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 RN's are on duty and experience level of the staff. For example, evidence indicates institutions with a higher number of RN’s possessing a Bachelor Degree in nursing result in improved patient outcomes. The process indicators measure nursing care such as patient assessment, patient care and intervention. These are the organizational policies and procedures of nursing. The patient outcomes are indicators directly related to …show more content…
The education department can use the mistakes made in this case to retrain the staff on proper use of restraints, pressure ulcer prevention and cultural compassion to increase patient satisfaction scores thereby increasing overall patient outcomes. c. There are several resources I could use to resolve the ethical issue. I would schedule a consult with dietary to find a solution to insure patients receive the correct food tray. Collaboration with the education department to retrain staff to round on patients at meal time, checking that proper food trays are given, while performing safety and comfort checks on each patient, could greatly improve patient satisfaction and outcomes. Staff cannot rely on patients to confirm or recognize whether they are given the correct tray, especially in this case were the patient is demented. In the case described, the patient received the wrong tray which was not a medical issue but a cultural issue, equally as important. The mistake warrants an immediately apology to the patient and family. The best approach to this apology may be to have the Patient Advocate present during the conversation, along with the Nurse Manager. I would also privately speak to the nurse and educate her on proper communication techniques that were more appropriate in this instance. I would have the education department create an education assignment for all staff to
needed to create the factory GEL will look for investors to help with the construction of the cost of the factory.
The Utah Symphony has been a leading arts organization in the western part of the United States for decades. They have a rich, long history. Many strengths have contributed to this success and continue to do today.
Nightingale Community Hospital identified a recent sentinel event involving the ambulatory surgical center. A sentinel event is defined as an unexpected occurrence involving death or serious physical or psychological injury, or the risk thereof (http://www.jointcommission.org/sentinel_event). A three year old female presented to the hospital on September 14th for a planned outpatient procedure. The child was accompanied by her mother. The mother registered the patient with the registrar prior to the procedure. The patient and her mother went to the pre-operative area to complete the informed consent and the necessary physical assessment. The pre-operative nurse obtained the necessary contact
As manager at Toyota of Greenville I would like to start off by thanking all the employees for all their hard work this past year. It’s a huge honor to have such hard and dedicated workers. Every month we like to award a Certificate of the employee of the month to show our appreciation for an employee who has done an outstanding job this past month. It is also a token of appreciation for the part you’ve played in making the company what it is today. Here at Toyota of Greenville we like to recognize a very special individual. This person has demonstrated exceptional performance on a significant number of factors. Your sales here have been very impressive, and we recognize that you have consistently achieved, and often exceeded, your goals.
The disease process I will be reviewing is traumatic brain injuries. A traumatic brain injury occurs when sudden trauma occurs to an individual’s brain. Traumatic brain injuries are considered closed or penetrating. Traumatic brain injuries are categorized as mild, moderate or severe based on the amount of damage that occurs to the brain. (ninds.nih.gov, 2015)
Environmental and Global Health EEEeeCommunity Health Nursing EE Community Health Nursing Environmental and Global Health-‐HAT Task #3 Lynn Senfelds Western Governor’s University Environmental and Global Health Task A-‐1 The Communicable Disease Outbreak of Avian Influenza 2
The nursing supervisor has multiple issues to address in this scenario, the use of restraints and formation of a pressure ulcer are of a great concern, but I believe these are easily rectified with training and follow-up audits to ensure
There are many resources than can be used in this scenario to alleviate the ethical dilemma presented near the end of the scenario. The patient is Jewish and therefore has a strict diet of Kosher foods. The diet order was originally placed correctly, but the patient was served only partially correct as he did not receive a Kosher meal, but the other aspects of his diet were followed. Diet orders should be checked before bringing patients their food and again with the patient at the bedside. However, the staff never should have tried to “cover it up” and do not understand the implications of the patient eating non-Kosher foods. There are many resources than can
Table of Content INTRODUCTION................................................................................. pg no.3 Solution of task P1........................................................................................4 Solution of task P2........................................................................................5 Solution of task P3........................................................................................6 Solution of task P4.......................................................................................7 Solution of task P5.......................................................................................8 Solution of task M1..................................................................................... 10 Solution of task M2.....................................................................................11 Solution of task M3..................................................................................... 12 Solution of task D1......................................................................................
In the hospital environment there are several resources for the nurse to partner with to address nursing sensitive indicators and ethical issues that may arise. In this scenario, to help resolve the issue with meal trays a partnership with dietary could be made to come with an appropriate solution for the correct delivery at meal time. The nurse could have brought this information forward and apologized to the patient and his daughter rather than trying to keep it quiet. The nursing supervisor
By measuring nursing sensitive indicators hospital wide and collecting this information, quality patient care in hospitals can be advanced due to the administrators knowing which areas of practice nurses need to improve. All organizations, including hospitals have institutional cultures, these cultures can potentially have a positive or negative effect on desired outcomes. In the case of hospitals this would be the quality of patient care. If the institutional culture of nurses in the hospital promotes negligence in care, lack of respect for patient autonomy, or poor prioritization, the nursing sensitive indicators should reveal it as for example: negligent care would lead to higher rates of falls and complications acquired during the patient stay.
1. Nurse-sensitive performance reviews and quality indicators are vitally important to maintain the health of the nation and the nursing profession in general. Some of the processes used to implement these include monitoring the supply of nursing staff, assessing the skill of such staff, and considering the education or certification of staff. Assessment, intervention, and RN job satisfaction are process indicators that are also important in terms of determining the quality of nursing care at a health facility (ANA, 2012).
Mr. J.’s daughter noticed a red mark on her father who then reported this to the nursing assistant and her concerns were immediately dismissed. If the nursing assistant was properly trained in the use of restraints and had knowledge of patient outcomes, this patient would not have developed a pressure ulcer. The nursing assistant should have immediately informed the nurse and measurements should have been taken to prevent further breakdown of the patient’s skin which was not done. It is evident in reading this case that Mr. J developed a Stage I pressure ulcer from being retrained in one position with no assessment or release for an undetermined amount of time.
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
American Nurses Association, Inc. (2014). Nursing Sensitive Indicators. Retrieved January 2014, from American Nurses Association, Nursing World: http://www.nursingworld.org