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Capella 4040 Assessment 4

Capella 4040 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

Student Name

Capella University

NURS-FPX 4040 Managing Health Information and Technology

Prof. Name

Date

Informatics and Nursing-Sensitive Quality Indicators

Hello, I am Rose, a member of the Quality Improvement Council. I am here to tell you about the National Database of Nursing Quality Indicators (NDNQI) and the significance of quality improvement. We apply the NDNQI’s strategy or outline to follow hospital performance and analyze our nursing activities to hospital statistics. This information supports us in developing Evidence-Based Practice (EBP) guidelines that are being used to enhance our inpatient and outpatient procedures and plans.

Nurses are essential to the pleasure of both healthcare professionals and visitors. Evaluating their impact inside professional divisions is a challenging task. Nursing-Sensitive Indicators are created to solve this issue by monitoring the outcomes of a nurse’s efforts. This presentation is part of educational and outreach activities to increase our facility’s nursing care quality.

NDNQI and the Nursing Quality Indicators

The American Nurses Association founded the NDNQI in 1998, a significant resource for integrating nursing knowledge and statistics to improve patient safety and service quality. It gathers research-based data from all around the country. It allows comparisons to measure nursing care quality’s influence on patient outcomes (Hebb et al., 2023). Healthcare facilities use the NDNQI to identify areas where they can improve the quality of nursing care. The NDNQI data is used to compare other healthcare facilities’ performance and to monitor the development of quality improvement initiatives.

Nursing-sensitive indicators contain structure, process, and outcomes and are crucial in this assessment. The structure concerns nursing staff credentials and education levels. However, the process concerns comparisons to assess nursing care quality’s influence. Patient outcomes are included in the outcome category.

The Selected Indicator and Its Importance

The number of Nursing Hours Per Patient Day (NHPPD) is an essential indicator in healthcare administration and nursing to assess the quality and quantity of nursing care offered in a healthcare facility. This indicator calculates the average number of nursing hours spent on each patient during 24 hours. It is computed by dividing the total number of patients in the facility by the total number of daily nursing hours. NHPPD serves as a patient safety regulator. A sufficient NHPPD and adequate staffing levels buffer against medical errors, patient falls, and other undesirable events. Overworked and understaffed nursing teams are more likely to make mistakes, risking patient safety. 

NHPPD is essential in optimizing healthcare resources and its function in patient care and safety. It enables healthcare administrators to implement nurse staff, optimally avoiding under or overstaffing issues. This results in a more equitable distribution of the workforce, an essential factor in nurse job satisfaction, lower staff turnover, and a more stable workforce overall (Lee et al., 2020).

Another organizational space in which NHPPD plays a role is cost control. While increasing nursing hours per patient may appear contrary in cost, it can result in long-term savings. Adequate Staffing levels minimize the need for costly overtime pay and temporary agency nurses. They also contribute to shorter hospital stays and lower readmission rates, lowering the financial load on healthcare organizations (Wieczorek et al., 2020). NHPPD emerges as a modern healthcare pillar that supports the cause of high-quality patient-centered care within a sustainable, well-managed healthcare system.

Interdisciplinary Team Role in Collecting and Reporting Quality Indicator Data

Now, I will discuss the interdisciplinary team, which considerably impacts data collecting and reporting. Their combined experience and different viewpoints result in more comprehensive and accurate data, which is the foundation for increasing patient safety, care outcomes, and organizational performance. This broad strategy brings together healthcare professionals from many disciplines, like physicians, nurses, pharmacists, social workers, and administrators.

It is essential for improving patient safety, care outcomes, and organizational performance in the healthcare sector. As primary care providers, nurses are actively involved in gathering crucial data. They carefully document critical patient information during direct care contacts like medicine delivery, patient evaluations, and care plan execution. It serves as the foundation for quality indicators. 

Capella 4040 Assessment 4

Nurses’ clinical competence enables them to identify necessary quality indicators suitable for patient’s needs and the dynamics of the healthcare organization. They ensure data collection follows defined processes and terminologies by enhancing reliability and consistency (Moore et al., 2019). Nurses play a central role in data validation. They collaborate with other team members, including pharmacists and physicians.

To cross-verify information, reducing errors and enhancing the overall accuracy and reliability of the data. This validation process presents a complete cross-disciplinary view of patient care that contributes to improved quality indicator data. Nurses contribute to data analysis by drawing upon their frontline patient care experience. Their role is instrumental in identifying trends and differences in quality indicator data.

They lead to improvements in patient safety measures and care outcomes (Oldland et al., 2020). These insights influence decision-making, leading to changes in clinical practices, legislative reforms, and staff training to improve overall patient care standards. Nurses are essential in enabling effective communication within the interdisciplinary team. They link the gap between patient care and data analysis. Their ability to lead discussions, offer patient-centered perspectives, and provide feedback is vital to the team’s success. Nurses’ visions on the possibility and impact of quality improvement initiatives are crucial for successful implementation (Moreira et al., 2019).

Nursing-Sensitive Quality Indicators to Enhance Patient Safety

Nursing-sensitive quality indicators from the National Database of Nursing Quality Indicators (NDNQI) are active in healthcare to improve patient safety and care outcomes. They offer comprehensive organizational performance reporting. The healthcare organization regularly collects and analyzes NDNQI data. This data covers nursing-sensitive indicators like nurse staffing levels, patient falls, pressure ulcers, and hospital-acquired infections.

This data provides visions into the quality of nursing care and helps assess the performance of the nursing staff. NDNQI data helps the organization identify trends and outline patient care outcomes. They implement evidence-based interventions and quality improvement initiatives. These compare their performance against national benchmarks and best practices. This results in improved patient care outcomes like reduced health-related issues, shorter hospital stays, and higher patient satisfaction (Grandfield et al., 2023).

The data from NDNQI and other quality indicators help as a basis for performance improvement initiatives. The organization develops action plans to solve specific issues. For example, assume the facts shows an increase in hospital-acquired infections. The organization implements infection control protocols and education programs for nursing staff to reduce infection rates (Cooke et al., 2022).

Nursing-sensitive quality indicators integrated into clinical decision support systems. This allows healthcare providers to make more informed decisions at the point of care. It positively impacts patient outcomes and safety in real-time (Sevy & Warshawsky, 2020). Healthcare organizations ensure that nursing care is evidence-based and patient-centered by monitoring, analyzing, and acting on this data. This results in higher-quality care and improved patient experiences.

Evidence-Based Practice for Nurses to Enhance Patient Safety, Satisfaction, and Outcomes

Nursing-sensitive quality indicators (NSQIs) are essential in monitoring and improving the quality of nursing care. These variables are essential for developing EBP guidelines that improve patient safety, satisfaction, and outcomes. One strategy to guide nurses in providing high-quality care is investigating the association between nursing staffing levels, like the number of NHPPD, and NSQI outcomes.

Research shows a favorable relationship between increasing NHPPD and improved NSQIs, including patient satisfaction, fewer hospital-acquired infections, and lower death rates. EBP guidelines positively impact NSQI outcomes (Skela, 2020). Interventions like bedside shift reports and patient-centered rounds have effectively reduced the risk of hospital-acquired infections and enhanced patient satisfaction.

Incorporating patient care technologies is vital to attaining better outcomes. Addressing the NSQI of hospital-acquired infections, telemedicine for monitoring high-risk patients has shown potential. Nurses significantly reduce infection risks by identifying at-risk patients, employing telemedicine to monitor vital signs and symptoms of infection, and quickly involving physicians when necessary (Awad et al., 2020).

EBP guidelines mention using Electronic Health Records (EHRs) to improve patient satisfaction and provide personalized education and support. Applying EHRs to assess specific patient needs by developing personalized education plans. Delivering information and emotional support through EHRs can improve patient satisfaction and outcomes (Chipps et al., 2020). Implementing these guidelines helps healthcare facilities improve the quality of nursing care, resulting in better patient safety, satisfaction, and overall outcomes.

Conclusion

In conclusion, interdisciplinary teamwork, nursing-sensitive quality indicators, and evidence-based practice are integral components. They enhance patient safety, care outcomes, and organizational performance in healthcare. Nurses’ central role in data collection, validation, analysis, and communication raises comprehensive and accurate information. It leads to better decision-making and improved patient care standards. By highlighting these elements, healthcare organizations continually improve their services. Resulting in higher-quality care, increased patient satisfaction, and better overall outcomes.

References

Awad, A., Trenfield, S. J., Pollard, T. D., Ong, J. J., Elbadawi, M., McCoubrey, L. E., Goyanes, A., Gaisford, S., & Basit, A. W. (2021). Connected healthcare: Improving patient care using digital health technologies. Advanced Drug Delivery Reviews, 178(1), 113958. https://doi.org/10.1016/j.addr.2021.113958  

Chipps, E., Tucker, S., Labardee, R., Thomas, B., Weber, M., Gallagher-Ford, L., & Melnyk, B. M. (2020). The impact of the electronic health record on moving new evidence-based nursing practices forward. Worldviews on Evidence-Based Nursing, 17(2).   https://doi.org/10.1111/wvn.12435

Cooke, M., Fuente, M., Stringfield, C., Sullivan, K., Brassil, R., Thompson, J., Allen, D. H., Granger, B. B., & Reynolds, S. S. (2022). The impact of nurse staffing on falls performance within a health care system: A descriptive study. Journal of Nursing Management, 30(3), 750–757. https://doi.org/10.1111/jonm.13555  

Grandfield, E. M., Schlotzhauer, A. E., Cramer, E., & Warshawsky, N. E. (2023). Relationships among nurse managers’ job design, work environment, and nurse and patient outcomes. Research in Nursing & Health, 46(3). https://doi.org/10.1002/nur.22307  

Hebb, A., Souto, K., Stasko, I., D’Antonio, I., & Peters, J. (2023). Leveraging technology to drive the NDNQI prevalence and incidence study. Nursing Management, 54(7), 14. https://doi.org/10.1097/nmg.0000000000000027  

Capella 4040 Assessment 4

Lee, H., Lee, K., & Lee, S. (2022). Association of nursing hours with cognitive function, balance, and dependency level of stroke patients. Nursing Open, 19. https://doi.org/10.1002/nop2.1430  

Moore, A., Meucci, J., & McGrath, J. (2019). Attributes of a successful clinical ladder program for nurses: An integrative review. Worldviews on Evidence-Based Nursing, 16(4). https://doi.org/10.1111/wvn.12371  

Moreira, F. T. L. D. S., Callou, R. C. M., Albuquerque, G. A., & Oliveira, R. M. (2019). Effective communication strategies for managing disruptive behaviors and promoting patient safety. Revista Gaucha de Enfermagem, 40(spe), e20180308. https://doi.org/10.1590/1983-1447.2019.20180308  

Oldland, E., Botti, M., Hutchinson, A. M., & Redley, B. (2020). A framework of nurses’ responsibilities for quality healthcare — Exploration of content validity. Collegian, 27(2), 150–163. https://doi.org/10.1016/j.colegn.2019.07.007  

Sevy Majers, J., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse Leader, 18(5), 471–475. https://doi.org/10.1016/j.mnl.2020.06.006  

Skela-Savic, B. (2020). Teaching evidence-based practice (EBP) in nursing curricula in six European countries—A descriptive study. Nurse Education Today, 94, 104561. https://doi.org/10.1016/j.nedt.2020.104561  Wieczorek‐Wójcik, B., Krzemińska, A. G., Owczarek, A. J., & Kilańska, D. (2020). The in‐hospital mortality as the side effect of missing care. Journal of Nursing Management, 28(8). https://doi.org/10.1111/jonm.12965

Capella 4040 Assessment 4