Nursing Quality Key Indicator Discussion

Nursing Quality Key Indicator Discussion Nursing Quality Key Indicator Discussion Prepare an 8-10 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 healthcare 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.Capella University Nursing Quality Key Indicator Discussion The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) 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. Capella University Nursing Quality Key Indicator Discussion 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, Gray, Jay, Jay, & Burns, 2015). Nursing Quality Key Indicator Discussion 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. (2015). Understanding nursing research: Building an evidence-based practice (6th ed.). St. Louis, MO: Elsevier. PREPARATION 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: 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? INSTRUCTIONS For this assessment, imagine you are a member of a Quality 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 Quality Indicator What is the NDNQI ® ? 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? Be sure to address the impact of this indicator on 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. safari___sep_20__2020_at_9_45_am.pdf safari___sep_20__2020_at_9_44_am.pdf safari___sep_20__2020_a NURS-FPX4040 – Summer 2020 – Section 05 … Activity: Donabedian Quality Assessment Framework [u04v1] Donabedian Quality Assessment Framework Donabedian Quality Assessment Framework Introduction Questions Questions You are the nurse manager in a rapidly growing office-based practice. The office has only one staff member and is not compliant with electronic documentation. The fax and patient charts are in plain view. The average wait time to see the physician is two hours and patients complain that they lose their prescriptions. Using this information, consider how structure (such as the hospital, clinic, provider qualifications, and organizational characteristics) and process (such as the delivery, coordination, education, protocols, practice style, or standard of care) may be modified to achieve quality outcomes. Then answer the questions below. Question 1 of 3 What structure issues do you need to consider? Question 2 of 3 What processes need to be modified to effectively deal with these structures? Question 3 of 3 What outcomes are desired? What Nursing Sensitive Quality Indicators are involved? Reset Page Submit # Previous ! Transcript ” Was this media helpful? Licensed under a Creat ive Commons Attribut ion 3.0 License . X NURS-FPX4040 – Summer 2020 – Section 05 … Activity: Donabedian Quality Assessment Framework [u04v1] Donabedian Quality Assessment Framework Donabedian Quality Assessment Framework Introduction Questions Introduction Donabedian’s Quality Assessment framework focuses on health, the subject of care (the patient), and the provider of care. This theory looks at a triad of: Structure, such as the hospital, clinic, provider qualifications or organizational characteristics. Process, such as the delivery, coordination, education, protocols, practice style, or standard of care. Outcomes. The structures enhance the process that will be used to achieve the quality improvement outcome, which may be either intermediate (that is, simultaneous or short-term) or long-term. In some instances, the care process may not accurately reflect the outcome measure. When the outcome is not achieved, something has occurred in the structure and/or process, or the outcome needs to be evaluated over a longer time period. Nurses can use this theory as a way to improve quality of care, patient care outcomes, and patient satisfaction by looking at the Nursing Sensitive Quality Indicators. Three Functions This figure represents the relationship between the structure (health care providers and organization) and factors that need to be considered to come together to achieve a desired outcome. Patients, providers, and regulators may not have the same view of what health is as an outcome or a behavior. Each may have different reasons for measuring quality outcomes, so the patient, provider, and health need to be viewed as individual energies to achieve the outcome. Three functions are considered: Social, psychological, and physical-psychological. ORDER NOW FOR CUSTOMIZED AND ORIGINAL ESSAY PAPERS Example Consider a nursing sensitive indicator, such as a pressure ulcer. Perhaps the protocol to prevent pressure ulcers was adhered to, but the patient still gets a pressure ulcer. The nurse, patient, and provider need to look objectively at what happened and what needs to be accomplished or changed to create a quality outcome (an absence of pressure ulcers). People, places, and dynamics combine to deliver health care. There are three functions to consider: Social, psychological, and physical-psychological. The nurse needs to consider all three functions when delivering care and measuring outcomes. The patient’s needs and perceptions need to be taken into consideration so that quality outcomes are achieved. Physical-psychological function: How does a pressure ulcer relate to health? Health, patients, and providers would all agree that pressure ulcers are something to be avoided, unlike something like exercising or eating cookies. How does a provider (the institution or system) think about a pressure ulcer? That is, how was it acquired? Is it a failure? It is somebody else’s problem? Might it depend on the provider (whether at home or in the hospital)? How should nurses (the individual practitioner) think about pressure ulcers? Social function: How might a pressure ulcer impact a person’s sense of self and experience of the world? Psychological function: How does a patient think about and experience a pressure ulcer? Continue # ! Transcript ” Was this media helpful? Licensed under a Creat ive Commons Attribut ion 3.0 License . X NURS-FPX4040 – Summer 2020 – Section 05 … Activity: Donabedian Quality Assessment Framework [u04v1] Donabedian Quality Assessment Framework Donabedian Quality Assessment Framework Introduction Questions Questions You are the nurse manager in a rapidly growing office-based practice. The office has only one staff member and is not compliant with electronic documentation. The fax and patient charts are in plain view. The average wait time to see the physician is two hours and patients complain that they lose their prescriptions. Using this information, consider how structure (such as the hospital, clinic, provider qualifications, and organizational characteristics) and process (such as the delivery, coordination, education, protocols, practice style, or standard of care) may be modified to achieve quality outcomes. Then answer the questions below. Question 1 of 3 What structure issues do you need to consider? Question 2 of 3 What processes need to be modified to effectively deal with these structures? Question 3 of 3 What outcomes are desired? What Nursing Sensitive Quality Indicators are involved? Reset Page Submit # Previous ! Transcript ” Was this media helpful? Licensed under a Creat ive Commons Attribut ion 3.0 License . X … Get a 10 % discount on an order above $ 100 Use the following coupon code : NURSING10

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