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Capella 4040 Assessment 4

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    Capella 4040 Assessment 4

    Capella 4040 Assessment 4 Informatics and Nursing-Sensitive Quality Indicators

    Student Name

    Capella University

    NURS-FPX 4040 Managing Health Information and Technology

    Prof. Name

    Date

    Introduction

    Good morning/afternoon, everyone. I am _____, currently working as a RN at Aspen Valley Hospital. I welcome all novice nurses to the session on the seriousness of nursing-sensitive quality indicators. Today’s session focuses on informing all of you about the role of nurses in transparent reporting and improved healthcare outcomes. The primary topic I chose to discuss in this session is a particular nursing-sensitive quality indicator, i.e., Catheter-associated urinary tract infections (CAUTIs). CAUTIs are healthcare-acquired infections that impact care quality. However, before diving into this nursing-sensitive quality indicator, I would like to discuss some basic concepts of nursing quality indicators to enlighten your minds, so let us begin.

    What Are Nursing-Sensitive Quality Indicators?

    The National Database of Nursing Quality Indicators (NDNQI) was established by American Nursing Association in 1998 to estimate the nursing care practices. The NDNQI comprises a variety of indicators that healthcare systems can utilize to assess and improve nursing care treatment quality and enhance patient outcomes and patient safety.  These nursing quality indicators act as criteria to measure care quality provided to patients by the nursing profession.

    In this regard, healthcare organizations gather data on specific quality indicators and compare the results with the standard established by the national authorities (Sim et al., 2019). These nursing-sensitive quality indicators include various staff and quality measures that indicate the superiority or inferiority of nursing performance and its quality.  Some nursing-sensitive quality indicators are skill mix, nurse turnover, nursing care hours, patient falls, healthcare-associated infections, hospital readmission rates, and RN satisfaction scales. Hence, all novice nurses must have a comprehensive knowledge of these quality indicators to make their nursing practices up to the mark.

    Catheter-Associated Urinary Tract Infections – A Nursing Quality Indicator

    The particular quality indicator I selected in this tutorial to address nursing-sensitive quality indicators and their importance is catheter-associated urinary tract infections (CAUTIs). The CAUTIs are a nursing quality indicator that depicts the quality and performance of nursing practices in a healthcare organization. CAUTIs significantly impact patients’ safety and quality of life as these infections cause massive discomfort due to UTI symptoms of pain, urgency, and burning, leading to prolonged lengths of stay at the hospital.

    Furthermore, CAUTIs may lead to sepsis requiring prompt medication intervention, and if left untreated, it may lead to organ failure and death. CAUTIs are common in patients with weakened immunity and individuals with chronic diseases, such as older adults. In one US study, an average of 3.2 urinary tract infections/1000 catheter days occur in regular healthcare settings (Werneburg, 2022). Therefore, adequate assessment and monitoring of CAUTIs as a nursing quality indicator is essential for patient safety and improved quality of care. 

    The apprentice nurses need to be familiar with CAUTIs while providing patient care who require catheter insertion so that these infections are avoided, and patient safety is enhanced. Moreover, the quality of care can be improved when nurses will implement catheter insertion and removal protocols and guidelines by which UTI associated with catheter use is prevented. Therefore, novice nurses must be educated and trained on CAUTI prevention to provide the best possible quality of nursing care and enhance patient safety.

    Role Interdisciplinary Team in Gathering and Reporting Quality Indicator Data

    The incidence of CAUTIs advocates the need for an interdisciplinary team to collaboratively collect and report the data on CAUTIs to improve patient safety and health outcomes. Nurses hold a critical responsibility in reinforcing accurate reporting and promote effective results. When a particular patient experiences CAUTI in our organization, the nurse on duty immediately reports this outcome on electronic health records or manual chart profiles to bring practical improvements and facilitate credible data collection for evaluating this quality indicator.

    Furthermore, the nurses, physicians, quality improvement personnel, and infection control specialists collaboratively work in documenting and collecting data on catheter use, its insertion, maintenance, and proper removal, along with the rates of infections. After collecting data through EHR or manual records, the interdisciplinary team meets to review the gathered data and make prospective improvement plans, including establishing policies on implementing standardized catheter use and its maintenance, continuous monitoring, and infection prevention interventions. 

    Capella 4040 Assessment 4

    Furthermore, the interdisciplinary team collaboratively works to design and execute quality improvement initiatives that sustain continuous improvements in limiting CAUTIs incidence. This collaborative endeavor to reduce and eradicate CAUTIs in healthcare settings will enhance patient safety and improve patient care outcomes. Furthermore, by leveraging the cohesive expertise and knowledge of the interdisciplinary team in collecting data, the organization’s performance reports are improved. 

    An interdisciplinary team has a profound impact on data collection; for instance, accurate reporting of nurses plays a vital role in preventing mistakes of false recording of CAUTIs. Moreover, the routine huddles of the multidisciplinary team on catheter removal protocol and evaluation of adherence to guidelines by quality staff play an influential role in gathering accurate data. Furthermore, the interdisciplinary team strives to conduct a root-cause analysis to find practice gaps and provide precise data feedback to healthcare providers and relevant staff to improve the data collection process (Whitaker et al., 2022). Through the practical and collaborative work of interdisciplinary teams, data collection can become smooth, organized, and accurate. This helps an organization to enhance patient safety and improve patient care quality by implementing necessary strategies.

    Nursing-Sensitive Quality Indicators for Healthcare Organizations

    This section will highlight how healthcare organizations use nursing-sensitive quality indicators. Healthcare settings strive to deliver the best care treatments to patients to reduce the extent and intensity of their ailments. For this purpose, they continue to enhance their care services, treatment quality, and patient safety. They also improve health outcomes and organizational performance reports using data collected on nursing-sensitive quality indicators. The healthcare authorities, such as administration staff and the quality control department, collaboratively analyze the data on CAUTIs to understand the nursing performance on catheter use, insertion, maintenance, and removal.

    Furthermore, the collected data can show the CAUTI rates through increased sepsis rates, reduced patient satisfaction, and high use of antibiotics for the affected patients. This indicates that the healthcare authorities believe nursing care performance concerning catheter use is inferior. Moreover, this advocates the need for designing and implementing strategies that reduce CAUTIs and improve patient safety and quality of care. This can include implementing quality improvement initiatives and integrating evidence-based nursing protocols and standardized processes while performing catheter-related activities (McVey et al., 2022).

    The nursing-sensitive quality indicator of CAUTIs helps improve organizational performance reports in several ways. For instance, analyzing CAUTIs helps healthcare authorities learn about the nurses’ care practices, patient safety records, and overall hygiene of the healthcare setup. Thus, it provides organizations with an enhanced organizational performance report. 

    Evidence-Based Practice Guidelines for Nurses

    Nursing-sensitive quality indicators have the potential to initiate evidence-based practice guidelines for nurses to implement while utilizing patient care technologies. These practice guidelines facilitate patient safety, satisfaction, and health outcomes. One evident practice established due to CAUTIs includes using electronic health records to provide nurses with protocols on catheter care, data on catheter requirements, and timely removal (Scott et al., 2022). Adherence to these practice guidelines and protocols on catheter use can improve patient safety and prevent the onset of CAUTIs. Furthermore, portable ultrasound bladder scanners can be used as non-invasive patient care technology to identify bladder volume.

    Consequently, it will help nurses assess the suitable catheterization intervals leading to reduced unnecessary catheter use and improved patient safety (Topal et al., 2019). These research-based directions for nurses to practice when using urinary catheters established due to the incidence of CAUTIs help nurses improve patient safety, health outcomes and patient satisfaction.

    Conclusion

    To conclude, we discussed the objective of this audio tutorial on nursing-sensitive quality indicators. We further discussed these nursing-sensitive quality indicators and how they are used in healthcare organizations. The nursing-sensitive quality indicator discussed in this session was Catheter-associated urinary tract infection. We discussed the role of  interprofessional team in gathering and delineating CAUTIs data to improve patient safety, and organizational performance reports and patient care outcomes.

    Furthermore, we discussed the ways healthcare organizations use CAUTIs data reports to improve patient care outcomes, and patient safety. Lastly, we justified the ways CAUTIs established various authentic guidelines for nurses to implement on using urinary catheters to augment patient safety, satisfaction, and outcomes. These guidelines encompassed adherence to standardized catheter use protocols through EHR and the use of portable ultrasound bladder scanners to prevent the incidence of CAUTIs. Thank you.

    References

    McVey, C., von Wenckstern, T., Mills, C., Yager, L., McCauley, C., Rivera, Y., & Reed, E. (2022). Nurse-sensitive indicator quality improvement toolkit. Journal of Nursing Care Quality, 4. https://doi.org/10.1097/ncq.0000000000000634

    Scott, L., Oppy, L., Bishop, S., Stevenson, G., Garr, J., Johnson, C., Snyder, J., & Arnold, F. (2022). EHR integrated urine culture algorithm is an effective diagnostic stewardship strategy. American Journal of Infection Control, 50(7), S11. https://doi.org/10.1016/j.ajic.2022.03.074  

    Sim, J., Joyce‐McCoach, J., Gordon, R., & Kobel, C. (2019). Development of a data registry to evaluate the quality and safety of nursing practice. Journal of Advanced Nursing, 75(9), 1877–1888. https://doi.org/10.1111/jan.13967

    Topal, J., Conklin, S., Camp, K., Morris, V., Balcezak, T., & Herbert, P. (2019). Prevention of nosocomial catheter-associated urinary tract infections through computerized feedback to physicians and a nurse-directed protocol. American Journal of Medical Quality, 34(5), 430–435. https://doi.org/10.1177/1062860619873170 

    Werneburg, G. T. (2022). Catheter-Associated urinary tract infections: Current challenges and future prospects. Research and Reports in Urology, 14(14), 109–133. https://doi.org/10.2147/rru.s273663 

    Whitaker, A., Colgrove, G., Scheutzow, M., Ramic, M., Monaco, K., & Hill, J. L. (2022). Decreasing catheter-associated urinary tract infection (CAUTI) at a community academic medical center using a multidisciplinary team employing a multi-pronged approach during the COVID-19 pandemic. American Journal of Infection Control. https://doi.org/10.1016/j.ajic.2022.08.006 

    Capella 4040 Assessment 4