NURS FPX 4040 Assessment 4 Informatics and Nursing-sensitive Quality Indicators

Paper Instructions

Preparation

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.

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:

Review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement Informatics and Nursing Sensitive quality Indicators [PDF]resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.

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?

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 manufacturer. 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 sufficient.
  • Review Using Kaltura for Kaltura to record your presentation.
  • View Creating a Presentation A Guide to Writing and Speaking. 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 tutorial. 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 required.
  •  If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact DisabilityServices@Capella.edu to request accommodations.

Instructions

For this assessment, first review the nursing-sensitive quality indicators presented in the Assessment 04 Supplement Informatics and Nursing Sensitive quality Indicators [PDF] Download Assessment 04 Supplement Informatics and Nursing Sensitive quality Indicators [PDF]resource and select one nursing-sensitive quality indicator to use as the focus for this assessment.

Next, 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 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?
    • 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.

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Hello, everyone. I appreciate your presence at my presentation on informatics and nursing-sensitive quality indicators. This presentation will focus on the responsibilities of nurses and the interdisciplinary team in various healthcare settings. Specifically, it will discuss the collection of electronic data, the application of informatics, and the use of nursing-sensitive quality indicators to ensure the well-being and satisfaction of all patients. The presentation will place particular emphasis on one nursing-sensitive indicator the rate of pressure ulcers. Lastly, I will discuss the significance of including or the influence of nurses adhering to sensitive quality indicators in healthcare settings.

Nursing-Sensitive Quality Indicators

A medical institution’s viability and success depend on its patients’ satisfaction levels. Consequently, many organizations are established to guarantee that patients obtain high-quality medical treatment and consistently experience satisfaction with the services offered. The National Database of Nursing Quality Indicators (NDNQI) was created to fulfill this need. Established in 1998, its primary objective is to consistently provide high-quality services to patients (Von Gerich et al., 2022). The body used several techniques with the specific aim of drastically reducing medication errors.

Additionally, the body aimed to decrease the death rates of patients, which conveyed the notion that the treatments provided were of high quality. The nursing-sensitive quality indicators aim to establish a robust nursing system by emphasizing the expertise and qualifications of nurses, the medication process, and the patient health outcomes that rely on the treatment provided by the responsible practitioner. The healthcare facility uses ANA to transmit patient data and track progress to monitor growth. Hence, the growing prevalence of pressure ulcers among patients has a detrimental impact on the hospital’s reputation, drawing attention to educating newly hired nurses on the topic.

Collection and Distribution of Quality Indicator Data

The healthcare organization employs a systematic approach to collect and disseminate data on nursing-sensitive quality indicators, such as the pressure ulcer rate. This process involves identifying the indicators, establishing standardized protocols, utilizing EHR systems to record patient assessments, conducting routine skin assessments for patients at increased risk, implementing incident reporting procedures, and periodically extracting data from the EHR and incident reporting systems.

The gathered data is next subjected to analysis, which includes the process of data cleansing to eliminate any inconsistencies or mistakes, statistical analysis to determine the pressure ulcer rate, and benchmarking to evaluate performance compared to internal or external standards (Viana et al., 2024). Systematic skin evaluations are performed on all patients, especially those susceptible to developing pressure ulcers. Incident reporting systems have a user-friendly interface and seamlessly connect with the EHR system to guarantee the precise and prompt reporting of pressure ulcer cases.

Nurses collaborate with other entities to acquire and disseminate NSQI information, enhancing patient healthcare outcomes and overall satisfaction. This information is organized to restrict access to only appropriate parties, guaranteeing patient privacy and confidentiality. Nurses adhere to evidence-based practices and policies to effectively address particular health conditions and achieve optimal health outcomes via medical procedures (Oner et al., 2020). Aggregated data is distributed through periodic reports, visual representations, scheduled meetings, concise presentations, iterative feedback processes, and public disclosure endeavors.

Reports concisely overview research results, highlighting patterns and changes over time. They also use dashboards to provide immediate and up-to-date information, while meetings and briefings focus on analyzing the consequences and devising methods for improvement. Nursing staff may also use feedback loops to provide comments and propose improvements. Public reporting programs facilitate the dissemination of information and ensure responsibility.

The Interdisciplinary Team’s Role

The multidisciplinary team, including physicians, nurses, pharmacists, data analysts, and quality improvement experts, gathers and presents quality indicator data to enhance patient safety, care outcomes, and organizational performance (Oner et al., 2020). Their role includes documenting patient care activities, ensuring precision in electronic health records, and monitoring instances of prescription mistakes. Data analysts examine data to uncover patterns and areas that may be improved. The healthcare team, along with organizational leadership, get these reports, which allow them to make well-informed choices on modifications to policies, resource allocation, and strategic planning.

The team engages in collaborative efforts to enhance their work’s quality, including activities such as modifying clinical procedures, providing staff training, and implementing new technology. By using its members’ varied knowledge and skills, the team can efficiently identify areas that need improvement, execute changes based on solid evidence, and closely monitor the effects of these changes to guarantee consistent quality and safety in providing care to patients.

Healthcare Organizations Use

NSQIs assist healthcare organizations in monitoring and enhancing patient safety, care results, and organizational performance. Negative symptoms such as pressure ulcers may be decreased by NSQIs (Von Gerich et al., 2022). In addition, they can enhance patient care results by monitoring patient satisfaction, pain control, rates of readmission, and death rates. Conducting patient experience surveys may help identify areas that need improvement while implementing effective pain management strategies, which can result in more accurate assessment methods and individualized treatment regimens. Benchmarking, performance improvement strategies, efficient resource allocation, and effective reporting may enhance organizational performance.

Evidence-Based Practice Guidelines

The pressure ulcer rate is crucial in this process, providing measurable data for reviewing and improving evidence-based practice guidelines. This data facilitates the identification of patterns, variables that increase the likelihood of negative outcomes, and the efficacy of efforts taken to avoid such outcomes. By comparing the frequencies of pressure ulcers in various units, institutions, or regions, healthcare practitioners may assess their performance to established standards and pinpoint areas that need improvement (Viana et al., 2024). Examining pressure ulcer rates has resulted in the creation of risk assessment instruments such as the Braden Scale, which aids nurses in identifying patients with a high susceptibility to pressure ulcers.
Integrating patient care technology, such as EHR, pressure-relieving devices, wearable sensors, and telemedicine platforms, is essential for adopting evidence-based practice recommendations based on pressure ulcer rate data (Ting & Garnett, 2021).

These technologies improve patient safety, satisfaction, and results by enabling precise recordkeeping, continuous monitoring of risk variables, and offering clinical decision support tools. Wearable sensors, advanced mattresses, and cushions effectively disperse pressure, minimizing the likelihood of ulcer development. Telehealth systems provide virtual consultations with wound care professionals, guaranteeing access to skilled treatment without needing physical transfers. Remote monitoring technologies enable the surveillance of patients’ skin states and notify nurses of first indications of pressure ulcers, facilitating timely care.

Utilizing pressure ulcer rate as a metric for quality assessment, in conjunction with these technologies, results in significant improvements in patient safety, contentment, and overall results. Utilizing EBP guidelines and technology effectively decreases the occurrence of pressure ulcers, facilitating prompt identification and management (Ting & Garnett, 2021). Patient satisfaction rises due to improved comfort with modern mattresses and frequent repositioning. Providing patients and their families information on avoiding pressure ulcers promotes active involvement and contentment with the healthcare process.

Enhancing patient satisfaction involves improving comfort and treatment. Additionally, educating patients and their families about pressure ulcer avoidance empowers them. Timely therapies may effectively halt the development of ulcers and minimize the need for intrusive treatments.

Conclusion

Overall, the NDNQI plays a crucial role in maintaining high standards of medical care and ensuring patient satisfaction. The primary focus is minimizing medication errors and mortality rates while improving patient health outcomes. The interdisciplinary team, consisting of healthcare professionals from various fields, collaborates to gather and analyze quality indicator data. This data is then utilized to enhance patient safety, improve care outcomes, and optimize organizational performance. Pressure ulcer rates are utilized to analyze evidence-based practice guidelines and identify trends. Integrating patient care technologies, including EHRs, pressure-relieving devices, wearable sensors, and telehealth platforms, has improved patient safety, satisfaction, and outcomes.

References

  • 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), 1005–1022. https //doi.org/10.1002/nop2.654
  • Ting, J. J., & Garnett, A. (2021). E-Health decision support technologies in the prevention and management of pressure ulcers. CIN Computers Informatics Nursing, 39(12), 955–973. https //doi.org/10.1097/cin.0000000000000780
  • Viana, R., Rego, N., & Crispim, J. (2024). Quality and performance indicators for wound management towards value-based healthcare. Procedia Computer Science, 239, 1974–1981. https //doi.org/10.1016/j.procs.2024.06.382
  • Von Gerich, H., Moen, H., & Peltonen, L. (2022). Identifying nursing sensitive indicators from electronic health records in acute cardiac care―Towards intelligent automated assessment of care quality. Journal of Nursing Management, 30(8), 3726–3735. https //doi.org/10.1111/jonm.13802

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