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Organizational Systems and Quality Leadership

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A. Nursing Sensitive Indicators
Nursing-sensitive indicators are broken down into three categories; structure, process, and outcome (Montalvo, 2007). Structures of indicators are the organization pieces of nursing care which may include; staffing levels, educational levels, experience level, and staffing mix. The process of nursing sensitive indicators includes; the methods of assessments, type of interventions, and methods of care. The outcomes of nursing sensitive indicators are directly relatable to the qualitative and quantitative nursing measures (Sauls, 2013). Pressure ulcers, infections rates, and patient satisfactions are examples of outcomes. Understanding nursing-sensitive indicators could assist the nurses with measures for prevention that could lead to an improved patient outcome. Nursing-sensitive indicators identify structures of care and care processes, both of which in turn influence care outcomes (Montalvo, 2007).
There are several nursing-sensitive processes and outcome indicators in this case which include; an increased risk for pressure ulcers, length of hospital stay, restraint prevalence, risk for falls, and patient satisfaction. The patient is at risk for pressure ulcers due to his decreased mobility from his hip fracture. By understanding this risk, the nurse should be more aware of the need to frequently reposition the patient. Being educated on this risk would also possibly decrease the length of hospital stay. If a pressure ulcer occurs, the patient would need additional treatment which could lengthen his stay. Due to the mild dementia diagnosis and his use of pain medication, the patient is at risk for falls and increased confusion which could lead to the use of restraints. By being aware of the restraint prevalence, the nurse’s heightened awareness could decrease the need for physical restraints through interventions such as

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