NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

Informatics and Nursing Sensitive Quality Indicators Nursing Informatics

Hey everyone and Welcome to Shane’s Hospital! A level-1 trauma center! We are happy to have you as part of our team, and I look forward to guiding you on this new journey. The med-surg team is already aware of your recent hire and excited to teach, and learn with you! The focus is on informatics and nursing sensitive quality indicators, focusing on pressure ulcers. So, let’s dive right in! Nursing quality indicators fall under three different categories: structural indicators, process indicators, and outcome indicators.

NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

There is more than one sensitive quality indicator, and feel free to review the others at your own availability. Today, we will be focusing on pressure ulcers. According to Stalpers, (2016), nursing care quality is important, because it is linked to patient safety, patient satisfaction, and other health care outcomes. You likely wouldn’t be here if you did not love helping others and improving their healthcare quality outcome.

NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

What is the NDNQI?

What is the NDNQI, I get it why is he throwing a bunch of letters at us so quickly. The NDNQI stands for the national database of nursing quality indicators. According to Boyle, (2016), the NDNQI will collect data on hospital acquired pressure ulcers in order to provide standardized rate calculators across patient care units and hospitals – allowing for easy comparisons of like units in like hospitals for quality improvement initiatives.

Hospital-acquired pressure ulcers are widely recognized, and are important measures of inpatient nursing care quality as stated by (Boyle et al, 2016). What does this have to do with your job function? You aren’t going to let any pressure ulcers happen on your watch! According to Limin, (2021), The level of nurse staffing is the most important factor influencing patient outcomes, and a pooled analysis showed a higher level of nurse staffing decreased the risk of inpatient mortality by 14%. I am guessing by now you already realize how the important role you play in helping prevent pressure ulcers in patients, and how valuable you are in preventing harm in your patients.

Interdisciplinary Approaches in Quality Indicators.

Are you already overwhelmed? Are you thinking this pressure ulcer management is a lot for once nurse to manage? Don’t worry! The interdisciplinary team plays a role also, so you are not alone! According to Clarkson, (2019), An integrated team-based approach towards pressure ulcer prevention has long been promoted as best practice. Achieving an interprofessional team approach requires professional groups to have knowledge of the causative factors associated with pressure ulcers and strong attitudes towards prevention. This is not all from outside resources, I even have some information from another nurse you will soon be working with!

(Kath) stated its more than just the nurse, we have wound nurses, rescue nurses, physical therapists, occupational therapists, nurse practitioners, physicians, charge nurses, and patient care technicians that all help in preventing pressure ulcers. In this hospital its clear the team is large, and everyone has their own role in preventing pressure ulcers. Each part of the interdisciplinary team has its own role, and their own assessments in ensuring the correct data is collected at a rate to reduce and improve pressure ulcers. According to Clarkson, (2019), interprofessional approach that utilizes knowledge from across the healthcare team help provide effective pressure ulcer prevention.

Evidence based practice guidelines

Alright everyone! What are we going to do in order to prevent pressure ulcers? How are do we even collect the data? What does Shane’s hospital do with this information after its collected? Great questions! According to Beal, (2016), there is still much work to do. Maine General Medical Center has implemented a number of interventions to continue on the improvement trajectory, such as focusing on education and buy – in of new hires and reminders for longer term staff, encouraging the culture and actions that sustain an attitude of 0% hospital acquired pressure ulcers maintaining those interventions that have proven to be effective in the hospital, while disposing of ineffective action, and reviewing the overall program annually.

I am sure you can see how important you are to us and helping prevent pressure ulcer injuries already! Nurses are the ones who spend the most time with patients, and have the largest role in helping prevent pressure ulcers. Nurses pass the medications, answer call lights, assess patients’ multiple times throughout their shift, and are the first to help the patient and family understand how they can also play their role in preventing pressure ulcers.

I wanted to bring you a better insight into our specific hospital, and of course I have more information provided form one of your new nurse colleagues! (Kath, 2021) stated the big thing to remember is to not feel bad about reporting a pressure injury. She said it may or may not even be caused by you, and although its something we want to prevent, we can only improve if we have accurate data and documentation of all pressure ulcers acquired. The nursing staff has two meetings (huddles) a day before each shift.

During these huddles you will learn about which patients have the criteria for possible pressure ulcers, and patients who already acquired them. (If any). This hospital collects its data by the staff reporting them. It typically starts with letting the charge nurse know, who then documents in the electronic file, and paper file. It then moves on to the department manager, who then sends it to the next department that reports these pressure ulcers. The report goes to the entire staff at the hospital in the monthly meetings, and to key stakeholders. So, who gets it to continue progress for prevention of pressure ulcers across the nation? If you said NDNQI, you are really paying attention and on track to be great! I wish you the best of luck and look forward to meeting you all in person!

References

Beal, M. E., & Smith, K. (2016). Inpatient Pressure Ulcer Prevalence in an Acute Care Hospital Using Evidence-Based Practice. Worldviews on Evidence-Based Nursing, 13(2), 112– 117. https://doi.org/10.1111/wvn.12145

Boyle, D. K., Jayawardhana, A., Burman, M. E., Dunton, N. E., Staggs, V. S., Bergquist- Beringer, S., & Gajewski, B. J. (2016). A pressure ulcer and fall rate quality composite index for acute care units: A measure development study. International journal of nursing studies, 63, 73–81. https://doi.org/10.1016/j.ijnurstu.2016.08.020

Clarkson, P., Worsley, P. R., Schoonhoven, L., & Bader, D. L. (2019). An interprofessional approach to pressure ulcer prevention: a knowledge and attitudes evaluation. Journal of multidisciplinary healthcare, 12, 377–386. https://doi.org/10.2147/JMDH.S195366

Kath, M. (2021, September, 2021). personal.

Limin, W Hongbo, C , Qiaoqin, W, Ting, C, Xu, D, Xiuxiu, H, Han, L., Shaomei, S. (2021). Effects of self‐rated workload and nurse staffing on work engagement among nurses: A cross‐sectional survey, Journal of Nursing Management. https://onlinelibrary-wiley-m.library.capella.edu/doi/full/10.1111/jonm.13138

Stalpers, D., Kieft, R., van der Linden, D., Kaljouw, M. J., & Schuurmans, M. J. (2016). Concordance between nurse-reported quality of care and quality of care as publicly reported by nurse-sensitive indicators. BMC health services research, 16, 120. https://doi.org/10.1186/s12913-016-1372-z

Informatics and Nursing Sensitive Quality Indicators Sample Solution 2

Hello, everyone. Welcome to this engagement session; my name is (enter your name here). This training session’s primary aim is to familiarize you with nursing-sensitive quality indicators, the National Database of Nursing Quality Indicators (NDNQI) role, and nurses’ role in supporting accurate reporting and high-quality results. I hope you will understand all these concepts by the end of this session.

What is the National Database of Nursing Quality Indicators (NDNQI)?

The National Database of Nursing Quality Indicators (NDNQI) is an American database that provides quarterly and annual reports about nursing quality indicators alongside conducting systematic data collection or nursing indicators for performance measurements at the national level. Also, the NDNQI compares the performance of more than 1100 US health organizations at the unit level. Finally, this national database provides operative measures to address various indicators, including pressure ulcers, falls, staff mix measures, job satisfaction, selective nosocomial infection, and human resource management issues.

What are nursing-sensitive indicators?

Barchielli et al. (2022) define nursing-sensitive quality indicators (NSI) as “those indicators that capture care or its outcomes most affected by nursing care” (p. 2). In this sense, they focus on nursing processes, outcomes, and structures consistent with Donabedian’s classification. Nursing-sensitive quality indicators include the prevalence of pressure ulcers, patient falls, nursing education level and skills, hospital structure and setting, nurse-to-patient ratios, and pain management approaches. Also, NSI encompasses human resource management aspects like job satisfaction, turnover, and burnout.

The selected quality indicator

Pressure ulcer prevalence is one of the quality measures that prompt healthcare professionals to implement evidence-based and patient-centered care. According to Ebi et al. (2019), pressure ulcers are preventable medical complications associated with immobility and lengthy hospitalization. The risk factors for pressure ulcers are incontinence, inadequate nutrition and hydration, advanced age, immobility, and device-related skin pressure. Getie et al. (2020) contend that pressure ulcers are preventable if healthcare professionals apply appropriate Measures, including enhancing patients’ mobility, monitoring and modifying the environment, shifting the patient’s weight frequently, ensuring sufficient nutrition and hydration, and improving patients’ comfort and dignity.

Why it is essential to monitor this quality indicator.

Frequent monitoring of pressure ulcer prevalence is essential in informing prevention interventions and improving outcomes. According to Getie et al. (2020), pressure ulcers occur due to the shortage of supplies for pressure ulcers, time pressure, insufficient knowledge of evidence-based preventive measures, and job dissatisfaction. As a result, tracking the hospital’s performance on this quality indicator is essential to identify the root causes, establish performance benchmarks and targets, and develop evidence-based approaches for preventing pressure ulcers and their effects, including deaths, prolonged hospitalization, and increased care costs.

Why do new nurses need to familiarize themselves with this quality indicator when providing care?

As you transition from nursing students to healthcare professionals, you will encounter a high prevalence of pressure ulcers and their subsequent ramifications. Our organization has established measures to prevent pressure ulcers. A contingency plan entails hourly rounds, enhancing patients’ mobility, modifying the environment to address risk factors, educating patients on effective strategies for reporting incidences of pressure ulcers, and using bedside technologies to alert clinicians to patients’ discomfort. As new nurses, you must familiarize yourself with these interventions, understand your roles, and work in teams to address this problem. By familiarizing yourself with this quality indicator, you will assist the organization in implementing and sustaining intervention plans for change and quality improvement.

Organizational Strategies for Collecting and Distributing Quality Indicator Data

Strategies for disseminating aggregate data in our organization

During an interview with our organization’s chief nursing informaticist, he revealed that our organization has various strategies for collecting and disseminating data. One of these strategies includes using an electronic health record system (EHRS) to store, share, and retrieve information regarding nursing care processes and interventions to improve quality indicators. Secondly, nurses are responsible for utilizing patient health records and collecting first-hand qualitative and quantitative data from patients. Data from patients entail response to care processes, self-reported incidences of pressure ulcers, diagnoses, and response to medications. After collecting data and recording it on the electronic health record system, nurse informaticists facilitate its visualization by integrating it into hospital dashboards. Helminski et al. (2022) contend that hospital dashboards analyze and present information regarding performance metrics, allowing clinicians to visualize actionable data and optimize organizational performance.

Besides using hospital dashboards to visualize and disseminate data, the hospital relies massively upon clinical reports, journal publications, posters, pamphlets, and guidelines as primary approaches for disseminating information on quality improvement indicators and interventions for enhancing care quality. However, the Chief Nursing Informaticist unearthed various challenges that compromise the culture of effective data collection and dissemination. These challenges include time pressure, increased workload, burnout, and functionality issues of the electronic health record system (EHRS).

The role of nurses in supporting accurate reporting and high-quality results

Nurses understand the intricacies and demands of the current healthcare systems by developing meaningful relationships with patients and providing direct care. These close relationships involve gathering patient information and leveraging informatics to improve care quality and outcomes. According to Kennedy et al. (2017), nurses are responsible for using information regarding a patient’s history and current condition through physical assessments and laboratory tests. To support data accuracy, high-quality results, and effective reporting, nurses should understand the functionality of the electronic health record system, take adequate time to record and report information and enhance communication with patients to obtain reliable and credible data.

Conclusion

As you join our team, remember that you have an ethical and professional obligation to benefit patients, prevent harm, uphold their values and preferences, and ensure justice in care delivery. As a result, I am convinced that everyone understands the role of the National Database of Nursing Sensitive Quality Indicators, nursing sensitive indicators, and the role of nurses in supporting accurate reporting and high-quality results. As we move forward, I endeavor to assist you in understanding quality improvement indicators that form the basis of organizational processes, outcomes, and structures. Thank you very much for your time.

References

Barchielli, C., Rafferty, A. M., & Vainieri, M. (2022). Integrating key nursing measures into a comprehensive healthcare performance management system: A Tuscan experience. International Journal of Environmental Research and Public Health, 19(3), 1–14. https://doi.org/10.3390/ijerph19031373

Ebi, W. E., Hirko, G. F., & Mijena, D. A. (2019). Nurses’ knowledge to pressure ulcer prevention in public hospitals in Wollega: A cross-sectional study design. BMC Nursing, 18(1). https://doi.org/10.1186/s12912-019-0346-y

Getie, A., Baylie, A., Bante, A., Geda, B., & Mesfin, F. (2020). Pressure ulcer prevention practices and associated factors among nurses in public hospitals of Harari regional state and Dire Dawa city administration, Eastern Ethiopia. PLOS ONE, 15(12), e0243875. https://doi.org/10.1371/journal.pone.0243875

Helminski, D., Kurlander, J. E., Renji, A. D., Sussman, J. B., Pfeiffer, P. N., Conte, M. L., Gadabu, O. J., Kokaly, A. N., Goldberg, R., Ranusch, A., Damschroder, L. J., & Landis-Lewis, Z. (2022). Dashboards in health care settings: Protocol for a scoping review. JMIR Research Protocols, 11(3), e34894. https://doi.org/10.2196/34894

Kennedy, B., Dietrich, M., Mion, L., Novak, L., & Jeffery, A. (2017). A qualitative exploration of nurses’ information-gathering behaviors prior to decision support tool design. Applied Clinical Informatics, 08(03), 763–778. https://doi.org/10.4338/aci-2017-02-ra-0033

NURS-FPX4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators Instructions

Write a 4-5 page evidence-based proposal to support the need for a nurse informaticist in an organization who would focus on improving health care outcomes.

Introduction

As you begin to prepare this assessment, you are encouraged to complete the Team Perspectives of the Nurse Informaticist activity. Completion of this will help you succeed with the assessment as you explore the nurse informaticist’s role from the different perspectives of the health care team. Completing activities is also a way to demonstrate engagement.

Nurses at the baccalaureate level in all practice areas are involved in nursing informatics through interaction with information management and patient care technologies. Nurses must not only demonstrate knowledge of and skills in health information and patient care technologies, but also how to use these tools at the bedside

and organizational levels. Moreover, nurses need to recognize how information gathered from various health information sources can impact decision making at the national and state regulatory levels.

Your Online ePortfolio

Creating an ePortfolio is not required in the BSN program, but you may find it helpful to create one to attach to your professional resume while job hunting. Online ePortfolios serve two key purposes: 1) to support learning and reflection, and 2) to be used as a showcase tool. Your learning journey can be documented, and ePortfolios contribute to lifelong learning and growth through reflection and sharing. Online ePortfolios can also be shared with employers and peers to present artifacts that demonstrate your accomplishments at Capella.

Using ePortfolio to Build Your Career

As you are preparing to tell your story in the professional world, leverage your ePortfolio artifacts to demonstrate the knowledge and competencies you have gained through your program in professional conversations, performance reviews, and interviews. To do that, reflect on the knowledge and skills you have gained from your courses and the elements you have put in your portfolio, along with how you have already applied these things to your professional life or how you might apply them in the future. Next, create your story or talking points to tell your professional story.

Privacy Statement

Capella complies with privacy laws designed to protect the privacy of personal information. While you may voluntarily share your own information publicly, you are obligated to protect the personal information of others that may be associated with your academic or professional development. Before sharing information and material in any ePortfolio that is set up to be shared externally to your program at Capella, please consider privacy obligations in relation to protected populations who may be included or referenced in your academic or clinical work. Refer to the

Family Educational Rights and Privacy Act (FERPA) and/or the Health Insurance Portability and Accountability Act (HIPAA) if you have specific questions or concerns about your choices.

Scenario

For this assessment, assume you are a nurse attending a meeting of your state’s nurses association. A nurse
informaticist conducted a presentation on her role and its impact on positive patient and organizational outcomes in
her workplace. You realize that your organization is undergoing many technological changes. You believe this type of
role could provide many benefits to your organization.
You decide to pursue proposing a nurse informaticist role in your organization. You speak to your chief nursing
officer (CNO) and human resources (HR) manager, who ask you to prepare a 4–5 page evidence-based proposal to
support the new role. In this way, they can make an informed decision as to whether the addition of such a role
could justify the return on investment (ROI). They need your proposal before an upcoming fiscal meeting. This is not
an essay, but instead, it is a proposal to create a new Nurse Informaticist position.One important part of this assessment is the justification of the need for a nurse informaticist in a health care
organization and references from relevant and timely scholarly or professional resources to support the justification
for creating this nurse informaticist position. The term justify means to show or prove that the nurse informaticist
position brings value to the organization. This justification must include evidence from the literature to support that
this position will provide a return on investment for the organization.

Preparation

To successfully prepare for this assessment, you will need to complete these preparatory activities: Review assessment resources and activities.

Conduct independent research on the nursing knowledge and skills necessary to interact with health information and patient care technology.

Focus your research on current resources available through peer-reviewed articles, professional websites, government websites, professional blogs, wikis, job boards, and so on.

Consult the BSN Program Library Research Guide for help in identifying scholarly and authoritative sources.

Interview peers in your network who are considered information technology experts.

Ask them about how information technology advances are impacting patient care at the bedside, at the organizational level, and beyond.

Proposal Format

The chief nursing officer (CNO) and human resources (HR) manager have asked you to include the following

headings in your proposal and to be sure to address the bullets following each heading:
Nursing Informatics and the Nurse InformaticistWhat is nursing informatics?

What is the role of the nurse informaticist?

Nurse Informaticists and Other Health Care Organizations
What is the experience of other health care organizations with nurse informaticists?How do these nurse informaticists interact with the rest of the nursing staff and the interdisciplinary team?

How does fully engaging nurses in health care technology impact:

Protected health information (security, privacy, and confidentiality)?

In this section, you will explain evidence-based strategies that the nurse informaticist and

particularly privacy, security, and confidentiality. Evidence-based means that they are supported by evidence from scholarly sources.

Costs and return on investment?

What are the opportunities and challenges for nurses and the interdisciplinary team with the addition of a

How can the interdisciplinary team collaborate to improve quality care outcomes through technology?

want the CNO and the HR manager to remember?

This is the section where the justification for the implementation of the nursing informaticist role is

Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.

Submission length: 4–5 double-spaced pages, in addition to title and references pages.

Font: Times New Roman, 12 point.

Citations and References: Cite a minimum of three current scholarly and/or authoritative sources to support ideas. Current means no more than five years old.

APA formatting: Be sure to follow APA formatting and style guidelines for citations and references. For an APA refresher, consult the Evidence and APA page on Campus.

Competencies Measured

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.

Explain how the nurse collaborates with the interdisciplinary team, including technologists, to improve the quality of patient care.

Competency 2: Implement evidence-based strategies to effectively manage protected health information.

Explain evidence-based strategies that the nurse and interdisciplinary team can use to effectively

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

Assessment 3 Instructions: Evidence-Based Proposal and Annotated Bibliography on Technology in Nursing

Write a 4-6 page annotated bibliography where you identify peer-reviewed publications that promote the use of a selected technology to enhance quality and safety standards in nursing.

Introduction

Before you begin to develop the assessment you are encouraged to complete the Annotated Bibliography Formative Assessment. Completing this activity will help you succeed with the assessment and counts towards course engagement.

Rapid changes in information technology go hand-in-hand with progress in quality health care delivery, nursing practice, and interdisciplinary team collaboration. The following are only a few examples of how the health care field uses technology to provide care to patients across multiple settings:

Patient monitoring devices. Robotics.

Electronic medical records. Data management resources. Ready access to current science.

Technology is essential to the advancement of the nursing profession, maintaining quality care outcomes, patient safety, and research.

This assessment will give you the opportunity to deepen your knowledge of how technology can enhance quality and safety standards in nursing. You will prepare an annotated bibliography on technology in nursing. A well- prepared annotated bibliography is a comprehensive commentary on the content of scholarly publications and other sources of evidence about a selected nursing-related technology.

A bibliography of this type provides a vehicle for workplace discussion to address gaps in nursing practice and to improve patient care outcomes. As nurses become more accountable in their practice, they are being called upon to expand their role of caregiver and advocate to include fostering research and scholarship to advance nursing practice. An annotated bibliography stimulates innovative thinking to find solutions and approaches to effectively and efficiently address these issues.

Preparation

To successfully complete this assessment, perform the following preparatory activities:

Select a single direct or indirect patient care technology that is relevant to your current practice or of interest thermometers or pulse oximeters are examples of direct patient care technologies. Indirect patient care technologies, on the other hand, are those employed on behalf of the patient. They do not require interaction, or direct contact, between the nurse and patient. A handheld device for patient documentation is an example of an indirect patient care technology. Examples of topics to consider for your annotated bibliography include:

Electronic medication administration with barcoding. Electronic clinical documentation with clinical decision support.

Real-time location systems. Telehealth.

Workflow management systems

.

Conduct a library search using the various electronic databases available through the Capella University Library.

Consult the BSN Program Library Research Guide for help in identifying scholarly and/or authoritative sources.

Access the NHS Learner Success Lab, linked in the courseroom navigation menu, for additional resources.

Scan the search results related to your chosen technology.

Select four peer-reviewed publications focused on your selected topic that are the most interesting to you.

Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

quality of care, and the interdisciplinary team into a recommendation.

and blogs are not considered professional sources.

Your selections need to be current—within the last five years.

Annotated Bibliography

Prepare a 4–6 page annotated bibliography in which you identify and describe at least four peer-reviewed publications that promote the use of your selected technology to enhance quality and safety standards in nursing. Be sure that your annotated bibliography includes all of the following elements:

Introduction to the Selected Technology Topic

What is your rationale for selecting this particular technology topic? Why are you interested in this?

Which databases did you use? Which search terms did you use?

Describe your rationale for selecting the topic and the research strategies you employed. Use third person in the rest of the bibliography, however.

For each resource, include the full reference followed by the annotation. Explain the focus of the research or review article you chose.

According to this source, what is the impact of this technology on patient safety and quality of care?

According to this source, what is the relevance of this technology to nursing practice and the work of the interdisciplinary health care team?Why did you select this publication to write about out of the many possible options? In otherwords, make the case as to why this resource is important for health care practitioners to read.

Summary of Recommendation

How would you tie together the key learnings from each of the four publications you examined? What organizational factors influence the selection of a technology in a health care setting? Consider

such factors as organizational policies, resources, culture/social norms, commitment, training programs,
and/or employee empowerment.How would you justify the implementation and use of the technology in a health care setting? This is the section where you will justify (prove) that the implementation of thepatient care technology is appropriate or not. The evidence should be cited from the literature that

was noted in the annotated bibliography.

Consider the impact of the technology on the health care organization, patientcare/satisfaction, Example Assessmenatn:dYoinutemrdaiyscuispelinthaeryfotellaomwipnrgotdoucgtiivveity,osuatainsfaidcetiaono,f awnhdarteatePnrtoioficni.ent or higher rating on the scoring guide would look like:

Assessment 3 Example [PDF].

Additional Requirements

Written communication: Ensure written communication is free of errors that detract from the overall message.

Length: 4–6-typed, double-spaced pages.

Number of resources: Cite a minimum of four peer-reviewed publications, not websites.

Font and font size: Use Times New Roman, 12 point.

APA: Follow APA style and formatting guidelines for all bibliographic entries. Refer to Evidence and APA as needed.

Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

Analyze current evidence on the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team.

Integrate current evidence about the impact of a selected patient care technology on patient safety, quality of care, and the interdisciplinary team into a recommendation.

Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients. Describe organizational factors influencing the selection of a technology in the health care setting. Justify the implementation and use of a selected technology in a health care setting.

Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

Create a clear, well-organized, and professional annotated bibliography that is generally free from

errors in grammar, punctuation, and spelling.

Follow APA style and formatting guidelines for all bibliographic entries.

SCORING GUIDEUse the scoring guide to understand how your assessment will be evaluated.

Assessment 4 Instructions: 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.

Introduction

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.

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.

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 et al., 2018).

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. (2018). Understanding nursing research: Building an evidence-based practice (7th ed.). 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. 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.

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 the 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, 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.

Additional Requirements

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.

Competencies Measured

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.

SCORING GUIDE

Use the scoring guide to understand how your assessment will be evaluated.

VIEW SCORING GUIDE