QI Plan Part I
Nia Coerbell
HCS 588
January 27, 2015
Professor Horton

According to a recent survey, the quality of service of Davis Health Care needs improvement. Research suggests that patient safety measures like hourly rounding by nursing personnel positively impacts patient fall rates, call light usage and overall patient satisfaction (Olrich et al., 2012, p. 25). Patients are likely to recover and thrive in an environment where they know that they are being acknowledged, monitored and their concerns are being addressed. Health care facilities that have instituted hourly rounding, where nursing staff (e.g. registered nurses, licensed practical/vocational nurses and nurse aides) check in on the patients and inquire of the needs of patients on an hourly basis, have been faced with barriers prior to implementation. Many of the nursing staff would reluctant toward the idea of practicing hourly rounds as this is often perceived as time-consuming strategy. However, if we institute hourly rounding at Davis Health Care, we will notice remarkable improvement in our next survey scores.
The Model for Evidence-Based Practice Change by Rosswurm and Larrabee (1999) suggests that the initial step is to search for where there is a need for change in the clinical setting. Once an improvement team (consisting of unit managers, nurse researchers, quality improvement nurses, a statistician, etc.) forms, we find ways to identify an improvement goal. Unstructured brainstorming allows the team to contribute ways in which to improve the quality of services at Davis Health Care. Ideas can be written down on paper and then posted (e.g. silent brainstorming), but ideas can also be verbalized. During unstructured brainstorming, teammates who are less assertive may not verbalize their ideas. Nevertheless, silent brainstorming leaves no room for discussion and we want to hear the