Quality of Patient Care: Nursing-Sensitive Indicators Essay

treat-sensitive indicators play a large role in bedside nursing today. They encompass the bang given to perseverings, how it is given, policies, procedures, and different levels of staffing, education, and experience (ANA). They also provide a means to measure patient satisfaction. Not every involved with patient give awe will sh be the same companionship and experience as basin be seen in the scenario of Mr. J. How could nursing-sensitive indicators have changed his expiry? How coffin nail entropy collected on nursing-sensitive indicators advance quality care for all patients?One of the risk factors for acquiring a nip ulcer, a deep vein thrombosis, or infirmary acquired pneumonia is immobility. There can be several take a craps of immobility and in this case it is the use of restraints. Mr. J has creeat a pressure ulcer repayable to lying flat on his back in bed restrained. When the nurses aide assist him back to bed, lying on his back again, she showed she did not have a clear understanding of a pressure ulcer as a nursing-sensitive indicator. She should have propped him up with pillows so the reddened area was relieved of pressure. Had she or the nurse possessed that familiarity they would have been assessing his skin frequently and shift him in bed often enough so as to obstruct such an event from occurring.The patients need for restraints could be reassessed as well. Is he trying to get out of bed unassisted and is considered a fall risk due to his hip fracture and mild mania? Perhaps a bed alarm or a brood hen would have been better alternatives. Either would have allowed Mr. J to move individually in bed and he would have been less likely to expatiate a pressure ulcer. Restraints are often used without considering alternativesfirst. They can cause more than injury than good and decrease patient satisfaction. In this case, it whitethorn be difficult to gauge Mr. Js satisfaction scarce his daughter certainly wasnt satisfied with h is care. It is possible his hospital space of stay has been increased by the staffs lack of knowledge regarding nursing-sensitive indicators. At this point the staff mustiness take action to fix the situation and hopefully heal the pressure ulcer.How can hospitals use data collected based on nursing-sensitive indicators to increase the quality of patient care? Hospitals measure certain occurrences such as falls and pressure ulcers. Nursing care directly impacts these. If the number is higher than the national average, for example, a hospital whitethorn perform a study to determine the cause and thus utensil interventions to try to reduce the occurrence of falls or pressure ulcers. By analyzing data collected after an intervention was applied, the hospital can determine if the outcome was achieved or not. Once an intervention proves successful a new policy can be implemented throughout the hospital, decrease falls or pressure ulcers, leading to improved quality care for all pati ents and greater patient satisfaction (AmericanSentinelUniversityBlog).Another nursing-sensitive indicator is patient satisfaction with overall care. In Mr. Js scenario I would record the patients family was completely dissatisfied. As a Jewish rabbi he requested a kosher meal and was served pork cutlet due to an delusion with his order. Were he not mildly demented he may have noticed what he had been served, but he did not and ate it. When the daughter was notified the next evening she discovered the nursing staff had unbroken it from her and that the nurse was not sensitive to the needs of her father. This was just another mission in several that had occurred over the last six months. The physician and decision maker were notified. This is a serious offense and may prompt the Jewish society to seek care at another hospital.In order to fragment this issue and keep Mr. Js trust and that of his daughter, several things must take place. The nurse and physician caring for the pa tient should acknowledge the error and offer a heartfelt apology. They should also assure the family, steps are being takento prevent this from reoccurring. If the orders are entered through an electronic health record, IT may need to get involved to determine where the error is occurring in the order process in order to have it filled correctly.The dietary supervisor should be notified and perhaps find a new elan to indicate clearly if a tray contains a kosher meal. A undertake on the patients door could indicate his meal choice so that all entering, whether it is a dietary tech, a nurses aide, or the nurse, will clearly see it. That way, even if the patient is disturbed and alone, as Mr. J was, there will be no slide made. The issue here is patient satisfaction. Mr. Js family may dormant leave dissatisfied but this event may help implement new policies respecting ethnic preferences and the incorporation of them in a patients care.In healthcare today, nursing-sensitive indic ators are important to hospitals in that they provide a gauge to measure the quality of care patients receive. The more knowledge a nurse has of nursing-sensitive indicators, the greater quality care she can provide to produce better outcomes for her patients, resulting in their improved satisfaction.Reference rapscallionAmerican Nurses Association. (2015, January). Nursing-Sensitive Indicators. Retrieved March 12, 2015, from Nursing World http//www.nursingworld.org/mainmenucategories/ThePracticeofProfessionalNurses/Research-Measurement/The-National-Database/Nursing-Sensitive-Indicators_1 American Sentinel University Blog. (2011, November 02). health Care On Call. Retrieved March 12, 2015, from American Sentinel University Blog http//www.americansentinel.edu/blog/2011/11/02what-are-nursing-sensitive-quality-indicators-anyway/.