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.
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 an