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CHRISTIAN COLLEGE OF NURSING

NEYYOOR

MASTER PLAN
Subject : Nursing Management

Unit : VIII, Controlling

Topic : Controlling: Quality Assurance –


Continuous Quality Improvement,
Standards, Models, Nursing Audit

Level of the student : MSc (N) II year

Duration : 3 hours

PRESENTED BY: GUIDED BY:

J. Asir Dhayani Dr. Mrs. Santhi Appavu


M.Sc(N), M.Phil, Ph.D
MSc (N) II Year,
Principal
Medial Surgical Nursing (Dept)
Christian College of Nursing,
Christian College of Nursing, Neyyoor.
Neyyyoor.

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INTRODUCTION

Controlling is the function of management that involves


setting standards, measuring performance against those
standards reporting the results and taking action.
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OBJECTIVES

At the end of the seminar the students will able to

1. define the controlling

2. identify the planning – controlling link

3. enlist the purpose of controlling

4. narrate the concept of controlling

5. enumerate the need of controlling

6. classify the types of controlling

7. State the areas of control

8. explain the prerequisites of control system

9. describe the levels of controlling

10. list the elements of controlling

11. explain the characteristics of controlling

12. describe the principles of controlling

13. narrate the techniques of controlling

14. enumerate the process of controlling

15. discuss the advantages and disadvantages of


controlling

16. identify the contemporary issues of controlling

17. apply the control method in nursing practice

18. define quality

19. enlist the purpose of quality

20. describe the elements of quality

21. narrate the concept of quality


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22. explain the quality process

23. enumerate the quality circle, its history definition,


concepts, characteristics, objectives, principles,
structure, tools and techniques, training, process,
essentials, benefits, limitations and roles and
responsibilities.

24. describe the quality control its definition, process,


quality control vs quality assurance, process quality
control cycle, factors hinder quality.

25. narrate quality assurance its definition, objectives,


components, principles, cycle, approaches, methods
tool, mechanism, committee, models, steps, developing
quality assurance programme, role of nurse, issues,
factors affecting and application in education and
service.

26. explain standard it definition characteristics, purpose,


approaches, nursing care standards: types, sources,
steps, significance, barriers, role of nurse

27. enumerate nursing audit its definition, history, purpose,


types, objectives, quality audit, audit cycle, nursing
audit: concept, process, audit committee, functions,
advantages, disadvantages

TERMINOLOGY

1. Clan

2. Tactical

3. Reconciliation

4. Benchmarking

5. Steering Committee

6. Quality Metrics
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7. Hazzle

8. Destination

9. Protocol

10. Brain storming

11. Murphy’s law

CONTROLLING
INTRODUCTION

MEANING

DEFINITION

Controlling means to guide someone in the direction it is


meant to go

PLANNING CONTROLLING LINK

PURPOSES

CONCEPT

1. Measurement

2. Correction

3. Evaluation

NATURE OF CONTROL

PREREQUISITIES OF CONTROL SYSTEM

AREAS OF CONTROL

LEVELS OF CONTROL

ELEMENTS OF CONTROL

CHARACTERISTICS OR FEATURES OF CONTROLLING

PRINCIPLES OF CONTROL IN MANAGEMENT

TYPES

TECHNIQUES OR TOOL

1. Budgetary control / traditional


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2. Non- Budgetary control / Modern


SCOPE OF MANAGEMENT CONTROL SYSTEM

ADVANTAGES

DISADVANTAGES

CONTEMPORARY ISSUES

1. Cross-cultural issues

2. Work place concerns

APPLICATION OF CONTROL IN NURSING PRACTICE

CONCLUSION

QUALITY
INTRODUCTION

DEFINITION

Quality is defined as the extent of resemblance between the


purpose of health care and the truly granted care.

- Donabedian 1986
MYTHS AND TRUTH OF QUALITY

QUALITY GURUS

QUALITY CHAIN

VIEWS OF QUALITY

PURPOSE

DIMENSIONS OF QUALITY

COSTS OF QUALITY

QUALITY TOOLS

CONCEPT OR APPROACH TO QUALITY

ELEMENTS

QUALITY PROCESS (OR) ASPECTS OF QUALITY

QUALITY CIRCLE-A TOOL FOR TOTAL


QUALITY MANAGEMENT
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INTRODUCTION

MEANING

DEFINITION

ALTERNATIVE NAMES

HISTORY

ATTRIBUTES OR CONCEPTS

PHILOSOPHY

OBJECTIVES

CHARACTERISTICS OF QUALITY CIRCLE

FACTORS INFLUENCING QUALITY CIRCLE

PRINCIPLES

ORGANISATIONAL STRUCTURE

TOOLS AD TECHNIQUES

TRAINING

QUALITY CIRCLE PROCESS

LAUNCHING QUALITY CIRCLE

ESSENTIALS OF QUALITY CIRCLE

BENEFITS

LIMITATIONS

STUDENT QUALITY CIRCLES

ROLES AND RESPONSIBILITIES

INNOVATIONS IN QUALITY CIRCLE

CONCLUSION

QUALITY MANAGEMENT

INTRODUCTION

DEFINITION OF QUALITY MANAGEMENT

QUALITY MANAGEMENT TRIANGLE

QUALITY MANAGEMENT BRANCH


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FOUR CORE PRINCIPLES OF QUALITY MANAGEMENT (QM)

QUALITY MANAGEMENT PROGRAM

THE ROLE OF MANAGEMENT

THE COMPONENTS OF A QUALITY MANAGEMENT PLAN

QUALITY MANAGEMENT PROCESS

PRINCIPLES OF QUALITY MANAGEMENT

SCOPE OF QUALITY MANAGEMENT

ETHICS AND QUALITY MANAGEMENT

INTERNATIONAL QUALITY STANDARDS

QUALITY PLANNING (EARLY STAGES)

QUALITY CONTROL

INTRODUCTION

DEFINITION

OBJECTIVES OF QUALITY CONTROL

PROCESS

QUALITY CONTROL CYCLE

ELEMENTS OF QUALITY CONTROL

PERFORM QUALITY CONTROL

QUALITY CONTROL TECHNIQUES

FACTORS HINDER QUALITYCONTROL IN PATIENT CARE

QUALITY ASSURANCE

INTRODUCTION

QUALITY CONTROL VERSUS QUALITY ASSURANCE

DEFINITION

GOALS

OBJECTIVES

PURPOSES/NEED
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COMPONENTS

QUALITY ASSURANCE PROGRAMS

APPROACHES FOR A QUALITY ASSURANCE PROGRAMME

APPROACHES/ELEMENTS/COMPONENTS TO QUALITY
ASSURANCE

PRINCIPLES

INDICATORS OF QUALITY ASSURANCE

ORGANIZATIONS PROVIDING QUALITY INDEX

AREAS OF QUALILTY ASSURANCE

PROCESS

QUALITY ASSURANCE CYCLE

QUALITY ASSURANCE MECHANISM

QUALITY ASSURANCE COMMITTEE

MODELS

1) A SYSTEM MODEL OF QUALITY


ASSURANCE

2) AMERICAN NURSE’S ASSOCIATION


(ANA) MODEL

3) DONABEDIAN MODEL (1985)

4) QUALITY HEALTH OUTCOME MODEL

5) FOCUS-PDCA Model (Quality


Management Model)

6) SIX SIGMA

7) QUALITY MANAGEMENT MODEL

8) QUALITY CARING MODEL

9) PERFORMANCE NAGEMENT SYSTEM


PARADIGM

10) MARKER’S UMBRELLA MODEL


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11) MAXWELL SIX DIMENSION MODEL


(1984)

12) WILSON’S MODEL (1987)

13) OMAHA SYSTEM

14) QUALITY ASSURANCE AND JCAHO

15) ISO QUALITY ASSURANCE MODEL

16) OMAHA SYSTEM


THE ESSENCE OF HEALTH CARE QUALITY ASSURANCE

BARRIERS OF QUALITY IMPROVEMENTS EFFORT

DEVELOPMENT OF QUALITY ASSURANCE PROGRAM

ROLE AND RESPONSIBILITIES OF A NURSE ADMINISTRATOR


IN DEVELOPING QUALITY ASSURANCE SYSTEM

FACTORS AFFECTING QUALITY ASSURANCE IN NURSING


CARE:

ISSUES AND QUALITY ASSURANCE IN NURSING

NEW TRENDS

ROLE OF NURSE

APPLICATION IN EDUCATION AND SERVICE

CONCLUSION

STANDARD
INTRODUCTION

DEFINITION

CONCEPTS OF STANDARD

COMPONENTS OF STANDARDS

CHARACTERISTICS

PURPOSE

OBJECTIVES OF STANDARDS

APPROACHES

1. Centralized
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2. Decentralized

3. Combined

LEVELS OF STANDARD

SOURCES OF NURSING CARE STANDARDS

PYRAMID OF NURSING STANDARDS

TOOLS FOR QUALITY ASSURANCE

CLASSIFICATION OF STANDARDS

TECHNIQUES USED IN PREPARATION OF STANDARDS IN


NURSING

STAGES OF THE DEVELOPMENT OF INTERNATIONAL


STANDARDS

LEVELS OF STANDARD SETTING

STEPS FOR THE DEVELOPMENT OF NURSING STANDARDS

STANDARDS IN THE CARE SETTINGS

STANDARDS FOR NURSING SERVICES

LEGAL SIGNIFICANCE OF STANDARDS

BARRIERS AND CONSTRAINTS IN DEVELOPMENT OF


STANDARDS FOR NURSING SERVICE

ROLE OF NURSE ADMINISTRATORS IN DEVELOPING


STANDARDS FOR NURSING PRACTICE

NURSING CARE STANDARDS IN WARD MANAGEMENT:

FUNCTIONS OF NURSES:

RESPONSIBILLITIES OF HEAD NURSE

SAMPLE FOR STANDARDS AND NORMS IN NURSING


SERVICES

CONCLUSION

NURSING AUDIT
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INTRODUCTION

MEDICAL AUDIT

CLINICAL AUDIT

NURSING AUDIT

BRIEF HISTORY

DEFINITION OF AUDIT

DEFINITION OF MEDICAL AUDIT

DEFINITION OF NURSING AUDIT:

CONCEPT OF NURSING AUDIT

PURPOSES OF NURSING AUDIT

OBJECTIVES OF NURSING AUDIT

CHARACTERISTICS:

ESSENTIAL CHARACTERISTICS OF NURSING AUDIT

PREREQUISITE FOR NURSING AUDIT

TYPES OF AUDIT

FORMS OF AUDIT

METHODS OF NURSING AUDIT

TYPES OF AUDITORS

SIX STAGES OF NURSING AUDIT (OR) AUDIT PROCESS

AUDIT CYCLE

AUDIT COMMITTEE

MEMBERSHIP TO THE AUDITING COMMITTEE

FUNCTIONS OF THE AUDIT COMMITTEE

NURSING AUDIT TEAM

RESPONSIBILITIES OF AUDIT COMMITTEE

AUDIT METHODOLOGY

FACTORS INFLUENCING AUDIT PROCESS (OR) FAILURE OF


AUDIT
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ADVANTAGES

DISADVANTAGES

APPLICATION OF NURSING AUDIT

RESEARCH STUDIES

CONCLUSION

QUALITY IMPROVEMENT- CONTINUOUS QUALITY


MANAGEMENT

INTRODUCTION

DEFINITION

QUALITY ASSURANCE VERSUS QUALITY IMPROVEMENT

CONCEPTS

STEPS OF QUALITY IMPROVEMENT

CORE PRINCIPLES OF QUALITY IMPROVEMENT PROJECT

MODELS OF QUALITY IMPROVEMENT

QUALITY IMPROVEMENT CYCLE

HEALTH CARE QUALITY IMPROVEMENT COMPONENTS

PRINCIPLES OF QUALITY IMPROVEMENT

SOLUTIONS OF THE QUALITY IMPROVEMENT

HISTORY OF CONTINUOUS QUALITY IMPROVEMENT

DEFINITION OF CQI

PRINCIPLES OF CONTINOUS QUALITY IMPROVEMENT

APPROACHES OF CONTINUOUS QUALITY MANAGEMENT

BASIC TENETS OF QUALITY IMPROVEMENT

THREE APPROACHES TO ENACTING QUALITY


IMPROVEMENT

QUALITY IMPROVEMENT CIRCLES:

METHODS OF CONTINOUS QUALITY MANAGEMENT


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STEPS IN CONTINUOUS IMPROVEMENT

CONTINUOUS QUALITY IMPROVEMENT TECHNIQUES

BASIC TECHNIQUES

BARRIERS OF CONTINUOUS QUALITY IMPROVEMENT

TOTAL QUALITY CONTROL

TOTAL QUALITY MANAGEMENT

DEFINITION

OBJECTIVES

KEY PRINCIPLES OF TQM

PRINCIPLES OF TOTAL QUALITY MANAGEMENT

ELEMENTS OF TQM

SIGNIFICANCE OF TQM

FIVE STRATEGIES TO DEVELOP THE TQM PROCESS

TOOLS AND TECHNIQUES

FACTORS CONTRIBUTING TO SUCCESS OF TOTAL QUALITY


MANAGEMENT

CONCLUSION

JOURNAL ABSTRACT

1. Wang. l.et.al (2013). The Role of quality control circles


in sustained improvement of medical quality.

2. Teroy (2002) conducted a study on quality health care;


Development of an audit instrument for nursing care
plans in the patient record.

3. Mc. Hugh, M.D. (2011). Nurses widespread job


dissatisfaction, burnout and frustration with health
benefits signal problems for patient care.

AV. AIDS
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1. Chart

2. OPH

3. Flannel board

4. Pamphlet

5. Leaflet

6. Projected aid- lcd

BIBLIOGRAPHY

TEXT BOOK

1. Basheer, P.S. Khan. Y.S. (2012) A concise textbook of


advanced nursing practice. (1st ed). Emmesis. Pg. No.
50 – 62.

2. Neelam Kumari. (2011). A Textbook of Management


of nursing services and Education (2nd ed). Jalandhar.
Vikas and company Pg. No. 211.

3. Jogindra Vati (2013). Principles and Practice of


Nursing Management and Administration. (1st ed).
Jaypee. New Delhi. Pg. No. – 106.

4. Samson, R. (2009). Leadership and Management in


Nursing practice and Education (1st ed). Jaypee New
Delhi. Pg. No. 124- 130.

5. Kaur,s. (2013). Textbook of Nursing Management and


services (1st ed). New Delhi. Jaypee. Pg. No. 104 –
152.

JOURNAL

1. Wang, L.et.al (2013). The Role of quality control


circles in sustained improvement of Medical quality. 5
(1). Springer open Journal. Pg. No. 1
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2. Terry. (2000). Development of an audit instrument for


nursing care plans in the patient record 6 (3). Pg. No. 3

3. Mc. Hugh .M.D. (2011). Nurses widespread job


dissatisfaction, burn out and frustration with health
benefits signal problems for patient care 30 (2). Pg.
No. 202- 2010.

ELECTRONIC VERSION

1. Quality assurance. www. scribd.com

2. Quality control www. slideshare.com

3. Nursing audit www. slideshare.com