Quality Nursing Care Quotes

Obtaining a certificate in nursing assistant trains students to provide quality care to residents in nursing homes.

Designers of electronic charting systems don’t seem to understand that checklists themselves are not the innovation, because checklists are not substitutes for care. The real innovation is having staff use lists to consistently create the safest and highest-quality clinical environment possible.

Many of us in healthcare entered the profession because we wanted to help, heal, and serve. At our core, we have compassion, empathy, and a drive to help people live their best lives. Recognizing and implementing actions to prevent patient and employee harm has the greatest potential effect on the quality of care delivered in our health care system, just as preventative care and wellness efforts slow or stop the progression of disease.

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Raw humor is a quality issue that has to be dealt with; the quality of the humor, or a metabolite in our modern biology, is an important factor in health preservation, a fact that is rarely given attention when merely measuring the quantity of a biomolecule. In a Western-type clinical environment, the physician or nurse may not be aware of this issue since all blood indicators they deal with are quantitative and only measured in the blood, the assessment and treatment is based on whether the test results show above or below the normal range. According to Avicenna, in many instances the raw humor may be higher in concentration within the organ, and not within the vessels, and its effect is local rather than systemic.

The difference between standard medical care and hospice is not the difference between treating and doing nothing, she explained. The difference was in the priorities. In ordinary medicine, the goal is to extend life. We’ll sacrifice the quality of your existence now—by performing surgery, providing chemotherapy, putting you in intensive care—for the chance of gaining time later. Hospice deploys nurses, doctors, chaplains, and social workers to help people with a fatal illness have the fullest possible lives right now—much as

It was her concern and commitment to a friend which last year involved her in perhaps the most emotional period of her life. For five months she secretly helped to care for Adrian Ward-Jackson who had discovered that he was suffering from AIDS. It was a time of laughter, joy and much sorrow as Adrian, a prominent figure in the world of art, ballet and opera, gradually succumbed to his illness. A man of great charisma and energy, Adrian initially found it difficult to come to terms with his fate when in the mid-1980s he was diagnosed as HIV positive. His word as deputy chairman of the Aids Crisis Trust, where he first met the Princess, had made him fully aware of the reality of the disease. Finally he broke the news in 1987 to his great friend Angela Serota, a dancer with the Royal Ballet until a leg injury cut short her career and now prominent in promoting dance and ballet. For much of the time, Angela, a woman of serenity and calm practicality, nursed Adrian, always with the support of her two teenage daughters. He was well enough to receive a CBE at Buckingham Palace in March 1991 for his work in the arts--he was a governor of the Royal Ballet, chairman of the Contemporary Arts Society and a director of the Theatre Museum Association--and it was at a celebratory lunch held at the Tate Gallery that Angela first met the Princess. In April 1991 Adrian’s condition deteriorated and he was confined to his Mayfair apartment where Angela was in almost constant attendance. It was from that time that Diana made regular visits, once even brining her children Princes Willian and Harry. From that time Angela and the Princess began to forge a supportive bond as they cared for their friend. Angela recalls: “I thought she was utterly beautiful in a very profound way. She has an inner spirit which shines forth though there was also a sense of pervasive unhappiness about her. I remember loving the way she never wanted me to be formal.” When Diana brought the boys to see her friends, a reflection of her firmly held belief that her role as mother is to bring them up in a way that equips them for every aspect of life and death, Angela saw in William a boy much older and more sensitive than his years. She recalls: “He had a mature view of illness, a perspective which showed awareness of love and commitment.” At first Angela kept in the background, leaving Diana alone in Adrian’s room where they chatted about mutual friends and other aspects of life. Often she brought Angela, whom she calls “Dame A”, a gift of flowers or similar token. She recalls: “Adrian loved to hear about her day-to-day work and he loved too the social side of life. She made him laugh but there was always the perfect degree of understanding, care and solicitude. This is the point about her, she is not just a decorative figurehead who floats around on a cloud of perfume.” The mood in Mount Street was invariably joyous, that sense of happiness that understands about pain. As Angela says: “I don’t see death as sad or depressing. It was a great journey he was going on. The Princess was very much in tune with that spirit. She also loved coming for herself, it was an intense experience. At the same time Adrian was revitalized by the healing quality of her presence.” Angela read from a number of works by St. Francis of Assisi, Kahil Gibran and the Bible as well as giving Adrian frequent aromatherapy treatments. A high spot was a telephone call from Mother Teresa of Calcutta who also sent a medallion via Indian friends. At his funeral they passed Diana a letter from Mother Teresa saying how much she was looking forward to meeting her when she visited India. Unfortunately Mother Teresa was ill at that time so the Princess made a special journey to Rome where she was recuperating. Nonetheless that affectionate note meant a great deal to the Princess.

That BIDMC did not bother to apply to the American Nurses Credentialing Center for recognition as a magnet hospital—one of Beth Israel’s distinguishing features—demonstrates just how susceptible to disruption these arrangements are. Such fluctuations and changes could have ramifications not just for individual nurses’ satisfaction and burnout rate but also for the quality of care patients receive.

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Death will come for us all and yet medicine still sees it as a defeat. No wonder that legal physician-assisted suicide has caused such an uproar within medical circles. Research has shown that even in jurisdictions where it is legal, confusion about its ethics, processes and procedures abound. Why? Because physician-assisted suicide allies the doctor with their enemy, namely death. Health professionals generally don’t seem to have the training and skills to assist in the dying process and most don’t appear to want them. Research has shown a strong connection between the death attitudes of health professionals and the quality of end-of-life care that they provide. For example, nurses low in death acceptance tend to have negative attitudes towards end-of-life care and cultivate poorer relationships with terminal patients. Death anxiety among healthcare providers negatively affects their attitudes towards family members of the dying. Further, death anxiety has been shown to stop relevant health professionals from initiating discussions about advance care directives. This, of course, makes it extremely difficult to ensure that the wishes of the dying are adhered to when the moment comes.

Work matters. Quality work matters. It matters to God. Luther famously said that the angels smile when a father changes a dirty diaper. God wants clean rear ends! Of course he does. Why does God care about such small details? Because he loves, that's why. He wants children taught, and he uses principals, teachers, and parents to do it. Not to mention all the staff it takes to run a school. God wants people protected, and he uses firefighters, police officers, and a host of government officials to get the job done. God wants diseases controlled, and he uses doctors, nurses, and researchers to take on this monumental task. He cares deeply about the janitor's work, too, for the very same reason. God wants it all, and he wants it done well. He uses people to do it. He frees Christians from working for him so that they can work for their neighbors.

This is what it had come to. The people who had nursed him from the beginning of his life, whose energies he had harnessed for his own use up until this moment, were now called upon to care for him as he faced his last days on earth—sitting up with him at night, sleeping on pallets around his bed to be ready to hear when he called out in need, in fear, or out of simple loneliness. These African Americans, whom he had sentimentalized as having the best hearts of any people in the world, had given their lives to him—followed him about, cleaned up after him, no doubt worried about him, for his sake and their own—slept with him, and borne him children. He had held them as chattel, trying, in the case of the Hemingses, to soften a reality that could never be made soft. While he claimed to know and respect the quality of their hearts, he could never truly see them as human beings separate from him and his own needs, desires, and fears. In the end, all he really knew of their hearts was what they were willing to show him, and they carried enough knowledge in their heads to know his limitations and the perils of giving too much of themselves in the context of their society.

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What I have found in similar settings is that good leadership (for instance, on the part of head nurses who demonstrate a commitment to safety and to openness), together with a clear, shared understanding that the work is complex and interdependent, can help groups build psychological safety, which in turn enables the candor that is so essential to ensuring the quality of patient care in modern hospitals.

Until she reached the nursing home, no doctor or other medical professional ever asked her for her goals of care. Did she want to live as long as possible? Or was day-to-day quality of life, independence, and level of functioning more important than longevity? In the same vein, no medical professional ever suggested or assembled a family meeting on this subject, even though Michael and I would surely have a role in how she met those goals.

not the difference between treating and doing nothing, she explained. The difference was in the priorities. In ordinary medicine, the goal is to extend life. We’ll sacrifice the quality of your existence now—by performing surgery, providing chemotherapy, putting you in intensive care—for the chance of gaining time later. Hospice deploys nurses, doctors, chaplains, and social workers to help people with a fatal illness have the fullest possible lives right now—

The term quadruple aim was coined in 2014 to highlight the four main aims of healthcare reform efforts (and evaluation thereof) that were the focus of the ACA: improved quality of patient care, reduced healthcare costs, improved population health status, and job satisfaction among healthcare workers (Bodenheimer & Sinsky, 2014).

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