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Quality health care

Institutional Affiliation


The quality of health care offered in a medical institution dictates the speed of recovery of the patient, and consequently, the level of patient satisfaction. Since patient care involves a series of medical interventions by different personnel, communication is vital in ensuring efficient service delivery. Nurses especially have close contact with the patients than a majority of other medical staff. Therefore a good interpersonal relationship should be nurtured between them, to enable passing of information from the patient top the medical staff, and vice versa. Nurses hence form a vital link for relaying of information. Communication systems should be available to allow for the passing of this information. Nurses too should have excellent communication skills to facilitate receiving, processing, and pass of information. Over the years these channels and abilities of nurses to communicate effectively have been noted to exist, resulting in communication breakdown, and poor quality of health care.

This paper discusses the problem of poor communication and how this has contributed to the poor delivery of services, offering a possible means of intervention to the issue.

Problem Description

The lack of proper communication and active channels of disseminating information has been a major concern to the nursing community (Kourkouta & Papathaniasiou, 2014). Inefficient communication channels have led to poor quality of service to the patients and consequently patient dissatisfaction. Lack of a clear defined communication system between nurses and other medical professionals, and to patients has led to a reduction in the quality of health care offered in medical institutions in the United States. Identification of the gap has led to intervention by various stakeholders in the industry in a bid to rectify the problem and improve the quality of health care.

Physicians rely on information provided by the nurses. In a strained communication relations between these parties can be fatal, as incorrect information can be passed.  

Solution Description

Strategies have to be initiated by the nursing fraternity to facilitate for the disjointed communication between nurses, other medical practitioners, and the patients. Efficient interpersonal communication amongst them will facilitate for this extensive communication network. The strategies set by a combined body of nurses, and incorporating other medical professionals will alleviate existing pressure between the involved parties. Better communication between the various medical personnel will result in better services coordination, and consequently, better services will be offered to the patient (Lombardo, 2013).

Enactment of relevant policies and close monitoring to ensure they are adequately followed will eliminate the barriers of communication. Policies facilitating for a patient-centred service delivery go a long way in improving the nurse- patient relationship and accordingly, better communication.

Literature Review

Communication in the healthcare industry is critical. Information obtained from a patient is passed over from one personnel to another. Therefore proper flow of this information should be maintained for the provision of quality health care to patients. Lack of good communication systems between the various groups of health care personnel has hindered this, resulting in an inadequate health care service. A medical institution offering substandard care leads to patient dissatisfaction and increased mortality rates may be reported.

Enacting of proper policies dictating the design of communication and interaction will reduce instances of communication breakdown in the sector. The nursing fraternity lacks the appropriate mechanisms for promoting better health care services. Nurse training programs, both pre-service and in-service, do not emphasize on installing strong communication skills to the trainees. The ignorance is subsequently passed on into the work field. 

Despite the nation devising measures for improving provider-patient interaction and communication, no significant change has been noted. This, therefore, calls for the need to design further steps to achieve success. The nursing body, in collaboration with trainers, should develop ways to instil the desired patient interaction and communication skills early, most preferably during training.

Bizarre instances have been reported to occur due to lack of enactment of proper communication. Various inefficiencies have been attributed to breakdown in communication. These include; medical errors, lack of or inadequate treatment and rising of additional, unnecessary costs have been caused by the breakdown in communication. These errors underline the necessity of devising proper communication systems to avoid similar misgivings. The nurse on duty, for example, may end up administering wrong medication to the patient due to misinformation.

Improper coordination by different bodies of the nursing bodies is attributed to inefficiencies in meeting the bio-psychological needs of the patients. Oral communication is considered a fundamental aspect of achievement of the well-being of the patient. This is not available in the nurse-patient interaction, making the achievement of quality health care unattainable. As nurses are unable to express their sincerity and commitment towards the betterment of the patient’s health, doubt is set in the mind-set of the patient on the willingness of the healthcare provider intention to help. Nurses’ failure to communicate with each other properly also led to inadequate patient care. Lack of understanding amongst the team may result in the passing of contradicting information by the nurses to the patient, and possibly undermine the overall safety of the patient.

The nursing profession is a delicate sector and a pillar of the health care system. Mismatch in relaying of information may lead to adverse effects to the patient, including the possibility of death. Families and friends of the patients are also affected when information does not flow properly (Unluturk, M. S., Ozcanhan, & Dalkilic, 2015). Misrepresentation of the patients’ progress results may occur due to errors in relaying of information by the health care providers.

Patients over time become irritated by the unacceptable mistakes caused by the breakdown in communication. However, the inefficient communication systems and other barriers of nurse-patient communication bar the patient from notifying the health care personnel, worsening the condition. In collaboration with other factors, this may lead to reduced recovery speed of the patient, bringing prolonged stay and additional expenses.

The setting of appropriate strategies for the involved parties to provide for efficient relaying of information significantly improves the quality of health care. If the plan is keenly followed, cases of errors of assumption will be reduced, resulting in better service delivery. Patient satisfaction in the short and long run will be achieved as a consequence of a free flow of information, ideas and suggestions to, and from the patients.

Coordination between all stakeholders is vital for the achievement of a complete, efficient running of the health care industry. The nurses should also ensure a proper system of communication with physicians and other medical professionals is established. A favourable working relationship which is essential for the optimum performance of personnel will thrive in this environment, consequently resulting in better care.

Implementation Plan

Evaluation method helps in identifying the objectives and manner in which a particular data had been evaluated .collected and analysed. When having a defined project evaluation plan will guide the activities and will ensure there are best service and success in the project. The assessment plan is paramount for the quality delivery of Medicare to patients by nurses and doctors. There have been problems in health sector on the provision of the healthcare which affect the patients who are the recipient of Medicare. Because of that problem I have been forced to give a proposal for a project which will cater for the patient’s welfare since they are the ones targeted. The only solution is to have a patient-centred Medicare which will reduce all the problems which have been there for mortality rate and the readmission because of the relapse of the problems.

The patient –centred Medicare will take the services close to the patients, and there will be an observation by the head of centres to ensure it is efficient and satisfying to family members. Readmission rate is the challenging issue which would be solved by the proposal. Before the implementation of the plan, there has been lengthy hospitalization of patients which led to high cost of Medicare. Readmission has caused the patient’s speed a lot of money and in return get inadequate healthcare. To do away with all those challenges the patient –centred Medicare will extend the medication even after discharge. This proposal has reduced the rate of readmission from 30% to 20% which shows the effectiveness. Patient –centred care is aiming to lower the cost of healthcare and the pattern of admission among patients.

Evaluation plan

There have been many cases of poor medication which lead to the death of the patients, and the issue has raised an alarm. The biggest problem has been the communication where the doctors fail to involve the patients in the progress of their Medicare (Grol, Wensing, Eccles, & Davis, 2013). The patients have little or no information about how they are doing and that make it difficult for them to recover from illnesses. By employing the patient-centred heal care, the mortality rates will reduce because the patients will be involved in the decision-making. The research shows that the satisfaction level has risen to over 50% after initiating the change.

The variables of assessing the project are the mortality rates among patients and reduction off the injuries which give the proposal credit. The patients will have a short stay in the hospital and the rate of readmission still can useful in evaluating the project. The families of the patient still can be used to assess the project because there will be lower medication cost and insurance.

The questionnaires will be tools used to evaluate the project outcome which will be filled by the nurses and practitioners. The survey will also be conducted in different hospitals which will be followed by seminars and training sessions (Grol, Wensing, Eccles, & Davis, 2013).

Disseminating Evidence

The main aim of every project is arguably presentation and implementation of the resultant strategy (Mitton, Adair, & McKenzie, E., 2007). Information obtained from this study will be presented to health care stakeholders over a 3-month timeframe. Hospital CEO, NICU Nurse Manager, Director of Paediatrics, and other relevant officials will receive the publication to consider incorporating the strategy into the system. Conferences and workshops will be arranged in due course to ensure a high-profile implementation of the project. A two-way interactive process will be established allowing for feedback from the NICU to the project implementers on the implementation progress and any changes required. Publication of the plan in pamphlets and online sources will also help cover a wider audience, allowing for utilization of other health care facilities (Lomas, 2013).


Grol, R., Wensing, M., Eccles, M., & Davis, D. (2013). Improving patient care. John Wiley & Sons.

Kourkouta, L., & Papathaniasiou, I. (2014). Communication in nursing practice. Journal of the Academy of Medical Science, 26(1), 65-67.

Lomas, J. (2013). Diffusion, dissemination, and implementation: who should do what? Acad Science, 226-235.

Lombardo, C. (2013). Nursing’s role in achieving excellence in care delivery across the continuum of health for new mothers with hypertension. Journal of Obstetric, Gynecologic and Neonatal Nursing, 42.

Mitton, C., Adair, C., & McKenzie, E. (2007). Knowledge transfer and exchange: review and synthesis of the literature (Vol. 85). Milbank.

Unluturk, M. S., Ozcanhan, M., & Dalkilic, G. (2015). Improving communication among nurses and patients. Computer Methods and Programs in Biomedicine, 120(2), 102-112.

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