Background: The US Institute of Medicine (IOM) defined quality in healthcare twenty years ago as six domains: person-centeredness, timeliness, efficiency, effectiveness, safety, and equity. Since then, a new quality movement has emerged, with numerous interventions aimed at improving quality, emphasizing accessibility, safety, and effectiveness of care. Gaining additional equity and timeliness has proven even more difficult.
The challenge: With the emergence of “service-oriented” systems, complexity science, climate change challenges, the growth of social media and the internet, and the new reality of COVID-19, the IOM’s original domains invite reflection on their relevance and potential for improvement.
Possible solutions: In this paper, we propose a revised quality model based on continuous learning and include new domains such as ecology and transparency to reflect the changing worldview of healthcare. We also introduce the concept of “person- or “kin-centered care” to highlight the shared humanity of those involved in the interdependent work. The transition from Person-Centered Care to Kin Centered Care introduces a broader concept of the person. It ensures that Person-Centered Care is included in all quality domains rather than as a separate domain. The focus on technological aspects of quality was an example of a problem in the past. This is a broader interpretation of where “person-centredness” originated. Health and healthcare delivery necessitate people working in various roles, with explicit attention paid to the lived realities of people in professional and patient roles. With a focus on kindness for all, the new model will provide a framework that may make achieving equity in healthcare more feasible.
Module 04 Written Assignment – Nursing Diagnosis
Purpose of the Assignment
1. Assist students in clustering assessment data when developing a nursing diagnosis.
2. Develop students’ ability to write client based outcomes when planning care.
· Explain components of multidimensional nursing care for clients with musculoskeletal disorders.
Using the template below, write 3 NANDA-I approved nursing diagnoses in a proper format based on the client case provided below. Write one SMART client-centered goal for each nursing diagnosis. Consider the client’s medical history and medications.
Kacie Benson, a 19-year-old woman, is a client on your unit due to a skiing accident. She is unconscious and may or may not regain consciousness. She is on complete bedrest. She requires frequent repositioning to maintain correct body alignment and attention to her ROM. She responds to painful stimuli with slight non-purposeful withdrawal. No spontaneous movements are noted. The recent lower extremity ultrasound showed no evidence of venous thrombosis, and she continues on low molecular weight heparin injections. Her fluid and electrolyte balance is being maintained by a tube feeding at 60 mL per hour continuously. She is incontinent of stool and has an indwelling Foley catheter. Her heels are reddened, but otherwise, her skin is intact.
Use at least two scholarly sources to support your nursing diagnoses. Be sure to cite your sources in-text and on a reference page using APA format.
Check out the following link for information about writing SMART goals and to see examples:
You can find useful reference materials for this assignment in the School of Nursing guide:
Have questions about APA? Visit the online APA guide: