Holistic care is one of the most important aspects of adequate clinical care, hence the need to always maintain it at an optimal level. Optimization includes constantly improving the best standards, hence the concept of quality improvement (QI) in nursing practice. Under QI, practitioners learn from past practices and combine them with available research to continue improving systems and policies. Among the critical areas of QI that impact the quality of nursing care is the reduction of cesarean section (CS) births in American hospitals (Kingdom, Downe & Betran, 2018). Approximately 33% of all births in America occur via CS. However, some hospitals have a CS birth ratio that is less than 20%, while others have a value above 50%, which amounts to a huge difference in ratios. From a care perspective, CS births are more disadvantageous for both mother and baby. It is on this basis that IQ to reduce the CS birth ratio in any hospital is crucial. Say no to plagiarism. Get a tailor-made essay on "Why Violent Video Games Shouldn't Be Banned"? Get Original Essay In the instant research paper, the question of IQ on birth reduction CS will be evaluated based on a case study on Monterey Park Hospital in Los Angeles, California. Monterey Park Hospital Institutional Policy on CS Births While Monterey Park Hospital does not have an expressed policy on the CS section, available statistics and comments provide an avenue for evaluating the hospital's overall policy on the topic. According to Keehn (2016), the hospital has a CS birth rate of 41.6%. The exponentially high rate means that there is almost one CS birth for every two average births that occur in the hospital. Furthermore, according to Keehn (2016), Monterey Part did not provide any answers when an inquiry was made about their CS birth rates and whether they plan to reduce them. In comparison, Sutter Davis Hospital has a CS birth rate of 12% while Bakersfield Memorial Hospital has a rate of 15%. Based on the above, it would be correct to come to the conclusion that Monterey Park Hospital's policy is to encourage, rather than attempt to reduce, the rate of CS births at the hospital. The gap between the QI issue on CS rate reduction and institutional policy The approach taken by Monterey Park Hospital, as noted above, is at odds with the standard approach generated by the QI issue on CS rate reduction. The rating is based on the fact that the overall rate in the United States is about 33% and the referral hospital here is well above that average. Additionally, as noted above, the CT rate at the hospital is nearly four times higher than some of the hospitals in the same state of California. Monterey Hospital, therefore, would be a strong candidate to adopt QI on the issue of CT rate reduction because it urgently and effectively needs to arrest its runaway CT rates. An adequate QI approach would gradually reduce CS rates, at least to the level of national average rates. Those at Risk Based on available research and commentary, CS births pose a health risk to both mother and baby. Aside from the risk, the CS birth process and subsequent recovery are more expensive than virgin births. Furthermore, as far as the mother is concerned, a CS birth increases the risk of injury during the birth process. CS births involve major surgery that will primarily require anesthesia for the mother (Nierenberg, 2018). Every time a.