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.
Organizational Systems and Quality Leadership Western Governors University Organizational Systems and Quality Leadership A. Nursing-Sensitive Indicators Understanding of the nursing sensitive indicators is important in the practice of nursing. Nursing sensitive indicators reflect the structure, the process, and outcome of nursing care. The structure of nursing includes many factors. These factors include education of nursing staff, number of nurses available, and skill of the staff to care for the patients. I believe there are many nursing sensitive factors that could interfere with the care provided for Mr. J.
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 patient outcomes are those that improve with greater quantity and better quality nursing care. (Cherry & Jacob, 2011) In the given scenario it is clear that that both, the nurse and the certified nursing assistant (CNA) need to have a better understanding of nursing sensitive indicators as well as the hospital’s policy and procedures. Failure to identify the nursing-sensitive indicators resulted in unnecessary use of restraints, development of pressure ulcer, and patient dissatisfaction with care. The use of restraints for Mr. J was an inappropriate action as he was not a danger to himself or others.
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.
Early efforts to study client outcomes began from quality improvement studies with nurses’ participation in the development of interdisciplinary care plans such as critical pathways and care maps that are still in use. Evidence-based practice (EBP) is using the best available evidence on hand to guide clinical decision making in order for nurses to provide the most current and best available care for their patients (Chitty & Black, 2010). EBP is a combination of knowledge to the research process, theory, clinical decision making and findings. The use of EBP requires that one must be aware of research that supports detailed and specific
The definition of nursing as put forward by the American Nurses Association is: Nursing is the protection, promotion, and optimization of health and abilities, prevention of illness and injury, alleviation of suffering through the diagnosis and treatment of human response, and advocacy in the care of individuals, families, communities and populations. (Published in The Nursing Scope and Standards of Practice 2004 edition page 7) To determine how it addresses the metaparadigm of theories of nursing, I needed to find out what a metaparadigm is. By definition, a metaparadigm is a model that explains the linkages of science, philosophy and theory accepted and applied by the discipline. According to our textbook, “ A Nursing Theory is composed of a set of concepts and propositions that claims to account for the central phenomena of interest to the discipline of nursing. “These are: peson, environment, health/illness, and nursing put forward by the American Nurses Association.
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.
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).
Assessment Tool Analysis Paper Assessment tools are used to evaluate and help with the intervention of a patient’s physical, mental, and emotional well-being. They enable medical practitioners to help the vulnerable make informed and appropriate choices for a normal life. Assessment tools can be useful in improving family dynamics, building more cohesive relationships, and promoting healthier lifestyles. There are many different types of assessment tools, some are more effective than others and it is the responsibility of the practitioner to determine the tool that best fits the dynamics of their patient's particular situation. Jean Watson is recognized for her theories on human caring and the way nurses give care.
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. (Berman et al, 2010) A comprehensive assessment establishes a database of information relating to the patient including visual observations during initial interview including, skin condition, cloths, hair, hygiene, demeanor and presence of pain etc. During the interview the nurse should gather family history and both subjective and objective data to establish baseline data as a reference point and an indicator to the effectiveness of interventions. (Berman et al, 2010) Subjective data is what the patient thinks, feels and believes and can also be referred to as the symptoms including itching, pain and worry or anxiety. Objective data is measured during the physical examination; it can be seen, heard, smelt, felt, observed, tested or measured against an excepted standard, including: skin color, bowel sounds, blood pressure, temperature, level of pain, urine analysis etc.