Nursing-Sensitive Indicators as Identifiers of Patient Care Interfering Issues The National Quality Forum (NQF) established a list of nursing-sensitive indicators (NSIs) to identify specific “structures and processes” that contributes significantly to the outcomes of patient healthcare (Heslop & Lu, 2014; Montalvo, 2007). These indicators are empirically prepared that can reliably and validly measure these structures and process at a preferred level of quality (Heslop & Lu, 2014). By reliably identifying targeted factors in quality patient, the NSIs also detect interfering factors that distort the predicted quality level of nursing practice in a specific structure or process, raising valuable warning …show more content…
First, there is the Code of Ethics of the American Nurses Association (ANA), which had been the ethical framework with which the nursing practice in the United States relies on (Wood, 2014). It governs the ethical behavior of its nurse members in various nursing specialties. The NSS can refer to the Code as a standard for nursing ethical behavior. Second, the hospitals themselves sometimes have their respective ethical units (Austin, 2017), which can aid particularly in resolving interdisciplinary ethical issues and other situations wherein a single professional association cannot handle alone. At times, these units can even exist for each professional specialty within the healthcare …show more content…
Often involved in the change, implementation, and review of hospital organizational policy, a hospital ethics committee, which can be multidisciplinary (Austin, 2017), can even initiate a necessary policy that can prevent an ethical issue from recurring in the future. The persons that Mr. J’s daughter approached (the Jewish physician, the hospital administrator, etc.) can comprise the in-house ethics committee. Moreover, a member of a specific and relevant specialty can act as a referral resource for the NSS in this case (e.g. a physician, a nutritionist or a food specialist, or a patient advocate). Physicians, for instance, can be a great referral for the Mr. J. case to help the NSS.
Colleagues
Fellow practitioners in the nursing profession bring the most intimate understanding of a nursing ethical case; that is, far more than other colleagues in the healthcare profession, including physicians. This within-profession familiarity engenders confidence and trust, which can be crucial in ethics case where professional confidences are necessary, especially a nurse ethicist (Wood, 2014).
Task No. 2: The Brain Dead Case (Mr. B)
A Root Cause