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.
RTT 1 Task 1 Julie Villa Western Governors University RTT 1 Task 1 The nursing profession has an obligation to advocate for patients and provide safe, quality care. By providing evidenced-based practice, nurses can improve care and create better outcomes for patients. In reference to the case study provided, I will be discussing how an understanding of nursing-sensitive indicators can assist nurses in identifying issues that may interfere with patient care, how analyzing hospital data on these indicators can advance quality patient care in the hospital, and how specific system resources could be utilized in order to resolve the ethical issue in this scenario. Having an understanding of nursing-sensitive indicators is beneficial to nursing professionals in order to provide quality care and improve patient outcomes. Nursing-sensitive indicators were established by the American Nurses Association to identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007, No.
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.
RESEARCH TOPIC The relationship between lack of demonstration of carative factors among Registered Nurses (RN) and the decrease in patient satisfaction PROBLEM STATEMENT In health services, the level of satisfaction among patients has become the key factor to improve quality, becoming the main indicator of the quality of care offered. Recent studies recommend that patients’ satisfaction with health care should be one of its desired results (Romero-Garcia et al, 2014). The concept of satisfaction with health services is complex, as it is connected with a wide range of factors such as lifestyle, previous experiences, future expectation, personal values, and society. If, in fact, the main goal of a health service is the patient, it is then essential that we are aware of their opinion and level of satisfaction with the service to be able to adapt such service as much as possible to their actual needs, expectations, and priorities (Romero-Garcia et al, 2014). In addition, the physical environment, communication and information, participation and involvement, interpersonal relations between nurse and patient, nurses’ medical-technical competence, and the influence of the health care organization on both patients and nurses should also be taken into consideration (Art & Science, 2014).
Nursing focus is aimed at assisting, encouraging, and supplying the tools that are needed to have patient success. (Alligood, 2014) Evaluation is an important time for both the nurse and the patient to reflect and reassess. The patient remains the focus and helps determine if the philosophy, theory, or model helped achieve the desired outcome. This is a time for active listening by the nurse and feedback. Nightingale, Orem, and Rogers are some of the philosophers or theorists that have helped to mold nursing into the profession it is today.
The article promotes safety, delegation, prioritization, and care by focusing on the hierarchy in the nursing system and how the appropriate nurse should be following the required role. This is important in the initial assessment of the patient. Only RNs and their superiors should be assessing patient’s immediate needs in order to ensure the overall care of the patient. The patient’s safety is paramount and having a qualified professional assessing their needs is of utmost importance. After this step, the RN can then delegate the care plan to other nurses that are able to follow through with their care.
It is also important because workers will need to build relationships with their patients to ensure the patient gets the right treatment and care plan. For example verbal communication is very important in a Health and Social Care setting as it can help pass on information, build relationships with patients and build trust with patients. It would be important to build a relationship and trust with your patient to ensure you make them feel comfortable and able to communicate with you to ensure they are receiving the correct treatment. Also so they understand what treatment they are receiving and that they fully understand what will happen. This would need to be one to one communication so that it is just two people talking to each other and it is easy to understand.
The Department of Health [DH] [2001] explained that communication comprises of a number of skills used to promote professional practice. These skills will be identified and used appropriately to promote the outcome of the patients care. This writer will use some of these communication skills to demonstrate the impact on the care nurses provide in line with the NMC standard and good record keeping will be discussed as a factor that is essential in effective communication practice. Also, the concept of communication in collaborative work and how it influences the works of nurses through verbal and non-verbal means of expressions in building therapeutic relationship by active listening, respect and assertiveness will be looked into as well as the barriers of communication in nursing practice. Communication is the transmission of information from a sender through a channel to a receiver, it can either be verbal or non-verbal means of communication.
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