Understanding how to measure nursing quality
Nursing quality markers are tools that are used to figure out how good the care is by finding mistakes or flaws in the nursing process. They are an important part of making standards for evidence-based behavior. It is morally required to measure these factors so that the quality of nursing can be evaluated and improved. Silveira et al. (2015) say that nursing quality indicators “can be used as a guide for monitoring and evaluating care and the activities of a service.”When making the quality markers, there are three main parts of nursing that are looked at. These are the framework, the way things work, and the results. (Silveira et al., 2015). In this case, the process indicators are the best predictor of nursing quality. Process indicators measure how patients are evaluated and how nursing treatments are given.
In this case, one of the most important process markers is preventing pressure ulcers. This sign needs to be measured and evaluated as soon as possible so that problems that could affect patient care, such as the development of a pressure ulcer, which requires extra care, can be found and fixed. The registered nurse can use the process quality measure by doing a risk assessment for pressure ulcers. for Mr. J. As an elderly patient, you are likely to get pressure sores, which can be measured with the Braden and Norton scales. (Lee et al., 2019). The Braden scale helps nurses figure out who is most likely to get pressure sores by looking at how the person feels, how wet they are, how active they are, how mobile they are, what they eat, and how much wear and tear there is. When it comes to pressure ulcers, a better score means a lower risk, and vice versa. The Norton scale also looks at five factors to figure out a patient’s chance of getting a pressure ulcer: physical condition, activity level, mobility, mental health, and incontinence. Also, the certified nurse can come up with a personalized plan to stop the sores. (Lee et al., 2019). This can include moving the patient every two hours and keeping an eye on the pressure ulcers. Pressure sores can be prevented by giving the patient a changing pressure mattress, which helps a lot.
Getting better care for patients
Hospital statistics on process and outcome indicators can help doctors come up with better plans for giving patients good care. The indicators find places in the nursing process or result where care isn’t up to par and tell what needs to be changed to make sure quality healthcare. The data from these markers tell the management where they need to put more effort, such as in the areas of staffing and supervision. It also tells how much certain nursing techniques are used. Kottner et al. (2018) say that regular tracking of healthcare quality helps hospitals be more open with doctors, other hospitals, and patients. In this case, the data on nursing quality factors include how often pressure ulcers happen and how often restraints are used.
Quality indicators can be used well and lead to better patient results if the staff and management have good ways of talking to each other. (Amestoy et al., 2019). Staff can also care for patients better if they talk to each other and keep good records. A patient’s health care teams won’t get confused or talk to each other the wrong way if nursing actions are properly written down. (Amestoy et al., 2019). In this case, the problem with the patient’s diet was likely caused by a failure to check the real paperwork and follow the orders. Using data on how often pressure ulcers happen, the management can set up quality improvement programs like continuing medical education and simulation trainings to give the nursing staff the information and skills they need to keep patients from getting pressure ulcers. The trainings on how to avoid pressure ulcers can help the certified nurse assistants, who can then follow the instructions. Other studies have shown that regular tracking of quality indicator data helps improve quality, which in turn makes patient care better. (Aestoy et al., 2019).
From the situation, it’s clear that the nurse doesn’t own up to the fact that the diets got mixed up. She says, “A half-pork cutlet has never killed anyone.” This is another sign that she doesn’t take her patients’ religious and cultural views seriously. She should have apologized, but she didn’t. As part of the training, it’s important to stress how important it is to respect the patient’s wants and beliefs. This makes patients happier, which is one of the measures of quality and has a direct effect on the hospital.
Getting to the bottom of moral problems
Beneficience is the moral ideal that has been broken in this situation. This concept says that doctors and nurses must be kind and act in the best interest of their patients. (Ganz, Wagner & Toren, 2015). In this situation, the nurse didn’t feel bad when she found out that the patient’s diet had been mixed up. Instead, she told him that “half a pork cutlet never killed anyone.” Even though they know that in their society, Jews aren’t allowed to eat pork.As a nursing supervisor, I would check in with the kitchen boss to make sure that the person who served the meal is called. Then, with the help of the nurse who was on duty at the time of the incident, I would explain what went wrong and what should happen next. This would be the first time that the staff would be told that what they did was a big mistake. To make up with the patient, the nurse would have to say she’s sorry for going against their faith beliefs.
Báo, A. C. P., Amestoy, S. C., Moura, G. M. S. S. D., & Trindade, L. D. L. (2019). Quality indicators: tools for the management of best practices in Health. Revista brasileira de enfermagem, 72(2), 360-366.
Ganz, F. D., Wagner, N., & Toren, O. (2015). Nurse middle manager ethical dilemmas and moral distress. Nursing ethics, 22(1), 43-51.
Kottner, J., Hahnel, E., Lichterfeld‐Kottner, A., Blume‐Peytavi, U., & Büscher, A. (2018). Measuring the quality of pressure ulcer prevention: A systematic mapping review of quality indicators. International wound journal, 15(2), 218-224.
Lee, Y. J., Kim, J. Y., Dong, C. B., & Park, O. K. (2019). Developing risk‐adjusted quality indicators for pressure ulcers in long‐term care hospitals in the Republic of Korea. International wound journal, 16, 43-50.
Silveira, T. V. L., Prado Júnior, P. P. D., Siman, A. G., & Amaro, M. D. O. F. (2015). The importance of using quality indicators in nursing care. Revista gaucha de enfermagem, 36(2), 82-88.
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