Friday, January 4, 2019
Quality of Patient Care: Nursing-Sensitive Indicators Essay
Nursing- handsome indicators play a large reference in bedside nursing today. They encompass the divvy up given to tolerants, how it is given, policies, procedures, and different levels of runging, education, and experience (ANA). They in like manner set aside a means to sum of money tolerant expiation. Not all conglomerate with patient charge will appropriate the same knowledge and experience as can be seen in the scenario of Mr. J. How could nursing-sensitive indicators cast off changed his outcome? How can data cool on nursing-sensitive indicators advance tincture fretting for all patients?One of the risk factors for acquiring a wring ulcer, a oceanic abyss vein thrombosis, or hospital acquired pneumonia is stoicism. in that respect can be several ca hires of immobility and in this case it is the use of restraints. Mr. J has fall ined a drag ulcer due to lying flat on his substantiate in bed restrained. When the halts aide assisted him back to bed, lying o n his back again, she showed she did non occupy a clear understanding of a pressure ulcer as a nursing-sensitive indicator. She should clear propped him up with pillows so the reddened area was relieved of pressure. Had she or the nurse possessed that knowledge they would have been assessing his skin frequently and repositioning him in bed much enough so as to pr upshot such an heretoforet from occurring.The patients need for restraints could be reassessed as well. Is he trying to buzz off out of bed unassisted and is considered a fall risk due to his articulatio coxae fracture and mild dementia? mayhap a bed alarm or a sitter would have been fall apart alternatives. Either would have allowed Mr. J to trend independently in bed and he would have been less likely to develop a pressure ulcer. Restraints are often used without considering alternatives first. They can cause more than injury than good and decrease patient delight. In this case, it may be onerous to gaug e Mr. Js triumph but his daughter certainly wasnt satisfied with his administer. It is possible his hospital continuance of stay has been increased by the plys lack of knowledge regarding nursing-sensitive indicators. At this point the staff moldiness score action to correct the situation and hopefully heal the pressure ulcer.How can hospitals use data collected based on nursing-sensitive indicators to increase the quality of patient palm? Hospitals measure certain occurrences such as falls and pressure ulcers. Nursing apportion directly impacts these. If the number is higher than the content average, for example, a hospital may put to death a study to con the cause and then implement interpositions to try to chasten the occurrence of falls or pressure ulcers. By analyzing data collected after(prenominal) an intervention was applied, the hospital can determine if the outcome was achieved or not. Once an intervention proves successful a rude(a) form _or_ system of gover nment can be implemented throughout the hospital, decreasing falls or pressure ulcers, leading to better quality care for all patients and great patient satisfaction (American talent scoutUniversityBlog).Another nursing-sensitive indicator is patient satisfaction with overall care. In Mr. Js scenario I would say the patients family was completely dissatisfied. As a Judaic rabbi he requested a clean meal and was served pork cutlet due to an error with his rate. Were he not lightly demented he may have noticed what he had been served, but he did not and ate it. When the daughter was notified the following evening she discovered the nursing staff had kept it from her and that the nurse was not sensitive to the needs of her father. This was just another infirmity in several that had occurred over the furthermost six months. The physician and administrator were notified. This is a serious offense and may officious the Jewish community to seek care at another hospital.In value t o resolve this issue and keep Mr. Js trust and that of his daughter, several things must take place. The nurse and physician compassionate for the patient should acknowledge the error and stick out a heartfelt apology. They should also encounter the family, steps are being interpreted to pr answer this from reoccurring. If the orders are entered through an electronic health record, IT may need to wank involved to determine where the error is occurring in the order process in order to have it filled correctly.The dietetic executive program should be notified and perhaps find a new way to indicate intelligibly if a tray contains a kosher meal. A sign on the patients door could indicate his meal sense of taste so that all entering, whether it is a dietary tech, a nurses aide, or the nurse, will clearly see it. That way, even if the patient is confused and alone, as Mr. J was, there will be no mistake made. The issue here is patient satisfaction. Mr. Js family may motionles sness leave dissatisfied but this event may help implement new policies respecting ethnic preferences and the incorporation of them in a patients care.In healthcare today, nursing-sensitive indicators are important to hospitals in that they allow a gauge to measure the quality of care patients receive. The more knowledge a nurse has of nursing-sensitive indicators, the greater quality care she can provide to produce better outcomes for her patients, resulting in their improved satisfaction.Reference PageAmerican Nurses Association. (2015, January). Nursing-Sensitive Indicators. Retrieved run into 12, 2015, from Nursing World http//www.nursingworld.org/mainmenucategories/ThePracticeofProfessionalNurses/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1 American Sentinel University Blog. (2011, November 02). Health Care On Call. Retrieved process 12, 2015, from American Sentinel University Blog http//www.americansentinel.edu/ web log/2011/11/02what-are-nursi ng-sensitive-quality-indicators-anyway/.
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