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.
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.
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.
APNs can facilitate the ability to practice both the art and science of nursing and reduce the chasm between theory and practice by using nursing theory as a foundation. According to Chism, nursing theory is made up of ideas brought together by associated expressions that characterize, clarify, and foretell phenomenon that are in accordance with nursing viewpoints (Chism, 2013). Nursing theory helps to identify what should shape the foundation of practice by clearly describing nursing. It is essential the APN use nursing theory in evidence-based practice, to provide better patient care, improve communication between nurses, and as a guide for nursing research and education. In addition, because the main champion of nursing, caring, cannot be quantified, it is crucial to have a theory to examine and spell out what the APN does.
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.
Nursing Ethics NVT2 Task 1 State Regulations and Nursing Standards The Standards and Scope of Practice for the LPN and RN from the Oregon Board of Nursing (2010) states in section 851-045-0040: Scope of Practice Standards for All Licensed Nurses (1) Standards related to the licensed nurse’s responsibilities for client advocacy. The licensed nurse: (a) Advocates for the client’s right to receive appropriate care, including person-centered care and end-of-life care, considerate of the client’s needs, choices and dignity; (b) Intervenes on behalf of the client to identify changes in health status, to protect, promote and optimize health, and to alleviate suffering; (c) Advocates for the client’s right to receive appropriate and accurate information; (d) Communicates client’s choices, concerns and special needs to other members of the healthcare team. This section is all about advocacy for the client, focusing on appropriate care being person centered, intervening on behalf of the client, the client receiving appropriate and accurate information and communicating the choices of the client to the rest of the healthcare team. Implications In this case study the RN did not advocate for the client when the doctor failed to give the client or his family members proper information. The RN failed to inform the family of the patients wishes regarding his advanced directive.
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.
This should be done in order to help improve Interwest’s situation. Analyzing the employee’s utility will help determine satisfaction that the employee’s are expecting to receive from working at the hospital. The next bit of information that I would like to analyze would be the company’s compensation plan. Having the knowledge on how the employees are being compensated is extremely important because this will allow the knowledge on what employees are entitled to. 3.
With the given scenario, many nursing specific indicators could have been observed to significantly improve Mr. J’s hospital experience. Restraint prevalence is the first issue that could be addressed. If the nurse was more aware of this he or she would know that restraints should only be used when medically necessary to prevent a patient from harming themselves, staff, or interfering with medical treatment that would ultimately cause the patient harm. Mr. J, from the description in the scenario, was calm with a diagnosis of mild dementia. Many other interventions could have been implemented to protect this patient from a fall which is yet