A. Discuss how the application of nursing-quality indicators could assist the nurses in
this case in identifying issues that may interfere with patient care.
The National Database of Nursing Quality Indicators was developed to determine areas
where improvement in nursing behaviors favorably impacted patient safety and facilitated
quality improvement. Evaluating the quality of nursing care was initiated by Florence
Nightingale when she noted the nurse’s role in health care quality and measured patient
outcomes. Nightingale used data to report processes and outcome, as well as generate changes to
improve these outcomes. Over the years her quality improvement strategies for nursing health
care have evolved. [ CITATION Nig59 \l 1033 ] Current day indicators continue to be specific
and unique to nursing and are separate from medical indicators of quality care. These indicators
are Nursing Hours per Patient Day, Patient Falls, Patient Falls with Injury, Pediatric Pain
RN Education /Certification. [ CITATION Mon07 \l 1033 ]. Good health care coordination for
this patient should have included a focus on the high-risk identifiers of Pressure Ulcer Prevalence
and Restraint Prevalence.
B. Analyze how hospital data of specific nursing-quality indicators (such as incidence
of pressure ulcers and prevalence of restraints) could advance quality patient care
throughout the hospital.
The patient has been placed in (assumably) non-violent restraints due to his mild dementia
and administration of high-risk medication; which could be factors in risk of fall, harm to self
and/or others. Although the patient answers questions appropriately, continued assessment
should be documented. Patient chart should be reviewed to determine if the dementia and other
health history could contribute to this application. Assessing the patient hourly allows treatment
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