Informatics and Nursing Sensitive Quality Indicator
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Hello everyone, my name is Wendy. This video focuses on informatics and nursing-sensitive quality indicators. Welcome to the training tutorial. I would like to welcome all new nurses to this video training in which I will discuss nursing-sensitive quality indicators. The role of nurses is focused on increasing patient satisfaction and delivering positive outcomes that contribute to the high performance of an organization (Horntvedt et al., 2018). By the end of this presentation, you will be able to define NDNQIs, their types, their use, and lastly, how they establish evidence-based practices that can be followed by nurses to improve patient outcomes.
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What is NDNQI and the Nursing Quality Indicators
The abbreviation NDNQI stands for National Database of Nursing Quality Indicators. This mechanism was founded in 1998 by the American Nursing Association (ANA) and seeks to quantify and assess the quality indicators that affect nurses’ performance, including the fulfillment of their roles, responsibilities, and duties (Leming Lee & Watters, 2019). NDNQIs are also important in determining various aspects of the performance of a healthcare organization such as nurse-to-patient ratios, and patient outcomes. These indicators are useful in pointing out which factors in a healthcare organization need improvement. Its main purpose is to effectively determine how a nurse conducting her duties leads to a positive or negative influence on patient outcomes because the nursing profession should, for the sake of improving patient outcomes, assess and evaluate its practice to improve upon certain aspects that require it (Hensley et al., 2020).
The Chosen Indicator and its Importance
NDNQIs include numerous indicators ranging from patient falls to skill mix to restraint prevalence. Today, I have chosen to focus on RN education and certification, as it is an indicator of utmost importance and greatly influences outcomes. Education is crucial to lofty standards of care. Education helps nurses learn about the patient, body systems, communication skills, medication administration, and far more. In short, it covers almost every aspect that a nurse is required to have knowledge of. Without professional education, nurses would be unable to practice and without adequate education, nurses would be more prone to medication errors and other inadequacies. In a country as diverse as the US, it is even more important for an RN to be educated to deal with diverse people from unique backgrounds and embrace their role as leaders in their organizations (Wisner et al., 2019). As nursing is an increasingly innovative field, nurses’ education is now more crucial than ever if they are to engage in evidence-based practice and learn to use new and ever-evolving technology.
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
As nurses play a leading role in a healthcare organization, it is important to monitor this NDNQI. Where nurses are highly educated, they can produce plans for patient care, delivery of care, and decision-making. Moreover, it is crucial that a nurse also educates patients while taking care of them and the literature shows a correlation between an educated nurse and high-quality patient care (Hupp et al., 2022). When a nurse educated a patient, it will help patients manage their disease better, know what to expect in recovery and care processes, and also increase self-sufficiency. Recognizing abnormalities, monitoring patients, administering medication, and communicating with patients as well as with other healthcare professionals are part of a nurse’s work, and monitoring this NDNQI will help ensure all these processes are running effectively.
Interdisciplinary Role in the Data Management
Moving on to the interdisciplinary role in data management, let us look at how data is collected and managed by an interdisciplinary team. Data can be collected by the Quality Assurance Department of healthcare organizations, and nurses will be actively involved in data collection (Stifter et al., 2021). Moreover, it is important to use surveys to collect data and the management will have to take an active role in distributing and filling up surveys. The goals of data collection here are to improve patient safety outcomes, as well as organizational performance. It is therefore important to include each healthcare professional working in the organization’s data collection. The informatics nurse here will have the role of analyzing data collected and evaluating the outcomes presented by the data.
The main goal of this survey was to establish whether patent data is protected adequately or not. As healthcare professionals are bound by the HIPAA and HITECH regulations, it is necessary to take precautions when recording patient data (Melnyk et al., 2019). It is of utmost importance that it is backed up, encrypted, requires credentials for each user, and that wireless connections and firewalls are secure to avoid leaks, hacking, and theft of patient data. However, our survey shows that physicians and nurses often share patent data on social media or unencrypted messaging, which makes it prone to hacking, and also violates the privacy rules. Therefore, it is up to caregivers to undertake their legal and moral duties in ensuring the safety of patient data by adequately storing it, improving security safeguards, and regularly conducting security risk assessments.
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Collection and Distribution of Quality Indicator Data
To record NDNQI data regarding RN education, it is up to the Quality Assurance department of the healthcare organization to gather data which can then be utilized to evaluate and assess the effects of RN education on patient outcomes. The literature shows that the collection of this data is necessary for highlighting gaps in nursing care and producing solutions to further improve upon them (Mofokeng et al., 2021). Regarding methods of data collection, surveys and questionnaires are to be made use of. For data collection, these surveys should be distributed to patients, employees, and other healthcare professionals to collect adequate information regarding nurses’ roles. It is also important to gain insight from patients’ families to understand their views on nurses’ education and how it affects patient outcomes. Moreover, it is best to use computerized digital surveys, polls, and questionnaires so that the evaluation of data can be done rapidly and accurately, without human errors.
Evidence-Based Practices (EBP) for Nurses to Enhance Patient Safety and Care
We will move on to looking at evidence-based practices for nurses. EBPs refers to a problem-solving method in decision-making in the field of healthcare. Nurse educators have a significant role in implementing evidence-based practices to ensure that student nurses receive a high-quality nursing education. These strategies can use research projects, web-conferencing, using electronic healthcare technology, and active and practical participation in all aspects of learning. It is also important to use technology in healthcare to ensure patient safety, such as the EHR, which reduces the workload on nurses and computerizes all patient records to help prevent medication errors (Mthiyane & Habedi, 2018).Nowadays certification is required for the use of most healthcare technology for nurses. The use of healthcare technology is essential in furthering EBPs as it allows for the evaluation of data to produce care coordination plans for patients.
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Interview for Data Collection
To further highlight the importance and methods of research-based practices and data collection, I interviewed Dr. Linda, my supervisor and nurse educator at Vila Health. When asked how Dr. Linda collects data on this quality indicator, she responded that as a nurse educator, she collects the data and feedback related to this indicator through surveys. She sends surveys to employees’ work emails, which they all have access to, and believes it to be the most convenient way of gathering adequate data from all concerned persons. Once they are completed, assistant nurse managers sort through them and review the results to analyze the collected data. The gap between survey distribution and data collection has decreased over time, due to technology use. Regarding the dissemination of data, emails and poster boards are used to distribute the findings. Moreover, during unit-based meetings, key discussions also take place. The collected information obtained via these surveys is then used by the organization to highlight key aspects that need to be improved upon to guide organizational policy.
Conclusion
That is all from my side, I hope this presentation increased your knowledge regarding NDNQIs, the role of educated nurses, evidence-based practices, as well as data collection. This indicator mechanism is crucial to new nurses as it will help them to determine patient outcomes, therefore in conclusion, I would like to thank you for your time in attending this tutorial and making the effort to gain added information.
References
Hensley, A., Wilson, J. L., Culp-Roche, A., Hampton, D., Hardin-Fanning, F., Cheshire, M., & Wiggins, A. T. (2020). Characteristics of RN to BSN students in online programs. Nurse Education Today, 89, 104399. https://doi.org/10.1016/j.nedt.2020.104399
Horntvedt, M. E. T., Nordsteien, A., Fermann, T., & Severinsson, E. (2018). Strategies for teaching evidence-based practice in nursing education: a thematic literature review. BMC medical education, 18(1), 1-11.
Hupp, D. S., Mastrangelo, B., Nelson, K. A., Wyant, D. M., & Schreiber, J. B. (2022). A
pediatric-specific view on improved nurse-sensitive indicators related to increased BSN
or higher rates over time. Journal of Nursing Care Quality,
10.1097/NCQ.0000000000000629. Advance online publication.
https://doi.org/10.1097/NCQ.0000000000000629
Leming-Lee, T. ‘., & Watters, R. (2019). translation of evidence-based practice: quality improvement and patient safety. The Nursing clinics of North America, 54(1), 1–20. https://doi.org/10.1016/j.cnur.2018.10.006
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Melnyk, B. M., Gallagher‐Ford, L., Zellefrow, C., Tucker, S., Thomas, B., Sinnott, L. T., & Tan, A. (2018). The first US study on nurses’ evidence‐based practice competencies indicates major deficits that threaten healthcare quality, safety, and patient outcomes. Worldviews on Evidence‐Based Nursing, 15(1), 16-25.
Mofokeng, T. A., du Plessis, E., & Froneman, K. (2021). Discovering presence as part of nurse educators’ role modelling at a public nursing college in the North West province. Health SA = SA Gesondheid, 26, 1639. https://doi.org/10.4102/hsag.v26i0.1639
Mthiyane, G. N., & Habedi, D. S. (2018). The experiences of nurse educators in implementing evidence-based practice in teaching and learning. Health SA = SA Gesondheid, 23, 1177. https://doi.org/10.4102/hsag.v23i0.1177
Stifter, J., Sermersheim, E., Ellsworth, M., Dowding, E., Day, E., Silvestri, K., Magrath, J.,
Korkmaz, K., Wallowa, N., Boudreau, L., Hernandez, L., Harbert, B., Ambitus, S.,
Abraham, A., & Shaw, P. (2021). COVID-19 and nurse-sensitive indicators: using
performance improvement teams to address quality indicators during a pandemic.
Journal of Nursing Care Quality, 36(1), 1–6.
Wisner, K., Lyndon, A., & Chelsi, C. A. (2019). The electronic health record's impact on nurses'cognitive work: An integrtive review. International Journal of Nursing Studies, 94,74–84. https://doi.org/10.1016/j.ijnurstu.2019.03.003
