Finals-lesson 1Quality Health Care

7/31/2019 Finals-lesson 1Quality Health Care

1/21

Quality Health Care

and Nursing

Odanga, Sheinlyn G. RN, MAN-c


2/21

Quality Standards for Health

Provider Organizations1. Patient Rights and Organizational Ethics.

2. Patient Care Standards

3. Leadership and Management4. Human Resource Management

5. Information Management

6. Safe Practice and Environment7. Improving Performance


3/21

Organizations Are collections of individuals brought

together in a defined environment to achieve

a set of predetermined objectives.

Health organizations provide two generally

types of services: illness care (restorative)and wellness care (preventive).

Illness care services help the sick and

injured

Wellness care services promote better

health as well as illness and accident

prevention.


4/21

Nurses take a more active and

independent role in providing services.

Increase focus on continues performance

improvement and benchmarking demands

that organizations constantly consider their

own practices and make appropriate

changes.


5/21

Characteristics and Types of

Organizations1. Types of services provided

2. Length of direct care services provided

3. Ownership4. Teaching status

5. Accreditation status


6/21

Types of Services Provided

General care General hospitals

Special care limited scope of services;

psychiatric hospital


7/21

Length of Direct care Services

Provided Short term care less than 30 days

Long term care more that 30 days

Primary care first access care

Secondary care disease and restorative

care Tertiary care rehabilitative or long term

care


8/21

Ownership

Public institutions

Private non- profit organizations

voluntary agencies

For-profit organizations proprietary

organizations


9/21

Teaching status teaching institution

Accreditation status


10/21

Standard of care

is a medical or psychological treatment

guideline, and can be general or specific.

It specifies appropriate treatment based on

scientific evidence and collaborationbetween medical and/or psychological

professionals involved in the treatment of

a given condition.


11/21

Patients Rights and

Organizational Ethics the inherent dignity and the equal and

unalienable rights of all members of the

human family.

the paternalistic model, the informative

model, the interpretive model, and the

deliberative mode


12/21

Paternalistic Model

The best interests of the patient as judged

by the clinical expert are valued above the

provision of comprehensive medical

information and decision-making power tothe patient

Parental or priestly


13/21

Informative model

Scientific engineering or consumer model

To provide relevant information, for the

patient to select the medical interventions he

or she wants

Sees the patient as a consumer who is in

the best position to judge what is in her own

interest, and thus views the doctor as chiefly

a provider of information.


14/21

Interpretative Model

The aim is to elucidate the patients values

and what he or she actually wants, and to

help the patient select the available

medical interventions that realize thesevalues


15/21

Deliberative Model

Aim is to help the patient determine and

choose the best health-related values that

can be realized in the clinical situation

Moral self development


16/21

Organizational Ethics

ethics in an organization refers to rules

(standards, principles & values) governing

the conduct of organizational members

and the consequences of organizationaldecisions


17/21

Approaches to Organizational

Ethics Individualistic approach

Communal Approach


18/21

Individualistic Approach

Every person in an organization is morally

responsible for his/her own behavior, and

any efforts to change that behavior should

focus on the individual.


19/21

Communal Approach

Individuals are viewed not in isolation, but

as members of communities that are

partially responsible for the behavior of

their members. to understand and change an individual's

behavior we need to understand and try to

change the communities to which theybelong.


20/21

Basic elements of an ethicalorganization

1) written code of ethics and standards;

2) ethics training to executives, managers,

and employees;

3) availability for advice on ethical situations

(i.e, advice lines or offices); and

4) systems for confidential reporting


21/21

Documents

Finals-lesson 1Quality Health Care