Assessment 4: Informatics and Nursing Sensitive Quality Indicators Essay

Assessment 4: Informatics and Nursing Sensitive Quality Indicators Essay

Hello everyone, my name is (enter your name here). I take this opportunity to welcome you to this presentation regarding nursing-sensitive quality indicators (NSQI). In this presentation, I will delve into an in-depth discussion about the role of the National Database of Nursing-Sensitive Quality Indicators (NDNQI), nursing-sensitive quality indicators and their importance, and the role of nurses in supporting accurate reporting. I believe that this engagement will enable you to familiarize yourself with measures of quality care and thresholds for monitoring quality indicators.

Nursing-Sensitive Quality Indicators

What is the National Database of Nursing-Sensitive Quality Indicators?

When discussing nursing-sensitive quality indicators, we must touch on the role of the National Database of Nursing-Sensitive Quality Indicators (NDNQI). In 1998, the American Nurses Association (ANA) established the NDNQI as a voluntary database for collecting and analyzing unit-based quality indicators that relate to nursing care (Lockhart, 2018). In this sense, the NDNQI collects, analyzes, compared, and reports unit-level nursing quality indicators, including structural, process, and outcome measures of care quality.

What are nursing-sensitive quality indicators?

Nursing-sensitive quality indicators (NSQI) are elements of change in health status affected by nursing care and practices. Equally, they are specific patient outcomes influenced by nursing care. According to Afaneh et al. (2021), nursing-sensitive quality indicators form the basis of all-concerted efforts the monitor the quality of nursing care by enabling healthcare professionals to establish benchmarks for quality care delivery. Other benefits of NSQI include facilitating objective assessment, improving clinical practice, and informing evidence-based clinical decisions (Oner et al., 2020). Examples of nursing-sensitive quality indicators are nurse turnover, patient falls, pressure ulcers, hospital readmission rates, and staff’s skill mix.

The selected quality indicator for this tutorial

Pressure ulcer prevalence is a profound quality measure that indicates the underlying issues affecting patient-centered care, including environmental concerns and a lack of comprehensive and timely patient monitoring activities. According to Zaidi & Sharma (2022), friction emanating from skin rubbing against hard surfaces like bedding is the primary cause of pressure ulcers. Organizational factors that exacerbate the prevalence and effects of pressure ulcers include heavy workloads, inadequate knowledge of preventive interventions, and burnout (Getie et al., 2020). If preventive measures are insufficient, pressure ulcers can result in adverse consequences, such as prolonged hospitalization, premature deaths, compromised quality of life, increased care costs, and delayed healing.

Why should nurses monitor this quality indicator?

Pressure ulcers pose a significant threat to patient safety and quality of life by leading to premature deaths, injuries, and disability. According to Getie et al. (2020), about 2.5 million patients developed pressure ulcers and approximately 60000 patients died from these preventable adverse events in 2017. Nurses should monitor the prevalence of pressure ulcers to identify the at-risk patient populations, detect their causes, including ergonomic aspects, and develop benchmarks for promoting patient safety.

Why do new nurses need to be familiar with this quality indicator when providing patient care?

Pressure ulcers are preventable by implementing evidence-based approaches, including performing skin assessment, and skin care, turning at-risk patients frequently, providing back massage, educating patients on the risks of pressure ulcers, bed making, and providing nutrition and fluids for malnourished patients (Getie et al., 2020). New nurses should familiarize themselves with the causes and risk factors for pressure ulcers, as well as understand these preventative measures. By familiarizing themselves with this quality indicator, new nurses can operate in interdisciplinary teams and assist the organization to prevent pressure ulcers.

Collection and Distribution of Quality Indicator Data

How does our organization collect data on this quality indicator?

Our organization has a mechanism for collecting data regarding the prevalence of pressure ulcers in various departments. This data collection framework entails recording new cases of patients with pressure ulcers and dividing the number by the total number of examined patients to generate the percentages and prevalence rates of pressure ulcers over time. The computed percentages form the basis of statistical comparisons to determine whether the hospital’s level of improvement.

How does the organization disseminate aggregate data?

Our organization has a culture of timely information exchange and interdepartmental communications regarding different nursing-sensitive quality indicators. For instance, the statistical computations for the prevalence of pressure ulcers and other quality measures dominate quarterly report reports on the hospital’s progress in patient safety assurance. Besides quarterly reports, department leaders use electronic means like email and texts to communicate and distribute data regarding pressure ulcers to all members of interdisciplinary teams. Also, the hospital has a functional electronic health record system that allows healthcare professionals to record, store, and retrieve data. Finally, the hospital’s dashboard provides monthly analytics of key performance indicators (KPIs) and outlines metrics relating to patient safety. These methods of disseminating data are consistent with the need for timely information exchange and frequent updates that inform future improvement initiatives.

What role do nurses play in supporting accurate reporting and high-quality results?

Nurses play a significant role in ensuring detailed and accurate record-keeping. According to Mutshatshi et al. (2018), poor record-keeping undermines patient care and results in ineffective communication between healthcare professionals. Nurses can effectively collect personally identifiable information (PHI), develop meaningful relationships with patients, provide timely alerts and notifications on patients’ progress, and record information on the electronic health record system (EHRS). Other strategies for accurate record-keeping include complying with ethical standards for data privacy, security, and confidentiality, ensuring data integrity, and adopting appropriate dissemination approaches.

Conclusion

Nursing-sensitive quality indicators are appropriate tools for benchmarking and informing improvement initiatives. Nurses can use unit-level information from the National Database of Nursing-Sensitive Quality Indicators (NDNQI) to understand thresholds for quality improvement regarding different nursing-sensitive quality indicators. Pressure ulcer prevalence is among the quality indicators that indicate failures in patient care. As a result, nurses should ensure accurate information on this indicator to promote preventive interventions.

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References

Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management (Harrow, London, England: 1994), 28(3), 28–33. https://doi.org/10.7748/nm.2021.e1982

Getie, A., Baylie, A., Bante, A., Geda, B., & Mesfin, F. (2020). Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration, Eastern Ethiopia. PLOS ONE, 15(12), e0243875. https://doi.org/10.1371/journal.pone.0243875

Lockhart, L. (2018). Measuring nursing impact. Nursing Made Incredibly Easy! 16(2), 55. https://doi.org/10.1097/01.nme.0000529956.73785.23

Mutshatshi, T. E., Mothiba, T. M., Mamogobo, P. M., & Mbombi, M. O. (2018). Record-keeping: Challenges experienced by nurses in selected public hospitals. Curationis, 41(1), 1–6. https://doi.org/10.4102/curationis.v41i1.1931

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2020). Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017). Nursing Open, 8(3). https://doi.org/10.1002/nop2.654

Zaidi, S. R. H., & Sharma, S. (2022). Pressure ulcer. StatPearls Publishing. https://www.ncbi.nlm.nih.gov/books/NBK553107/#

Assessment 4 Instructions: Informatics and Nursing Sensitive Quality Indicators

Prepare an 8-1 0 minute audio training tutorial (video is optional) for new nurses on the importance of nursing- sensitive quality indicators.

As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality health care delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

The American Nursing Association (ANA) established the National Database o( Nursing Quality Indicators (NDNOI@) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI@ was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI@ monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8—10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing- sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.

Reference

Grove, S. K., Gray, J. R., Jay, G. W., Jay, H. M., & Burns, N. (2018). Understanding nursing research: Building an

evidence-based practice (7th ed.). Elsevier.

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This assessment requires you to prepare an 8—10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

• Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care Choose from the following list:
  • Staffing
    • Nursing hours per patient
    • RN education/certification.
    • Skill
    • Nurse
    • Nursing care hours in emergency departments, perioperative units, and perinatal
    • Skill mix in emergency departments, perioperative units, and perinatal
    • Quality
      • Patient
      • Patient falls with
      • Pressure ulcer
      • Health care-associated
        • Catheter-associated urinary tract
        • Central line catheter associated blood stream
        • Ventilator-associated
        • Ventilator- associated

Psychiatric physical/sexual assault rate.

• Restraint
• Pediatric peripheral intravenous infiltration
• Pediatric pain assessment, intervention, reassessment (air)
• Falls in ambulatory
• Pressure ulcer incidence rates from electronic health
• Hospital readmission
• RN satisfaction survey
  • Job satisfaction
  • Job satisfaction scales — short
  • Practice environment
• Conduct independent research on the most current information about the selected nursing-sensitive quality

indicator.

• Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data. You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio Consider these questions for your interview:

« What is your experience with collecting data and entering it into a database?

What challenges have you experienced?

• How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
• What role do bedside nurses and other frontline staff have in entering the data? For example, do staff

members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

• Watch the Informatics and Nursing-Sensitive Quality Indicators Video Exemplar.

 

Recording Your Presentation

To prepare to record the audio for your presentation, complete the following:

• Set up and test your microphone or headset using the installation instructions provided by the

 

You only need to use the headset if your audio is not clear and high quality when captured by the microphone.

• Practice using the equipment to ensure the audio quality is
• Review the for Kaltura to record your
• View Creating a Presentation: A Guide to Writing  and Speakin This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.

Notes:

• You may use other tools to record your You will, however, need to consult Using Kaltura for instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.
• You may also choose to create a video of your tutorial, but this is not
• If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabiIityServices@CapeIIa.edu to request

For this assessment, imagine you are a member of a Ouality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Ouality Indicator

• What is the National Database of Nursing-Sensitive Quality Indicators?
• What are nursing-sensitive quality indicators?
• Which particular quality indicator did you select to address in your tutorial?
• Why is this quality indicator important to monitor?

o Be sure to address the impact of this indicator on the quality of care and patient safety.

• Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

 

Collection and Distribution of Quality Indicator Data

• According to your interview and other resources, how does your organization collect data on this quality indicator?
• How does the organization disseminate aggregate data?
• What role do nurses play in supporting accurate reporting and high-quality results?

As an example, consider the importance of accurately entering data regarding nursing interventions.

After completing your script, practice delivering your tutorial several times before recording it.

 

Additional Requirements

• Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely
• Length: 8—10 minute audio Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
• Script: A separate document with the script or speaker’s notes is Important: Submissions that do

not include the script or speaker’s notes will be returned as a non-performance.

• References: Cite a minimum of three scholarly and/or authoritative sources.
• APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on

 

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

• Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.

Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

• Competency 3: Evaluate the impact of patient care technologies on desired

o Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient

safety, patient care outcomes, and organizational performance reports.

• Competency 4: Recommend the use of a technology to enhance quality and safety standards for

o Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

• Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient

care technologies.

o Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses

and motivates them to accurately report quality data in a timely fashion. o Follow APA style and formatting guidelines for citations and references.

SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.