Informatics and Nursing-Sensitive Quality Indicators
Prepare an 8–10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.
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. Informatics and Nursing-Sensitive Quality Indicators
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:
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- 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?
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. Informatics and Nursing-Sensitive Quality Indicators
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. Informatics and Nursing-Sensitive Quality Indicators
After completing your script, practice delivering your tutorial several times before recording it.
- Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
- Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.
- Script: A separate document with the script or speaker’s notes is required. Important: Submissions that do not include the script or speaker’s notes will be returned as a non-performance.
- References: Cite a minimum of three scholarly and/or authoritative sources.
- APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the Evidence and APA page on Campus.
By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:
- Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
- Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
- Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
- Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
- Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
- Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
- Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
- Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.
- Follow APA style and formatting guidelines for citations and references. Informatics and Nursing-Sensitive Quality Indicators
Hello, everyone, and welcome to this training session on nursing-sensitive quality indicators. Nursing-Sensitive Quality Indicators assess nursing care quality (Oner et al., 2020). These indicators are measurements that provide particular information on the impact of nursing activities on patient outcomes. It will offer us a perspective on the quality of nursing care and help us identify areas for improvement. One of these markers is “falls without injury.” This indication is significant because even falls without immediate harm can reveal underlying issues or dangers that may lead to future difficulties or diminished patient mobility and independence. The National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a national nursing quality measurement program with a database that tracks various aspects of nursing care and how they affect patient outcomes (Harolds & Miller, 2020). Hospitals submit data to the NDNQI, which is then analyzed and compared to other hospitals. It provides hospitals with unit-level performance comparison reports. It helps hospitals and nurses understand areas for improvement in healthcare quality by benchmarking against national standards.
Importance of Patient Falls Without Injury
Falls without injury are categorized as a nursing-sensitive quality indicator, meaning the quality of nursing care directly influences them. According to Takase (2022), these falls may not result in an immediate injury, but they are not entirely harmless as they can create a high risk of subsequent problems. Falls can cause unfavorable consequences, such as morbidity, elongated hospitalization, and a higher risk of repeated falls (National Institute on Aging, 2022). They often indicate that some present problem exists in the patient’s surroundings or the type of medication they are getting. Also, falls without injury can affect the long-term health of a person, which can cause reduced mobility and fear of falling, making them more vulnerable to future harm. The prevention of falls leads to safer patient conditions, shorter lengths of hospital stay, and lower hospital expenses. Informatics and Nursing-Sensitive Quality Indicators
The Role of New Nurses in Fall Prevention
New nurses have a unique opportunity to help residents who fall without injury by making early identification. They are the most present; they spend the most time with their patients and are in a privileged position to identify factors that increase individual fall risk (Innab, 2022). Therefore, understanding and preventing falls is crucial because they are often the first line of defense in ensuring patient safety. Using careful observation and assessment, the new nurses can implement preventive measures, for example, reviewing the patient’s medication list for side effects that could make them dizzy, altering the setting to meet the needs and minimize hazards, and educate the patients on fall prevention strategies. Reporting any fall, whether an injury or not, has to be accurate, as it is critical to identify trends and patterns that will inform system-wide improvements. Familiarity with these indicators facilitates the implementation of fall prevention strategies and high-quality treatment.
Collection and Dissemination of Quality Indicator Data
Data gathering and distribution for patients who experience falls without injuries within our organization. During a recent discussion with the quality improvement coordinator, I learned that our organization documents all fall cases using electronic health record (EHR) systems. Nurses should document the exact date of every fall, such as the date and time, the location where it occurred, and any preventive measures that existed, as well as the factors contributing to the fall and the interventions used. The data collected is then aggregated by the quality improvement team and analyzed to identify the root causes and develop targeted interventions (Agency for Healthcare Research and Quality, 2020). They investigate the behavior and see the patterns and trends that can be used to pinpoint any possible areas for improvement. To create a transparency and ongoing improvement culture, this aggregate data will be passed on to the nursing staff and other healthcare professionals through weekly meetings and reports. The reports include the fall incident analyses, common factors emphasized, and strategies presented to minimize fall risks. This culture embeds nurses with solid information they can use in performance improvement, thus spurring individual nurses to participate actively in fall prevention efforts. Informatics and Nursing-Sensitive Quality Indicators
Supporting Accurate Reporting and High-Quality Results
Accurate and timely data entry is essential for effective monitoring and analysis. Being careful and thorough when documenting fall incidents is necessary because this data guides our efforts to improve quality. Data completeness and accuracy will lead to intelligent recommendations, real-time insights, and meaningful outcomes. The sharing of ideas, offerings of solutions, and successful implementation of interventions are made possible by the open communication between nurses and quality improvement teams. Tailored nursing interventions involving fall prevention should be accurately reported to enhance the effectiveness of the intervention. Nurses must always abide by the fall prevention protocols and guidelines, which include using bed alarms, providing appropriate lighting, and helping with movement (Garcia et al., 2021). Such prevention techniques are vital in reducing the incidence of falls and ensuring patients’ safety.
Interdisciplinary Team’s Role
The interdisciplinary team provides significant data support in collecting and reporting quality indicator data to improve patient safety and patient care outcomes and organize performance reports. The team comprises nurses, physicians, physical therapists, and other healthcare providers. Every team member shares their specific competence to draft resilient fall prevention strategies. For example, Physical therapists could assess patients’ ability to walk, provide therapy and drug management, recommend exercises to improve movement, strength, balance, and other physical therapies. Occupational therapists can suggest ways to simplify the environment to reduce the possibility of a fall. Doctors see if taking medications raises the risk of falling and adjust if needed. This cooperative method considers the full range of fall prevention measures, bringing better patient outcomes.
Our organization offers continual training and education related to the fall prevention approach. Participating in those training sessions and keeping abreast of the latest standards of quality of care is the primary method of preserving high standards (Albasha et al., 2023). Educational programs inform all personnel about the most recent proven treatment approaches and enable them to apply these properly during their daily duties. In addition to individual work, team spirit and communication are necessary. For instance, discussing observations with peers and participating in joint efforts with other people will assist in detecting possible threats and in implementing proper solutions. Established communication channels and a safe work atmosphere allow workers to report problems and keep the management at the forefront of fall risk control. Informatics and Nursing-Sensitive Quality Indicators
Evidence-Based Practice Guidelines
With nursing-sensitive quality indicators, nurses can find evidence-based guidelines that they need to work within the frameworks. These recommendations serve as a foundation for safe and efficacious treatment, enabling providers to deliver a consistent, high-quality service regardless of the healthcare setting chosen (Albasha et al., 2023). Nurses must, therefore, abide by these rules to reduce the possibility of falls or other adverse events, ultimately leading to patients’ safety and satisfaction. For example, evidence-based fall risk factor assessment guidelines can comprise implementing individualized care plans, regularly assessing patients’ fall risk factors, and reevaluating. These standards are built on the best available research and are constantly updated to reflect the latest research findings and clinical practices.
Conclusion
In summary, patient falls without injury, which are nursing-sensitive indicators, play a significant role in assessing the quality of nursing care. Through the precise gathering and reporting of information, as well as by introducing fall prevention strategies, we can improve patient safety and enhance care outcomes. The role that you play in this process is vital. As newly recruited nurses, your solicitude, honesty, dedication to performing well, and following the existing directives will be essential in aInformatics and Nursing-Sensitive Quality Indicatorschieving the best in preventing falls and providing quality care.
Thank you for your attention and dedication to providing high-quality care. Remember, your role in monitoring and preventing patient falls is essential to our organization’s success. Keep up the excellent work, and always strive to ensure the safety and well-being of your patients. Informatics and Nursing-Sensitive Quality Indicators
References
Agency for Healthcare Research and Quality. (2020, January). 5. How do you measure fall rates and fall prevention practices? Www.ahrq.gov. https://www.ahrq.gov/patient-safety/settings/hospital/fall-prevention/toolkit/measure-fall-rates.html
Albasha, N., McCullagh, R., Cornally, N., & Timmons, S. (2023). Staff knowledge, attitudes and confidence levels for fall preventions in older person long-term care facilities: A cross-sectional study. BMC Geriatrics, 23(1). https://doi.org/10.1186/s12877-023-04323-0
Garcia, A., Bjarnadottir, R. (Raga) I., Keenan, G. M., & Macieira, T. G. R. (2021). Nurses’ perceptions of recommended fall prevention strategies. Journal of Nursing Care Quality, Publish Ahead of Print(3). https://doi.org/10.1097/ncq.0000000000000605
Harolds, J. A., & Miller, L. B. (2020). Quality and safety in health care, part LXXX: The national database for nursing quality indicators and the practice environment scale of the nursing work index. Clinical Nuclear Medicine, Publish Ahead of Print(6). https://doi.org/10.1097/rlu.0000000000003275
Innab, A. M. (2022). Nurses’ perceptions of fall risk factors and fall prevention strategies in acute care settings in Saudi Arabia. Nursing Open, 9(2). https://doi.org/10.1002/nop2.1182
National Institute on Aging. (2022, September 12). Falls and Fractures in Older Adults: Causes and Prevention. National Institute on Aging. https://www.nia.nih.gov/health/falls-and-falls-prevention/falls-and-fractures-older-adults-causes-and-prevention
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
Takase, M. (2022). Falls as the result of interplay between nurses, patient and the environment: Using text-mining to uncover how and why falls happen. International Journal of Nursing Sciences, 10(1). https://doi.org/10.1016/j.ijnss.2022.12.003 Informatics and Nursing-Sensitive Quality Indicators
