Running head: IMPROVING QUALITY PATIENT CARE AND SAFETY Improving Quality Patient Care and Safety Betty Miller Western Governors University RTT1 Task 1 Improving Quality Patient Care and Safety The American Nurses Association developed nursing-sensitive indicators for the purpose of improving quality patient care and safety. Nursing-sensitive indicators are the patient outcomes that have been clinically researched and proven to be directly linked to nursing care. Nursing-sensitive indicators are based upon the organization of care, nursing care process and results of patient focused outcomes. The organization or structure of nursing care is reflected by the quantity and quality of nursing staff. The structure indicators are related to nursing staff characteristics such as the skill mix, experience, certification and education of the nurses.
Frequently Asked Questions Roles of State Boards of Nursing: Licensure, Regulation and Complaint Investigation What is the role of state boards of nursing? State boards of nursing are government agencies charged with regulating nursing practice. The boards protect the public by ensuring that standards of nursing practice are met and nurses are competent in their practice. Typical powers and duties of a board of nursing include: • Interpreting and enforcing the state nurse practice act • Administering nurse licensure by overseeing exams to grant licenses and taking action against licenses of nurses who have exhibited unsafe nursing practice • Accrediting or approving nurse education programs • Developing nursing practice standards
Western Governors University RTT1, Task 1 The following essay will identify how nursing-sensitive indicators could improve the care of Mr. J. The paragraphs below will discuss how application and tracking of these indicators can be beneficial to the overall care provided at the hospital. In addition, there will be discussion of how the lead nursing supervisor can use the identified principles to resolve ethical issues in care. A. Nursing-Sensitive Indicators Nursing-sensitive indicators were developed by the American Nurses’ Association (ANA) to reflect the structure, process and outcome of nursing care. Structure is measured by the staff: amount, skill-level, and education or certification.
Applying Standardized Terminologies in Practice Standardized Nursing terminologies (SNTs) are classifications, or taxonomies created to be shared among healthcare users. In the nursing field, the use of SNTs is essential to help nurses to document accurately, and clearly patient care information. The use and implementation of Standardized Nursing Terminologies add descriptions of nursing practice into the health record in a way that nursing personnel understand. The use of standardized terminologies is vital to the development of nursing as a profession. This article main purpose is to provide evidence of the importance and application of standardized terminologies in the Nursing practice.
RTT1 Organizational Systems (V1 Undergrad-0313)-PA) 31 May 2015 Andrew Wallace Jr. A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. Nursing-sensitive indicators reflect the structure, process and outcome of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention and RN job satisfaction.
The ANA code of ethics has provisions in place to assist in a decision for this case. Provision 1 protects human dignity, the right to self-determination. Provision 2 protects the patient's interests and facilitates collaboration among health care providers. Provision 3 and 4 provides standards, accountability, responsibility for nursing judgment and action. In the case of malpractice witnessed by a nurse against a fellow nurse and the facility that they worked, the code of ethics also has provisions to protect nurses as well.
A Comparison of the Professional Roles of Nurses In this paper, the nurse’s unique role in providing inter-professional care, patient care quality and safety, cost effective healthcare, and care to diverse patient populations will be investigated. A Certified Registered Nurse Anesthetist (CRNA), J.W. and a Nurse Educator, M.,H., were interviewed, their roles as nurses were analyzed using provided protocol to discuss the difference between research and quality improvement, also how informatics affect the quality of patient care. The two specialties based on the individual interviews will be compared and a copy of both interviews will be incorporated into the paper. Lastly, a reflection of findings will be discussed as to how nurses could contribute the information from the two interviews into their own professional growth and development.
Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing staff, the skill level of the nursing staff, and the education/certification of nursing staff. Process indicators measure aspects of nursing care such as assessment, intervention, and RN job satisfaction. Patient outcomes that are determined to be nursing sensitive are those that improve if there is a greater quantity or quality of nursing care. ("Nursing world," 2013) Knowledge of these indicators could have assisted the nurses in several ways involving this case.
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.
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.