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Summary C489 Task 1 .docx C489 Organizational Systems and Quality Leadership €“ C489 TASK 1 Western Governors University Organizational Systems and Quality Leadership
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1 C489 Organizational Systems and Quality Leadership – C489 TASK 1 Western Governors University Organizational Systems and Quality Leadership Task 1 A. Understanding of Nursing Quality Indicators For the task assigned I will be using nursing quality indicators (NQI) to help ...

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  • September 7, 2022
  • 5
  • 2022/2023
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  • summary c489 task 1 docx c489 organizational systems and quality leadership €“ c489 task 1 western governors university organizational systems and quality leadership
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Summary C489 Task 1 .docx C489 Organizational Systems and Quality Leadership €“ C489 TASK 1 Western Governors University Organizational Systems and Quality Lea


Running head: Organizational Systems Task 1 !1




Organizational Systems and Quality Leadership

Task 1

Western Governors University




This study source was downloaded by 100000844708667 from CourseHero.com on 09-07-2022 06:48:30 GMT -05:00


https://www.coursehero.com/file/32959046/C489Task1pdf/

, Running head: Organizational Systems Task 1 !2


A. UNDERSTANDING OF NURSING QUALITY INDICATORS

Nursing quality indicators (NQI) is a quarterly and annual reporting of the evaluation of

quality patient-care satisfaction in response to the quality of nursing care provided (Montalvo,

2007). The nursing sensitive indicators (NSI) are components applied directly in nursing practice

in providing quality patient-care satisfaction. The three types of NSI are: a) structure explores the

availability, mix, experience, and educational level of the staff; b) process analyzes the methods

of assessment and care and types intervention applied in nursing-care, and staff satisfaction with

their job, and c) outcome is a result of improved patient well-being with response to the quantity

and quality of nursing care implemented—which includes pressure ulcers, infection rates, and

patient satisfaction (Sauls, 2013).

Based on the scenario about Mr. J, a 72-year old, retired rabbi with a diagnosis of mild

dementia, I have identified three NQI—pressure ulcer prevalence (process and outcome), re-

straint prevalence (outcome), and registered nurse (RN) education/certification (structure), appli-

cation to help nurses in determining the cause of an ineffective patient care. In the beginning of

the scenario, it was clearly stated that Mr. J was on physical restraints, but no explanation as to

why it was necessary, and prevalence in the facility. “The Joint Commission allows for physical

restraints to be used only when other interventions are unsuccessful in controlling harmful be-

havior” (Fronczek, 2014). However, this is not the case for Mr. J, there was no mention of harm-

ful behavior that threatens his safety and/or the staffs’ safety. Alternatively, staff may have used a

less restrictive intervention to ensure Mr. J’s safety such as: a) use of a Posey alarm (chair/bed

alarm); b) assign an unlicensed assisting personnel (UAP) as a sitter, and moving the patient

closer to the nursing station for immediate nursing intervention—frequent checks, and reorienta-



This study source was downloaded by 100000844708667 from CourseHero.com on 09-07-2022 06:48:30 GMT -05:00


https://www.coursehero.com/file/32959046/C489Task1pdf/

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