Informatics and Nursing Sensitive Quality Indicators

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.
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.
Additional Requirements
Audio communication: Deliver a professional, effective audio
tutorial on a selected quality indicator that engages new nurses and
motivates them to accurately report quality data in a timely fashion.
Length: 8–10
minute audio recording. Use Kaltura to upload your recording to the
courseroom, or provide a working link your instructor can access.
Script: A
separate document with the script or speaker’s notes is required.
References: Cite a minimum of three scholarly and/or authoritative
sources.
APA: Submit, along with the recording, a separate reference page that
follows APA style and formatting guidelines. For an APA refresher, consult
the Evidence and APA page on Campus.

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