Informatics and nursing sensitive quality indicators

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 tutorial orienting new hires to these topics.

You determine that you will cover the following topics:

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.

The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. You will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.

• Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system. Choose from the following list:
  • Staffing measures.

• Nursing hours per patient day.
• RN education/certification.
• Skill mix.
• Nurse turnover.
• Nursing care hours in emergency departments, perioperative units, and perinatal units.
• Skill mix in emergency departments, perioperative units, and perinatal units.

• Quality measures.
  • Patient falls.
  • Patient falls with injury.
  • Pressure ulcer prevalence.
  • Health care-associated infections.
    • Catheter-associated urinary tract infection.
    • Central line catheter associated blood stream infection.
    • Ventilator-associated pneumonia.
    • Ventilator- associated events.
  • Psychiatric physical/sexual assault rate.
  • Restraint prevalence.
  • Pediatric peripheral intravenous infiltration rate.
  • Pediatric pain assessment, intervention, reassessment (air) cycle.
  • Falls in ambulatory settings.
  • Pressure ulcer incidence rates from electronic health records.
  • Hospital readmission rates.
  • RN satisfaction survey options.
    • Job satisfaction scales.
    • Job satisfaction scales – short form.
    • Practice environment scale.