Michael Jackson
Western Governors University
Nursing-Sensitive Indicators
The structure, processes, and outcome factors of nursing care are reflected in Nursing-Sensitive Indicators (NSIs). There are several things that the nurses in the provided scenario could have done to promote quality patient care. By being aware of restraint use as an NSI the hospital staff would be more likely to increase their focus and attention to its need and any development of complications. This increased focus and attention could have led to the development of educational opportunities for the hospital staff on the identification of pressure ulcer related complications. Had the nurse and nursing supervisor been aware of patient/family/caregiver satisfaction as an NSI they may have reacted differently in the situation. According to the physician in the scenario, there have been multiple complaints by Jewish patients about the disregard for their dietary requests. Having this data and information available can aid in developing and educational session for hospital staff including dietary workers, nurses, and certified nursing assistants about the importance of respecting patient’s cultural requests. It is possible that some of the problems identified in the scenario were a related to the structure of the system and a result of inadequate staffing, educational, or experience levels. Being able to collect data on these NSIs can aid in identifying issues within this organization structure and make appropriate changes to ensure better quality patient care outcomes. For example, some issues may be related to there not being an adequate number of nursing on the unit. Collecting relevant data would help to identify this as an issue, possibly a recurring issue, which would lead to the assigning of more nurses to that particular unit.
Quality Patient Care
Nursing-sensitive indicators can provide data to help identify needs and diminish