MAINTAINING QUALITY
WITHIN THE NURSING PROCESS;THE PATIENT REVIEWMEETING BY NURSING STAFF
Steman-v.d. Slot I., Hartog-Dammer J.W.
Infant
Ward, Emma Children’s Hospital, AMC, Academic Medical Centre, Amsterdam,
The Netherlands
Objective:The team meetings
showed that all the employees of the department wanted to nominate the
patients review as the subject for quality control. The nursing tasks are
performed on an individual basis. This process hardly has any consulting or
discussion. We wanted a structure that would lead towards a better
continuity in the care. We came to the following question: How can we
maintain a structured work method both within the nursing team as well as
interdisciplinary. This leaded towards the target of changing the nursing patients
review into a well structured meeting environment which would deal with
predefined aspects. Both the nursing values, patient values and
organizationel value would be the basis of this.
Methods:The department orientated review following the adjusted CBO method,
was central in this approach. A workgroup was created to monitor the whole
process. By following the nursing quality control principles of Norma Lang
the patients review meeting was introduced on the department. Data
werecollected on the way the process was put in the place. After choosing
the subject we defined and agreed on values and criteria. The criteria were
hold against the RUMBA rules. (Relevant,Understandable, Measurable,
Behavioral, Attainable). The testing was performed by a quiz. Based on this
result adjustment took place and conclusions were made.
Results:After going trough
all the fases we started the structure patient review meeting on our Infant
Ward. First by members of the workgroup, there after all nurses of the ward
were allowed to not only have a review meeting, but also to participate one
. At this moment the review meetings are kept on a regular basis and are
seen as very valuable.
Conclusions:The
nursing patient review meetings fulfill a need. However the preparation of
the meeting takes more attention and time. The main benefit would be the
increased clarity which is created, also towards the parents. Specific
problems are better adressed and will be dealt with in a more efficient
way. A clear point of attention needs to be filling out the nursing’s
patient history as this would be considered the basis of the nursing
patient review meeting.
The Norma Lang methodology turned out to be very
valuable for the ward related research toward the real situations.