Organizationa l Systems and Quality Leadership PDF

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Organizational Systems and Quality Leadership

Jenna Fierro Western Governors University C489 Task 1 Leslie Ferrygood September 15, 2021

2 Organizational Systems and Quality Leadership

A. Understanding of Nursing Quality Indicators The National Database of Nursing Quality Indicators was originated by the American Nurses Association in 1998. These are “nursing informatics databases specifically developed to monitor the quality of nursing care. The NDNQI receives data from more than 900 facilities nationwide and publishes quarterly reports on the quality of nurse staffing and patient outcomes to hospitals by individual units” (Hart et al., 2006). Some examples of nursing quality indicators are pressure ulcers, correct use of restraints and nurse to patient staffing ratios. The application of nursing quality indicators could assist the nurses with Mr. J’s care by identifying issues that may interfere with patient care such as the red markings noted on him by his daughter. This could be the beginning stage of a pressure ulcer. Some early interventions could be to turn this patient if he cannot turn himself every two hours to decrease risk of pressure wounds. Interventions of restraint management is a quality indicator interfere with patin care as well because it was noted that Mr. J was only “slightly sleepy” when his daughter arrived. He was able to walk to the restroom and answer some questions from staff and return to his bed. There is no indication for him to have been restrained to the bed when his daughter arrived. Even though Mr. J is an older man with dementia, a nurse cannot restrain him to the bed unless he is a danger to himself or others. By using assessment skills as a nurse, he or she would be able to apply quality indicators and make an informed decision about whether to remove the restraints. B. Analyzing Hospital Data

3 Hospital data of specific nursing-quality indicators such as use of restraints, pressure ulcer prevalence and fall risk assessment in patients could advance quality patient care throughout the hospital by using data to track specific outcomes. Results that can be measured and then compared to baseline data and then evaluate if a change has occurred (Leaton & Martin, 2007). This hospital could have specific committees to evaluate each area to record these events as they occur such as number of falls per month or pressure ulcers that were found before they become Stage 2. These types of different data collection will allow the hospital to have better patient satisfaction scores and have better outcomes when it comes to patient care. C. Analyzing Specific System Resources As the nursing shift supervisor I would likely be second to be alerted to an ethical issue on the floor such as a mistake in a meal for religious purposes that was followed by an insensitive comment by a staff nurse. Mr. J requested a kosher meal due to his religious background as a Jewish resident at the facility. A pork cutlet was delivered on the plate and the nurse stated “Half a pork cutlet never killed anyone.” This made the patients' daughter very upset. As the night nursing supervisor, I would set up a staff meeting as soon as possible that includes a nutritionist in the hospital, the manager of the cafeteria staff and someone from the chaplain’s office. I could use a referral from the chaplain at the hospital to reach out to a rabbi to recruit someone who could teach staff the reasons a person would require kosher food due to their religion. I would have the nutritionist and manager of the cafeteria set up a hospital Inservice with a person the facility found who prepares kosher foods and train the team appropriately when preparing kosher plates.We could implement the use of special patient stickers for specific dietary needs like kosher meals and have my colleagues, the nursing supervisors, on each floor let their individual staff know of the change. I would then send out an

4 email to all appropriate staff to advise them of the situation that happened and how it was fixed so that we as a whole would be more competent in dealing with different religions and how they affect that ways our residents identify with their religious preferences in meals.

5 References Hart, S., Bergquist, S., Gajewski, B., & Dunton, N. (2006). Reliability testing of the national database of nursing quality indicators pressure ulcer indicator. Journal of Nursing Care Quality, 21(3), 256–265. https://doi.org/10.1097/00001786-200607000-00011 Leaton, M., & Martin, P. (2007). The journey of clinical nurse specialists in promoting evidencebased practice to ensure safety and quality. Clinical Nurse Specialist, 21(2), 114–115. https://doi.org/10.1097/00002800-200703000-00055...