Quality Improvement Nursing

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In order to see how care coordination, quality improvement, and community/public health can be integrated into guiding school nurse practice we have to first understand what they mean. According to the Framework for 21st Century School nursing practice, “in daily practice, school nurses implement some or all of the practice components of care coordination based on an assessment of the student and family needs” (p.46). It includes many areas that the school nurse performs to keeps the students healthy and safe. This requires wearing several hats, which are case manager, chronic disease management, collaborative communication, direct care education, interdisciplinary teams, motivational interviewing/counseling, nursing delegation, student care plans, student-centered care, student self-empowerment, and transition planning.
Quality improvement (QI) “is a continuous and systematic process that leads to measurable improvements and outcomes
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48). The areas of QI are: continuous quality improvement, documentation/data collection, evaluation, meaningful health/academic outcomes, performance appraisal, research, and uniform data set.
Community/public health “moves beyond the individual to focus on community health promotion and disease prevention and is one of the primary roles of the school nurse, in fact, school nursing is grounded in community/public health” (NASN position paper, p. 3). The areas of community/public health are: access to care, cultural competency, disease prevention, environmental health, health education, health equity, healthy people 2020, health promotion, outreach, population-based care, risk reduction, screenings/referral/follow-up, social determinants of health, and surveillance.
The school nursing skill I choose is medication administration
As a school nurse, in order for me to administer a medication to a student several steps have to be followed. When I

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