Rtt1 Organizational System

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RTT1 - Organizational Systems and Quality Leadership Western Governors University RN-BSN Pre-Licensure Program The situation with patient Mr. J is quite frightening to say the least. There are multiple issues at hand here that put the patient’s health in jeopardy. As nurses, we have an obligatory responsibility to protect our patients and to practice the principle of beneficence. Having an understanding of nursing-sensitive indicators is crucial in preventing the development of hospital-associated injury and increased mortality/morbidity. These are principles instilled in us throughout nursing school, and guide nurses in our practice. Nursing-sensitive indicators are formulated to allow for better patient outcomes. These guidelines identify specific practices nurses can utilize to achieve safer and optimal patient-centered care. According to Beth Ann Swan, author of the article Making Nursing-Sensitive Quality Indicators Real in Ambulatory Care (2008), “Leaders in ambulatory care nursing must articulate the value of nurses’ contributions, as has been accomplished through the development of indicators of quality patient care and nursing-sensitive outcomes for other venues where nursing care is delivered (1).” On the flip side however, these same indicators can also be used to identify issues that can interfere with or hinder the patient care process. Some of the specific indicators identified in this scenario that impede patient care include: 1) complications such as pressure ulcers, 2) restraint use leading to neglect and patient injury, 3) Patient falls related to or resulting from use of sedatives or narcotic administration, 4) safe patient transfer 5) use of urinal instead of ambulating, and 6) creating a situation for a negative patient/family member experience by not being culturally sensitive to the patient’s needs. The example in this

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