Healthcare Improvement

Healthcare Improvement

As the country focuses on the restructuring of the U.S. health care delivery system, nurses will continue to play an important role. Thus education on how the field of nursing is going to grow and improve is required. Training may be offered based on various tips which include concepts of continuity of care, Accountable Care Organization, medical homes, and nurse-managed health clinics. In concepts of continuity of care, nurses should be very responsible in their assigned work to bring about customer satisfaction which is the main objective for any health care center. Nurses should never show ignorance to any patient as that is not part of their guiding ethics. Through education and training, teamwork among individuals is promoted hence good results in that health care.  Education enables professionals to carry out procedures which are above their daily operations such as during emergencies.

Patients experience continuity of care have two parts which are the front stage and backstage continuity whereby, in front stage patients feels appreciated unlike in backstage. In front stage, the patient gets to see the same nurse whenever he or she visits health care while in the backstage, a client is being attended by different nurses, and therefore, there is lack of that personal bond. Accountable Care Organizations (ACO) involves various doctors, hospitals and other health caregivers who join hands voluntarily to offer high-quality medical services to their customers. This brings about reduced cost of care as there are rare cases of work duplication among professionals thus, improved services as they work to their capabilities. Medical homes include people with a common aim of bringing the best out of their services to their clients

Medical homes raise the relationship among workers to offer quality care in the right way whenever needed. Nurse-managed health clinics concentrate at the neighborhood rank where national health and reality can be found; it also looks upon to connecting various social services for excellent care to their patients. It also collaborates with the society to improve health equity in that both rich and poor can equally receive health services through fair and affordable medical prices. Its guiding principles are wellness in that they treat the patient to their best hoping all is going to be well and also educate them on what to do for instance diet which may lead to quick recovery. In nurse-managed clinics, patients are their priority in that they build trust through listening and helping their patients solves their problem. Also, they show concern for those families affected by the illness of their relative.

In cases such as tuberculosis disease occurrence, for instance, family members are advised how they should live with the patient may be by ensuring there is sufficient air circulation at all times as the disease is airborne. This, therefore, minimises the chances of another person being infected by the disease thus, saving lives (Merrigan, 2016). The final principle is to deal with any problem arising such as family issues, drug addiction, stress, violence, adolescent and the environmental view of diseases and disabilities. The opinion of various nurses within the department on foreseen changes to offer better health services and the new duties of nurses in a hospital setting, societies, clinics and medical homes varied. Some nurses disagreed while others agreed on the idea of further education and training as new changes come with new responsibilities.

Some workers see change as a threat to lose their day-to-day hustle if they do not move in the same direction with its management. Others are happy and excited about the new changes as they see a new opportunity to learn and gain more knowledge in related to their career. The management should understand that human beings are naturally lazy and have to be forced to achieve their objectives. Education and training should be compulsory for all employees as improved changes help hospitals to be competitive in their field through quality service supply and patient satisfaction. The shift to value-based purchasing involves connecting Medicare and Medicaid system to provide more quality services to its patients. Value-based purchasing enhances clinical procedures and allows clients to feel satisfied all times. Value-based purchasing will require workers to be focused and work as a team to bring improved changes in their hospital.

Many hospital services offered to patients are of low-quality level in that they are not satisfactory to their patients, may lead to financial problems as the customer may move from one hospital to another in search of satisfaction. According to the first colleague who understood the reason or reasons behind the hospital’s change, he is highly engaged to see that positive change has occurred in their hospital. The nurse understands that those improved changes will be beneficial to both the hospital itself and the individual employee. New changes may lead to further education which is necessary as the world keeps on changing daily, increased salaries and wages as the more knowledgeable the person is, the higher chances of opportunities are such as promotions.

Also, through further training a nurse can handle any emergency situation such as road accidents casualties thus, saving victims lives. The colleague is greatly looking forward to voluntarily take part to bring about improved changes which are excellent services for full customer satisfaction.  The second nurse understands the reasons behind the change and the benefits associated with change, but he is not highly engaged. This is because he is not willing to learn any further or does not want to build that relationship with his colleagues. The nurse will feel that the change is a threat to him as he does not know the consequences which might arise if he fails to participate in successful change. The worker may be fired if all of his fellow workers accept change and voluntarily work on achieving their goal.

The nurse may also have that feeling of lack of support and appreciation of his work if left behind by his colleagues for successful change. Thus, despite understanding the importance of change to the hospital at large, he does not appreciate that idea on how the practice of nurses is expected to develop and change. The third colleague does not understand the causes of change and its benefits, and thus he is less engaged in bringing about change within their institution. The worker may be willing to take part in bringing change, but due to his lack of understanding, he may not be able to bring change (Nabilou, Yusefzadeh, Rezapour, Fard Azar, Safi, Asiabar & Ahmadzadeh, 2016). He may be less responsive to further education and training they are engaged in by their hospital management which leads to delayed or changes which may never occur.

For quality and excellent services, nurses should practice various techniques such as; scripting, supplying, wearing uniforms, hourly rounding, sitting down, patient education and bedside report. Scripting provides tools such as regular training patients’ interaction which enables them to communicate easily with patients and understand what is expected of them in any particular situation. This leads to self-drive among nurses which makes work easier, reduced time wastage, improved services thus, fully patient satisfaction. Supplies are very useful to the patient in that if a particular person requires something urgently and fail to get it may be because the nurses are not visiting them frequently he or she might be frustrated. Frustration may lead to a patient moving from one hospital to another thus, losing one of their clients.

Nurses should wear uniforms at all times to be easily identified for any help. They should make sure that they visit patients in their wards hourly to keep checking on how they are progressing which promotes customer satisfaction (Zhong, Lee & Li, 2017). Nurses should at times sit down with their patients to talk, share and laugh with them as it can make a huge difference in patient life. The patient hope to recover can easily be restored through nurse-patient conversation hence improved customer satisfaction. They should educate patients on how to go about their health problems such as diet, medicine, and exercise. Patients follow what they are being taught strictly as they believe in doing so their health problem might be solved and also they should participate in their progress thus, nurses should carry out their report in the presence of the patient. These practices promote adequate customer satisfaction which enables a particular hospital to compete well with other health care.


Zhong, X., Lee, H. K., & Li, J. (2017). From production systems to health care delivery systems: A retrospective look at similarities, difficulties, and opportunities. International Journal of Production Research, 55(14), 4212-4227. doi:10.1080/00207543.2016.1277276

Nabilou, B., Yusefzadeh, H., Rezapour, A., Fard Azar, F. E., Safi, P. S., Asiabar, A. S., & Ahmadzadeh, N. (2016). The productivity and its barriers in public hospitals: a case study of Iran. Medical Journal of the Islamic Republic Of Iran, 30(1), 1-8

Merrigan, K. (2016). Family Matters. KIDS CARE A Behavioral Model to Strengthen Patient and Family Partnerships. Pediatric Nursing, 42(2), 89-94.



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