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Wgu Rtt Task 2

In: Business and Management

Submitted By pturner991
Words 1069
Pages 5
Running Head: ORGANIZATIONAL SYSTEMS 1

Organizational Systems

RTT1

Western Governors University

Pam Turner

Septemer29, 2014

Running Head: ORGANIZATIONAL SYSTEMS 2

A).

Nursing-sensitive indicators reflect the structure, process, and outcomes of nursing care. (Nursing-Sensitive, 2014.) The skill level of the nursing staff, the supply of nursing staff, and the education or certifications of the staff are all used to measure the structure of nursing care given to any given patient. Patient outcomes, which are improved by a greater quality of care, are said to be nursing sensitive. Some examples of these are: pressure ulcers, intravenous infiltrations, falls, nosocomial infections, restraints, the mix of RN’s, LPN’s and CNA’s, total nursing care hours provided per patient day, patient satisfaction with pain management, educational information, overall care, nursing care, and nursing saff satisfaction. (ANA, 2014.) Nurses need to know and understand these indicators in order to be able to care for their patient appropriately. For example, an elderly patient who is bed bound will be more prone to pressure ulcers than a young, mobile adult. The elderly or confused patient will also be more prone to falling than the young mobile adult. A confused patient might not notice when his IV infiltrates. In the scenario given, Mr. J. is an example of an elderly patient who will be at high risk for several of the nursing-sensitive indicators. He has dementia, he has been restrained in the bed, and his daughter notices a red area on his lower spine. The CNA brushed off the red area as nothing to worry about. Had the CNA been

Running Head: ORGANIZATIONAL SYSTEMS 3…...

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...RTT Task 1 WGU Nursing –Sensitive Indicators In the case of Mr. J, a 72-year-old retired rabbi with a diagnosis of mild dementia, the nursing sensitive indicators include restraint use, hospital acquired pressure ulcers, and patient-family satisfaction with nursing and overall care. Not understanding and identifying nursing-sensitive indicators contributed to adverse outcomes, which included the development of a pressure ulcer and the likely unnecessary use of restraints. Lastly, family dissatisfaction with care was evidenced when the daughter called the patient’s physician to complain that her father had not received the ordered kosher meals. If the hospital nursing staff had understood and identified nursing-sensitive indicators, the negative outcomes cited above may have been avoided. The nurses would know that through data collection, measurement, and evaluation of nursing practice it has been recognized that nursing care has a direct impact on specific patient outcomes. Because of this research, the profession has been able to elevate the quality of nursing care by developing and implementing evidence based practice, which has been demonstrated to improve patient outcomes (American Sentinel University, 2014). Quality Patient Care Collecting hospital data from each unit on specific nursing-sensitive indicators could advance quality patient care throughout the hospital. Staffing levels and the mix of nursing personnel (RN, LPN’s, and CNA’s) on a unit can have......

Words: 1032 - Pages: 5