The safety and quality of the care provided in Australia’s

The safety and quality of the care provided in Australia’s health system is of utmost importance to all patients, their families, and carers. A safe and high- quality health system provides the most appropriate and best-value care, while keeping patients safe from preventable harm” (AIHW, 2024). The professional nurse plays a vital role in the quality improvement of health care services. However, nurses cannot make these improvements in isolation. They must include other professionals and ancillary personnel in their initiatives. Total quality commitment and change initiatives also must include all levels of an organisation structure. You are a graduate registered nurse working on a surgical ward in a large metropolitan hospital. As an emerging clinical leader, you have been asked by your Nurse Unit Manager to propose a quality improvement initiative to address the following patient safety risk concerns on Communication errors are one of the leading causes of medical errors — this translates to poor patient outcomes, longer hospital stays, and increased costs (Tiwary, Rimal, Paudyal, Sidgel, and Basnyat, 2019) Use the Quality Improvement Proposal template provided and respond to the following through your proposal: 1. Identify the patient safety risk concern that you would like to address in a change initiative. Provide a purpose, background, two (2) specific and achievable objectives and evaluation of change concepts, inclusive of (2) specific evaluation practices for your change initiative proposal. Use current literature to support your proposal. 2. Stakeholder engagement is a pivotal aspect of quality improvement. Identify the main stakeholders whom you need to engage in your change initiative proposal and critically discuss communication strategies with the stakeholders. 3. Identify the leadership style that you will adopt in this innovation for change. Analyse how the two specific attributes of this leadership style would benefit and guide success of this quality improvement proposal. 4. Identify two possible barriers to change, one individual and one organisational that you could encounter when implementing change. Critically discuss using current literature. Clear and concise identification of the specific patient safety risk concern (Purpose). Clear and comprehensive background of the specific patient safety risk concern. Two objectives identified are specific and achievable. Two evaluation of change process identified and are relevant to the patient safety risk concern. Comprehensive, critical discussion that is all directly relevant to the patient safety risk concern and supported by a wide range of relevant and credible evidence. Clear and concise and thorough identification of major stakeholders. Comprehensive and concise critical discussion that is relevant to stakeholder engagement and communication of proposed patient safety initiative. All arguments are supported and justified and supported by a wide range of relevant and credible evidence. clear and concise identification of an appropriate leadership style adopted. Comprehensive, concise, and critical discussion directly relevant to the leadership style’s attributes and how they would benefit and guide success of the safety risk concern initiative. All arguments are supported and justified and supported by a wide range of relevant and credible evidence. Comprehensive, concise, and critical discussion that is all directly relevant to the identified barriers of change. All arguments are supported and justified with high quality, credible and appropriate literature, and evidence. The content is comprehensively articulated, with analysis and synthesis of the literature to support understanding. No use of direct quotes, except for emphasis. All arguments are supported and justified with high quality, credible and appropriate literature, and evidence. Eight (8) or more relevant and credible nursing related academic sources cited. Introduction 1.1 Purpose of the proposal for change (Identify the patient safety risk concern that you are addressing in your quality improvement initiative. This is looking at what you are looking to improve). Delete explanation and just keep heading. 1.2 Background (Provide a background explanation why this patient safety concern is an issue (you need to support your discussions using current literature). Delete explanation and just keep heading. 1.3 Objectives (Identify two (2) objectives (interventions) that you propose to implement that are specific and achievable to contribute to eliminating the risk of the safety concern identified. This is looking at how you are going to improve current practices. Current literature is needed to support your objectives). Delete explanation and just keep heading. 1.4 Evaluation of Change (Discuss the evaluation phase of change and its importance. Give two (2) specific examples of how you are going to evaluate change in relation to your objectives. Current literature should be utilised in this response). Delete explanation and just keep heading. 2. Stakeholder Communication 2.1 Identification of major stakeholders (Identify the major stakeholders that would be involved in your quality improvement initiative. Consider all levels of organisational structure when identifying stakeholders. Current literature should be considered). Delete explanation and just keep heading. 2.2 Engagement and communication with the stakeholders (Discuss what you would communicate with stakeholders, discuss how you would engage stakeholders, and discuss why communication with stakeholders is imperative). Delete explanation and just keep heading. 3. Leadership Style 3.1 Specific leadership style (Identify an appropriate leadership style that you would adopt to lead this quality improvement initiative). Delete explanation and just keep heading. 3.2 Attributes of the leadership style that will promote success (Discuss two (2) attributes specific to the leadership style identified and analyse how these attributes would guide success of the quality improvement initiative). Delete explanation and just keep heading. Australian Institute of Health and Welfare (2022) Health care safety and quality, AIHW, Australian Government, accessed 10 January 2024. Sameera, V., Bindra, A., & Rath, G. P. (2021). Human errors and their prevention in healthcare. Journal of anaesthesiology, clinical pharmacology, 37(3), 328-335. https://doi.org/10.4103/joacp.JOACP_364_19 Tiwary, A., Rimal, A., Paudyal, B., Sigdel, K. R., & Basnyat, B. (2019). Poor communication by health care professionals may lead to life-threatening complications: examples from two case reports. Welcome open research, 4, 7. https://doi.org/10.12688/wellcomeopenres.15042.1

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