Informatics and Nursing Sensitive Quality Indicators Audio Transcript

Informatics and Nursing Sensitive Quality Indicators Audio Transcript

Hello and welcome to ABZ State Hospital Health Care System. My name is Nelsa Masog. It is a pleasure to have you here with us today on our team of nurses. Today, I will help you review and understand how Nursing Sensitive Quality Indicators are used to improve the quality of nursing care offered to patients. These indicators were developed by the American Nursing Association (ANA) and provide a framework for translating collected data to practice through the development and implementation of evidence-based care guidelines. They help implement the foundational principles of nursing practice as a profession: measure, appraise and improve the practice quality. According to an article by Antwi & Bowblis in 2018, nursing-sensitive indicators are valuable and reliable tools for objective assessment and making informed decisions on improvements in clinical practice. All members of our nursing team, including you, are instrumental in this process. Notably, it is only through engagements and giving feedback that we can modify and transform effectively. Do you need urgent assignment help ? Get in touch with us at eminencepapers.com. We endeavor to provide you with excellent service.

The National Database of Nursing-Sensitive Quality Indicators

Our facility is a top medical destination in my state and is committed to collecting and submitting data to NDNQI (National Database of Nursing-Sensitive Quality Indicators) to fulfil our professional roles as nurses. The NDNQI is a national database for nursing practice. It provides quarterly and yearly reports on nursing-sensitive indicators to evaluate the quality of nursing care at the facility and unit levels. The NDNQI is based on the Donabedian model. According to the Donabedian Model, quality measures can be in terms of structure (nursing care hours provided per patient), process (nursing job satisfaction), and outcomes (patient falls and pressure ulcer prevalence). Data from the NDNQI is used to perform a comparative assessment between the different quality measures and thus allow constant improvements in nursing practice and the healthcare sector.

Our facility is committed to collecting data and reporting it to NDNQI. The director of medical services, an experienced nurse, emphasizes the importance of continuous evaluation of the quality of nursing care, which began with Florence Nightingale. An example of a data parameter that we report is the rate of voluntary nursing turnover.

The Selected Nursing-Sensitive Quality Indicator

In this tutorial, I will address the rate of nursing turnover as a quality indicator in nursing practice. An article by Kaddourah, Abu-Shaheen, and Al-Tannir in 2018 reported a worldwide shortage of nurses, highlighting the need to understand factors contributing to nurse turnover is critical. Nurses form the most significant fraction of healthcare professionals and execute most responsibilities in patient care. An article by Lockhart (2020) on strategies for reducing turnover reported that nursing turnover in the United States is over 19%, with about 33% of nurses living within two years of employment. Accordingly, our facility has not been spared either. At the peak of the COVID-19 pandemic, our facility experienced high turnover rates. At that time, the nurse-to-patient ratio was relatively high, and many of our remaining nursing personnel experienced increased workload and job-related stress. The facility also incurred high costs in replacements. Training new employees on the standard operating procedures of the hospital is a long and expensive undertaking. According to Lockhart (2020), the cost of replacing one clinical nurse ranges between $40,000 and $65,000, which translates to around seven million dollars every year.

Relevance of Monitoring Nurse Turnover

Furthermore, an article by Gebregziabher in 2020 reviewed the turnover theory, developed by Mobley in 1977, which suggested that the intention to leave begins with a feeling of job dissatisfaction, and thus, employees seek alternative work. It is a manifestation of permanent withdrawal behaviour by employees from the workplace. Collecting reliable data on nurses’ experiences at the workplace helps to generate associations between different work dynamics and the intention to leave. Our nurses participated in a survey to determine the factors contributing to the high turnover rates. High nurse turnover negatively affects the ability of an organization to adequately meet patient needs and offer high-quality care. Our chief nurse used the data from this survey to develop measures to reduce nurse turnover in the facility. Notably, an article by Hayat Khan et al. in 2020 identified and classified the factors for turnover and identified the need for multidisciplinary collaboration in diagnosis and policy development to minimize voluntary turnover rates. Therefore, your input as nurses is valuable in transforming the practice and ensuring high-quality patient care at the facility and across the country.

So, how can you be involved in NDNQI?

Nurses are uniquely placed to shape the healthcare system and undertake change control and implementation to improve quality and safety in the future. Our responsibility is to support, engage or disagree with changes in the healthcare sector. As essential members of the multidisciplinary, we are involved in the National Database of Nursing-Sensitive Quality Indicators by data collection and reporting to the database. In the facility, we have frequent surveys to provide feedback about the working environment and engage in policy formulation on leave days, total remuneration, performance appraisal, and other critical factors in practice. The chief of medical services, Dr. Ann Markel, encourages nurses to always submit their feedback through these surveys, which are usually easy to complete. The data is then consolidated and uploaded to NDNQI. You can visit the NDNQI website to check their mission, vision, and parameters of data they collect and how this is translated into practice.

You may wonder what we do with the data.

Well, making any critical decision requires a wealth of information. The collected data is used to generate insights on improvements in nursing care and improve quality and safety. The NNQI database is a rich resource for developing themes and statistical insights for leaders in the healthcare industry. Our facility has a quality and safety department that continually works toward translating this new knowledge into practice. The benefits are to everyone in the healthcare sector: our patients, their families, and us.

The Role of Nurses in Supporting Accurate Reporting and High-Quality Results

So finally, I would like to share how our actions as nurses are instrumental in impacting the entire healthcare industry. Completing surveys and giving feedback through other formal and informal channels at the facility is vital. Our nurse leaders, through NDNQI, use data from over 1000 health organizations in the U.S to propose operative and traditional improvements and to monitor and evaluate impacts on policy and human resources. Accordingly, these data compare evidence-based approaches between different healthcare sector players and provide a foundation for modifications and transformation. This will ensure that our working environment is transformed to enhance health workers’ self-esteem, patient safety, and organizational efficiency.

Thank you!

 References

Antwi, Y. A., & Bowblis, J. R. (2018). The impact of nurse turnover on quality of care and mortality in nursing homes: Evidence from the great recession. American Journal of Health Economics, 4(2), 131-163.

Gebregziabher, D., Berhanie, E., Berihu, H., Belstie, A., & Teklay, G. (2020). The relationship between job satisfaction and turnover intention among nurses in Axum Comprehensive and specialized hospital Tigray, Ethiopia. BMC Nursing, 19(1), 1-8.

Kaddourah, B., Abu-Shaheen, A. K., & Al-Tannir, M. (2018). Quality of nursing work life and turnover intention among nurses of tertiary care hospitals in Riyadh: a cross-sectional survey. BMC nursing, 17(1), 1-7.

Khan, M. H. (2021). Nurse’s absenteeism and turnover in tertiary care setting of Lahore, Punjab. Saudi J Nurs Health Care, 4(5), 134-138.

Lockhart, L. (2020). Strategies to reduce nursing turnover. Nursing Made Incredibly Easy! 18(2), 56–56. https://doi.org/10.1097/01.NME.0000653196.16629.2E

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Hello this is the last assignment on this course. Once you write the transcript i will read through it on the video

Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.

Introduction

As you begin to prepare this assessment you are encouraged to complete the Conabedian 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.

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.

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.

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.

Preparation

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:

Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system. Choose from the following list:
Staffing measures.
Nursing hours per patient day.
RN education/certification.
Skill mix.
Nurse turnover.
Nursing care hours in emergency departments, perioperative units, and perinatal units.
Skill mix in emergency departments, perioperative units, and perinatal units.
Quality measures.
Patient falls.
Patient falls with injury.
Pressure ulcer prevalence.
Health care-associated infections.
Catheter-associated urinary tract infection.
Central line catheter associated blood stream infection.
Ventilator-associated pneumonia.
Ventilator- associated events.
Psychiatric physical/sexual assault rate.
Restraint prevalence.
Pediatric peripheral intravenous infiltration rate.
Pediatric pain assessment, intervention, reassessment (air) cycle.
Falls in ambulatory settings.
Pressure ulcer incidence rates from electronic health records.
Hospital readmission rates.
RN satisfaction survey options.
Job satisfaction scales.
Job satisfaction scales – short form.
Practice environment scale.
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 the for Kaltura to record your presentation.
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 [email protected] to request accommodations.
Instructions

For this assessment, 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.

Additional Requirements
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.
Competencies Measured

By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

Competency 1: Describe nurses’ and the interdisciplinary team’s role in informatics with a focus on electronic health information and patient care technology to support decision making.
Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.
Competency 3: Evaluate the impact of patient care technologies on desired outcomes.
Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.
Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.
Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.
Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.
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.
Follow APA style and formatting guidelines for citations and references.