NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators

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Informatics and Nursing Sensitive Quality Indicator

NURS FPX 4040 Assessment 4 Attempt 1 Informatics and Nursing Sensitive Quality Indicators

Hi, hope you all are doing great. It’s me (type your name here), a member of the Quality Improvement Council in the Ambulatory care setting of the Hospital. I am highly obliged to address new recruits who are highly determined and dedicated to performing their duties and providing quality care to our patients. The agenda of this audio tutorial is to guide the new recruit regarding the importance of Nursing Sensitive Quality Indicators, provide them with the necessary training, and familiarize them with the hospital’s policies and initiatives for improving the healthcare outcomes by implementing the nursing-sensitive indicators called as NDNQIs. Moreover, another objective is to address the organization’s information collection and distribution strategies along with the significance of the nursing role in exhibiting high-quality outcomes.

What is the National Database of Nursing-Sensitive Quality Indicators (NDNQI)?

Let’s first discuss what actually NDNQI is? NDNQI is the National Database of Nursing-Sensitive Quality Indicators that has been established to assess nursing excellence in terms of the quality care provided to the patients with extreme professionalism and a sense of duty. It is a national-level quality program launched to assist various hospital facilities to compare and assess the performance of nurses with references to set standards and improve the performance with the utmost responsibility. It was established in 1998 by American Nursing Association (ANA) and they introduced nursing-sensitive quality indicators to help the registered nurses to enhance patient care and safety and improve the overall productivity of healthcare organizations (Merkley, 2018).

Our hospital is striving hard to reach the utmost quality standards of patient care by evolving the hospital policies in accordance with the NDNQI’s agenda. The main aim is to compare our quality enhancement actions with the database provided by NDNQI to work on the areas with shortcomings to ensure that the care provided by our nursing staff is safe and secured in order to mitigate the risk of complications and patient disappointment. The data engrossed will help us in developing evidence-based practices that pave the pathway for the provision of patient-centered care that improves the quality of care.

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What are Nursing-Sensitive Quality Indicators?

NDNQI has established performance criteria for the healthcare workers that assess their enactment by comparing their performance metric with the provided database that whether the care provided by them is effective, time-efficient, safe, and patient-centered. These benchmarks for analyzing their performance are known as Nursing-sensitive Quality Indicators (Afaneh, et al., 2021). There is no other opinion that nursing interventions are the key factor in the determination of quality care for the patients still there is a need of developing a check and balance system to measure the performance in order to further enhance productivity. There are three monitoring forms of the quality indicators identified by NDNQI including structure, process, and outcomes. These forms are closely related to each other in order to ensure better quality care outcomes for the patients.

NURS FPX 4040 Assessment 4 Attempt 1 Informatics and Nursing Sensitive Quality Indicators

The Selected Quality Indicator and its Importance

The quality indicator that will be particularly focused on in this tutorial is falls in ambulatory settings. You all must be aware of the ambulatory setting, it is also known as outpatient care. This department is extremely essential in our organization as better implications and quality care in ambulatory care help in reducing costs and impacting the length of patients’ stay at the hospital. In the current circumstances, the enhanced skillsets and professionalism of the registered nurses are the key parameters to providing quality care to the patients. Nurses in ambulatory care have lots of responsibilities in terms of care coordination, patient-centered treatment, recording of the patient’s data, lab tests and medication, management, and coordination with patients’ families. Performing all these tasks simultaneously is often nerve-wracking for the nurses as the ambulatory setting is more multifarious and attention-requiring than the other departments of our healthcare facility. The increasing number of patients and responsibilities impact the nurses’ performance and can negatively result in an enhanced fall rate. In order to prevent the increasing fall rate and improve the quality index of nurses, advanced informatics systems and nursing-sensitive quality indicators are required. The use of advanced and modern technology for gathering the quality indicator data that can be used to assess nursing performance is the main element to restructure all the monotonous tasks and improve the healthcare system.

For all the dedicated staff listening to this audio tutorial, I appreciate your hard work and professionalism in ambulatory care. With this quality indicator, our hospital can improve the healthcare outcomes for our patients and deliver effective and efficient treatment to ensure the speedy recovery of the patient. It is very essential for all of us to understand the linkage between the outcomes, processes, and structures we have designed to improve the patient-centered outcomes and safety of the patients. The ambulatory care environment is rather uncontrollable as compared to the critical hospital setting as the patient visit for a little while and is not under our constant supervision.  Therefore, it is extremely important for the registered nurses to provide quality treatment and care plans to follow so that frequent readmissions and transformation into any other chronic disease can be avoided. Furthermore, recording the patients’ data and history is a must to be available in the hospital records to keep a track of patients’ health and this can only be done by the use of modern electronic health record systems.

Why do Nurses Need to be Conscious of this Quality Indicator?

Nurses must be well aware of this quality indicator to improve patient-centered care and work in a more organized manner. They can frequently check the outcomes on a daily basis, care processes provided in ambulatory care, and infrastructure that has been planned to ensure better patient care practices. You are required to continuously analyze and improve your performance according to the nursing-sensitive quality indicator. The best way to improve and prevent the risks is to track the daily performance. The most important aspect of improvement is maintaining the ambulatory care record. The data and information of the patients must be kept in the hospital record system by implementing electronic health record systems. So, that nurses can provide the right treatment to the patients at the right time (Bell, et al, 2020). Nurses’ awareness regarding this indicator and maintenance of health records can directly impact the measures taken by the nurses while providing patient care in the ambulatory setting and avoid the risk of liabilities.

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Interdisciplinary Team Role in Collecting and Reporting Quality Indicator Data

The collection and distribution of the data collected by using modern technological systems and monitoring systems is the next important step to be addressed. An interdisciplinary team has an important role in the collection and dissemination of the data gathered among various departments of our organization to promote patient-centered outcomes and enhance the overall performance of our hospital. After conducting interviews with various highly experienced and skillful personnel involved in the collection and distribution of data I got to know that this is the most important step in enhancing the key performance of our departments. All the members of an inter-professional team including nurses, doctors, healthcare staff, paramedics, physicians, and psychiatrists are responsible for hospital database maintenance. Our hospital team is highly professional and is always on standby 24/7 in case of any emergency. Our topmost priority is the provision of quality treatment and the safety of the patients. The nurses are mandated to keep the track of patients’ history at the time of arrival and guide the doctor on duty. They are also involved in the making of proposals and reports after conducting research including the NSI statistics to compare with the NDNQI dataset. Various surveys are conducted on the monthly basis for the collection of NDNQI data that is extremely vital for guiding the nursing staff in improving their performance. The collected information is distributed to various departments of the organization using electronic health record tools such as emails, online databases, and patient data apps. Therefore, our nurses play a vital role in the better performance of the organization 

NURS FPX 4040 Assessment 4 Attempt 1 Informatics and Nursing Sensitive Quality Indicators

Nurses’ Role in Collecting and Reporting Accurate Data

After conducting vast research and interviewing my colleagues and professionals I came to the conclusion that nurses have the most important role in the collection and reporting of the data correctly. The data collected by them using various IT tools is extremely essential for comparing and monitoring the consequences of nursing practices (Start, et al., 2018). One mistake can ruin the entire collective effort of an inter-professional team. Informatics and data are an asset for the organization, a lack of nursing knowledge and experience can escalate the risk of increased fall rate in an ambulatory setting. Nurses are responsible for maintaining the electronic health record and providing the information to various departments of the organization when needed. The privacy and security of the patient’s data recorded are also one of the most important aspects. Therefore, nurses must be very mindful of their roles and responsibilities. Nurses must abide by the guidelines and nursing-sensitive quality indicators to ensure high-quality outcomes and better care in an ambulatory setting for fall prevention. Any mishandling or provision of wrong data can cause serious repercussions for the doctors as well as can risk the life of the patient.

Use of Selected Nursing-Sensitive Quality Indicators to Enhance Patient Care Outcomes

According to the data gathered by conducting surveys and interviews, it has been proved that Nursing-sensitive quality indicators are extremely helpful in evolving and improving the patient-centered care outcomes and performance reports of the organization. Our organization is in a constant struggle to improve and enhance the overall performance by ensuring the use of NSIs in the most effective and operational manner. We have been continuously gathering patients and their families’ feedback to improve our performance. The maintenance of data using electronic tools helps us to generate reports and statistics for NDNQI to keep a check on nursing quality attributes and professional attitudes. With the help of NSIs, we are working on the development of standardized tools for care coordination and detection of diseases, and conducting annual surveys for the evaluation of indicators and quality improvement. The continuous monitoring of the daily performance in ambulatory care helps us to analyze the outcomes of treatment and medication given to the patients and devise the plan accordingly to reduce the pain levels and suffering of the patients. 

NURS FPX 4040 Assessment 4 Attempt 1 Informatics and Nursing Sensitive Quality Indicators

Evidence-Based Practice Guidelines for Nurses Established Using NSIs 

Nursing-sensitive quality indicators are the way of establishing evidence-based guidelines for nurses to improve the outcomes and provide quality treatment to the patients. These standards greatly impact the performance constraints of the nurses by providing a national or state level comparison of data of various similar healthcare settings by NDNQI. The relation between outcomes, processes, and structure helps the nurses to develop an evidence-based plan that optimizes patient care and safety. The analysis of the key nursing quality indicators is the condition to improve the overall quality of the care provided to patients (Oner, et al., 2020).  These indicators are extremely crucial while defining patient-centered care and outcomes. The record of data using electronic tools, keeping a check on the number of patients arriving in the ambulatory care, maintaining the data for the provision of effective treatment timely, enhancing the patient care, and gaining the trust of the patients is ruled by the accurate use of nursing-sensitive quality indictor.


Let me conclude this discussion with the statement that the use of technology for launching electronic health record systems for gathering and monitoring the data and implementing the guidelines of NDNQI for enhanced treatment and prevention of adverse cases in our ambulatory setting is the highest priority. The data gathered is extremely crucial for the better performance of all the members of our team. Therefore, we all must abide by the organizational rules and take responsibility for our actions. The nurses are obligated to keep a proper track of data to ensure the performance according to nursing-sensitive quality indicators. 


Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: a concept analysis. Nursing Management (Harrow, London, England: 1994)28(3), 28–33.

Bell, S. K., Delbanco, T., Elmore, J. G., Fitzgerald, P. S., Fossa, A., Harcourt, K., Leveille, S. G., Payne, T. H., Stametz, R. A., Walker, J., & DesRoches, C. M. (2020). Frequency and Types of Patient-Reported Errors in Electronic Health Record Ambulatory Care Notes. JAMA Network Open3(6), e205867.

NURS FPX 4040 Assessment 4 Attempt 1 Informatics and Nursing Sensitive Quality Indicators

Merkley, J., Amaral, N., Sinno, M., Jivraj, T., Mundle, W., & Jeffs, L. (2018). Developing a Nursing Scorecard Using the National Database of Nursing Quality Indicators®: A Canadian Hospital’s Experience. Nursing Leadership (Toronto, Ont.)31(4), 82-91.

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).

Start, R., Matlock, A. M., Brown, D., Aronow, H., & Soban, L. (2018). Realizing momentum and synergy: Benchmarking meaningful ambulatory care nurse-sensitive indicators. Nursing Economics36(5), 246-251.