Nursing Performance Indicators

Analyze the case study of Nursing Performance Indicators. Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia.

Nursing Performance Indicators
An essential component of care that significantly affects patient outcomes is nursing quality. The purpose of evaluating nursing care is to determine how well nurses perform in various quality-related areas and processes that can be used to enhance patient care. Nursing-sensitive indicators pinpoint the care systems and procedures that affect patients’ outcomes (Lockhart, 2018). The scope of practice and standards for nurses both specify these outcomes and place emphasis on them. For instance, the code of ethics mandates that nurses support, defend, and work to uphold patients’ rights to safety, health, and privacy. Nursing excellence is demonstrated by ensuring the avoidance of patient falls, pressure ulcers, restraint rates, and physical assault (Moorhead et al., 2018). This discussion examines how nurse quality indicators were used in the instance of Mr. J. and how his care could be improved throughout his hospital stay.

Acquiring Knowledge of Nursing Performance Indicators

The focus on nursing activities that affect patient outcomes makes nursing quality indicators unique and particular to the nursing profession. An illustration is the quantity of nursing hours dedicated to a patient and how this affects the provision of high-quality services (Moorhead et al., 2018). The case study in question demonstrates several ineffective nursing care practices and how they affect Mr. J’s overall outcome. Because they require nursing actions like rotating and pressure area treatment, pressure ulcers have long been utilized as quality indicators of nursing care. Patients who experience pressure ulcers while in the hospital may have poorer outcomes, as well as longer hospital stays, more costs, and a lower quality of life. The detection of pressure ulcers as a quality indicator can aid nurses in making care plans for Mr. J. In the cited instance, the nurse overlooks the potential impact that Mr. J’s lower spine pressure area may have.
Nursing Performance Indicators

Many international bodies view patient restraint as a high-risk technique due to the impact it has on patients. For instance, nurses and other healthcare professionals are required by the Joint Commission and the Centers for Medicare & Medicaid Services to thoroughly assess and record the patient’s status during the administration of restraints (American Nurses Association (ANA), 2015). Mr. J appears to be composed and cooperative based on the case’s description. Despite having dementia, the patient doesn’t appear to be acting violently enough to warrant shackles. The patient’s pressure ulcer on his lower spine has unquestionably been caused by restraint. The patient should have rotated around while in restraints and had periodic breaks from them to prevent becoming stationary.

The level of education and certification attained by registered nurses influences how they behave when providing care and the results of their decisions. Nurses are expected to be knowledgeable about how to communicate with patients, resolve conflicts, and offer culturally competent care (Moorhead et al., 2018). In the example given, both the nursing supervisor and the certified nurse assistant (CNA) exhibit a lack of knowledge about cultural competency and how it should be used when providing medical care. Mr. J is a Jew whose religious beliefs forbid him from eating pork. In accordance with these beliefs, the nurse supervisor and CNA should have seen to it that he received a suitable dinner and that his daughter was made aware of the mistake that resulted in the serving of pork. As seen in the instance, cultural and linguistic disparities can lead to misunderstandings and service users’ mistrust (Jongen et al., 2018). In addition, the nurse was impolite when she asserted that a half-cutlet of pork cannot kill a person, showing disregard for the patient’s cultural values.

Nursing Performance Indicators, Promoting High-Grade Patient Care

Health care information on specific quality indicators can assist providers in making crucial choices that may have an impact on patient outcomes. The knowledge of patients who are at risk for developing pressure ulcers, the early warning symptoms of the condition, and treatment options for the medical condition can be gained by nurses (ANA, 2015). The CNA merely believes that the patient’s pressure ulcer can go once they stand up, failing to notice that the red, depressed region on the patient’s spine is a sign of one. Healthcare providers can examine patients for the necessity for restraints and understand its effects on patients like the elderly by using hospital data on the usage of restraints (Moorhead et al., 2018). Knowing the number of days to restrict a patient, when to give periodic breaks, and how to screen for side effects like pressure ulcers that come with long-term restraints could all be aided by statistics on the usage of restraints.

Nursing Performance Indicators, resolution of moral dilemmas

The nurse should be a proactive team player, result-driven, patient-focused, and fully engaged in the therapeutic process while providing care. The nurse shift supervisor should read the code of ethics to provide direction for their appropriate conduct in this circumstance. For instance, a nurse who practices with integrity will be truthful and willing to admit their errors. When the nursing shift supervisor realized there was an error in the food serving, she should consult with Mr. J and his daughter to determine the best course of action. I would also consult the hospital’s director of religious practices for more information on the topic of eating pork. This person is in a better position to explain to the patient’s daughter and the nurse the consequences of breaking the Jewish custom of not eating pork.

References

American Nurses Association. (2015). Assessing and documenting patient restraint incidents. https://www.myamericannurse.com/assessment-documentation/

Jongen, C., McCalman, J., & Bainbridge, R. (2018). Health workforce cultural competency interventions: A systematic scoping review. BMC Health Services Research18(1), 232. https://doi.org/10.1186/s12913-018-3001-5

Lockhart, L. (2018). Measuring nursing’s impact. Nursing Made Incredibly Easy16(2), 55. doi: 10.1097/01.NME.0000529956.73785.23

Moorehead, S., Swanson, E. A., Johnson, M., & Maas, M. (Eds.). (2018). Nursing outcomes classification (NOC): Measurement of health outcomes. Elsevier.

 

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