NURS-FPX 4040 Informatics & Nursing Sensitive Quality Indicators Paper

NURS-FPX 4040 Informatics & Nursing Sensitive Quality Indicators Paper

NURS-FPX 4040 Informatics & Nursing Sensitive Quality Indicators Paper

Hello! Welcome to the Pittsburgh Hospital Health Care System. I am Philip. We at Pittsburgh Hospital are excited to have you as part of our nursing team. My role is to help new nurses better understand how our healthcare system uses Nursing Sensitive Quality Indicators or NDNQI, to enhance quality care outcomes, improve training procedures, establish best practices, and improve patient satisfaction. In addition, these indicators will help improve workflow and recruitment, and retention of quality nurses.

NURS-FPX 4040 Informatics & Nursing Sensitive Quality Indicators Paper

According to Ju et al. (2018), “Establishing an objective nursing-sensitive quality indicator system may not only enable effective assessment of nursing quality, but also guide clinical nursing services, and ensure that nursing personnel continue to make quality improvements addressing common issues in emergency nursing.” As part of our nursing staff, each of you will have a pivotal role to help our organization track clinical performance and comparing nursing quality measures against other hospital data at the state, regional and national levels. As staff nurses, you are our “boots on the ground” for safe, evidence-based practice and reporting data to help evaluate our Nursing Sensitive Quality Indicators.

As the “boots on the ground,” each of you serves as our organization’s eyes and ears and helps the hospital make necessary changes to help improve patient care and outcomes. That data that each of you will provide in our electronic health record will provide insight into how the nursing care and interventions that Pittsburgh Hospital provides influence patient outcomes. It is vital to our success that our nursing staff uses the available healthcare technology, such as our electronic health record, for in depth documentation of our patients’ care. According to Groot et al. (2018), “Aligning documentation with the nursing process, using standard terminologies, and user- friendly formats and systems appear important for high-quality nursing documentation.”

With the introduction of nursing informatics and the development of the electronic health record across the healthcare community, healthcare facilities have gradually become more dependent on information technology to computerize almost all aspects of patient care. As a result, patient health information has become exponentially faster and easier to access and share data between other healthcare facilities and private practices. By 2015, 96% of all U.S. hospitals had installed electronic health record systems, according to Gecomo (2020).

Press Ganey is a company that manages NDNQI. Press Ganey is a leading provider of patient experience measurement, performance analytics, and strategic advisory solutions for health care organizations across the continuum of care. With nearly 30 years of experience, Press Ganey is recognized as a pioneer and thought leader in patient experience measurement and performance improvement solutions. Their mission is to help health care organizations reduce patient suffering and improve clinical quality, safety, and the patient experience. Press Ganey sends Pittsburgh Hospital surveys for our patients and staff to fill out on various NDNQI and then send back to Press Ganey. In addition, Press Ganey provides back to our facility the results of the surveys and other participating hospitals’ survey results in the form of measurable statistical data. This information offers insight to our quality control and service management team into what our facility is doing well and what improvements need to be made to enhance patient care outcomes and safety while improving our performance reports.

One nursing-sensitive quality indicator, for example, that our hospital identified in 2020 is increasing nursing turnover rates. Our nurses received a survey to complete through Pittsburgh Hospital’s electronic staff website regarding various factors that may increase nurse turnover rates. Because the survey was easily accessible to the nurses through our company staff website, our staff completed it faster with an improved participation rate than prior years when surveys were mailed to homes and then mailed back. As a result, 92% of our hospital’s nursing staff completed the survey.

From the survey results, our quality assessment and improvement team were able to deduce that the two most prevalent factors causing the increase of nursing turnover in our facility were low wages and unsafe staffing ratios. Of these factors, 52% of participants cited low wages, and 44% cited unsafe staffing ratios. Due to the amount of participation and the shorter time the information was received, our hospital was able to provide quicker solutions in the form of delivering higher annual merit raises and reassessing their staffing ratios by comparing and contrasting with other hospitals across the state, region, and nation through the Press Ganey data they were provided with. Our facility’s changes resulted in higher patient satisfaction, nursing staff retention, nursing ratios, wage satisfaction along with a reduction of reported nurse burnout and medication errors when reassessed through subsequent surveys in the last two years.

In conclusion, NDNQI is a necessary tool for our hospital and healthcare due to the vital information it provides to hospitals worldwide. It is a database with a quality measurement system to track clinical performance and compare nursing quality measures with other hospitals organizations. Nursing-sensitive quality indicators help establish evidence-based practice guidelines to enhance quality care and service. As nurses, all of you are at the front line of quality improvement and evidence-based practice. The success of NDNQI relies on each of your commitments to provide data promptly so that our hospital can make quicker improvements at our facility. Thank you all, and welcome to our team!

NURS-FPX 4040 Informatics & Nursing Sensitive Quality Indicators Paper Resources

  • Ju, Qiao., Huang Li-Hua., Zhao, Xue-Hong., Xing, Mei-Yuan., Shao, Le-Wen., Zhang, Mei-Yun., Shao, Rong-Ya. (2018). Development of evidence-based nursing-sensitive quality indicators for emergency nursing. Journal of Clinical Nursing, 27(15-16), 3008-3019. https://doi-
  • Gecomo, J. (2020). Implementation of an Evidence-Based Electronic Health Record (EHR) Downtime Readiness and Recovery Plan. Journal of Nursing Informatics, 24(1).
  • Groot, Kim De., Triemstra Mattanja., Paans, Wolter., Francke, Anneke L. (2018). Quality Criteria, Instruments, and Requirements for Nursing Documentation: A Systematic Review of Systematic Reviews. Journal of Advanced Nursing, 75(7), 1379-1393.