Sample Paper on Quality, Safety, and Costs on Nursing Care

Quality, Safety, and Costs

            There exist significant relationships among quality, safety, and costs in the delivery of health care. Firstly, the quality in nursing care concerns undertaking proper assessments and intervention measures with the intention of optimizing patient outcomes while simultaneously preventing adverse events. Quality is influenced by certain contextual and intervening conditions that are related to the broader environment, the organization of the health care facility, and the personal factors of the health care professionals and patients (Finkler, Kovner, & Jones, 2007, p. 5). In the environmental context, quality may entail the extent to which the nurses engage patients, their colleagues, and other hospital guests in effective communication to facilitate the delivery of care that enhances patient safety. Quality may also entail assessing the patient’s risks for falls in the hospital setting upon admission, implementing evidence-based protocols for fall-prevention, and the eventual sustenance of such preventative protocols. These quality approaches would not only improve patient safety by preventing injuries due to falls, but also reduce or eliminate the costs associated with treating possible fractures. Furthermore, the delivery of quality care by knowledgeable and experienced nurses would ensure safety practices that reduce or eliminate errors and other foreseeable complications, thereby improving the safety of patients while sparing the nurses and the hospital any legal and financial costs for compensating damages due to negligence on their part.

The importance of nursing care in addressing this issue can be demonstrated using evidence-based approaches that link the health care outcomes, both positive and adverse ones, to the broader environmental and organizational factors, and the personal factors of the heath care professionals, patients, and other hospital guests. The best outcome variables for establishing the linkage include mortality, morbidity, health care costs, nurse satisfaction and burnout, patient satisfaction, organizational performance, and finally, the patient safety indicators, such as hazards and errors, and the adverse and near misses events (Rubenfeld & Scheffer, 2010, p. 104-105).



Finkler, S. A., Kovner, C. T., & Jones, C. B. (2007). Financial management for nurse managers and executives. Philadelphia, Pa: Saunders Elsevier.

Rubenfeld, M. G., & Scheffer, B. K. (2010). Critical thinking tactics for nurses: Achieving the IOM competencies. Sudbury, Mass: Jones and Bartlett.