20). Further, the presence of pressure ulcers places a burden on patients and their family (Grinspun, 2005, p.21). As recommended by Grinspun (2005), pillows and foam wedges to separate prominences of the body and lifting devices have been beneficial to avoid friction (p. 32). Research suggests that the majority of pressure ulcers can be avoided. Although, the population at risk likely suffers from the possible contributors, as stated repositioning at least every 2 hours or sooner was effective (Grinspun, 2005, p. 32). When practicing I will reposition patients at appropriate times to reduce the risk of damage to the skin. Additionally, when moving a patient up in bed, I will request adequate assistance from other nursing staff to use a lifting device. This will help to avoid friction while the patient is being moved, ultimately reducing the development of pressure
A second nursing-sensitive indicator that was clearly overlooked was patient satisfaction with overall care. Defined by the ANA, this is a measure of patient
Pressure Ulcer Prevention Repositioning Introduction Pressure ulcers are one of the most common problems health care facilities often face which causes pain and discomfort for the patient, cost effective to manage and impacts negatively on the hospital (Pieper, Langemo, & Cuddigan, 2009; Padula et al., 2011). The development of pressure ulcers occur when there is injury to the skin or tissue usually over bony prominences such as the coccyx, sacrum or heels from the increase of pressure and shear. This injury will compromise blood flow and result in ischemia due to lack of oxygen being delivered (Gyawali et al., 2011). Patients such as those who are critically ill or bed bounded are at high risk of developing pressure ulcers (O'Brien et
Step 2: Scope of practice question Pressure ulcers are a problem and can lead to poor patient outcomes as well as hospital fines. Evidence based studies have shown that “the average cost of care in an acute care hospital for a patient with a stage III or stage IV pressure ulcer reported by the Centers for Medicare & Medicaid Services (CMS) is $43,180” (Jackson, 2008). Pressure ulcers and other skin breakdowns are among the most significant adverse events causing distress for patients and their care givers and compromising patients’ recovery from illness or injury (Gardiner, 2008). It is the tasks of nurses to ensure prevention of these complications is part of the daily care regimen.
Element: Prevention of pressure ulcers This essay is going to explore the nursing process with regard to the prevention of pressure ulcers.
A. Nurse sensitive indicators are factors that are directly impacted by nursing. There indicators fall into three categories; structure, process and outcomes of nursing care. The structure indicators are the organizational piece of nursing care. These relates to the amount of staff on duty at a given time, how many
Pressure ulcers during a hospital admission are preventable. Assessment and early intervention can stop skin breakdown before it begins. Many factors regarding Mr. J’s condition placed him at a high risk regarding nursing indicators. Mild dementia, recent fall and a fractured hip all require a high level of nursing care and indicates preventative practice. Upon assessment, precautions should be in place to deter further complications. The elderly are more
Running Head: ORGANIZATIONAL SYSTEMS 1 Organizational Systems RTT1 Western Governors University Pam Turner Septemer29, 2014 Running Head: ORGANIZATIONAL SYSTEMS 2 A). Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. (Nursing-Sensitive, 2014.) The skill level of the nursing staff, the supply of nursing staff, and the education or certifications of the staff are all used to measure the structure of nursing care given to any given patient. Patient outcomes, which are improved by a greater quality of care, are said to be nursing sensitive. Some examples of
Organizational Systems and Quality Leadership Task 1 Western Governors University Organizational Systems and Quality Leadership RTT1 Task 1 Organizational Systems and Quality Leadership Task 1 A. Nursing-Sensitive Indicators 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 (e.g.,
ORG. SYSTEMS & QUALITY LEADERSHIP TASK 1 1 Organizational Systems and Quality Leadership Task 1 Stephanie N. Campbell 000499473 Western Governors University ORG. SYSTEMS & QUALITY LEADERSHIP TASK 1 2 Organizational Systems and Quality Leadership Task 1 A. Nursing Sensitive Indicators In this given scenario, there are multiple nursing sensitive indicators present including pressure ulcer prevalence, restraint prevalence, and skill mix. (Montalvo, 2007) The most prevalent one for me was pressure ulcer prevalence. Yes, in this case, the pressure ulcer was likely secondary to restraint use, so these tie in together, but pressure ulcers overall are easy to prevent using proper turning and
2. Some of the ways in which these processes can be implemented include the development of new indicators to ensure that the contribution of nursing to patient care is at an optimal level. One way to accomplish this is by a review of peer-reviewed literature to determine the indicators that prove nursing sensitive, as well as to determine the reliability of information currently available on such indicators. On a less theoretical level, topic experts can also be approached for discussion on measurement issues and additional information to support theoretical reports and analysis. Patient risk level could be the focus of such discussion. After a plan for data collection and reports have been drawn up, comments from participating facilities can be invited regarding the feasibility of data collection methods, as well as for suggestions on additional methods to collect data and information, as well as how to implement processes.
The National Database for Nursing Quality Indicators is an organization that allows hospitals to compare nursing quality of national, state, and regional for similar units and hospitals (Cherry & Jacob, 2017). This organization uses criteria used to grade and improve quality such as patient falls, use of physical restraints, nosocomial infections, nursing care hours provided per patient day, and nurse satisfaction surveys (Cherry & Jacob, 2017). The Quality and Safety Education for Education was established to educate registered nurses to constantly improve the safety and quality in the facilities they work (Cherry & Jacob,
RTT Task 1 Western Governor’s University RTT Task 1 Nursing-sensitive indicators can be an important tool in identifying patient care issues that could potentially arise during a hospital stay. By analyzing the data on specific nursing-sensitive indicators, the quality of patient care can be optimized and patient satisfaction can be improved.
Nurse-Sensitive Indicators Studies have shown strong correlations between nurse sensitive indicators or nursing quality indicators and patient outcomes. Nursing sensitive indicators are performance measures that can measure outcomes of nursing care. Nursing indicators can include nursing hours per patient day, patient falls, pressure ulcer prevalence, restraint
Nursing interventions play an important part in the reduction of pressure ulcers. A nurse can help to reduce the risk of pressure ulcers by promoting activity, carrying out skin inspections and assessments, and by using pressure relieving devices (Lynn, 2005). Some patients may fear being dropped when moved using equipment (Rogers, 1999), thus it is important for the Nurse to communicate with the patient, this way the Nurse can explain how the equipment works and the patient can express any concerns that they may have. It is important to remember that not all patients like lifting equipment and