Read the following 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 on this inpatient geriatric medical nursing unit is only about
6 days. Your hospital does 100% survey to inpatients, and the response rate is about 25%, which is higher than it has been. This
notwithstanding, the percent of “patient 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
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
that have been tried on your unit and the timeframes.
Document: Strategies and Interventions (PDF)
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 on your nursing unit, and 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?
Based on the scenario, explain what was done successfully and where improvement was needed in the quality improvement process. Identify the
performance improvement tools, and explain how they contributed to the outcome.
Support your response with references from the Learning Resources and professional nursing literature. Your posts need to be written at the
capstone level (see checklist).
Notes Initial Post: This should be a 3-paragraph (at least 250–350 words) response.
Use the most current evidence (usually ≤ 5 years old).