National Database of Nursing Quality Indicators (NDNQI) data enables nurses as well as nursing leadership to assess and evaluate nursing performance in association to patient outcomes. Hospitals or medical institutions can employ the information to institute organizational goals and objectives for improvement at the unit level and take into account progress in enhancing patient care and the work setting. It can also aid the medical facility in evading costly complications. The data analysis for Nurse-Sensitive Quality Indicators for Adams 5 Inpatient Rehab Unit analyzed and measured four quarters of performance: Q2 FY09, Q3FY09, Q4FY09 and Q1 FY10. Also, it covers four different areas such as NDNQI (National Database of Nursing Quality Indicators) data, Nurse-Sensitive Service line/Unit Specific Indicators, Nurse-Sensitive General Indicators, and Nurse-Sensitive Patient Satisfaction Survey Indicators.
Based on the data presented in the dashboard, the selected NDNQI that needs improvement is pressure ulcer. The occurrence of pressure ulcers has been acknowledged as an indicator of health care quality as well as patient safety. This is linked to the fact that it is a prevalent clinical complication that impacts several patients in acute care. In this case, the pressure ulcer indicator is specifically selected owing to the poor outcomes that are perceptible. In the first quarter, it starts out with a negative variance of 17.16 percent....
In the second quarter, there is slight improvement though there continues to be negative variance of 9.69 percent. In the third quarter, there are positive outcomes with a positive variance of 2.84 percent. However, in the last quarter, the indicator for pressure ulcers shows a negative variance of 5.86 percent.
Suggestions for improvement and Best Practices
There are best practices from evidence-based literature that supports the nursing plan delineated above. One of the best practices is comprehensive skin care assessment. In delineation this is a procedure in which the whole skin of every person is assessed for any kind of abnormalities. With respect to pressure ulcer, comprehensive skin assessment has different significant goals and functions that comprise of pinpointing pressure ulcers that might be existent, ascertaining whether there are lesions as well as skin-related factors inclining to pressure ulcer development. There is also the identification of other significant skin conditions and providing the data essential for the calculation of pressure ulcer incidence and prevalence (Anderson et al., 2008). Most of all, in order to improve the results, it is imperative to remember that comprehensive skin assessment is not a singular event that is restricted to admission. There is the need for incessant repetition on a regular basis to ascertain whether any changes in the condition of the skin…
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