Task No. 1: The J Case A. The Role of Nursing-Sensitive Indicators in Identifying Interfering Issues in Patient Care Nursing-sensitive indicators (NSIs), particularly those listed in the National Database of Nursing Quality Indicators (NDNQI), identify care structures and processes that are influential to patient care outcomes (Montalvo, 2007). A robustly prepared indicator can accurately measure the structure or process it is designed to measure at a desired level of quality. Any deviation from this clearly defined outcome will hint on interfering issues in patient care. In a sense, while an NSI indicates a level of quality achieved in nursing practice, it also indirectly detects outlying factors or interfering issues associated with the …show more content…
This framework is a useful standard against which the professional behavior of a nursing practitioner must be measured. The Nursing Staff Supervisor (NSS) can refer to this standard (or standards of ethical behaviors) when resolving ethical issues in nursing practice. In situations wherein the ethical issues are so complicated to be resolved at the hospital level, the ANA may be able to step it within a pre-defined parameter, to extend their institutional ethical expertise to help resolve the ethical issue involved (Wood, 2014). Nursing associations oftentimes have a dedicated ethics committee who are comprised of ethics experts over issues relevant to, or uniquely encountered only in, the nursing practice. …show more content…
Colleagues Nursing colleagues may also be a valuable resource in resolving ethical issues. Nurses with special training or expertise in handling ethical issues can contribute significantly in helping the NSS resolve the specific ethical issue at hand (Wood, 2014). If professional confidences are a sensitive factor in the ethical case or the nurses involved prefer the familiarity of a colleague from the same nursing profession, nurse ethicists may render her expertise in resolving the ethical issues being considered. A non-nursing practitioner, such as a bioethicist, human resources staff, administrators, or guidance counselors, may be hired as well as a unit-based ethics mentor (UBEM) for the nursing unit in the hospital or other large healthcare institution. The advantage of having an UBEM is the opportunity to establish a preventive ethical mechanism or address ethical conflicts early on before a more serious ethical violation occurs. Task No. 2: The B Case
The National Organization of Nurse Practitioner Faculties (2014), outlines the quality competency as continued improvement of practice through the use of the best evidence, evaluation of the influence of safety, access, cost, and quality of health care. Also, the application of skills to encourage a culture of excellence, and the ability to implement interventions
Management of Care Case Study Josepha is working on a medical surgical unit with three other RNs and one LPN. There is also a male and a female patient care tech. Josepha has been a nurse for four months, and after completing two months of orientation she takes a full assignment as a registered nurse. Josepha feels that the assignments she receives are not always fair, as she tends to get the most challenging clients.
Thank you for your sharing. It is a very nice post. I understand more on how the nursing-sensitive indicators work with your appropriate example. For my understanding, “nursing-sensitive indicators” work like as a meter. The low meter reading represents something such as inefficiency or low score.
NU 413 Week 9 Discussion Board Post student response to Katie-Lynn Fournier by Kathryn Moultrie Good afternoon Kathie, Enjoyed reading your post, and seeing how other organizations handle the operations of their facility and nursing departments. My biggest concern with improving quality care and patient safety issues in that, the responsibility is not ours alone, our Chief Nurse Executives (CNEs) and Director of Nursing (DON), and senior nursing management staffs to lead the journey Disch J. (2008). I find it overwhelming that the majority of the research literature (studies, surveys and reports believe nursing plays the pivotal role in changing the face of health care and improving quality care and patient safety.
This paper includes a discussion and analysis of nursing sensitive indicators (NSI) and system specific resources. Identification of indicators and interventions could improve the care that was received by Mr. J., a 72 year old retired rabbi with mild dementia that was admitted for a fractured right hip after falling at home. In the course of his stay and treatment there were a few indicators of issues/problems regarding the care he received during his stay. These issues/problems might affected his healthcare outcome, safety and satisfaction with his stay at the
The understanding of nursing sensitive indicators are measures that focus on increasing quality and safety in patient care. Understanding nursing sensitive indicators can help the nurse can identify the issues in the scenario. One important nursing sensitive indicator is complication from pressure ulcers, restraint prevalence, and patient satisfaction. It was evident that Mr. J has the beginning of a pressure ulcer. In the scenario Mr. J had what can be perceived as a stage 1 pressure ulcer, he has redness over a bony prominence (Hughes, 2008)
It is done by measuring the ongoing commitment of a registered nurse in his or her capacity to apply and integrate the skills, knowledge, and judgment with the values and attitudes required for the practice of ethical, safe, and effective measures to help patients (Eastman, 2010). At times measurement is done objectively based on the roles that they play. And how effective their results are. The evaluation is sensitive to situations and context. Competency in several cases can only be observed by an individual’s way of handling his or her duties.
This connects back to the learning outcome (4.1), “Demonstrates use of professional standards and the Code of Ethics to inform safe nursing care as applicable”. Using the code of ethics will help me provide competent, safe, compassionate care to clients. And my awareness and knowledge still need to develop to perform the ethical care I require to do in the long-term care
(2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-1.pdf Code of Ethics for Nurses with Interpretive Statements Provision 2. (2014, June 6). Retrieved from ANA American Nurses Association: http://nursingworld.org/DocumentVault/Ethics-1/Code/Code-Provision-4.pdf Kangasniemi, M. P. (2014). Professional Ethics in Nursing:
Marjorie A. Rutherford is more knowledgeable in implementing the Nursing Intervention Classification (NIC) and Nursing Outcome Classification (NOC) and has more than thirty years of experience in performing this terminology. It is interesting her about the role of nurses in the caring for the patient. She focuses on a statistically important issue of the standardized nursing language. She can also highlight the points of an impressive conclusion that excites the target audience. She additionally explains how standardized nursing language will improve patient care.
With a nurse shortage, patients are not getting the best quality care they should be getting. Archive stated that hospital nurse staffing, is a matter of major concern because of the effects it can have on patient safety and the quality care patients deserve. Nursing-sensitive outcomes is an indicator of the quality care and can be defined as variable patient or family caregiver state, condition, or perception responsive to nursing intervention. Some unfortunate patient outcomes potentially sensitive to nursing care are shock, urinary tract infections (UTIs), pneumonia, longer hospital stays, upper gastrointestinal bleeding, failure to rescue, and 30-day mortality. Research has focused on negative rather than the positive patient outcomes for the simple reason that adverse outcomes are more likely to be documented in the medical record.
Nursing sensitive outcome measure demonstrates the sensitive need of the patient. Poor nursing care will have a negative impact on the quality of care the patient receives. According to Saul’s, nursing sensitive indicators are outcomes related to the quantity and the quality of care a patient receives (Sauls, 2013). Here in this situation, nurses must be aware of sensitive indicators, such as: pressure ulcers, a patient’s dignity, and quality of life. These indicators represent unfortunate nursing care, and reflect a negative outcome.
A nurse must keep up to date on education and new processes in health-care, so they can provide the best care. As a nurse, you have promised to give each of your patients the best care that can possibly be given. Nurses must follow a code of ethics, to act safely, provide ethical care no matter how they feel about the patient or the reason they are in your care. Following this code of ethics shows your commitment to caring for people and society, it is a guide of ethics and standards to follow to keep everyone safe. Nursing is also a wonderful opportunity to meet hundreds of people from almost every nationality and every walk of life.
This external context is made up of various aspects like: role player expectations, recent educational and professional legislation. Standards are the fundamental components of any quality assurance system). Standards give the required direction to the practitioner and must be well defined within the context of a country's; cultural, philosophical and ethical value systems, as well as its socio-economic and political development. The main concern of the study was that if the education of nursing research as well as the total management of nursing research within the nursing department, is put to a test of quality assurance, the result in terms of nursing research will be positive. The research objective is to formulate and validate standards against which quality in nursing research in a nursing department can be valued.
INTRODUCTION: Putting patients at the heart of healthcare processes and procedures is the key driver to quality of care as it enables a better emphasis on the care practice from identification, and throughout all approaches leading to healthy lifestyle maintenance (Antwi & Mryanka 2014). Nursing performances in the current healthcare systems are therefore, focused on care quality which is mostly determined through patients’ conditions, as well as the attainment of structural objectives (Bakker et al 2000, Brady Germain & Cummings 2010). Every organisation has a unique structural “finger print” (Senior & Swailes 2010), comprising of formal (visible) and informal (hidden) aspects which are intended to foster the organisation’s survival and success