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.
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.
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.
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As you begin to prepare this assessment you are encouraged to complete the Donabedian
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:
Review the nursing-sensitive quality indicators presented in the 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?
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 Using Kaltura for Kaltura to record your presentation.
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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 ****************************** to request
accommodations.
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.
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:
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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.
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.