NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Name
Capella university
NURS-FPX 4040 Managing Health Information and Technology
Prof. Name
Date
Informatics and Nursing-Sensitive Quality Indicators
Good Morning/Afternoon/Evening registered nurses. My name is _________, and I welcome you all to today’s tutorial presentation on hospital-acquired pressure ulcers as a nursing-sensitive structure quality indicator. The objectives for today’s presentation are:
- Introduce the National Database of Nursing-Sensitive Quality Indicators (NDNQI) and Nursing-Sensitive Quality Indicators (NSQIs).
- Elaborate on the importance of monitoring hospital-acquired pressure ulcers and its role in nursing practice.
- Discuss data collection and distribution processes for the quality indicator.
- Describe nurses’ and interdisciplinary teams’ role in collecting and reporting data related to pressure ulcers.
- Explain how organizations utilize data related to hospital-acquired pressure ulcers.
- Analyze the importance of nursing-sensitive quality indicators in developing guidelines for nurses to use patient care technologies.
Introduction: Nursing-Sensitive Quality Indicator
The American Nurses Association (ANA) introduced the National Database of Nursing Quality Indicators (NDNQI), a program that gathers data on nursing practices by analyzing specific structure, process, and outcome quality indicators. This program aims to improve the quality of nursing practices and enhance patient safety. Furthermore, these quality indicators are termed NSQIs, which are the metrics that indicate nursing care quality (Oner et al., 2021). For this tutorial, I have selected hospital-acquired pressure ulcers. Monitoring this indicator is crucial to prevent patient harm and ensure the delivery of high-quality care. By tracking the incidence and severity of healthcare-associated pressure injuries, healthcare providers, especially nurses, can identify areas for improvement in patient care practices.
Moreover, the organization can optimize staffing levels and resource allocation for timely monitoring and prompt intervention, preventing further complications. Additionally, monitoring these pressure injuries provides valuable data for quality improvement initiatives and compliance with standards, ultimately enhancing patient safety and care quality. Therefore, nurses should be familiar with the data on hospital-acquired pressure injuries to implement evidence-based interventions and improve nursing care to mitigate patient safety risks. This knowledge empowers nurses to provide proactive, comprehensive care that prioritizes patient safety and promotes healing (Wu et al., 2022).
Collection and Distribution of Quality Indicator Data
My organization uses a two-pronged approach to gather data on healthcare-associated pressure injuries: Electronic Health Records (EHR) and Incident Reporting systems (IRS). While EHR provides data related to routine skin assessments conducted by nurses during patient admissions, transfers, and at regular intervals throughout hospital stays (Padula et al., 2024), IRS captures instances of pressure injuries that occur despite preventive measures. In nursing documentation, the organization finds data about the signs of pressure ulcers, including their location, size, and severity, and information about using standardized assessment tools. At the same time, the IRS indicates the trends and areas for improvement in nursing practices. Upon aggregating the data, my organization utilizes online dashboards and data visualization tools that allow staff members to track pressure ulcer metrics in real time, facilitating transparency in performance monitoring (Padula et al., 2024). Other methods of data distribution include monthly performance reports and training sessions. Moreover, the organization has established feedback mechanisms to ensure that frontline staff receives actionable insights from the data, facilitating continuous improvement in patient care practices.
Nurses play several crucial roles in accurately reporting hospital-acquired pressure ulcers and preventing them for high-quality results. For example, nurses are responsible for conducting comprehensive skin assessments. Thus, their attentiveness ensures patients are appropriately assessed, and findings are accurately reported in nursing documentation (Godfrey et al., 2023). Secondly, nurses must collaborate with interdisciplinary teams, ensuring that relevant information is effectively documented and communicated with team members. Furthermore, they accurately report incidents through incident reporting systems and contribute to discussions on preventive strategies and interventions. Finally, Wu et al. (2022) mention nurses participate in quality improvement initiatives to provide valuable input on patient care, contribute to data collection and analysis, and implement evidence-based practices to improve patient outcomes and high-quality results related to hospital-acquired pressure ulcer prevention.
Interprofessional Team and Data Collection and Reporting
The interdisciplinary team in data collection and reporting on hospital-acquired pressure ulcers includes nurses and physicians, IT specialists, data analysts, and quality improvement professionals. Their role is pivotal for enhancing patient safety, quality of care, and organizational performance. Each team member contributes expertise to ensure comprehensive care and accurate data collection and dissemination. While nurses conduct skin assessments, document findings in EHR, and implement preventive measures, physicians are essential to effectively analyze these findings and appropriately treat pressure ulcers, ensuring patients receive safe and high-quality care. These professionals coordinate as a team to accurately document healthcare practices, patient assessments, and prevention measures to identify areas of improvement and enhance the quality of care (Li et al., 2022). IT professionals are responsible for checking the functionality of EHR systems, making them secure and user-friendly to facilitate accurate data entry, accessibility, and reporting.
Similarly, data analysts analyze data related to hospital-acquired pressure ulcers, identify trends, and generate reports for the QI team and leadership to inform decision-making. Finally, the QI team develops and implements strategies based on data insights to reduce pressure ulcer incidences and enhance patient care quality (Tan, 2022). Interdisciplinary collaboration has a critical role in data collection to enhance patient safety by promptly identifying and mitigating risks, improving care quality through evidence-based practices, and informing organizational performance reports with precise, actionable data, fostering continuous improvement in patient outcomes and healthcare delivery.
Healthcare Organizations Use of Nursing-Sensitive Quality Indicators
Healthcare organizations use the data collected on nursing-sensitive quality indicators, particularly hospital-associated pressure injuries, to maintain patient safety, enhance patient health outcomes, and improve organizational performance reports in several ways. These include:
- Identify High-risk Patients: With accurate and precise monitoring of pressure injury rates, healthcare organizations can promptly identify high-risk patients and timely intervene using evidence-based strategies to enhance patient safety (Oner et al., 2021). This proactive approach helps reduce pressure ulcer incidence, prevent associated complications such as infections and prolonged hospital stays, and enhance patient safety.
- Analyze the Effectiveness of Current Practices: Data related to hospital-associated pressure injuries offers insights into the trends and effectiveness of current organizational preventive measures. This data allows leadership to investigate and address underlying causes, such as inadequate staffing or lack of proper equipment. Moreover, it advocates for implementing evidence-based practices and educating healthcare professionals on ulcer prevention to improve patient care outcomes and patients’ health status (Tan, 2022).
- Performance Reviews and Regulatory Requirements: The data gathered on NSQI, particularly hospital-associated pressure ulcers, is vital for internal performance reviews and meeting regulatory requirements. Organizations can benchmark against national standards and peer institutions to improve organizational performance reports and patient care quality over time, aiding in achieving accreditation and meeting regulatory standards (Willmington et al., 2022). This transparency and accountability can enhance the organization’s reputation by supporting strategic planning and resource allocation for quality improvement initiatives.
Evidence-Based Practice Guidelines for Nurses to Use Technologies
Hospital-acquired pressure ulcers as an NSQI are critical in developing data-driven practice recommendations for nurses to employ patient care technologies to provide safe care and improve patient satisfaction and health outcomes. For instance, EHRs enable nurses to document and monitor patient skin assessments and interventions systematically. By analyzing the lack of appropriate patient assessments or inaccurate documents, organizations can integrate pressure ulcer risk assessment tools like the Braden Scale into the automated EHR and other machine learning software (Dweekat et al., 2024). This data and integration of technologies provide real-time data, allowing for timely and informed clinical decisions. Furthermore, it establishes guidelines for nurses to identify at-risk patients and implement preventive measures quickly.
Moreover, this NSQI develops practice guidelines for nurses to use pressure-sensing mattresses and wearable sensor technology. Pressure-sensing mattresses redistribute pressure to prevent ulcer formation, and wearable sensors can alert nurses when a patient needs repositioning. These technologies, guided by evidence-based protocols, ensure that interventions are both timely and effective, minimizing the prevalence of healthcare-associated pressure injuries (Mamom et al., 2023). Nurses can follow standardized guidelines developed from best practices to use these technologies, enhancing patient safety and improving outcomes. By incorporating these technologies into their daily practice, nurses can provide more proactive, precise, and patient-centered care, ultimately boosting patient satisfaction and health outcomes.
Conclusion
In conclusion, hospital-acquired pressure ulcers are crucial NSQIs that influence patient safety, outcomes, and organizational performance. As nurses, you should know these quality indicators to improve nursing care and enhance patient outcomes. In this tutorial, I highlighted the significance of evaluating hospital-acquired pressure ulcers. We discussed the data collection and dissemination process within an organization, followed by the role of nurses and interdisciplinary teams in data collection and reporting. I explained how healthcare organizations use data related to hospital-acquired pressure ulcers to improve practices and patient outcomes. Finally, we analyzed the role of NSQIs in establishing guidelines for nursing practices to implement patient care technologies. Thank you for patiently listening to my presentation.
References
Dweekat, O. Y., Lam, S. S., & McGrath, L. (2024). A hybrid system of Braden scale and machine learning to predict hospital-acquired pressure injuries (bedsores): A retrospective observational cohort study. Diagnostics, 13(1), 31. https://doi.org/10.3390/diagnostics13010031
Godfrey, T., Garcia, G., Tolentino, A., Chairez, G., & Kwak, J. (2023). Analyzing reporting of hospital-acquired pressure injuries in the acute care setting. Master’s Projects and Capstones. https://repository.usfca.edu/capstone/1603
Li, Z., Marshall, A. P., Lin, F., Ding, Y., & Chaboyer, W. (2022). Registered nurses’ approach to pressure injury prevention: A descriptive qualitative study. Journal of Advanced Nursing, 78(8), 2575–2585. https://doi.org/10.1111/jan.15218
Mamom, J., Rungroungdouyboon, B., Daovisan, H., & Sri-Ngernyuang, C. (2023). Electronic alert signal for early detection of tissue injuries in patients: An innovative pressure sensor mattress. Diagnostics, 13(1), 145. https://doi.org/10.3390/diagnostics13010145
Oner, B., Zengul, F. D., Oner, N., Ivankova, N. V., Karadag, A., & Patrician, P. A. (2021). Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017). Nursing Open, 8(3), 1005–1022. https://doi.org/10.1002/nop2.654
NURS FPX 4040 Assessment 4 Informatics and Nursing Sensitive Quality Indicators
Padula, W. V., Armstrong, D. G., Pronovost, P. J., & Saria, S. (2024). Predicting pressure injury risk in hospitalised patients using machine learning with electronic health records: A US multilevel cohort study. BMJ Open, 14(4), e082540. https://doi.org/10.1136/bmjopen-2023-082540
Tan, J. (2022). HAPI beds: A quality improvement project to reduce hospital-acquired pressure injuries. Master’s Projects and Capstones. https://repository.usfca.edu/capstone/1320
Willmington, C., Belardi, P., Murante, A. M., & Vainieri, M. (2022). The contribution of benchmarking to quality improvement in healthcare. A systematic literature review. Biomed Central (BMC) Health Services Research, 22(1), 1–20. https://doi.org/10.1186/s12913-022-07467-8
Wu, J., Wang, B., Zhu, L., & Jia, X. (2022). Nurses’ knowledge on pressure ulcer prevention: An updated systematic review and meta-analysis based on the pressure ulcer knowledge assessment tool. Frontiers in Public Health, 10. https://doi.org/10.3389/fpubh.2022.964680