Nursing- Sensitive Indicators are factors that can be used by nurses to directly impact the outcome for the patients they serve (Sauls, 2013). If the nurse had used what was known about nursing-sensitive indicators the outcome would have been positive for the patient and family. Nursing-Sensitive Indicators use structure, process, and outcomes to develop nursing care geared for the patient and directs the nurse to carry out the care needed for that patient. The structure of nursing-sensitive indicators looks at various aspects of nursing such as staffing levels, mix, experience, and education level (Sauls, 2013). Structure looks at the number of Registered Nurses (RN), Licensed Practical Nurses (LPN), and Certified Nursing Assistants (CAN)…
Assessment is a vital aspect of nursing care. Assessment is the first phase of the nursing process. A thorough assessment involves gathering information and data about and related to the patient. The data that is collected includes physiological, psychological, environmental, sociocultural, economical, spiritual, and developmental history of the patient. Data may be objective or subjective. Objective data refers to the measurable and observable signs, such as the patient’s heart rate, blood pressure, oxygen saturation, temperature, facial expression, gait, color, etc. Subjective data is obtained from the patient himself and it is the patient’s account of their…
The National Database of Nursing Quality Indicators (NDNQI) established by the American Nurses Association (ANA), provides reports on how care, specifically provided by nurses, affects patient outcomes. Based on these reports, the ANA has developed a national set of nursing sensitive indicators that measure the process of care, the structure of care, and patient- focused outcomes in a health care setting. NDNQI 's aim is to help nurses plan and implement patient safety and quality improvements through evidence-based care (Montalvo, 2007).…
with patients. When an unexpected outcome occurs, it is prudent to explore the occurrence and…
Nursing profession is the largest division of the healthcare employees. Nurses play an important role when it comes to patient care. There are many obstacles that prevent nurses from being able to respond effectively to constantly changing healthcare system and to make changes and advance health, these obstacles need to be overcome. The Robert Wood Johnson Foundation along with Institute of Medicine (IOM) proposed to assess the need to transform the nursing profession in 2010. The report included making…
There are many accessories nurse practitioners can use to make their job easier. Their days are often busy and anything that can make things easier is usually welcomed. Turn to Amazon for your needs, we make shopping convenient, easy and affordable.…
Nurses are provided guidelines for how to approach the care of patients in the American Nurses Association Code of Ethics, but they are just that, guidelines. It is simply a map to help navigate some of the more difficult decisions that are necessary for a nurse to make. Ethics, in nursing, is based on individual interpretation. A person’s values shape their individual approaches to patients and patient care. The ANA document does not tell or indicate what is an absolute right or wrong. Each and every nurse has to make those decisions individually. Ethical knowledge and guidelines help a nurse maneuver through personal/professional relationships, to give safe and ethical care in an ever-changing healthcare system.…
In any health care system, quality and safety of patient’s care is very important. According to my understanding, quality and safety of nursing care should include patient centred care, good communication, and teamwork. Also, a quality nursing care should be provided with dignity and respect, accountability, and advocacy.…
care patients are receiving and to improve the quality of care given. Healthcare workers should be identifying the root causes of outcomes, regardless of the outcome. Tracking of these outcomes, recognizing the differences and similarities of each, and making changes to the care provided based on this information is evidenced-based practice. Nursing-sensitive indicators are categorized into one of three areas of nursing: structural, process, and outcome. Structural indicators include adequate staffing and education and experience levels of the nurses providing the care. Those with higher levels of education and experience are said to have better outcomes than those with less experience and/or education. Process…
Nursing informatics is a branch of health informatics, where nurses are involved in the computer application and its implementation in various health care settings. The enhancement of information technology has a versed history in the nursing practice, and in the enhancement of health through its influences in the improvement of standard languages, strategy, and appraisal of information technology (Aathi, 2014).…
Nurse-sensitive indicators are helpful tools in enhancing the quality of nurses, which will improve patient outcomes, nursing outcomes, in addition to performance measurement (Montalvo, 2007). According to the National Database of Nursing Quality Indicators TM (NDNQI) (2014), this is a national nursing database, which provides reports of processes, structure, and outcomes quarterly and annually to evaluate nursing care at the unit level (Montalvo, 2007). There is a need for a database that can be linked to various practices, and providers, in order to identify those with hypertension patient, especially in the renal clinic. Hypertension is seen widely amongst patients who present in the renal clinic. Hypertension is becoming more prevalent…
The aim of this assignment is to explore the four stages of APIE, explaining their importance in nursing, as well as identifying possible problems within the stages, in relation to the videos of Joe. These issues will then be anaylsed using theory, to create possible explanations and consequences for the behaviour and actions shown by Joe and the nurses.…
The American Nursing Association (ANA), describes the practice of nursing as being the; “Who, What, Where, When and How of nursing practice”, (ANA 2004 p. 99). These words describe the function of standards of care that we as practitioners are accountable for. According to the ANA, “Has assumed the responsibility for developing generic standards that apply to all professional nurses”, (ANA, 2004 p.99). These standards serve as guidelines in which our competency can be measured. The six standards of practice, describe a competent level of nursing care known as the nursing process, the components of the nursing process is as follows; assessment, diagnosis, outcomes identification, planning, implementation, and evaluation.…
The Advanced Practice Nurse (APN) is a leader and team member who is capable of diagnosing, treating, and providing follow-up care to a variety of patients. Depending on the state in which the APN is licensed will determine his or her scope of practice. The three different levels the APN can practice are full, reduced, or restricted (Expanded roles, 2015). In some states, the APN is completely autonomous while in other states the APN might need the supervision or collaboration of a physician. The state of New Jersey requires the APN to have a collaboration agreement with a physician. Research validates that APNs’ provide quality, safe, and evidence-based care (Torre & Drake, 2014). In order to increase public access to health care, all states…
There are four elements of ethical issues regarding patient care such as, attentiveness, responsibility, competence and responsiveness. Attentiveness involves nurses being able to recognize the needs of the patient and their families. The development of a close relation between nursing staff and patient through receptibility helps the nurses to be receptive to what the patients need. A nurse has the responsibility to care for their patients and be a support system for their patient. A nurse must exhibit competence while caring for their patients. Nurses must be able to provide individual care. They are obligated to provide care of a patient based on their physical needs, psychological, cultural and religious needs of the patients and their families. Nurses have a duty to ensure that the patients’ needs are being met. If the patient is responding to the nurse in a positive to the treatment that is received. The American Nurse Associations’ provision 3 states that a nurse advocates for the patient, promotes and protects the rights, their health and safety for the patient. Nurses are held accountable and responsible for making good decisions to provide the best care for the patient (American Nurse Association, 2015). Facilities that…