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Nurs-fpx 4040 Assessment 4 – Informatics and Nursing Sensitive Quality Indicators

Nurs-fpx 4040 Assessment 4 – Informatics and Nursing Sensitive Quality Indicators

Hello everyone. Welcome to my informatics and nursing-sensitive quality indicator presentation. Informatics has had a profound impact on nursing practice, especially in terms of quality care indicators. According to Oner et al. (2020), nursing-sensitive quality indicators measure the care nurses provide and how it affects patient outcomes. These indicators are often used to identify improvement areas and support evidence-based practice. Informatics has allowed nurses to access and analyze data in real time, providing them with the improvement areas and information they need to make effective decisions to improve quality and safety (Moore et al., 2020). By using informatics, nurses can better assess their performance, as well as that of their colleagues, and use this data to inform their practice and make informed decisions.

The National Database of Nursing-Sensitive Quality Indicators

The National Database of Nursing-Sensitive Quality Indicators (NDNQI) is a web-based tool developed by the American Nurses Association (ANA) and the Centers for Medicare & Medicaid Services (CMS). This database contains a set of indicators that measure the quality of nursing care and its impact on patient outcomes. According to Barchielli et al. (2022), these indicators include nurse staffing levels, patient falls, pressure ulcer incidence, working hours, job satisfaction, and care coordination, among others. The NDNSQI is used to identify areas of improvement in nursing care and to monitor patient outcomes.

Nurs-fpx 4040 Assessment 4 – Informatics and Nursing Sensitive Quality Indicators

Selected Nursing-Sensitive Quality Indicator

This tutorial will address pressure ulcer incidences as a nursing quality indicator. Pressure ulcer incidences are an important nursing quality indicator as they directly reflect the quality of care provided. They result from prolonged pressure on a specific body area, such as the heel, elbow, or other bony parts. They are most common among bedridden patients or those who are unable to reposition themselves on their own. Therefore, nurses must regularly assess patients for any signs of ulcers and take measures to prevent them. The incidences measure how well nurses monitor and address the risk of pressure ulcers and can be used to assess the quality of care in a healthcare setting.

Collection and Distribution of Quality Indicator Data

Healthcare organizations collect and distribute quality indicator data related to pressure ulcers using various methods such as surveys, interviews, and medical records (Rios-Zertuche et al., 2018). The data is then disseminated through reports and presentations to stakeholders, such as healthcare professionals and policymakers. The nurse’s role in supporting accurate reporting and high-quality results is essential. Nurses are responsible for accurately entering data regarding nursing interventions to reduce pressure ulcer incidences and for recognizing potential changes that could lead to risk for pressure ulcers. Nurses must also be aware of changes in the patient’s condition to provide appropriate and timely interventions. By ensuring accurate and thorough data collection and analysis, nurses can support the healthcare organization in successfully reducing pressure ulcer incidences.

Nurs-fpx 4040 Assessment 4 – Informatics and Nursing Sensitive Quality Indicators

Role of the Interdisciplinary Team in Collecting Quality Indicator Data

The multidisciplinary approach is highly valued in healthcare settings as it helps improve patient outcomes, reduce costs, and increase efficiency. By working together, healthcare professionals can help to reduce the workload and focus on documentation and data collection. This approach allows for better monitoring of service delivery and makes it easier to report any limits or problems with healthcare services to provide better care.

The interdisciplinary team plays a vital role in collecting and reporting quality indicator data related to pressure ulcer incidences. The team works together to ensure that quality data is collected accurately and timely for use in organizational performance reports. The data collected by the interdisciplinary team helps identify potential risk factors, evaluate current practices, and track patient care outcomes to promote patient safety (Haugum et al., 2019). By collecting quality data, the multidisciplinary team helps ensure that organizations can provide the best possible care to patients. The team’s efforts to collect quality data directly impact patient care outcomes, organizational performance, and the overall quality of care. The team works collaboratively to develop, implement, and monitor quality indicators and ensure the accuracy of data collection. They analyze data to identify areas that need improvement and develop strategies to improve the quality of care. Adequate feedback from the team members to clinicians and other stakeholders helps ensure that quality indicators are consistently met and that the pressure ulcer incidence rates are significantly reduced.

Impact of Patient Care Technologies on Desired Outcomes

Care technologies have had a significant impact in reducing pressure ulcer incidences as a quality indicator. Technologies such as patient monitoring systems, pressure mapping systems, and advanced bed alarms provide healthcare providers with more accurate and detailed data to track and monitor the condition of patients (Baernholdt et al., 2020). This information can be used to identify and address the risk factors associated with the development of pressure ulcers and provide more effective preventative care. In addition, these technologies can alert healthcare staff of changes in patient conditions and facilitate timely interventions, which can help reduce the incidence of pressure ulcers.

Evidence-Based Practice Guidelines

One technological application of evidence-based care guidelines to reduce pressure ulcers is implementing an electronic medical record (EMR) system. According to Andersson et al. (2022), the EMR provides caregivers with an easy-to-access source of up-to-date information on pressure ulcer prevention and management. Through the EMR, clinicians can quickly access evidence-based care guidelines, view patient history, and create treatment plans tailored to each patient. For instance, clinicians can order pre-printed orders for standard pressure ulcer prevention interventions or create customized orders for patients with specialized needs. Furthermore, the EMR can track interventions’ effectiveness and provide clinicians feedback to inform future practice. This technology can help ensure that our caregivers are providing evidence-based care to reduce the incidence of pressure ulcers in our organization.

Implementing evidence-based strategies to reduce pressure ulcers, such as repositioning patients at least every two hours, using specialized mattresses and cushions to redistribute pressure, keeping skin clean and dry, and providing adequate nutrition and hydration, will significantly improve quality care. Other strategies include monitoring skin for signs of pressure ulcers, providing skin care and preventive measures, and assessing risk factors. Most importantly, educating patients and their caregivers on the importance of pressure ulcer prevention effectively reduces the risk of developing pressure ulcers.

Nurs-fpx 4040 Assessment 4 – Informatics and Nursing Sensitive Quality Indicators


In conclusion, informatics and nursing-sensitive quality indicators are essential tools for nurses to assess and improve the quality of care they provide. Pressure ulcer incidences are an important nursing quality indicator that affects patient outcomes. The interdisciplinary team plays a vital role in collecting and reporting quality indicator data. At the same time, technologies such as EMRs can help ensure that evidence-based care guidelines are being followed to reduce the incidence of pressure ulcers. Nurses must be familiar with the risks associated with pressure ulcers and take measures to prevent them. By understanding the importance of these indicators and taking the necessary steps to reduce the incidence of pressure ulcers, nurses can ensure that patients receive the highest quality of care.


Andersson, J., Imberg, S., & Rosengren, K. (2022). Documentation of pressure ulcers in medical records at an internal medicine ward in a university hospital in western Sweden. Nursing Open.

Baernholdt, M., Yan, G., Hinton, I. D., Cramer, E., & Dunton, N. (2020). Effect of preventive care interventions on pressure ulcer rates in a national sample of rural and urban nursing units: Longitudinal associations over 4 years. International Journal of Nursing Studies, 105, 103455.

Barchielli, C., Rafferty, A. M., & Vainieri, M. (2022). Integrating key nursing measures into a comprehensive healthcare performance management system: A Tuscan experience. International Journal of Environmental Research and Public Health, 19(3), 1373.

Haugum, M., Iversen, H. H., Helgeland, J., Lindahl, A. K., & Bjertnaes, O. (2019). Patient experiences with interdisciplinary treatment for substance dependence: An assessment of quality indicators based on two national surveys in Norway. Patient Preference and Adherence, Volume 13, 453–464.

Moore, E. C., Tolley, C. L., Bates, D. W., & Slight, S. P. (2020). A systematic review of the impact of health information technology on nurses’ time. Journal of the American Medical Informatics Association, 27(5).

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2020). Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017). Nursing Open, 8(3).

Rios-Zertuche, D., Zúñiga-Brenes, P., Palmisano, E., Hernández, B., Schaefer, A., Johanns, C. K., Gonzalez-Marmol, A., Mokdad, A. H., & Iriarte, E. (2018). Methods to measure the quality of care and quality indicators through health facility surveys in low- and middle-income countries. International Journal for Quality in Health Care, 31(3), 183–190.


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Prepare an 8-10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators. As you begin to prepare this assessment, you are encouraged to complete the Conabedian Quality Assessment Framework activity.

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