To increase the immunization rates among children in the community, a nurse manager is considering holding immunization clinics on Saturdays, one month before school begins. Which of the following describes what is happening?

A. Standards used to provide care: Important for guiding practice but don’t reflect the actual outcomes or effectiveness of care.

B. Vision and values of the agency: These shape the culture and direction but do not directly assess the quality of care delivered.

C. Results of nursing care: The primary goal of QI is to improve outcomes - client health, satisfaction, and safety - which are measured through care results.

D. Evaluation of process changes: This is part of the QI cycle, but outcomes are ultimately what define success and are the most important element.

A. Provide equal access to care: This is an ethical and policy-based goal but not a specific step in the Plan-Do-Check-Act (PDCA) cycle.

B. Review data after changing practice: This corresponds to the "Check" phase of the PDCA cycle, where the outcomes of the change are measured and analyzed to determine effectiveness.

C. Documentation of client care: While documentation is part of nursing practice, it is not specific to any phase in the PDCA cycle.

D. Obtain certification in a specialty area: This is an individual professional development goal, not part of quality improvement methodology like PDCA.