NURSING

LEADERSHIP
THE
APPLICATION OF
MANAGEMENT
RESEARCH
 01

Introduction to Research
WELCOME (evidence based-practice)

TO CLASS!
My topics for today 02

Client Satisfaction Safety

I. INTRODUCTION
Introduction to Research (EBP)
 • Evidence-based practice (EBP) is the
process of collecting, processing, and
implementing research findings to
improve clinical practice, the work
environment, or patient outcomes.
Brief Introduction • Utilizing the EBP approach to nursing
practice helps us provide the highest
quality and most cost-efficient patient
care possible.
“An apple pie without a cheese is like
a kiss with out a squeeze”
Old saying

• The practice of leadership & management without the foundation

of research creates huge void in the effective practice of leader in
health care.
• A leader who do not embrace and actualize evidence based
practice border on unethical practice.
 + =
A nurse leader and nurse managers who practice EBP can
deliver Quality evidence based clinical care
 GLOBAL HEALTHCARE
CHALLENGES TODAY
• The biggest challenge faced by healthcare institution today is
providing evidence-based, cost effective, quality care that will
improve practice and improve patient outcomes.
• Only 20% of what healthcare providers do is based on
evidence and 80% is not.
• Only 55% of time patient get the evidence-based
recommended course of treatment.
• It take 15-20 years to get an evidence into practice.
Example of EBP used still practicing today:

Puerperal Fever
Ignaz or
Autopsy
Dr. ofChildbed
cadaver fever
Semmelweis
Many childbearing woman
father of hand are dying
hygiene
 10 MOST REASONS
NURSES DON’T USE EBP
10. Practice Inertia
9. Satisfied with the ways things always done
8. Don’t like change
7. Organizational Politics
6. Don’t really understand what is EBP all about.
5. Lack of skills to find appropriate evidence.
4. Lack of relevant research evidence.
3.Inablity to apply findings (personal and organizational)
2. Lack of time to do searches and read literature
1.Inability to understand research findings!
 It is very complicated for leaders and managers to have
knowledge of evidence in so many more areas, but that is the
challenge of our roles. We have ethical obligation to synthesizes
evidence from many disciplines of nursing with the evidences
of clinical practice outcome to create the very effective
practice.
 EVIDENCE – BASED PRACTICE
BENEFITS
 Improve patient outcomes.
 Standardize practice.
 Strengthen Nursing as a profession and
science.
 Increase patient satisfactory.
 Reduce liability.
 Saves health care dollar.
 Helps providers & facilities meet regulatory
requirements.
 II. CLIENT
SATISFACTION SAFETY
Nursing is a profession that respects the dignity and
individuality of the patient, gives care in accordance with
ethical principles, and depends on a knowledge base that
constantly changes with new discoveries.
 • Effective nurse leaders ensure that the
appropriate manpower and resources
are in place to achieve optimal care
quality and patient outcomes.

• At the organizational level, nurse

administrators contribute to strategy
This important connection may suggest that setting through their involvement in
effective nursing leadership is essential to senior level decision-making and their
the creation of nursing work environments, ability to influence how nursing is
with appropriate staffing levels, resources
and care processes that support nurses in
practiced and perceived.
preventing unnecessary deaths. 
 Example:
Client / Patient Satisfaction
• Patient satisfaction is an important and
commonly used indicator for measuring the
quality in health care.
• Patient satisfaction affects clinical outcomes,
patient retention, and medical malpractice
claims.
• It affects the timely, efficient, and patient-
centered delivery of quality health care.
• Patient satisfaction is thus a proxy but a very
effective indicator to measure the success of
doctors and hospitals. 
 PATIENT AS PATIENT AS
CONSUMER COSTUMER
a person who purchases goods or services.
means one who acquires commodities or services.

•  Today the patient sees himself as a

buyer of health services and there is a
need to recognize that every patient
has certain rights, which puts a special
emphasis on to the delivery of quality
health care,
• This explains why many hospitals,
especially those in the corporate
sector, have begun to function like a
service industry.
SIX AIMS FOR 1. Safety
2. Equitable
QUALITY HEALTH 3. Evidence Base Practices
4. Timely
CARE SYSTEM 5. Efficient
6. Patient Centered
PATIENT SAFETY
This six can influence patient satisfaction
 1. Patient Loyalty

2. Improved Patient Retention

HIGH If we satisfy one patient, the information reaches four others. If we alienate
one customer, it spreads to 10, or even more if the problem is serious. So if
we annoy one patient, we will have to satisfy the other patients just to stay

PATIENT even. According to the Technical Assistant Research Programs (TARP’s)

3. Less Vulnerable to Price Wars

SATISFACTION There is sufficient evidence to prove that organizations with high customer
loyalty can command a higher price without losing their profit or market

LEADS TO share. In fact nearly 70% of patients were willing to pay more money if they
had to consult a quality physician of their choice

4. Consistent Profitability
It is estimated that, in USA, loss of a patient due to dissatisfaction, can result
in the loss of over $200,000 in PH peso 10,131,400.00 in income over the
. lifetime of the practice.
 5. Increased staff morale
Reduced staff turnovers also leads to increase productivity.

HIGH 6. Reduced Risk In Malpractice

PATIENT
By using evidence based practices

7. Accreditation Issues

SATISFACTION
It is now universally accepted that various accreditation agencies like
International Organization for Standardization (ISO), National Accreditation
Board for Hospitals (NABH), Joint Commission on Accreditation of

LEADS TO
Healthcare Organizations (JCAHO), all focus on quality service issues.

8. Increased Personal & Professional Satisfaction

Patients who improve with our care definitely make us happier. The happier
the doctor and nurses, the happier will be the patients.
MINIMUM REQUIREMENT AND STANDARDS
HAVE TO BE MAINTAINED

Ensure that a smart, competent, and intelligent person is placed to handle the
Telephone services telephone for he or she will be the voice of the practice.

An esthetically designed office, which is well-furnished, properly spaced with

Office Appearance good interiors, well equipped with lighting, water, furniture, etc., and well-
dressed, ever-smiling, and pleasant staff. Patients may not remember what you
said to them; patients may not remember what you did to them; but they always
remember how you made them feel.
MINIMUM REQUIREMENT AND STANDARDS
HAVE TO BE MAINTAINED

Waiting time The amount of time the patient spends in the waiting corridor area plays a very
important role in determining the outcome of patient satisfaction.

The feedback given by the patient helps to improve the work of the physician,
place, and also the system. Patient feedback can be obtained by patient
Feedbacks questionnaires, follow-up phone calls, suggestion box, referral physician's survey
and online suggestions help them improve the quality of patient perceptions of
physician quality. The data can be used to design effective strategies to improve
efficiency of care given to the patients.
 SUMMARY OF TODAY'S CLASS
Topic 1
Quality does not stand still. It should be linear and always ascending. One should strive
to provide better care and soar above each and every patient's expectations. It is an
ironic fact - the better you are, the better you must become.
“A satisfied patient is a practice builder”
“A satisfied patient is a practice builder”
“A satisfied patient is a practice builder”

Topic 2
Patient satisfaction is an attitude. Though it does not ensure that the patient will remain loyal to
the doctor, staff or the hospital, it is still a strong motivating factor. Patient satisfaction is only
an indirect or a proxy indicator of the quality of doctor or hospital performance
 DO YOU HAVE ANY
QUESTIONS?

Feel free to make this an open discussion for questions

or clarifications before proceeding.
THANK YOU FOR JOINING
TODAY'S CLASS.
Reporter: Marion Angela Aguilar Molina
BSN 4A