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 Canadian Quality Assessment Framework activity
Informatics and Nursing Sensitive Quality Indicators
Hello, and welcome to this healthcare facility. This presentation aims at equipping you with adequate knowledge about nursing-sensitive quality indicators. We will begin by defining and discussing the role of the National Database of Nursing Quality Indicators (NDNQI). We will then identify and discuss this healthcare facility’s quality indicator of concern. Finally, we will discuss the techniques used by this organization to collect and disseminate data on quality indicators. This will enable you to recognize that, as nurses, you play a significant role in maintaining the accuracy and credibility of data.
Nursing-Sensitive Quality Indicator
When the NDNQI was established, its primary purpose was to provide periodic data to the American Nurses Association (ANA). In 2021, Stifter, Sermersheim, Ellsworth, Dowding, Day, Silvestri, Margwarth, and Shaw reported that the NDNQI provides key information on nursing-sensitive indicators (NSIs) by availing data annually and quarterly. NSIs are measures that evaluate the impact of nursing care on patients. By so doing, NSIs determine the quality of care and direct the decision-making process. Writing in 2020, Koch, Kutz, Conca, Wenke, Schuetz, and Mueller revealed that NSIs target the structure, procedure, and outcomes of nursing care. Structure entails aspects such as resource allocation and nurse-to-patient ratios. The procedure evaluates nurse-patient interaction. On the other hand, outcomes are dependent on the structure and procedure. Outcomes are a direct reflection of the quality of nursing care.
It is important to know that this healthcare facility is among the facilities that report NSI data to the NDNQI. To accomplish this, stakeholders in this facility complete Press Ganey surveys. Writing in 2020, Koch, Kutz, Conca, Wenke, Schuetz, and Mueller revealed that Press Ganey collaborates with the NDNQI to ensure NSI reports are generated annually and quarterly. As a key stakeholder to NDNQI, these reports enable us to compare our performance with that of other facilities. As such, we can make evidence-based decisions to improve the quality of healthcare services.
I would like to discuss an NSI of concern to this facility. Over the past nine months, the prevalence and incidence of central line catheter-associated bloodstream infection (CLABSI) has been on the rise. As such, the quality of healthcare services has been compromised significantly. Patients have expressed high dissatisfaction with the quality of nursing care in the medical unit. In 2020, authors Patel, Weiner-Lastinger, Dudeck, Fike, Kuhar, Edwards, Pollock, and Benin revealed that CLABSIs occur within forty-eight of a central line catheter placement. Various organisms have been implicated as the causative factors of nosocomial infection. In 2022, Haddadin, Annamaraju, and Regunath reported that gram-positive bacteria account for about 40 to 80 percent of all cases of CLABSI. Furthermore, gram-negative bacteria account for about 20 to 30 percent of cases, whereas fungi cause approximately 11 percent of the cases.
Additionally, CLABSI impacts the quality of care and treatment costs. In 2022, Haddadin, Annamaraju, and Regunath reported that more than 200,000 bloodstream infections occur annually in the USA. In 2022, Haddadin, Annamaraju, and Regunath reported that in the USA, the incidence of CLABSI is about 0.8 cases in every 1000 days of central line catheters. CLABSI is associated with prolonged hospitalization. Prolonged hospitalization increases treatment costs and lowers patients’ quality of life. AHRQ.gov n.d.-b reports that CLABSI-related prolonged hospitalization increases treatment costs by about $17,800 to $94,800. Furthermore, AHRQ.gov n.d.-a reveals that CLABSI accounts for approximately 28,000 deaths annually. We have been penalized by insurers due to the increase in the incidences of CLABSI. As such, our reimbursements have been lowered by about four percent.
Our nurses recognize that they are key stakeholders in managing and preventing nosocomial infections such as CLABSI. They have adopted various evidence-based practices to address this problem. Firstly, they have enforced strict hygiene measures. In 2022, Haddadin, Annamaraju, and Regunath reported that this entails hand washing using clean water and soap, skin disinfection before inserting catheters, and upholding aseptic insertion techniques. Secondly, the subclavian rather than the femoral vein is used when the catheters are not tunneled. Thirdly, all central lines inserted during emergencies are replaced within 48 hours. This is attributed to the fact that emergency insertions are not aseptic.
Furthermore, nurses monitor patients daily to determine whether the central lines should be removed. Writing in 2022, Haddadin, Annamaraju, and Regunath repor