Case-Study: Nurse Sensitive Indicators

Case-Study: Nurse Sensitive Indicators
Case-Study: Nurse Sensitive Indicators
Case-Study: Nurse Sensitive Indicators
DQ2 Discussion Question 2: Nurse Sensitive Indicators and the CNO Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care in a healthcare organization. Key factors influencing nurse sensitive indicators include the structure of nursing care, skill level of nursing staff, and education or certification of nursing staff. Greater quality or quantity of nursing care results in an improvement in patient outcomes that are closely linked to nurse sensitive indicators. Using the readings for the week, the South University Online Library, and the Internet, respond to the following: Examine the role of a CNO in relation to nurse sensitive indicators, such as the following: Central line-associated bloodstream infection (CLABSI) Catheter-associated urinary tract infection (CAUTI) Ventilator-associated pneumonia (VAP) Pressure ulcers As a CNO, what process will you use for developing a nurse sensitive indicator? Estimate the time it takes to create and approve a nurse sensitive indicator. Comment on the postings of at least two peers. Evaluation Criteria: Examined the role of CNO in relation to nurse sensitive indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers. Described the process utilized for developing a nurse sensitive indicator. Estimated the time it takes to create and approve a nurse sensitive indicator. Justified your answers with appropriate research and reasoning. Commented on the postings of at least two peers.Nursing-Sensitive Indicators (NSIs) are measures and indicators that refl ect
the structure, processes and outcomes of nursing care (American Nurses
Association, 2004). These measures refl ect the impact of nursing care.
Three types of NSIs were presented in our Magnet evidence: Clinical
Quality, Patient Satisfaction and Nurse Satisfaction.
Why does Magnet Recognition focus on Clinical Quality
Nursing Sensitive Indicators?
Magnet-recognized organizations are in a key position to advance
nursing science, learning and discovery. They are expected to establish
ways to achieve new heights of quality, effi ciency and effectiveness.
Current accreditation standards recognize structures and processes as the
infrastructure for excellence in care; however, the empirical outcomes that
result from this infrastructure remain the primary focus. The key focus is
now on “What difference have you made?”
What is required in the Magnet evidence for Clinical
Quality Nursing-Sensitive Indicators?
Magnet hospitals must:
• Collect data refl ecting NSIs at the unit level
• Provide the most recent 8 quarters of data for four NSIs
• Must contribute to external databases that compare the
organization’s performance against national benchmarks
• Include the mean or median of the national database used
• For clinical areas that do not have indicators submitted to national
databases, select and present two Clinically Relevant Indicators and
include an appropriate benchmark or performance target
• Data must be monitored, analyzed, disseminated and result in actions to
improve/sustain performance when necessary

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