Nursing quality improvement (QI) is hard. Improving your own and your team’s practice is hard. It takes a lot of effort to change things for the better. The resources that are required are immense.
THE EFFECTS OF SUGAR.There is not a day that goes by when a nurse is asked to advise about diet. In particular, about how much fat and sugar should we eat.
The call goes out. “I need someone to check medication with me.” Nurses are always looking for someone to check medication. But there has been little evidence that the practice of double check reduces drug errors.
In the course of a shift, nurses walk a lot. The long corridors, the equipment that was forgotten but was needed in the room at the end of the corridor, answering the persistent alarm that keeps going off in the room on the other side of the ward.
Nurses exchange information between incoming and outgoing nurses at least three times a day. The name of this exchange varies but it means the same thing. It can be handover, hand off or bed side shift report. It is done at a change of shift and sometimes on an ad hoc basis.