Assessment 4 Instructions: Informatics and Nursing Sensitive
Quality Indicators
Top of Form
Bottom of Form
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 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 et al., 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.
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.). 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. Choose from the following list:
Nursing
hours per patient day.
RN
education/certification.
Skill
mix.
Nurse
turnover.
Nursing
care hours in emergency departments, perioperative units, and perinatal
units.
Skill
mix in emergency departments, perioperative units, and perinatal
units.
Quality
measures.
Patient
falls.
Patient
falls with injury.
Pressure
ulcer prevalence.
Health
care-associated infections.
Catheter-associated
urinary tract infection.
Central
line catheter associated blood stream infection.
Ventilator-associated
pneumonia.
Ventilator-
associated events.
Psychiatric
physical/sexual assault rate.
Restraint
prevalence.
Pediatric
peripheral intravenous infiltration rate.
Pediatric
pain assessment, intervention, reassessment (air) cycle.
Falls
in ambulatory settings.
Pressure
ulcer incidence rates from electronic health records.
Hospital
readmission rates.
RN
satisfaction survey options.
Job
satisfaction scales.
Job
satisfaction scales – short form.
Practice
environment scale.
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?
Watch
the .
Recording Your Presentation
To prepare to record the audio for your presentation, complete
the following:
Set
up and test your microphone or headset using the installation
instructions provided by the manufacturer. You only need to use the
headset if your audio is not clear and high quality when captured by the
microphone.
Practice
using the equipment to ensure the audio quality is sufficient.
Review
the for Kaltura to record your presentation.
View . This video addresses
the primary areas involved in creating effective audiovisual
presentations. You can return to this resource throughout the process of
creating your presentation to view the tutorial appropriate for you at
each stage.
Notes:
You
may use other tools to record your tutorial. You will, however, need to
consult for instructions on how to upload your audio-recorded
tutorial into the courseroom, or you must provide a working link your
instructor can easily access.
You
may also choose to create a video of your tutorial, but this is not
required.
If
you require the use of assistive technology or alternative communication
methods to participate in this activity, please contact [email protected] to
request accommodations.
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 National Database of Nursing-Sensitive Quality Indicators?
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 the 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. Important: Submissions
that do not include the script or speaker’s notes will be returned as a
non-performance.
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 page on Campus.
Competencies Measured
By successfully completing this assessment, you will
demonstrate your proficiency in the following course competencies and 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, 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.
