Monday, November 15, 2010

Small Troubles, Adaptive Responses [STAR]: Fostering a Quality Culture in Nursing

This presentation was made by Robert Ferrer and Kathleen Stevens during the fifth annual meeting of the Interdisciplinary Nursing Quality Research Initiative regarding the completion of their project on nursing workarounds.

This project aimed to improve nursing units' quality and efficiency. The research question was whether a program designed to identify and address small problems encountered by nurses in patient care occurring about once per hour per nurse and managed with workarounds in 95% of cases can lead organizational learning that will drive large improvements in safety, quality, and efficiency. The intervention, adapted from theoretically-based programs proved effective in other settings, combined a methodology for enhancing the underlying performance improvement capability of nursing units with a toolbox of quality improvement strategies relevant for tackling the small problems encountered in practice.

This team is co-led by Kathleen Stevens, EdD, RN, FAAN, a nurse researcher, and Robert Ferrer, MD, MPH, a medical doctor with a background in family medicine and biology.

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