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NURS 4040 NYU Informatics & Nursing Sensitive Quality Indicator Question

 

This will be a power point presentation but as if you were talking

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. 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, Gray, Jay, Jay, & Burns, 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.

Demonstration of Proficiency

By successfully completing this assessment, you will demonstrate  your proficiency in the course competencies through the following  assessment 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 and 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.
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.). St. Louis, MO: 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.
  • 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?

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 NDNQI®?
  • 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 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.