Assessment 4 Instructions: Informatics and Nursing Sensitive Quality Indicators • Prepare an 8-10 minute audio training tutorial script (video is optional) for new nurses on the importance of nursing-sensitive quality indicators. Informatics and Nursing-Sensitive Quality Indicators Introduction As you begin to prepare this assessment you are
Informatics and Nursing-Sensitive Quality Indicators
Hello, and welcome to this comprehensive training session. My name is Jane Doe. I am here today to educate you on the importance of nursing-sensitive quality indicators. I will define the National Database of Nursing Quality Indicators and identify the specific quality indicator that is relevant to our facility. Additionally, I will explain our organization collects and disseminates data on the selected quality indicator. Thereafter, I will enlighten you about the important role you can play to uphold accurate reporting and increasing the quality of results. You are our representatives in embracing best practices that promote accurate reporting of data.
The National Database of Nursing Quality Indicators avails annual and quarterly reports on the indicators that evaluate nursing care in various healthcare organizations. In 2020, authors Koch, Kutz, Conca, Wenke, Schuetz, and Mueller reported that nursing-sensitive indicators are categorized into structural, process, and outcome indicators. Structural indicators entail staffing, education, and certification of nurses. Process indicators entail the techniques used in assessing patients and various nursing interventions. Outcome indicators refer to desirable patient outcomes that reflect quality care.
Authors Oner, Zengul, Ivankova, Karadag, and Patrician, writing in 2021, reported that more than 1100 healthcare facilities in the USA avail their data to the NDNQI. Our facility is part of this team. We report our data by completing surveys that are facilitated by Press Ganey NDNQI. In 2020, authors Koch, Kutz, Conca, Wenke, Schuetz, and Mueller reported that Press Ganey works in concert with the NDNQI and healthcare organizations to make annual and quarterly reports available. These reports focus on the three nurse-sensitive quality indicators. This feedback is relevant and beneficial to us because it helps us to know how we rank against other healthcare facilities nationally. Furthermore, the feedback helps us to make pertinent interventions that achieve a better quality of healthcare services and improve patient safety and outcomes.
Allow me to share a quality indicator of concern in this healthcare organization. Feedback from the Press Ganey NDNQI surveys demonstrates that our facility has experienced a surge in the incidences of catheter-associated urinary tract infections (CAUTI). The surge in the incidence of CAUTI reflects a decline in the quality of healthcare services provided by our nurses. This has a negative implication because patients have been expressing dissatisfaction with nursing services when completing the Press Ganey surveys. In 2022, authors Mong, Ramoo, Ponnampalavanar, Chong, and Nawawi stated that CAUTI refers to urinary tract infections diagnosed within two or more days after the insertion of a urinary catheter. The definitive diagnosis is made after obtaining positive bacterial culture results. Authors Patel, Gupta, Vaughn, Mann, Ameling, and Meddings, writing in 2018, reported that Escherichia coli, Pseudomonas species, Staphylococcus aureus, and Enterococcus species are the common causative agents of CAUTI.
CAUTI has both negative implications on clinical outcomes and the economic aspect. In 2020, authors Wanat, Borek, Atkins, Sallis, Ashiru-Oredope, and Beech reported that the daily incidence of CAUTI is approximately 3 to 10 percent for patients who have urinary catheterization. AHRQ n.d. reports that about 90 to 100 percent receiving long-term catheterization develop CAUTI. This is associated with decreased recovery rates and prolonged hospital stays. AHRQ n.d. points out that patients have to incur extra financial costs when managing CAUTI rather than their presenting complaints at the time of admission. AHRQ, n.d. reports that patients spend approximately $4,690 to more than $29,740 to manage CAUTI. Additionally, the surge in the incidence of CAUTI has affected our reimbursements from Medicare. We have been handed a 3 percent reduction in reimbursement. Medicare considers CAUTI to be a preventable disease. An increase in the incidence of preventable diseases attracts penalties from the insurer.
Our nurses have adopted various strategies to mitigate the problem of CAUTI. Authors Patel, Gupta, Vaughn, Mann, Ameling, and Meddings, writing in 2018, proposed various interventions to prevent CAUTI. The interventions are categorized as appropriate use of the urinary catheter, proper insertion techniques, and proper urinary catheter maintenance techniques. Appropriate use entails using catheters only when indicated and minimizing the duration of use in high-risk patients such as women. Proper insertion techniques entail the use of aseptic insertion procedures and training nurses on insertion techniques. Aseptic techniques are achieved by adequate hand washing, use of gloves, and sterile equipment. Autho