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Capella 4040 Assessment 4

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    Capella 4040 Assessment 4

    Capella 4040 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

    Student Name

    Capella University

    NURS-FPX 4040 Managing Health Information and Technology

    Prof. Name

    Date

    Informatics and Nursing-Sensitive Quality Indicators

    Good morning, everyone. my name is Lucky and today I welcome you all to my presentation about nursing-sensitive quality indicators (NSQI) which are essential for nurses to improve their quality of care. This session is particularly developed for you as new nurses to get sufficient knowledge about the specific and targeted NSQI, which is healthcare-associated infections, specifically, catheter-related urinary tract infections (CAUTI). This is a post-interview session that was conducted with the director of the quality assurance department, Jennifer Wilson. Ms. Wilson is an expert in her field and helped us throughout the process to prepare this quality and safety session for you all. Let’s dig into the topic together. 

    Introduction – Nursing-Sensitive Quality Indicators

    The National Database of Nursing Quality Indicators (NDNQI) is a standard database which is developed by American Nursing Association to collect data related to various nursing-sensitive quality indicators. These indicators provide information about the quality of nursing care at the individual unit level (Montalvo, n.d.). The purpose of this database is to allow nurses, nurse leaders, and nurse educators to collaboratively work to improve the quality of nursing practice to ensure the organizational data meets the standard benchmarks. The nursing-sensitive quality indicators (NSQI) are the reflection of the health statuses of the patients’ health related to nursing care which directly affect and form the foundation of healthcare quality (Afaneh et al., 2021). There are several NSQI subdivided into staffing measures and quality measures. Out of all these, the particular NSQI that we will discuss today is healthcare-associated infections. 

    Quality Indicator – Healthcare-Associated Infections: CAUTI

    Healthcare-associated infections are frequently found within healthcare settings. These infections are claimed to be developed after hospitalization, at least 48 hours later, due to the poor infection control practices among healthcare professionals (Monegro et al., 2023). The World Health Organization statistics reveal that around 8.7% of hospitalized patients encounter various types of hospital-acquired infections in which catheter-associated urinary tract infections (CAUTI) are very common. These infections result in severe complications, and increased length of stay, and may escalate mortality rates as well (Stewart et al., 2021). 

    A study showed an estimated 93,000 incidences of CAUTI has been observed in acute care hospitals in the U.S. It has also been identified that catheter-related UTIs can lead to severe sepsis and endocarditis and around 13,000 death cases have been reported due to healthcare-associated urinary tract infections (Letica-Kriegel et al., 2019).  Some of the risk factors associated with these infections are prolonged use of urinary catheters without proper hygiene and care. Nurses being the frontline staff have this responsibility to ensure that patients who are on long-term catheterization receive adequate perineal hygiene care and frequent changes of the catheter according to the standard guidelines. These important nursing practices will ensure early detection of infection signs and prevent patients to end up in complications. 

    Interdisciplinary Teams’ Role in Collection and Reporting of Data

    The collection and reporting of the data related to the quality indicators require extensive collaboration from an interdisciplinary team. This effective process of data collection and reporting will ensure that patients’ safety, patient care outcomes, and organizational performance are positively impacted. Nurses along with other healthcare professionals strive to ensure that hospitalized patients remain safe and secure within the healthcare system. Data collection and reporting of the poor performance of nursing quality indicators will prepare healthcare professionals to improve their practices eventually fulfilling the goal of patient safety.

    Interdisciplinary teams including nurses and other healthcare professionals, quality assurance personnel, and IT specialists together develop a system for monitoring healthcare-associated infections. For this purpose, surveillance tools have been established within our organization which includes an electronic surveillance tool (EST) whereby the system entails information about the placement of the urinary catheters, duration, and the development of CAUTIs within the hospital settings. According to the study, EST is reported to be effective for the diagnosis of CAUTIs among hospitalized patients because it provides highly sensitive and specific data which helps stakeholders in improving healthcare practices (Shen & Cui, 2021). 

    This surveillance tool is developed with the purpose to bring together the interdisciplinary team to work in their individualized domains to ensure patients’ safety and improved care outcomes. Nurses play a significant role in this regard to ensure that the data provided is accurate, free of biases, and completely reflects the nursing interventions performed in the clinical areas. This accurate data will enable the organization to develop effective interventions to prevent the incidences of healthcare-associated CAUTIs. Moreover, it helps the organization to improve its performance levels, increase patient satisfaction, and enhance the organizational reputation within the healthcare sector. 

    Nursing-Sensitive Quality Indicators for Healthcare Organizations

    These nursing-sensitive quality indicators assist healthcare organizations in three ways; a) improving patient safety, b) enhancing patient care outcomes, and c) maximizing the organization’s performance levels. 

    Patient Safety and Patient Care Outcomes

    The data that is collected and reported related to the nursing-sensitive quality indicators helps nurses and nurse leaders to bring positive improvements in nursing practices. These improvements are purposed for enhancing patients’ safety and improving patient outcomes within the healthcare organization. Improvisation of infection control practices for preventing healthcare-associated infections ultimately reduces the chances of infection transmission and boosts patients’ safety in terms of controlling and preventing infections, decreasing complications, and improving patients’ health (Puro et al., 2022). 

    Organizational Performance Reports

    Additionally, the data received also helps in evaluating the current patient outcomes and comparing them with the desired outcomes. Nurse leaders can perform this evaluation and monitoring to bring reforms that are effective in improving patient outcomes, reducing complications, and ultimately assisting the organization to prosper (Sevy Majers & Warshawsky, 2020). These reforms help the organization to improve performance levels, remain stable within the healthcare sectors, improve patient satisfaction levels, and eventually set a benchmark for upcoming projects and activities. 

    Evidence-Based Practices (EBP) Guidelines for Nurses 

    The effective utilization of technology in evidence-based nursing practices is beneficial to improve patient outcomes. NSQIs play a vital role in the development of these practice guidelines. A study by Báo et al. (2019), states that quality indicators are used as assessment tools to enable nurses to gauge the level of care provided and make informed changes as per the practice guidelines. One of the technological advancements that help prevent CAUTIs is Nursing Digital Technology whereby QR codes are generated for nurses, patients, and their families.

    These QR codes have instructional videos available for effective catheterization and perineal care practices which encourages nurses and patients to follow the standard guidelines (Fanchiang et al., 2019). Nurse educators can utilize these educational materials as practice guidelines in accordance with the quality indicators for nurses while providing them the training and education related to the prevention of CAUTIs.

    Conclusion

    In conclusion, nursing quality indicators are helpful for hospitals to develop evidence-based practices. NDNQI provides the data related to these quality indicators which helps organizations to improve nursing practices. As frontline staff, nurses play an essential role in providing quality healthcare to patients to improve outcomes, enhance patients’ safety, as well as, improving the organization’s performance levels. I hope today’s session was insightful for you all as newly trained nurses and you would have learned about nursing quality indicators and their importance.

    References

    Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: A concept analysis. Nursing Management28(3), 28–33. https://doi.org/10.7748/nm.2021.e1982  

    Báo, A. C., Amestoy, S. C., Moura, G. M., & Trindade, L. de. (2019). Quality indicators: Tools for the management of best practices in health. Revista Brasileira De Enfermagem72(2), 360–366. https://doi.org/10.1590/0034-7167-2018-0479

    Fanchiang, Y.-C., Yen, Y.-H., & Chen, S.-W. (2019). Using nursing digital technology to reduce the rates of catheter-associated and non-catheter-associated urinary tract infections. Hu Li Za Zhi The Journal of Nursing, 66(2), 77–84. https://doi.org/10.6224/JN.201904_66(2).10

    Letica-Kriegel, A. S., Salmasian, H., Vawdrey, D. K., Youngerman, B. E., Green, R. A., Furuya, E. Y., Calfee, D. P., & Perotte, R. (2019). Identifying the risk factors for catheter-associated urinary tract infections: A large cross-sectional study of six hospitals. BMJ Open9(2). https://doi.org/10.1136/bmjopen-2018-022137 

    Monegro, A. F., Muppidi, V., & Regunath, H. (2023). Hospital-acquired infections. In StatPearls. StatPearls Publishing. http://www.ncbi.nlm.nih.gov/books/NBK441857/ 

    Montalvo, I. (n.d.). The National Database of Nursing Quality Indicators(TM) (NDNQI®). Patient Safety Network. https://psnet.ahrq.gov/issue/national-database-nursing-quality-indicatorstm-ndnqir 

    Puro, V., Coppola, N., Frasca, A., Gentile, I., Luzzaro, F., Peghetti, A., & Sganga, G. (2022). Pillars for prevention and control of healthcare-associated infections: An Italian expert opinion statement. Antimicrobial Resistance & Infection Control11(1). https://doi.org/10.1186/s13756-022-01125-8  

    Capella 4040 Assessment 4

    Sevy Majers, J., & Warshawsky, N. (2020). Evidence-based decision-making for nurse leaders. Nurse Leader18(5), 471–475. https://doi.org/10.1016/j.mnl.2020.06.006 

    Shen, Y., & Cui, H. (2021). Diagnostic accuracy of electronic surveillance tool for catheter-associated urinary tract infections in Tertiary Care Hospitals. Medicine100(39). https://doi.org/10.1097/md.0000000000027363 

    Stewart, S., Robertson, C., Pan, J., Kennedy, S., Haahr, L., Manoukian, S., Mason, H., Kavanagh, K., Graves, N., Dancer, S. J., Cook, B., & Reilly, J. (2021). Impact of healthcare-associated infection on length of stay. Journal of Hospital Infection114, 23–31. https://doi.org/10.1016/j.jhin.2021.02.026 

    Capella 4040 Assessment 4