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NURS-FPX 4040 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

Capella University

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Informatics and Nursing-Sensitive Quality Indicators



Informatics and Nursing-Sensitive Quality Indicators
Learner’s Full Name
Capella University of Health and Sciences
FPX4040: Managing Health Info & Tech
Professor’s Name
Month Year

Hello and welcome to this training tutorial for new nurses on the importance of nursing-sensitive quality indicators. Today, we are going to discuss very critical element of nursing care: Nursing Care Hours per Patient Day. Proper understanding and effective management of NCHPPD are reliable ways for improved patient outcomes, efficient usage of resources, and better quality in health care. This presentation is aimed at providing you with deep insight into the NCHPPD and the facility it offers towards RN-to-patient ratio, patient safety, and improving quality care by focusing National Database for Nursing-Sensitive Quality Indicators (NDNQI). Upon completion of this tutorial, you will have gained adequate knowledge to assist in the optimization of nursing hours of care and realize improved outcomes for patients.

National Database for Nursing-Sensitive Quality Indicators

The National Database for Nursing-Sensitive Quality Indicators (NDNQI) is the largest database developed to assist in improving quality nursing care through the gathering of nursing-specific data and its analysis (Madaris & Potter, 2023). NDNQI supports evidence-based practice and provides health care organizations with a benchmark by which they can measure their nursing performance and work toward betterment. The National Database of Nursing Quality Indicators use best practices and quality patient outcomes by tracking metrics that are directly influenced by nursing interventions and the number of registered nurses (Coelho, 2019). This database identifies trends, sets goals, and develops strategies for quality improvement in nursing care. This ensures that the health institution maintains high standards of safety and quality care for patients, hence achieving better patient outcomes (Mainz et al., 2022).

Nursing-Sensitive Indicator

Nursing-sensitive indicators refer to structure, process, and outcome metrics of nursing care. Therefore, this would include such measures as staffing levels and patient outcomes, such as hospital-acquired pressure ulcers, and processes like patient assessments. These indicators can be


used by health care organizations to track sensitive areas that need improvement and ensure targeted growth in nursing practice (Mainz et al., 2022). Specific measures of nursing-sensitive indicators that clearly indicate nursing’s effect on patient care and so serve in the assessment of the quality and effectiveness of nursing care across varied healthcare settings.

My Quality Care Indicator

I have selected Nursing Care Hours per Patient Day by Registered Nurses (RN) as my quality care indicator. This measure involves taking the total number of nursing hours provided by division of the number of patients in time (Juvé‐Udina et al., 2020). The NCHPPD is supposed to reflect the adequacy of the staff and its direct effect on patient care and safety. It is an important measure of whether there are sufficient registered nursing resources to meet the needs of the patients effectively (Griffiths et al., 2020). Understanding and managing registered nurses is critical to maintaining high standards of nursing care and ensuring that patients receive all the attention they deserve.

Importance of Nursing Care Hours per Patient Day Management for Nurses

Effective management of Nursing Care Hours per Patient Day (NCHPPD) ensures and enhances quality patient care and nurses’ well-being (Griffiths et al., 2020). Nursing Care Hours per Patient Day provided by Registered Nurses (RNs) ensures the reduction of adverse events experienced by patients and improved outcomes in patient care. Nursing Care Hours per Patient Day by RNs offers patient care according to patients’ preference, meet patients’ need on time hence ensure improved communication and in turn increasing patients’ satisfaction. Effective management of NCHPPD thus prevents nurse burn-out, secures job satisfaction, and enhances retention of RNs (White et al., 2019). Proper matching of staffing levels with perception of patients and care requirements ensures a supportive working environment for both patients and nurses. All this makes NCHPPD most critical for efficient operation, maintenance of standards of care, and

fostering an appropriate environment for nursing that supports the sustainability of excellence in health care.

Collection and Distribution of Data

Data regarding NCHPPD by RNs must be appropriately collected and distributed in order to measure and enhance patient care outcomes. The Nursing Care Hours per Patient Day should be measured monthly by Surveys, forms, reports quantitative measurement in this case is vital in the collection and distribution of the Nursing Care Hours per Patient Day (NCHPPD) provided by Registered Nurses (RNs). The structured surveys and standardized forms are used by the healthcare facilities in order to measure the NCHPPD in systematic manner (Karam et al., 2021). The nursing leadership along with NDNQI coordinators supervises the collection of data to make sure that the data is accurate and reliable. Stakeholders such as healthcare providers and data analysts collaborate in analyzing trends and develop strategies for effective staffing based on the levels of patient. The distribution of information related to NCHPPD involves reporting results to practicing and management level nurses and hospital administrators. This enhances patient care and safety through informed decision making and attempts to achieve the right staffing standards. (Reinhardt et al., 2020).

Interdisciplinary Role in Data Management

Management of Interdisciplinary collaboration is very crucial, it ensures accurate collection, analysis, and application of data to improve patient care. Chief Nurses, IT specialists, NDNQI, and quality improvement teams work collaboratively to ensure integrity and usability of the data (Madaris & Potter, 2023). RNs have the major role of accurately documenting hours of care, while IT teams are responsible for the technical aspects of data collection and its analysis. This information is subsequently used by quality improvement teams and NDNQI coordinators to drive evidence-based changes in practice. Integration of these approaches in data management and

patients’ care subsequently makes achievement of high standards of care quality interdisciplinary. This could be further enhanced by regular interdisciplinary meetings and sessions for feedback on the effectiveness on the processes for data management.

How Organizations Use NDNQI for Patient Safety

Healthcare organizations use the National Database for Nursing-Sensitive Quality Indicators as the basis for promoting patient safety by large and deep data analysis. Through the NDNQI, institutions can compare RNs care quality within a standardized framework known for comparing best practices. Weaknesses can be identified by monitoring nursing-sensitive indicators, including RNS to patient ratio, number of nursing hours per patient day, and patient outcomes measures like incident rates of hospital-acquired pressure ulcers, and compliance with evidence-based protocols. Such a database strengthens evidence-based decision-making and thus enables hospitals to quickly execute targeted interventions that enhance the safety of care delivered to patients and its effectiveness. Regular data submission fosters a culture of continuous quality improvement in healthcare settings. These insights from NDNQI, therefore, are what organizations use to inform policy decisions, strategic resource allocation, and the setting of achievable quality improvement goals. Systematic use of NDNQI data enables better patient safety and RN patient care hours by the identification of risks, it also identifies actions that reduce those risks and increases quality of care through informed data-driven strategies (Oner et al., 2020).

Evidence-Based Practices (EBP) for Nurses to Improve Patient Safety and Care

Evidence-based practices provide nurses with established practices that could greatly impact quality improvement in safety and health care across different health care settings. Existing

research findings can be incorporated into clinical decision-making to reduce risks, adverse events, and harm to patients (Tappen, 2022). EBP in Nursing Care Hours per Patient Day by Registered Nurses (RN) concentrates on the execution of standardized protocols and guidelines for medication administration, infection control, patient assessment, and other imperative nursing interventions. Evidence-based protocols followed by nurses enhance patient safety, increase patient satisfaction, and promote improved health care (Kitson et al., 2021). The integration of EBP into daily practice allows for the establishment of a culture of continuous learning and improvement among RN nursing staff. It communicates skills of critical thinking and gives informed decision-making about scientific evidence to be utilized for the optimization of patient care outcomes. Furthermore, it helps health organizations achieve quality improvement objectives by ensuring nursing practices are evidence-based and meets specific patient needs. Through further education and training in the use of EBP nurses will be prepared to raise their professional competence and ultimately work toward delivering of care that is safe, effective, and patient-centered.

Conclusion

Managing Nursing Care Hours per Patient Day for improved patient care and safety is very crucial. Healthcare organizations can use data from the NDNQI to benchmark performance against others and implement evidence-based outcomes in an effort to optimize nursing care. Ensuring effectiveness in data management and interdisciplinary collaboration is important regarding obtaining accurate data collection and meaningful use of this information. As RNs, your role in documenting and managing NCHPPD will help improve patient outcomes and achieve high-quality care.

References

Coelho, P. (2019). Relationship between nurse certification and clinical patient outcomes. Journal of Nursing Care Quality, 35(1), 1. https://doi.org/10.1097/ncq.0000000000000397

Griffiths, P., Saville, C., Ball, J., Jones, J., Pattison, N., & Monks, T. (2020). Nursing workload, Nurse Staffing Methodologies & Tools: A Systematic Scoping Review & Discussion. International Journal of Nursing Studies, 103(1), 103487. https://doi.org/10.1016/j.ijnurstu.2019.103487

Juvé‐Udina, M., González‐Samartino, M., López‐Jiménez, M. M., Planas‐Canals, M., Rodríguez‐Fernández, H., Batuecas Duelt, I. J., Tapia‐Pérez, M., Pons Prat, M., Jiménez‐Martínez, E., Barberà Llorca, M. À., Asensio‐Flores, S., Berbis‐Morelló, C., Zuriguel‐Pérez, E., Delgado‐Hito, P., Rey Luque, Ó., Zabalegui, A., Fabrellas, N., & Adamuz, J. (2020). Acuity, nurse staffing and workforce, missed care and patient outcomes. A cluster‐unit‐level descriptive comparison. Journal of Nursing Management, 28(8). https://doi.org/10.1111/jonm.13040

Karam, M., Chouinard, M.-C., Poitras, M.-E., Couturier, Y., Vedel, I., Grgurevic, N., & Hudon, C. (2021). Nursing Care Coordination for Patients with Complex Needs in Primary healthcare: A Scoping Review. International Journal of Integrated Care, 21(1). https://doi.org/10.5334/ijic.5518

Kitson, A. L., Harvey, G., Gifford, W., Hunter, S. C., Kelly, J., Cummings, G. G., Ehrenberg, A., Kislov, R., Pettersson, L., Wallin, L., & Wilson, P. (2021). How nursing leaders promote evidence‐based practice implementation at point‐of‐care: A four‐country exploratory study. Journal of Advanced Nursing, 77(5). https://doi.org/10.1111/jan.14773

Madaris, S., & Potter, C. (2023, January 12). Your comprehensive guide to the Press Ganey National Database of Nursing Quality Indicators (NDNQI). Info.pressganey.com.

https://info.pressganey.com/press-ganey-blog-healthcare-experience-insights/your-comprehensive-guide-to-the-press-ganey-national-database-of-nursing-quality-indicators-ndnqi

Mainz, H., Odgaard, L., & Kristensen, P. K. (2022). Nursing representatives in clinical quality databases and the presence of nursing‐sensitive indicators of fundamental nursing care. Journal of Advanced Nursing, 79(3). https://doi.org/10.1111/jan.15400

Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2020). Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017). Nursing Open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654

Reinhardt, A. C., León, T. G., & Amatya, A. (2020). Why nurses stay: Analysis of the registered nurse workforce and the relationship to work environments. Applied Nursing Research, 55(55), 151316. https://doi.org/10.1016/j.apnr.2020.151316

RN, M. L. S., PhD, MBA, & FAAN, M. F. T., PhD, RN, ANEF. (2023). Clinical Analytics and Data Management for the DNP. In Google Books. Springer Publishing Company

Tappen, R. M. (2022). Advanced Nursing Research: From Theory to Practice. In Google Books. Jones & Bartlett Learning. https://books.google.com/books?hl=en&lr=&id=z_JWEAAAQBAJ&oi =fnd&pg=PP1&dq=Is+there+an+economic +case+for+investing+in+nursing+ care%E2%80%93what+does+ the+literature+tell+ us%3F+Journal+of+Advanced+ Nursing&ots= NTzlX4tLJ7&sig=9cRX6oT_g8KCDmZayNJXLSm10yY

White, E. M., Aiken, L. H., Sloane, D. M., & McHugh, M. D. (2019). Nursing home work environment, care quality, registered nurse burnout and job dissatisfaction. Geriatric Nursing, 41(2), 158–164. https://doi.org/10.1016/j.gerinurse.2019.08.007