Nurse Sensitive Indicators

The Six Aims for Improvement and the 2016 National Patient Safety Goals (NPSG) are both guidelines for bettering and protecting the patient and their experience while being cared for in the hospital. In the book, Contemporary Nursing: Issues, Trends, & Management, it states that the six guiding aims should be accepted by every individual and group involved in the provision of healthcare, including health care professionals, public and private health care organizations, purchasers of health care, regulatory agencies and organizations, and state and federal policymakers (Cherry, Jacob, 2017, p.381). The NPSG clearly states its mission on its page. It says, “The purpose of the National Patient Safety Goals is to improve patient safety. The goals focus on problems in health care safety and how to solve them” (2016 Hospital National Patient Safety Goals, 2015). Through this reflection of the guidelines, I will group them into categories and reflect on their meanings and how to implement them in nursing.

The knowledge of nursing sensitive indicator can be helpful in providing the patient care which meets the quality and ethical standards. Nursing sensitive indicators rely on evidence to take patient care decisions (Patrician, 2010). According to Patrician (2010), Evidence Based Nursing is the use of personal expertise and research to take decisions on patient care. In case of Mr. J, there is a clear lack of evidence based nursing. Mr. J was kept in restraint without considering that Mr. J was not trying to get out of bed by himself. When the pressure ulcer was identified, the nurse

Nursing sensitive indicators reflect the structure, process and outcomes of nursing care. The structure of nursing care is indicated by many factors such as supply of staff, education level and quality of care provided. 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). In 1999, the American Nursing Association recognized a total of 10 indicators that apply to hospital based nursing care (Americansentinel.edu, 2017). Indicator such as pressure ulcers, patient falls and nosocomial infections are recognized in this list and are considered preventable with proper nursing action. Knowledge of these indicators could have assisted the nurses in several ways involving this case study involving Mr. J.

Getting an infection from improper care during or after insertion of a central line is the last thing you want to get while in the hospital. This paper will discuss Kaiser Permanente’s policy on central venous catheter, also known as a central line, care and dressing change, and whether it follows the current evidence-based practice on preventing bloodstream infection in patients who have them inserted. I will explain about what a central line is, why evidence-based practice is important in the clinical setting, what Kaiser Permanente’s policy about central line care and dressing change is, if Kaiser is currently following evidence-based practice based on current articles about preventing central line associated bloodstream infections (CLABSIs), and what my role in using evidence-based practice is as a future registered nurse.

Urinary tract infections (UTIs) are the most common nosocomial infection; accounting for up to 40% of infections reported by acute care hospitals. Up to 80% of UTIs are associated with the presence of an indwelling urinary catheter. Catheter associated urinary tract infections (CAUTIs) represent the largest proportion of healthcare associated infections (HAI). Catheter-associated urinary tract infection (CAUTI) increases hospital cost and is associated with increased morbidity and mortality .CAUTIs are considered by the Centers for Medicare and Medicaid Services to represent a reasonably preventable complication of hospitalization. As such, no additional payment is provided to hospitals for CAUTI treatment-related costs.CAUTIs can lead to

Healthcare-associated infections from invasive medical devices are linked to high morbidity, mortality, and costs worldwide. Especially in central line–associated bloodstream infection (CLABSI) or catheter-related bloodstream infection (CRBSI) and

Within this paper I will use a research article to assist with the research of CLABSI. The purpose of the article is to find preventable measures to help prevent CLABSI. CLABSI are becoming a major source of prolonged hospital stays within the critical population. Central line associated blood stream infections are known to prolong the length of hospital stay and increase cost and mortality by as

Catheter associated bloodstream infection (CRBSI) occurring in the neonatal intensive care unit (NICU) are frequent, complication related to it are potentially fatal and costly (Kim & Sandra, 2009). According to the center of disease control, an approximate of two hundred and fifty thousand cases of CRBSIs have been estimated to occur annually which cause health care to cost approximately twenty five thousand dollars per case, and between 500 to 4,000 patient die due to blood stream infection (CDC, 2002). Approximately 90 percent of blood stream infection occurs from central venous insertion (CVC). Even though CRBSI occurs from different ways, the most common source is contamination of the catheter by skin flora on insertion, skin flora

The ICUs are associated with over 15 million catheter days while there is indication that only 24.4% of CVC use occurs outside the ICUs (Chopra, Krein, Olmsted, Safdar & Saint, 2013). This implies that millions of patients in the ICUs are at a high likelihood of developing CLABSI

There is an abundance of information identifying central line acquired bloodstream infection (CLABSI) as a serious adverse event during hospitalization resulting in increased morbidity, mortality, and health care cost. Present data from research indicates that CLABSI is the second most avoidable cause of death during hospitalization (Shah, Schwartz, & Cullen, 2016). The above concepts that CLABSI is preventable yet it continues to yield a yearly cost of 2.3 billion dollars and remains a quality metric for national offices such as Joint Commission indicates a foundation for research (Son et al., 2012). Upon the literature review, CLABSI rates were significantly reduced when specific techniques were implemented. Furthermore, all the articles

Summary: Prevention of transmissible infections is an important role of perioperative nurses and requires an understanding of the recommended practices to break the chain of infection. There are standard precautions to follow by the healthcare team as well as specific precautions in relation to how the infection is transmitted such as: contact precautions, droplet precautions, and airborne precautions. Healthcare workers must protect themselves

Central line-associated bloodstream infections, or CLASBIs, are a common issue throughout all types of health care facilities. Each year in intensive care units and other acute care facilities, the Centers for Disease Control and Prevention estimates that more than 30,000 CLASBIs occur. These infections are

Were the first to identify low nurse : patient ratio as an independent risk factor for developing central venous catheter-associated bloodstream infections in surgical ICU patients.

The nurse sensitive indicator is measured by The National Database of Nursing Quality Indicators (NDNQI). Pressure ulcer prevalence is one of the nurse-sensitive indicators measured. It’s branched into community acquired, hospital acquired and unit acquired. Through unit base pilot testing, the data is able to be collected and measured. This organization has a skin committee who goes to each patient in the hospital with a pressure ulcer and assesses the condition that’s reported back to the committee for further analysis. They also have developed a new position in the hospital that consist turn team members. These individuals are staffed throughout the hospital 24 hours a day and turn each patient that’s on the turn team list every two hours.

Low birth weight infants often require intravenous catheters which can account for 3-28% of nosocomial infections (Durand, et.al., 2014). Ensuring nurses are adhering to proper aseptic technique, hand hygiene, and catheter care can help decrease the occurrence of catheter related nosocomial infections (Neill, Haithcock, Smith, Goldberg, Bidegain, Tanaka, & ... Ericson, 2016). Continuous monitoring of the newborn’s condition is essential as infections can increase the patient’s hospital stay, costs of treatment, and chance of morbidity (Lapcharoensap, Kan, Powers, Shaw, Stevenson, Gould, & ... Lee, 2017).