsibilities - correct answer-employers; clients; RNs; educators, government;
organizations must contribute to respectful work environments
-RNs are at most risk for violence/bullying in healthcare; it often goes unreported
adverse outcomes from violence/bullying - correct answer-clients: compromised patient care
RNs: leaving the profession, physical & psychological injury
Organizations: increased absenteeism, low morale, etc...
responses to reduce adverse outcomes - correct answer--health and safety committees exist
to deal with problems in a work environment
-policies, guidelines and research to address violence/bullying
-mandatory education programs
Response: Enough is enough - correct answer--Saskatchewan has a provincial violence
prevention framework/strategy with a toolkit for healthcare facilities
summary for quality practice environment - correct answer--quality practice environments
support safe, competent, and ethical nursing practice
nursing organisations - correct answer-quality practice is governed by ICN, CNA, Candian
Federation of Nurses (CFN)
examining quality practice environments - correct answer-it is important to examine quality
practice environments because it is essential to "delivery of safe, compassionate,
competent, and ethical care" (CNA, 2015a, para 1)
It is also necessary for positive patient outcomes.
Without the examination of quality practice environments, it can lead to RNs being burnt out,
lack of RN recruitment/retention, unsafe staffing levels, and many more that can affect
patient quality of care
7 characteristics of a quality practice environment - correct answer-i. communication and
collaboration
ii. responsibility and accountability
iii. safe and realistic workload
iv. leadership
v. support for information & knowledge management
vi. professional development
vii. workplace culture
there are 3 outcomes: clients, nurses, organizations
client outcomes - correct answer-increased workload of RNs has poorer outcomes for
patients.
Reducing RN fatigue improves patient safety
nurse outcomes - correct answer-new nurses may experience burnout r/t negative
workplaces
absenteeism in nursing is a serious issue.
absenteeism - correct answer-when an employee doesn't show up for work
organizational outcomes - correct answer-must identify the rights of nurses and pts
, -a safe work place encourages a positive environment
-need "sustained, concerted, and collaborative efforts"
safe nurse staffing - correct answer-means "an appropriate number of nurses is available at
all times"
-it is complex to determine optimal staffing
-> RNs must at the decision table
-> use research to justify RN numbers
-> manage flow and admission of patients
-> increase in RN levels has increases in positive patient outcomes
The ICN calls on... - correct answer--nurses associations to collaborate w/ government
-employers to ensure safe nurse staffing
-individual nurses to act, regardless of role
CNA and CFNU jointly says... - correct answer-" all nurses have the right to work in a
respectful environment that is free from any form of violence and bullying and to work where
these are not tolerated as part of a nurse's job"
shared responsibilities - correct answer-employers; clients; RNs; educators, government;
organizations must contribute to respectful work environments
-RNs are at most risk for violence/bullying in healthcare; it often goes unreported
adverse outcomes from violence/bullying - correct answer-clients: compromised patient care
RNs: leaving the profession, physical & psychological injury
Organizations: increased absenteeism, low morale, etc...
responses to reduce adverse outcomes - correct answer--health and safety committees exist
to deal with problems in a work environment
-policies, guidelines and research to address violence/bullying
-mandatory education programs
Response: Enough is enough - correct answer--Saskatchewan has a provincial violence
prevention framework/strategy with a toolkit for healthcare facilities
summary for quality practice environment - correct answer--quality practice environments
support safe, competent, and ethical nursing practice
