A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care.
Nursing-sensitive indicators reflect elements of patient care that are directly affected by nursing practice, specifically three aspects of nursing care which include: structure, process, and outcomes. Structural indicators include the supply of nursing staff, the skill level of nursing staff, and the education and certification levels of nursing staff. Process indicators measure methods of patient assessment and nursing interventions. Nursing job satisfaction is also considered a process indicator. Outcome indicators reflect patient outcomes that are determined to be nursing-sensitive because they depend on the quantity or quality of nursing care. These include things like pressure ulcers and falls.
When understanding the above, this could greatly assist ...view middle of the document...
J’s religious preference. Certain things the nurse should be aware of and should verify with the patient would be the requirement of a kosher diet, the preferences of patient care and to not touch the patient of opposite sex unless medically necessary, and if they would like all electrical appliances removed from the room during Shabbat unless again, it is medically necessary.
We are also made aware of Mr. J’s diagnosis of mild dementia as well as his recent incidence of falling in his home, which resulted in a fractured right hip. Again, structural and process indicators apply to this situation and all nursing situations as well. Outcome indicators are strongly applied here due to his lack of mobility and unsteady gait as he is recovering from a fractured hip. Strong outcome indicators would positively impact Mr. J’s recovery by ensuring proper care in making sure that Mr. J receives adequate skin care so there is no skin breakdown which lead to pressure ulcers. It would also ensure that the proper steps are taken to decrease the chances of further injury such as implementing a bed alarm, placing floor mats around his bed, making sure his bed is in the low position at all times while in bed, etc.
In summary, Mr. J’s religious beliefs, diagnosis of mild dementia, recently fractured right hip, and pain management measures could all interfere with patient care. Keeping nursing-sensitive indicators in mind and having the proper training and knowledge of all nursing-sensitive indicators could greatly aide in the upmost quality of treatment that Mr. J receives while under the hospital's care.
What Are Nursing Quality Indicators? (2011, November 02). Retrieved July 31, 2016, from http://www.americansentinel.edu/blog/2011/11/02/what-are-nursing-sensitive-quality-indicators-anyway/
B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital.
C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.