2) They identify structures of care and care processes, which influence patient care outcomes. (Montalvo, 2007, para. 3) Structural indicators are comprised of the supply, skill, education and certification of the nursing staff. Process indicators measure nursing assessment, intervention and job satisfaction. Outcome indicators reflect patient outcomes that are most influenced by nursing care.
Indicators of structure are measures by the supply and skill level of nursing staff as well and the education and certifications of the nursing staff. Indicators of the nursing process are nursing assessments, interventions 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 (e.g., pressure ulcers, falls, and intravenous infiltrations). (American Nurses Association, 2014) NDNQI: National Database of Nursing Quality Indicators. There are some patient quality and safety measures which have been shown through research to be significantly affected by nursing care or “nurse-sensitive” measures.
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.
Placing patients close to nurse’s station or offering frequent toileting can also help reduce potential injuries. If falls continue to occur with precautions in place, incidents need to be reviewed to identify where improvements can be made. Educational opportunities can be offered to staff on the importance of enforcing fall precautions on at-risk patients. Many different nursing-sensitive indicators can be tracked in the same fashion. The important element here is to continuously monitor standardized performance measures and assess the extent to which nursing interventions have an impact on patient safety, quality, and the work
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.
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.
Critical Thinking In Healthcare Grand Canyon University AMP-450V Leadership and Vocation July 19, 2015 Critical thinking and decision making is a vital part of professional nursing necessary to provide high quality and safe health care for our clients. Critical decision making is using critical thinking to arrive at a decision for a specific situation. Critical thinking is self-directed, self-disciplined, self-monitored, self-corrective thinking, and it’s presupposes is to subscribe to values of excellence and give careful thought before making a decision (Benner, Hughes, & Molly, 2008). With this in consideration we would look at the given scenario and answer the question and analyze the ramifications of Mike’s decisions.
Understanding this weakness through the perception of the nurses can improve patient outcomes; this is the research problem in the study. The study highlights the attitudes and values of the selected nurses and also ways to increase knowledge and preserve their dedication to pressure ulcer prevention. The authors established the significance of the study by highlighting the role of the nurse in the prevention of the pressure ulcers and how the break in care contributes to the development and progression of pressure ulcers. Purpose and Research Questions “The study aimed at describing contributing factors for the progression or regression of pressure ulcers in the care trajectory as they were understood by nurses working in hospitals or community care” (Athlin et al., 2010, p. 2252). The authors did not specifically develop research questions, however some appropriate
By using nursing research, best practices can be implemented in order to improve patient outcomes. This paper takes a look at a phenomenon known as alarm fatigue and its serious impact on patient outcomes. Improving Patient Outcomes: What is the best practice to combat alarm fatigue? Introduction According to the FDA,
Perspectives in Ambulatory Care Beth Ann Swan Making Nursing-Sensitive Quality Indicators Real in Ambulatory Care EXECUTIVE SUMMARY Pay-for-performance initiatives are changing the quality landscape. Gaps exist in quantifying and linking ambulatory care quality indicators to care provided by nurses in ambulatory care. Ambulatory care quality indicators that are sensitive to nursing care, standardized, and tested need to be identified and adopted by ambulatory care nurses, ambulatory care provider organizations, professional organizations, and endorsed by a consensus organization. delivery has shifted from the inpatient to the ambulatory care setting, nurse leaders in ambulatory care are faced with an ever-increasing set of challenges.