Home care nurses in the Palliative Outpatient Units at King Hussein Cancer Center (KHCC) play an essential role in providing high-quality, patient-centered care at home. Over time, however, several challenges emerged in the current practice. These include an increase in the number of patients requiring home care nursing services, rising patient demands necessitating more frequent home visits, and scheduling difficulties.

These service delivery challenges began to impact overall performance, particularly in areas such as patient satisfaction, quality of care, and effective resource utilization. In response, the home care nursing team initiated an interprofessional quality improvement project in 2024 to address these challenges and ensure a more efficient, responsive, and compassionate home care experience.

The quality improvement project aimed to enhance patient care at home by optimizing staff utilization, increasing the number of patients served, standardizing nursing procedures, and making better use of available resources. A dedicated project team was formed, including home care nurses, nurse leaders, and a palliative care consultant. Key performance indicators (KPIs) were identified to guide the project’s progress. These included measuring patient satisfaction, evaluating service capacity and efficiency through patient visit numbers, improving service delivery by monitoring the timeframe for initial visits, ensuring adequate follow-up care, and achieving optimal staff utilization.

Interprofessional collaboration was a key driver of the project’s success. Project team members worked closely together to share their knowledge and expertise, align project goals, and develop practical, patient-centered interventions. This outstanding teamwork ensured that every decision made was both safe and operationally efficient, ultimately contributing to the project’s desired outcomes.

To drive sustainable change, the project team adopted the FOCUS–PDCA quality improvement methodology. They began by thoroughly reviewing the existing home care nursing workflow, mapping out nursing tasks, and clearly defining roles and responsibilities. A comprehensive cause-and-effect analysis was then conducted to identify the root causes of inefficiencies. Guided by these findings, the team implemented a group of targeted, high-impact interventions. These included redesigning workflows to streamline operations, enhancing the patient scheduling system for better coordination and follow-up, and improving the management of supplies and equipment. These actions set the foundation for the project’s remarkable outcomes and set a new standard for excellence in home care nursing services.

Upon successful completion, the project outcomes revealed that monthly home care visits increased from 400 to 450, meaning more patients were served. Meanwhile, the frequency of patient visits at home rose from 2 to 3 visits per month, ensuring more consistent and comprehensive care. The average time to initiate the first visit was reduced from 7 days to 5. Additionally, the project team achieved optimal staff utilization, which enabled them to serve more patients efficiently while maintaining high-quality care. Most notably, these efforts led to a measurable improvement in overall patient satisfaction related to home care nursing services, reflecting the team’s steadfast commitment to delivering efficient and high-quality care.

This dedicated team has exemplified exceptional nursing excellence through their outstanding outcomes. Their remarkable efforts to enhance the quality and efficiency of home care nursing services at KHCC make them truly deserving of the DAISY Team Award.