willett kimberly quality improvement project for spanish language services

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Running head: QI PROJECT FOR SPANISH LANGUAGE SERVICES 1 Quality Improvement Project for Spanish Language Services Kimberly Willett Bon Secours Memorial College of Nursing NUR 4144 - Professional Role Development: Servant Leadership 10/23/17 I pledge QI PROJECT FOR SPANISH LANGUAGE SERVICES
  Running head: QI PROJECT FOR SPANISH LANGUAGE SERVICES   1   Quality Improvement Project for Spanish Language Services   Kimberly Willett   Bon Secours Memorial College of Nursing    NUR 4144 -  Professional Role Development: Servant Leadership   10/23/17   I pledge    QI PROJECT FOR SPANISH LANGUAGE SERVICES   2   Quality Improvement Project for Spanish Language Services   The United States for several decades now has seen a steady increase in the Hispanic, or Latino, population. The term Latino represents a group of people from Latin America and the term Hispanic represents descended from a Spanish - speaking land or culture. Regardless of which term is preferred, Hispanic and Latino are used interchangeably in most research studies and in data collection reports to represent one group of people; despite having slightly different meanings. The Hispanic, or Latino, ethnicity is now currently the United States’ largest minority and the only country with a larger population of Hispanic people is Mexico ( Hispanics in the US Fast Facts , 2017). The Census Bureau predicts that “Hispanic people will comprise over 28% of the total population with 119 million residing in the United States” by 2060 ( Hispanics in the US Fast Facts , 2017). As of 2015 with this rise in the Latino population, the Spanish language is the most used language in the United States, second only to English ( Hispanics in the US Fast Facts , 2017). With this increase in the use of the Spanish language in an English language dominate culture; serious language barriers have increased challenges in healthcare.   Language barriers between nurses and patients pose a threat to the quality and delivery of care as it relates to the decreased effectiveness of communication. In turn, ineffective communication causes an increased risk of preventable medical errors, exacerbates health disparities, decreases trust and rapport, and patients are less likely to follow discharge instructions and attend follow - up appointments. In The Joint Commission’s report, they state that “Communication problems are the most frequent root cause of serious adverse events reported to the Joint Commission’s Sentinel Event Database, and a Joint Commission study found that when patients suffer adverse outcomes from medical errors, the outcomes are more serious in limited English proficiency patients than  QI PROJECT FOR SPANISH LANGUAGE SERVICES   3   in English -  speaking patients. Patient rights, quality of care, and patient safety each in itself is sufficient to justify a commitment to effective communication.   (Schyve, 2007)   In the United States, there are more than 37 million Spanish speakers, and consequently making this group an extremely large vulnerable population (Jackson & Mixer, 2017). While some of the Hispanic population may be bilingual, not all are English proficient, categorizing them as limited English proficient (LEP). Healthcare systems and agencies such as the Joint Commission recognizes the challenges in providing care to LEP patients and have established initiatives to address these issues. Researchers in the article “Identifying Families with Limited English Proficiency Using a Capture - Recapture Approach” reported that   “Federal law, The Joint Commission, and best practice dictates that health care organizations offer and provide language assistance services at no cost to each LEP  patient at all points of contact. As of 2012, the Joint Commission required that hospital medical records document the communication needs of each patient, including preferred language for discussing health care”   (Boscolo -  Hightower, Rafton, Tolman, Zhou & Ebel, 2014)   Quality Improvement Project Identified   With this large vulnerable population in the United the States, there are numerous ways a servant leader can imitate a quality improvement project for their local healthcare system. The quality improvement project is to evaluate and improve current language services for LEP  patients who speak Spanish. A servant leader would use the four leadership domains: heart, head, hands, and habits to lead the project. Along with the four leadership domains, a servant leader would also use these five practices of leadership: model the way, inspire a shared vision,  QI PROJECT FOR SPANISH LANGUAGE SERVICES   4   challenge the process, enable others to act, and encourage the heart of others. These four domains and five practices will have positive influences on the implications to professional  practice and the evaluation of outcomes. Head   To begin a quality improvement project, it is important to use the head domain of servant leadership. Using the head of a servant leader means creating a shared vision and setting goals. While a servant leader is forming a shared vision, it is also an opportunity to inspire a shared vision amongst stakeholders in the project. In relation to improving language services for LEP  patients who speak Spanish, a servant leader may ask nurses who provide direct care to this  population for their input. An attainable shared vision would be to analyze the current delivery and quality of care for LEP patients and implement changes for improvement thereafter. An example of a specific goal for improvement is to provide a Spanish interpreter or other language services at admission, before and after procedures, twice daily during inpatient care, and at discharge. Other shared visions may include more nurses becoming Spanish translator certified or the use of iPad technology at the bedside. A shared vision of a servant leader is focused on serving others rather than serving self. Ultimately, the servant leader is invested in improving the care of LEP, Spanish - speaking patients and providing support for healthcare providers in this  process.   Heart   The servant leader’s main motivation is to serve others and not self  -driven desires. In this quality improvement project, a servant leader is driven by serving a large vulnerable population to improve that populations’ lives. A servant leader in this project i s not boastful about their initiative but instead, is satisfied by helping LEP Spanish-speaking patients receive better
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