Читать книгу Quality and Safety in Nursing - Группа авторов - Страница 93

The improvement of nursing and health care quality is the responsibility of every nurse. It can and needs to occur at every level, from the direct one‐on‐one interaction with a patient or family to the advocacy for changes in rules or regulations at every level of government, within an institution or in the local community. It takes many forms, but at its most basic level, it requires being unwilling to accept the status quo, and taking the risk to challenge practice behavior. It requires moral courage to stand up to nursing peers or physician colleagues and dissent when something begins to occur that violates basic principles of quality and safety. Even though many are working on the national level to effect policy change, at the end of the day all health care is local. It comes back to the individual nurse providing care and living in a community to articulate when a policy is being crafted, and how its implementation will improve or hinder quality of care or the safety of patients. It comes back to each nurse understanding the intent of that policy and implementing it on behalf of patients. Only then, when every patient of every race and ethnicity and gender is provided the same care we would want for our parent, or sister, or best friend, or child, will high‐quality health care be achieved.