RTT1 Organizational Systems and Quality Leadership Task 1
WGU
ALLEN SMITH
A. Understanding Nursing Sensitive Indicators
Nursing sensitive indicators include the configuration, process and outcomes of nursing care. The configuration of nursing care concludes the nursing staff, their nursing skills, and the level of education that each nurse holds. The process of nursing care concludes the nursing assessments, intervention and implimentation. The outcome of nursing care either positive or negative depends on the quantity and quality of the care provided to the patients by the nursing staff ("Nursing world," 2013)
Each nurse should hold proper information and knowledge
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How Hospital Data Could Advance Quality Care
In this scenario the hospital in order to advance the quality of care, could have shared the information about the incident with the nursing personnel. The hospital could provide the best quality of care to the patients and achieve the patients’ satisfaction, by sharing the data. Advancing the quality of care would have positive effect on both patient satisfaction and nursing care. Knowledge of nursing care empowers the nursing staff in such cases. In this scenario the knowledge of pressure ulcers, restraints and patient care is significant. On the other hand the nursing care in this scenario could have been better and the family/patient could have been cared better if the nursing staff had gotten the best patient care knowledge.
Resources Available
Several resources exist in the hospital in order to address the nursing sensitive indicators. In this scenario as a nurse I could partner with dietician in order to address the tray issue and deliver the correct tray to the correct patient. To resolve any misunderstandings I would apologize to the daughter of the patient for the incident. I would speak to the nurse who commented inapprotely to the
There will be a need for additional catheterization labs, surgical suites and expanded cardiac rehabilitation programs. There needs to be better coordination of care to ensure timely scheduling of procedures. Education programs need to be developed emphasizing cardiac risk factors, healthy living and lifestyle modifications.
The second step that I used in the nursing process was diagnosing. Based on my results from my assessment, I was able to use that information to come up with a couple nursing diagnoses. This step is used to offer effective nursing care because it helps me set an intervention and plan of care to help my patient’s health outcomes for the better.
structure, process and outcomes of nursing care. The structure of nursing care is indicated by the supply of nursing
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
In 1615 the East India Company acquired its first territory in Bombay, India. The East India Company was a British company that traded for goods, services, and raw materials with India. What initially started as a trading company became a company ruling a country with Brittan’s backing. The company established an army in India comprised mostly of local citizens called Sepoys. With help from the British army and navy, the East India Company fought other European countries also occupying India for control of the region. By 1715 the EIC and Brittan had beaten back the French in the Battle of Plassey. This secured their dominance in India and a
The balanced scorecard for the customer aspect correctly identifies factors that are needed to maintain a symphony that can be considered world class by all. The scorecard acknowledges the fact that they have to employ high
Nursing care is focused on the assessment, nursing diagnoses, planning, implementation, and evaluation of patients. This nursing process can also be implemented in aspects outside of nursing and on the nursing field as a collective group. The nursing role is evolving, following the process the outcomes have to be evaluated and put into perspective. Research is being completed the conclusions are all the same, the higher education of nursing care the better the patient outcomes.
As you learned in NR302, before any nursing plan of care or intervention can be implemented or evaluated, the nurse conducts an assessment, collecting subjective and objective data from an individual. The data collected are used to determine areas of need or problems to be addressed by the nursing care plan. This assignment will focus on collecting both subjective and objective data, synthesizing the data, and identifying health and wellness priorities for the person. The purpose of the assignment is twofold.
Closely linked to this decision-making model is the ubiquitous nursing process. The nursing process includes data collection and documentation, analysis of the data to determine current condition and real or potential health related issues, development of an individualized plan of care to deal with these issues, implementation of that plan of care, and evaluation of the plan of care to determine its effectiveness and adjust the plan as needed. (Blais, Hayes, Kozier, & Erb, 2006)
The pressure ulcer could have been noticed and addressed if the certified nursing assistant (CNA) had been exposed to the NSI. The process of repositioning the patient on a regular interval would have been followed (Ayello, 2012). The CNA would have known what are signs of a pressure ulcer and how to report them to the registered nurse (RN) who was assigned to this patient. Notification of the RN would have allowed the care plan to adapt and incorporate care for pressure ulcers so as to prevent the progression. Perhaps the NSI would have identified which hospital units were at risk for increased pressure ulcers and would have pointed to additional training
NDNQI is a unique database containing unitlevel nursing sensitive measurement hospital data. The goals of NDNQI are to provide hospitals with unit-level comparison data for quality improvement initiatives and provide data for research on nursing quality and the nursing work environment. Analysis of NDNQI research provides a different perspective on the influences of patient outcomes. The following highlight the results of some of the studies performed using NDNQI. They are consistent in demonstrating differences among nursing units and outcomes due to the nursing workforce and patients cared
As a result of the introduction of computer technology and the combination of evidence-based practice in nursing; standardization of terminologies has become imperative in the classification of nursing diagnosis, interventions and expected outcomes. The most popular and successful systems are the North American Nursing Diagnosis Association International (NANDA-I), Nursing Outcomes Classification (NOC), and Nursing Intervention Classification (NIC) (de Lima Lopes, de Barros, & Marlene Michel, 2009). This paper aims to provide a brief outline of these standardized terminologies (STs) as they relate to a
As nurses, it is our obligation to protect the health and safety of patients as well as advocate for them. To do this the nurse must understand their role, analyze concerns, and improve patient care. Nurses rely on evidence based factors specific to nursing, which impact patients through the care provided, known as nursing-sensitive indicators. These indicators are then used to identify, evaluate, and improve patient care as well as prevent future occurrences (ANA, 2014).
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. The American Nurses Association (ANA) and the National Database of Nursing Quality Indicators (NDNQI) are two sources of information and guidelines for nurses and nurse managers to use in planning patient care and workloads for each nursing unit. The use of available resources, staffing by acuity and patient needs, appropriate referral indicators, and cooperation
I think you have the best response because this is something you have personally dealt with in the working profession. With that said, it gives a lot of insight into handling issues like this when we ourselves get into the workforce. This question sort of goes back to another discussion board where we talked about what makes a team. If something as simple as a tray is forgotten, it makes the team as a whole look bad. It also starts a sort of trickle affect with other team members. If a patient is unhappy about the forgotten tray, not they may be upset and take it out on another member of the team that was not directly apart of it. Overall, something like this should not happen and needs to be taken care of right away. In order for a team