Sample Answer for NURS-FPX 4040 Informatics and Nursing Sensitive Quality Indicators Included After Question
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 system.
• 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 tutorial.
Consider these questions for your interview:
o What is your experience with collecting data and entering it into a database?
o What challenges have you experienced?
o How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?
A Sample Answer For the Assignment: NURS-FPX 4040 Informatics and Nursing Sensitive Quality Indicators
Title: NURS-FPX 4040 Informatics and Nursing Sensitive Quality Indicators
The provision of care that promotes quality outcomes is important nursing. Nurses utilize evidence-based practice to ensure that the care they offer is safe, efficient, and quality. They also monitor quality and safety indicators to adopt responsive interventions that address actual and potential needs of their patient populations. Therefore, this presentation explores patient falls as the selected quality indicator data. An interview was undertaken with a nurse manager of a medical unit.
Nursing-Sensitive Quality Indicator
The National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a database that belongs to the American Nurses Association. The database is largely used for collecting and evaluating unit-specific nurse-sensitive data from voluntary hospitals in America. The database collects data about safety and quality measures that are affected by the care that nurses give, also known as nurse-sensitive indicators. The methods of collecting this data include the use review of medical records and administrative data. Nurses use the reported data to gauge their performance in promoting safety and quality and propose interventions to improve care outcomes (Medicine, n.d.). The nurse-sensitive indicators can be either outcome, process, or outcome measures.
The selected nurse-sensitive quality indicator is patient falls. Patient falls was selected because of its negative impact on the patient’s health and wellbeing. The Centers for Disease Control and Prevention (CDC) reports that millions of older people aged 65 years and above fall each year. The CDC also notes that one in every five falls result in serious injuries such as head injury or broken bones. About three million older people visit the emergency department for fall-related injuries annually in the USA. The hospitalization rate is high secondary to falls, as evidenced by the statistics that more than 800000 patients are hospitalized because of injuries such as hip fracture or head injury. Falls are associated with significant economic impacts on county. For example, the CDC shows that the medical costs spent by the USA because of falls in 2015 was more than $50 billion, with Medicare and Medicaid shouldering about 75% of the costs (CDC, 2021).
Nurses need to known about patient falls when providing patient care because of some reasons. First, nurses are primarily involved in the promotion of safety and quality by preventing patient falls. They must assess patients for fall risks and implement interventions to prevent them. This makes it essential to be aware of the indicator, as it affects their role. Secondly, falls arise from a mix of factors such as patient, provider, or institutional factors (King et al., 2018). This increases the need for nurses to be aware of the indicator, as a way of ensuring that they adopt responsive interventions to prevent and minimize the potential of their occurrence in their practice.
Collection and Distribution of Quality Indicator Data
As noted initially, an interview on patient falls was conducted with the nurse manager of a medical unit in my practice site. The interview revealed that the organization collects data on patient falls using incident reports, adverse events, and medical records. Nurses and other healthcare providers are expected to write an incident report whenever a fall is reported. The report is objective and factual to ensure easy decision-making and implementation of corrective interventions to improve care outcomes. Medical records are used to identify any risk factors that may have contributed to the falls and if there were omissions in the care process. Other resources such as studies have also utilized incident reports and medical records to obtain data about patient falls (Moran et al., 2018).
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The interviewed nurse noted that the organization disseminates the data on patient falls through formal methods such as written memos and organizing for staff meetings where they are briefed. The meetings provide the opportunity for staff to explore how the problem can be prevented in the organization. The organization also uses the data to develop new policies and guidelines that aim at minimizing and preventing patient falls. Nurses play crucial roles in supporting accurate reporting and high-quality results. They collaborate with other healthcare providers such as physicians in entering data about the events that led to a fall (Shen et al., 2022). They also enter the information about the nursing actions that were taken into the incidence report for use in continuous quality improvement in the organization.
Interdisciplinary Team’s Role
Interdisciplinary teams play crucial roles in collecting and reporting quality indicator data on patient falls to enhance patient safety, care outcomes, and organizational performance reports. The teams collaborate in obtaining accurate data and reporting them for use in the implementation of performance improvement strategies. An example is nurses collaborating with other members of the interprofessional teams to collect data about environmental risks for falls and reporting them for the organization to implement risk reduction strategies for safety and quality in care (Sim et al., 2019). Interdisciplinary teams also track data over time on patient falls and report them for use in organizational performance reports. The tracked data offers trends about quality indicators such as patient falls and insights into the effectiveness of the adopted organizational strategies. As a result, the organizational stakeholders focus on successful strategies to enhance the safety and quality of care that patients receive in the organization. The overall impact of interdisciplinary team collaboration in data collection and reporting is that it creates a culture of patient safety, accountability, transparency, and responsibility. Interdisciplinary team members appreciate the need for prioritizing safety and quality needs in decision-making and ensuring patient-centeredness (Sullivan et al., 2022). They also act as advocates for the creation of a safe environment for their patients.
How a Health Organization Uses Nursing-Sensitive Quality Indicators
The interviewed nurse noted that the organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance. One of the ways is through the initiation of quality improvement initiatives. The organization uses data such as on patient falls to determine if there is an increase or fall in rates. An increase prompts it to implement evidence-based strategies to improve the care given and reduce fall rates. Health organizations also uses nursing-sensitive quality indicators to adopt new models of care (Koch et al., 2020). For example, a rise in patient fall rates translates into the adoption of patient-centered models of care to enhance patient care outcomes such as risk reduction, empowerment, and satisfaction with the care given.
Nursing sensitive indicators also provide organizations insights into the effectiveness of their adopted systems and processes. Analysis of process and outcome measures identifies inefficiencies in task undertaking. As a result, organizations adopt interventions that improve workflow, process, and outcome measures to achieve their desired outcomes based on nurse-sensitive indicators (Sim et al., 2019). An example of this use can be seen in the study by McVey et al., (2022) where an interdisciplinary team of nurses, hospital educators, and infection preventionists adopted existing evidence-based practices to sustain and improve health care-associated infections improvements. The results showed that nurse-sensitive indicators can drive quality improvements in healthcare by transforming the existing systems and processes utilized in the patient care processes.
How a Nursing Sensitive Quality Indicator Establishes Evidence-Based Practice Guidelines for Nurses
Nursing sensitive quality indicators establish evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes. Accordingly, nursing-sensitive quality indicators inform evidence-based strategies that standardize practice. Nurses engage in research and quality improvement initiatives that incorporate technology use in streamlining nursing workflows, systems, and processes. Once improved outcomes are achieved, nurse-sensitive indicators act as the basis of new guidelines for technology use in nursing practice, hence, safety and patient satisfaction in the care process (Sullivan et al., 2022). Nursing-sensitive indicators such as patient falls can also be used to evaluate the effectiveness of the adopted technologies, thereby, improving the existing practice standards. According to Oner et al., (2021), nursing-sensitive indicators provide objective assessment and evaluation of performance of the adopted interventions such as technology in meeting specific care needs. The assessment data informs quality improvement strategies that organizations embrace to enhance care outcomes (Oner et al., 2021). In this way, data on patient falls guide the need for technologies and improvements to ensure patient safety, satisfaction, and outcomes in fall prevention.
In summary, nursing-sensitive indicators provide crucial insights into the safety and quality of patient care in an organization. The selected indicator for this assignment is patient falls due to its impacts on safety, quality, and efficiency of patient care. Nurses are part of the interdisciplinary teams involved in collecting and reporting data on patient falls. Nursing-sensitive indicators can influence evidence-based practice and technologies embraced in healthcare. Therefore, nurses should strive to improve their systems and processes based on the reported data for different indicators.
CDC. (2021, December 1). Facts About Falls | Fall Prevention | Injury Center | CDC. https://www.cdc.gov/falls/facts.html
King, B., Pecanac, K., Krupp, A., Liebzeit, D., & Mahoney, J. (2018). Impact of fall prevention on nurses and care of fall risk patients. The Gerontologist, 58(2), 331–340. https://doi.org/10.1093/geront/gnw156
Koch, D., Kutz, A., Conca, A., Wenke, J., Schuetz, P., & Mueller, B. (2020). The relevance, feasibility and benchmarking of nursing quality indicators: A Delphi study. Journal of Advanced Nursing, 76(12), 3483–3494. https://doi.org/10.1111/jan.14560
McVey, C., von Wenckstern, T., Mills, C., Yager, L., McCauley, C., Rivera, Y., & Reed, E. (2022). Nurse-sensitive indicator quality improvement toolkit: A scalable solution to improve health care–associated infections. Journal of Nursing Care Quality, 37(4), 295–299. https://doi.org/10.1097/NCQ.0000000000000634
Medicine, N. (n.d.). NDNQI: National Database of Nursing Quality Indicators. Northwestern Medicine. Retrieved November 25, 2022, from https://www.nm.org/about-us/quality/quality-measures/sites-of-care/northwestern-memorial-hospital/national-comparisons/ndnqi-national-database-of-nursing-quality-indicators
Moran, C. G., Lecky, F., Bouamra, O., Lawrence, T., Edwards, A., Woodford, M., Willett, K., & Coats, T. J. (2018). Changing the system—major trauma patients and their outcomes in the NHS (England) 2008–17. EClinicalMedicine, 2–3, 13–21. https://doi.org/10.1016/j.eclinm.2018.07.001
Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing-sensitive indicators for nursing care: A systematic review (1997–2017). Nursing Open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654
Shen, Z., Qin, W., Zhu, L., Lin, Y., Ling, H., & Zhang, Y. (2022). Construction of nursing-sensitive quality indicators for cardiac catheterisation: A Delphi study and an analytic hierarchy process. Journal of Clinical Nursing, 31(19–20), 2821–2838. https://doi.org/10.1111/jocn.16105
Sim, J., Joyce-McCoach, J., Gordon, R., & Kobel, C. (2019). Development of a data registry to evaluate the quality and safety of nursing practice. Journal of Advanced Nursing, 75(9), 1877–1888. https://doi.org/10.1111/jan.13967
Sullivan, C. E., Day, S. W., Ivankova, N., Markaki, A., Patrician, P. A., & Landier, W. (2022). Establishing nursing-sensitive quality indicators for pediatric oncology: An international mixed methods Delphi study. Journal of Nursing Scholarship, n/a(n/a). https://doi.org/10.1111/jnu.12798