Nursing Sensitive Indicators Case Study

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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
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