Quality Improvement Participation

Guidelines:

• Standardization allows for iterative improvement
• EBP
• Local champions increase adoption
• Candid feedback critical
• PICO!
• Leadership involvement
• Data collection is king

Considerations:

• Nay-sayer buy-in-first
  • Can improvement withstand the biggest skeptic?
  • Consider feedback critically
• Defined goal
• Continuous involvement
  • Momentum
  • Leadership involvement
• EBP fairs

Nurse’s role:

• Participation in QI projects
• Participation in EBP boards/culture
• Champion projects you believe in
  • Specialty
• Skeptic view, consider logical conclusions

Pitfalls:

• “The way it has always been done”
• “That will cost too much”
• “No way that would work”
  • What WILL make it work?

Examples:

• Incentive spirometer goal setting at discharge (and take home)
  • Cost negligible (disposable already)
  • Follow-up questions encourage participation
  • Measurable data, compliance vs outcomes

Linchpins (Key Points):

• Quality improvement projects work best with buy-in from all levels, especially at the
  bedside