Organizational Systems and Quality Leadership
C489 Task 1
LeeAnn Robb
Western Governors University
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, A. Nursing Sensitive Indicators
Nursing Sensitive Indicators are factors that are shown to be impacted by nursing
care. NSI are broken down into three categories structure, processes, and outcomes. The
National Database of Nursing Quality Indicators (NDNQI) was developed by the American
Nurses Association in 1998 to gather data related to designated 15 indicators such as pressure
ulcers, nosocomial infections, nurse staffing mix and education, restraint use, and nurse
satisfaction and turnover rates. This database is used to provide comparative data between
facilities on the indicators to support quality improvement, and provide data to understand the
link between nurse staffing and outcomes (Montalvo, 2007).
Understanding of Nursing sensitive indicators can help guide our practice by making us
aware of factors that are influenced by nursing, and take actions to prevent or correct problems.
Like in the scenario, the use of patient restraints and the prevalence of pressure ulcers. The data
associated with nursing interventions to limit restraint use would be valuable in this scenario
considering that the patient is already showing signs of the beginning of a pressure ulcer. The
CMA attending to the patient returned the patient to the same position upon returning from
toileting, which would lead to further pressure on the area. Knowledge of pressure ulcers and
strategies for limiting restraint use could be useful for the CMA and the nursing staff in this
scenario. They would be asking themselves, “Are the restraints really necessary?”, “Can they be
removed and replaced with more frequent room checks or a sitter?”, “Are the restraints for my
convenience, rather than preventing the patient from self-harm?” “Has the patient tried to get out
of bed without calling for help, or is he able to call for help when needed?”. Questions such as
these would lead the RN and CMA to awareness of factors that indicate restraint need, and when
restraints could be discontinued. Also, knowledge of nursing factors to limit restraint use in this
scenario could be further applied to prevent pressure ulcers for this patient. The nurse and CMA
could ask themselves if the continues use of restraints were placing the patient at greater risk of a
pressure ulcer? What interventions could be put in place to prevent further pressure of the area?
Considering that the CMA should report any indication of pressure ulcer formation, and verbally
disregarded the signs to the family member, the patient has been placed at further risk of skin
breakdown.
This study source was downloaded by 100000827506713 from CourseHero.com on 02-15-2022 01:37:32 GMT -06:00
https://www.coursehero.com/file/25193454/C489-Task-1docx/
C489 Task 1
LeeAnn Robb
Western Governors University
This study source was downloaded by 100000827506713 from CourseHero.com on 02-15-2022 01:37:32 GMT -06:00
https://www.coursehero.com/file/25193454/C489-Task-1docx/
, A. Nursing Sensitive Indicators
Nursing Sensitive Indicators are factors that are shown to be impacted by nursing
care. NSI are broken down into three categories structure, processes, and outcomes. The
National Database of Nursing Quality Indicators (NDNQI) was developed by the American
Nurses Association in 1998 to gather data related to designated 15 indicators such as pressure
ulcers, nosocomial infections, nurse staffing mix and education, restraint use, and nurse
satisfaction and turnover rates. This database is used to provide comparative data between
facilities on the indicators to support quality improvement, and provide data to understand the
link between nurse staffing and outcomes (Montalvo, 2007).
Understanding of Nursing sensitive indicators can help guide our practice by making us
aware of factors that are influenced by nursing, and take actions to prevent or correct problems.
Like in the scenario, the use of patient restraints and the prevalence of pressure ulcers. The data
associated with nursing interventions to limit restraint use would be valuable in this scenario
considering that the patient is already showing signs of the beginning of a pressure ulcer. The
CMA attending to the patient returned the patient to the same position upon returning from
toileting, which would lead to further pressure on the area. Knowledge of pressure ulcers and
strategies for limiting restraint use could be useful for the CMA and the nursing staff in this
scenario. They would be asking themselves, “Are the restraints really necessary?”, “Can they be
removed and replaced with more frequent room checks or a sitter?”, “Are the restraints for my
convenience, rather than preventing the patient from self-harm?” “Has the patient tried to get out
of bed without calling for help, or is he able to call for help when needed?”. Questions such as
these would lead the RN and CMA to awareness of factors that indicate restraint need, and when
restraints could be discontinued. Also, knowledge of nursing factors to limit restraint use in this
scenario could be further applied to prevent pressure ulcers for this patient. The nurse and CMA
could ask themselves if the continues use of restraints were placing the patient at greater risk of a
pressure ulcer? What interventions could be put in place to prevent further pressure of the area?
Considering that the CMA should report any indication of pressure ulcer formation, and verbally
disregarded the signs to the family member, the patient has been placed at further risk of skin
breakdown.
This study source was downloaded by 100000827506713 from CourseHero.com on 02-15-2022 01:37:32 GMT -06:00
https://www.coursehero.com/file/25193454/C489-Task-1docx/
