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.
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 Assessment
04 Supplement: (Below)
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?
·
For this assessment, first review the nursing-sensitive quality
indicators presented in the Assessment 04
Supplement: Informatics and Nursing Sensitive quality Indicators [PDF] (below) 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:
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.
Assessment 04 –
Informatics and Nursing-Sensitive Quality Indicators
For this assessment, you will prepare an 8–10 minute audio training tutorial
(video is optional)
for new nurses on the importance of nursing-sensitive quality indicators.
Before you complete the detailed instructions in the courseroom, first review
the Nursing-
Sensitive Quality Indicators below and select the one you’re most interested
in. Nursing-
Sensitive Quality Indicators reflect the structure, process, and patient
outcomes of nursing care.
Nursing-Sensitive Quality Indicators are developed by identifying potential
indicators that reflect
nursing care and are not represented by current indicators, performing a
literature review, and
determining the validity of the potential indicator in nursing practice.
After you select one of the Nursing-Sensitive Quality Indicators below, return
to the courseroom
to review the detailed instructions and complete your assessment.
• Patient Falls With Injury – Process and Outcome.
• Pressure Ulcer Rate – Process and Outcome.
• Pediatric Pain Assessment, Intervention, and Reassessment – Process
and
Outcome.
• Restraint Prevalence – Process and Outcome.