Assignment 1 PICOT Question and Justification Paper

Assignment 1 PICOT Question and Justification Paper

Nursing Quality Indicators

Background of Nursing Quality Indicators

As the transition to value-based care moves forward, the focus in patient care is shifting to quality and away from quantity. Healthcare outcomes for the patient are more important for the independent physician than the number of patients seen during the day. Some of the nursing quality indicators as prescribed by the American Nursing Association include; making care safer by reducing harm caused in the delivery of care, strengthening person and family engagement as partners in their care, Promoting effective communication and coordination of care, promoting effective prevention and treatment of chronic diseases, working with communities to promote best practices of healthy living, and making health care affordable.

Assignment 1 PICOT Question and Justification Paper

The Picot Question

Do nursing quality indicators impact on patient outcomes?

Analysis of Quality Indicators Using Picot Format

Nursing Quality Indicators impact positively on Patient outcomes. Quality in healthcare means providing the care the patient needs when the patient needs it, in an affordable, safe, effective manner. Quality healthcare also means engaging and involving the patient, so the patient takes ownership in preventive care and in the treatment of diagnosed conditions (Eglseer et al., 2021 Assignment 1: PICOT Question and Justification Paper) .

Quality in the healthcare context is a collaborative effort that involves the patient, the independent physician, the patient’s family, and the community as a whole. The foundational principles and guidelines of nursing assert that nurses have a responsibility to measure, evaluate, and improve practice to promote patient safety and patient outcomes. Nursing sensitive quality indicators are an important part of the nursing process when establishing evidence-based practice guidelines. However, measuring these indicators is not about good science, it is a good practice that results in improved patient care. Assignment 1 PICOT Question and Justification Paper

Nursing Quality Indicators-NQI has an impact on disease intervention. NQI identifies and calls attention toward specific results-oriented issues within an organization that must be reviewed; thus, it is not a direct measure of quality (Murphy et al., 2019 Assignment 1 PICOT Question and Justification Paper).. The constant use of indicators helps to improve the quality of care, strengthen the confidence of users, meet the requirements of funding organizations, reduce costs, and stimulate the involvement of healthcare professionals. T

he attributes of indicators are validity, sensitivity, specificity, simplicity, objectivity, and affordable cost. Taken in this context, quality control based on the analysis of indicators represents a fundamental strategy in the pursuit of reliable care, of well-founded objectivity, and the management of results and quality.

NQI is critical in assessment of diseases and the comparison of outcomes. Quality assurance in nursing requires that nurses need to measure their care, define standards of care, and advance their professional practice to offer patients the highest level of care. As a result, measuring what nurses do is critical in maintaining standards, supporting nursing management and understanding outcomes and maintaining patient safety. Quality assurance requires the development of sensitive, nursing-specific indicators. Nurse-sensitive indicators-NSIs are used by healthcare organizations and researchers to measure how much nurses contribute to patient outcomes.

A good nurse-sensitive indicator is based on critical values and beliefs such as compassion, integrity, human dignity, and altruism. These factors enable nurses to get a clear and accurate patient diagnosis treatment as well as identifying areas of priority. Key responsibilities that define the conceptual framework of nursing practice are based on improved patient outcomes.

A nurse’s core duties include promoting patient safety, managing the patient environment, providing individualized care, creating a positive interpersonal relationship with patients, and using evidence-based practices in inpatient intervention. As a nurse, some of the values and beliefs that are critical are a combination of a set of principles that include altruism, human dignity, caring, and integrity (Yang, et al., 2017 Assignment 1 PICOT Question and Justification Paper).

If integrated well, these core values produce satisfaction both for nurses and patients. The provision of a safe environment for patients is a duty that nurses should take seriously because it determines patient satisfaction and outcomes. Nurse-sensitive indicators are critical because they emphasize primary prevention. Today, 50% of adults in the world have at least one or more chronic diseases (Yang, et al., 2017). Based on these statistics, self-care has become an essential way of managing chronic illnesses. Self-care theory is characterized by self-monitoring, self-management, and self-maintenance. Many factors influence self-care theories such as experience, cognition, support from others, and skills.

Rationale for Choosing the Question

I choose to study about Nursing Quality Indicators because it contains the three-most critical aspects of quality nursing-outcomes, process, and structure. Structural indicators include the supply of nursing staff, the skill level of nursing staff, and the education and certification levels of nursing staff. Process indicators measure methods of patient assessment and nursing interventions. Nursing job satisfaction is also considered a process indicator. Outcome indicators reflect patient outcomes that are determined to be nursing-sensitive because they depend on the quantity or quality of nursing care. Nursing Quality Indicators determine patient outcomes, patient experiences, and the quality of care.

Conclusion

Nurse-sensitive indicators are critical in the long-term intervention of chronic illnesses. This theory was created to capture a holistic approach where patients suffering from chronic ailments are empowered to take care of themselves. In this approach, societies are empowered through education programs to adopt health behaviors that promote good health. NSI approach asserts that the actions, behavior, and the values and beliefs of nurses affect patient outcomes. Thus, NSI concerns the improvement of patient care by focusing on quality care.

Assignment 1: PICOT Question and Justification Paper References

  • Eglseer, D., Osmancevic, S., Hoedl, M., Lohrmann, C., & Bauer, S. (2021). Improving the quality of nursing care in Austria: 10 years of success. Journal of Nursing Management, 29(2), 186-193. DOI: 10.1111/jonm.13136. Assignment 1 PICOT Question and Justification Paper
  • Murphy, F., Doody, O., Lyons, R., Gallen, A., Nolan, M., Killeen, A., … & Sezgin, D. (2019). The development of nursing quality care process metrics and indicators for use in older persons care settings: A Delphi‐consensus study. Journal of advanced nursing, 75(12), 3471-3484. https://doi.org/10.1111/jan.14126
  • Yang, S. U., Huang, L. H., Zhao, X. H., Xing, M. Y., Shao, L. W., Zhang, M. Y., … & Gao, C. H. (2019). Using the Delphi method to establish nursing‐sensitive quality indicators for ICU nursing in China. Research in nursing & health, 42(1), 48-60. https://doi.org/10.1002/nur.21925

Assignment #1: PICOT Question and Justification Instructions

(20% of final grade)

The purpose of this assignment is to formulate a clinical question that will be the basis for the literature review you will be doing this semester. Assignment 1 PICOT Question and Justification Paper

Consider the type of patient care issue that you would like to learn more about. You can also refer to the National Database of Nursing Quality Indicators for a list of possible topics to research.

Before you decide on a PICOT question, you should do a quick search in a library database to see if there are enough published articles on your topic. You can also find helpful information on how to pick a PICOT question by visiting this site: https://libguides.umgc.edu/nurs410, and clicking on \”Picking a PICOT question: Test it first\” tab. Assignment 1 PICOT Question and Justification Paper

Describe the background of the question, present the question using the PICOT format, and discuss your rationale for selecting this question. The paper should be no more than 3 pages (not including title page and references. Assignment 1 PICOT Question and Justification Paper).

Outline:

Introduction – describes what is to be presented in the paper
Provide a clear and complete clinical question
The clinical question is presented in PICOT format
Provide a discussion on the rationale for posing the clinical question
Appropriate use of spelling, sentence structure, organization, and grammar.
Your Paper will be based on the following criteria:

Criteria

Level 4

Level 3

Level 2

Level 1

Points

Title Page

(4-5 points)

The title page is present.

n/a

n/a

(0) points

The title page is not present.

Or

No assignment was submitted.

Introduction

(9-10 points Assignment 1 PICOT Question and Justification Paper)

Provides a clear and thorough introduction of the content to be presented in the paper.

(6-8 points Assignment 1: PICOT Question and Justification Paper)

Provides a concise introduction of the content to be presented in the paper.

(3-5 points) Assignment 1 PICOT Question and Justification Paper

Provides a brief introduction of the content to be presented in the paper.

(0 points)

Provides no introduction of the content to be presented in the paper.

Or

No Assignment was submitted.

Clinical Question

(32-40 points)

Provides a clear and complete clinical question.

(28-31 points)

Provides a clinical question that is missing one of the elements of the PICOT.

(17-27 points)

Provides a clinical question that is missing two or more elements of the PICOT.

(0 points Assignment 1 PICOT Question and Justification Paper)

Provides an incomplete clinical question.

Or

No Assignment was submitted.

PICOT Format

(20-25 points)

The clinical question is presented in the required PICOT format.

(15-19 points)

The clinical question is presented in the required PICOT format but is missing one element.

(7-14 points)

The clinical question is presented in the required PICOT format but is missing 2-3 elements.

(0 points)

The clinical question is not presented in the required PICOT format.

Or

No Assignment was submitted.

Rationale

(10-15 points)

Provides a clear and thorough rationale which supports the use of the clinical question.

(6-9 points Assignment 1 PICOT Question and Justification Paper)

Provides a concise rationale which supports the use of the clinical question.

(3-5 points)

Provides brief rationale which supports the use of the clinical question.

(0 points)

Provides a rationale that does not clearly show support for the use of the clinical question.

Or

No Assignment was submitted.

Grammar, Spelling, and Mechanics

(4-5 points)

Excellent spelling and grammar throughout the paper. Excellent organization and easy to read.

(3 points)

More than 3 spelling and grammar errors. Generally, well written and easy to read. Minimal organization problems. Assignment 1 PICOT Question and Justification Paper

(1-2 points)

4 or more spelling and grammar errors. Paper generally is readable. Some organization problems.

(0 points Assignment 1: PICOT Question and Justification Paper)

Multiple spelling and grammar errors. Organization problems are noted.

Or

No Assignment was submitted. Assignment 1 PICOT Question and Justification Paper