Organizational Systems and Quality Leadership
Western Governors University A.
Embedded in the founding principles of nursing is the responsibility of nurses to measure, evaluate and improve practice. Hospitals use data and clinical tools to compare themselves to other healthcare organizations in an effort to achieve quality patient outcomes. Having an understanding of the principles of nurse-sensitive indicators, organizational leaders can advance patient care throughout the hospital. A. Nursing-Sensitive Indicators
Healthcare organizations and regulatory agencies recognized a relationship between nursing interventions and overall quality of patient care in the mid 1990’s (Erickson, 2011). This is when nursing-sensitive indicators (NSIs) were introduced as a means to measure patient outcomes. The National Database of Nursing Quality Indicators (NDNQI) was established by the American Nurses Association (ANA) in 1998 to provide hospitals with comparative data to…show more content… The NDNQI is a benchmarking tool hospitals can utilize to improve their outcomes for specific nurse-sensitive indicators. Nurses can compare themselves to similar nursing units locally, regionally or nationally. The results can be used to for decision making regarding nursing care, patient outcomes, patient safety and nurse satisfaction (Hendren, 2011). NDNQI uniquely measures nursing care from the nursing unit levels which empowers nursing units to improve care (Hinshaw, 2011). At the unit level “you might discover that one unit has had few catheter-associated urinary tract infections than another unit with a similar patient population. Then it becomes a question of replicating success” (Hendren, 2011). Suggested methods to enhance nursing staff education are in-services, change of shift safety huddle briefings, online teaching modules, and review at annual department skills