Nursing sensitive indicators are by definition,” elements of patient care that are directly affected by 2 nursing practice.”(American Sentinel University - Healthcare, 2011, para. 1) These elements can be further broken down into: Structure - This includes staffing levels, staffing mix, staff education level and the staff experience level. Processes – This includes methods of assessment, methods of care, and types of interventions. Outcomes – these are directly related to quality and quantity of nursing care. With the given scenario, many nursing specific indicators could have been observed to significantly improve Mr. J’s hospital experience.
1. Discuss the role of the nurse when collecting a comprehensive nursing health assessment. A nurse’s role is a complex and unique function and a fundamental part of a Multidisciplinary team. Nurses provide assessment and nursing care of a patient. Assessment is a systematic process using a rational method of planning to identify a patient’s health and any actual or potential problems that need to be met and to provide interventions to meet those needs.
The purpose of this task is to acknowledge the issues presented, determine how these issues can be recorded and tracked, analyze how improvements can be made, and to identify the resources a nursing supervisor should seek out in order to make those improvements. A. Understanding Nursing-Sensitive Indicators According to the American Nurses Association, “nursing-sensitive indicators reflect the structure, process and outcomes of nursing care” (Nursing Sensitive Indicators, 2015). The structure of nursing care refers to the amount of nursing staff available and nursing skill level, training, and education requirements (Nursing Sensitive Indicators, 2015). The nursing process indicators refer to the measurements of specific nursing care duties including assessment processes, findings and interventions being used in the care setting (Nursing Sensitive Indicators, 2015).
Nurse Sensitive Indicators Valentina Vochot WGU Organizational Systems & Quality Leadership RTT Task 1 August 16, 2015 Nurse Sensitive Indicators A. Foundational principles and guidelines for nursing as a profession state that nursing has the responsibility to measure, evaluate, and improve the quality of nursing practice. In 1998 the American Nurses Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI) as part of safety and quality initiative. This database collects designated indicators that affect patient clinical outcomes in order to provide comparative data to healthcare organizations and to develop national data to better understand the link between nurse staffing and patient outcomes. Making patient safety improvement and reducing errors should be a personal priority for nurses, not just an organizational one. Monitoring for early recognition of adverse events, errors, and complications and initiating notification to the appropriate care provider for timely interventions are essential nursing functions that can have a significant effect on patient safety, quality of care, and resulting outcomes.
Nursing-sensitive indicators represent nursing’s contributions to patient care. Nursing-sensitive indicators represent nursing’s contributions to patient care. RTT1 Task 1 RTT1 Task 1 Nursing-sensitive indicators reflect the structure, process and outcomes of nursing care (American Nurses Association, Inc., 2014). Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care (American Nurses Association, Inc., 2014). One nursing-sensitive indicator is the development of pressure ulcers.
In other words, who are the recipients of the services outlined in the document? The target population involves the nursing staff and patient. Hickman et al (2003) found that the effects of patient outcomes is based on the working conditions of the unit which included the workforce staffing, workflow design, personal, social factors, physical environment, and organizational factors. There were six key questions in the study used to prove that the complexity of nursing responsibility provides evidence to show that the nurse workload and job responsibilities affect the outcomes of the patients questions that was asked in the study: * “How nursing workload affects patient outcomes and patient safety? * “Does nursing workload affect the rate of medical errors?
Scott & McSherry (2008) also define evidence based nursing is a process by which nurses make clinical decisions using the best available research evidence, their clinical expertise and patient outcomes. We will also discuss nursing’s simultaneous reliance on and critique of EBP in the context of critical reasoning. There will also be discussion of a study done that examined the effects of integrating evidence based practice into clinical practicum among RN-BSN students and the limitations of evidence based practice and an alternate view of decision making. Lastly we will discuss evidence that challenges the traditional practice regarding injection sites (Cocoman & Murray 2010). According to Guem et al.
These areas are patient satisfaction, pressure ulcers, patient falls, job satisfaction of nurses, hospital acquired infections, time of nursing care allotted for each patient, and staffing ratio/mix. By identifying any deficits in such areas of patient care hospitals and its staff can be proactive in making any necessary changes to improve both patient outcomes and staff satisfaction ("What are Nursing Sensitive Quality Indicators Anyway?," 2011). In the scenario with Mr. J there were numerous nursing-sensitive indicators that were red flags. By being aware of such “red flags” corrective action could have been taken to provide better quality of care to the patient. The nursing-sensitive indicators can be categorized in the following ways: 1) Patient falls: Mr. J was a fall risk due to his mild dementia, age and recent history of a fall at home.
In 1998, the ANA created a repository for implementing, developing, and storing nursing-sensitive indicators, under the name of the National Database of Nursing Quality Indicators, or NDNQI. This database provides access to quality reports for various facilities, and provides examples of how these reports have been used to improve patient care; healthcare centers can then utilize this information to make informed staffing decisions and improve patient outcomes within their own setting (American Nurses Association, 2014). Nursing-sensitive indicators are broken down into three distinct categories: structure, process, and outcomes. The structure of nursing care consists of the organizational pieces of nursing, which include staffing levels, staffing mix, and education and experience levels of the nurses in a given health care setting. Process is simply policies and procedure; this category looks as methods of assessments and care provided, types of interventions performed, and staff satisfaction levels.
See glossary of Nursing Program Student Handbook. A dynamic state of physiological, psychological, sociocultural and spiritual well-being that reflects adaptation responses by the individual to internal and external stressors. Health is the optimum steady state of adaptation which is maintained by the individual system. What is illness? See glossary of Nursing Program Student Handbook Illness is a state of adaptation in which the adaptation responses are ineffective and/or incomplete, often resulting in contact with health care providers.