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{"id":199342,"date":"2022-01-26T20:27:20","date_gmt":"2022-01-26T20:27:20","guid":{"rendered":"https:\/\/nursingwritershelp.com\/?p=199342"},"modified":"2022-01-26T20:27:20","modified_gmt":"2022-01-26T20:27:20","slug":"discuss-how-an-understanding-of-nursing-sensitive-indicators-could-assist-the-nurses-in-this-case-in-identifying-issues-that-may-interfere-with-patient-care-b-analyze-how-hospital-data-on-specific-n-3","status":"publish","type":"post","link":"https:\/\/nursingwritershelp.com\/discuss-how-an-understanding-of-nursing-sensitive-indicators-could-assist-the-nurses-in-this-case-in-identifying-issues-that-may-interfere-with-patient-care-b-analyze-how-hospital-data-on-specific-n-3\/","title":{"rendered":"Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital. C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario."},"content":{"rendered":"

Introduction:
National initiatives driven by the American Nurses Association have determined nursing-sensitive outcome indicators that are intended to focus plans and programs to increase quality and safety in patient care. The following outcomes are commonly used nursing-sensitive indicators:\u2022 Complications such as urinary tract infections, pressure ulcers, hospital acquired pneumonia, and DVT\u2022 Patient falls\u2022 Surgical patient complications, including infection, pulmonary failure, and metabolic derangement\u2022 Length of patient hospital stay\u2022 Restraint prevalence\u2022 Incidence of failure to rescue, which could potentially result in increased morbidity or mortality\u2022 Patient satisfaction\u2022 Nurse satisfaction and staffing Scenario:<\/p>\n

Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for treatment of a fractured right hip after falling in his home. He has received pain medication and is drowsy, but he answers simple questions appropriately.<\/p>\n

A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his daughter and was able to ask her to remove the restraints so he could be helped to the bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in bed, his daughter noticed a red, depressed area over Mr. J\u2019s lower spine, similar to a severe sunburn. She reported the incident to the CNA who replied, \u201cOh, that is not anything to worry about. It will go away as soon as he gets up.\u201d The CNA helped Mr. J to the bathroom and then returned him to bed where she had him lie on his back so she could reapply the restraints.<\/p>\n

The diet order for Mr. J was \u201cregular, kosher, chopped meat.\u201d The day after his daughter arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The meal served was labeled, \u201cregular, chopped meat.\u201d The tray contained the remains of a chopped pork cutlet.<\/p>\n

The nurse notified the supervisor, who said, \u201cJust keep it quiet. It will be okay.\u201d The nursing supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff on duty what had happened.<\/p>\n

When the patient\u2019s daughter visited later that night, she was not told of the incident.<\/p>\n

The next night, the daughter was present at suppertime when the tray was delivered by a dietary worker. The worker said to the patient\u2019s daughter, \u201cI\u2019m so sorry about the pork cutlet last night.\u201d The daughter asked what had happened and was told that there had been \u201ca mix up in the order.\u201d The daughter then asked the nurse about the incident. The nurse, while confirming the incident, told the daughter, \u201cHalf a pork cutlet never killed anyone.\u201d<\/p>\n

The daughter then called the physician, who called the hospital administrator. The physician, who is also Jewish, told the administrator that he has had several complaints over the past six months from his hospitalized Jewish patients who felt that their dietary requests were not taken seriously by the hospital employees.<\/p>\n

The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town\u2019s few Jewish members usually receive care from a Jewish hospital 20 miles away in a larger city.<\/p>\n

Task: Analyze the scenario (suggested length of 2\u20133 pages) by doing the following: A. Discuss how an understanding of nursing-sensitive indicators could assist the nurses in this case in identifying issues that may interfere with patient care. B. Analyze how hospital data on specific nursing-sensitive indicators (such as incidence of pressure ulcers and prevalence of restraints) could advance quality patient care throughout the hospital. C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift supervisor, could use to resolve the ethical issue in this scenario.<\/p>\n \n

\"Looking for a Similar Assignment? Order now and Get 10% Discount! Use Code \"Newclient\"<\/h5>\n\"\"<\/a>\n\n","protected":false},"excerpt":{"rendered":"

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