Data-Driven Nursing Intervention

Quality Indicators

The dashboard presents 14 quality indicators that drive the nursing interventions and practices at the Walden Hospital of Minneapolis. The 14 quality indicators are divided into two; the NDNQI indicators (8) and the Nurse-Sensitive Patient Survey Indicators (NSPSI) (6). NDNQI indicators target to reduce negative patient outcomes like hospital-acquired pressure ulcers, community-acquired pressure ulcers, total falls per 1000 days; patient falls with injuries and nosocomial infections. NDNQI indicators also target to improve the rates of factors like Nursing Hours Per Patient Day (NHPPD), RN Education BSN, and RN Education Certification.

On the other side of the division, the hospital intends to improve the Nurse-Sensitive Patient Survey Indicators (NSPSI). The indicators include; courtesy, promptness, specific needs attention, pain response, home instruction, and well-coordinated care. Recent research from evidence-based sources asserts that quality indicators are essential in providing and enhancing quality care treatment (Johnson et al., 2020). In this case, the higher the quality indicators, the higher the quality of care delivered.

Dashboard Analysis of Data

The analysis can be achieved by comparing the current performance rate versus the targeted rate. For instance, a list of the indicators that are performing well from both the NDNQI indicators and the Nurse-Sensitive Patient Survey Indicators (NSPSI) includes; Hours Per Patient Day (NHPPD), community-acquired pressure ulcers, patient falls with injuries, nosocomial infections, RN Education BSN, RN courtesy, promptness, attention to specific needs, home instruction, and well-coordinated care. On the contrary, the poorly performing indicators include hospital-acquired pressure ulcers, total falls per 1000 days, RN Education Certification, and response to pain. More evidence clarifies that nursing courtesy massively edges on cultural, ethical, and racial priorities set forth by the healthcare organization (Busse et al., 2019). On the other end, an area that requires immediate intervention is the quality of home instructions because some patients may not complete the prescription.

Findings

The statistics in the dashboard indicate the desire to help hospitals operate free or minimize negative healthcare-related outcomes such as hospital-acquired pressure ulcers, community-acquired pressure ulcers, total falls per 1000 days; patient falls with injuries and nosocomial infections. The general performance improvement objective dangerously edges on community initiatives due to tough socio-economic times. Additionally, the dashboard statistics also show the significance of improving the Nurse-Sensitive Patient Survey Indicators (NSPSI) like courtesy, promptness, specific needs attention, response to pain, home instruction, wel l-coordinated care, RN Education BSN, and RN Education certification in the contemporary healthcare system.

Studies affirm that the quality of care can only be determined from the patient’s perspective rather than the healthcare provider’s competence (Rollo et al., 2020). In regards, there is enough evidence showing that improving the NSPSI indicators is essential in enhancing the reputation, operation costs, and level of satisfaction of healthcare organizations.

Dashboard Purpose

The core objective of the dashboard is to simplify the relationship between quality of care and several other variables (Peñacoba et al., 2021). No specific standardized practice is used to determine the quality of care or treatment because patients’ needs keep changing with each dawn. Moreover, some patients decline medication despite the healthcare professional’s expert opinion. Thus, this compromises the quality of care but has little to do with physicians’ and nurses’ qualifications and more with patients’ treatment priorities and beliefs.

Essentially, several elements are required when creating a dashboard, particularly for data-driven nursing intervention. According to Buttigieg et al. (2017), the factors include defined objectives for the dashboard, relevant data sources, and Key Performance Indicators (KPIs). Effective dashboard functionality requires data visualization, real-time updates, regular data analysis and interpretation, and continuous evaluation and improvement.

Performance Improvement Plan

One indicator that needs great improvement is the rate of patient fall with injury. The performance improvement plan primarily focuses on minimizing clinical-related complications such as falls with injury. Statistics from the dashboard reveal a current rate of 2.50, with the hospital targeting to reduce it to 2.12. The general performance improvement objective dangerously edges on community initiatives due to tough socio-economic times.

The selected indicators can work with three major evidence-based practices as an effective solution plan. According toTucker et al. (2019), the three major evidence-based interventions include an hourly rounding program, the use of bed and chair alarms, and a multifactorial fall risk assessment program.

Explanation

Each performance will be improved differently based on the method of deployment. For instance, nursing shortages can address the home instructions dilemma because more nurses would otherwise be assigned to monitor the completion of after-care prescriptions (Buerhaus, 2021). Conversely, the response rate to patients that need emergency or typical attention would also be ideally addressed by coordinated care between professionals and other agencies. This way, no single patient can go on record to state that the quality of treatment was compromised due to insufficient professionals or lack of cooperation from competent providers.

Summary

The above discussion has provided a condensed but informative detail about the variables that healthcare providers consider while providing quality care and evidence-based practice. It has emerged that the quality of care has everything to do with patients’ attitudes, priorities, and treatment preferences as opposed to healthcare providers’ job qualifications. The dilemma of patients’ refusal of medication is a grey area in the discussion of quality care provision because while health experts are expected to listen to and respect patients’ requests and desires in terms of treatment options, they are stuck with knowing they did not do enough to treat the patient.

References

Buerhaus, P. I. (2021). Current nursing shortages could have long-lasting consequences: Time to change our present course. Nursing Economics, 39(5), 247-250.

Busse, R., Klazinga, N., Panteli, D., Quentin, W., & World Health Organization. (2019). Improving healthcare quality in Europe: Characteristics, effectiveness and implementation of different strategies. World Health Organization. Regional Office for Europe.

Buttigieg, S. C., Pace, A., & Rathert, C. (2017). Hospital performance dashboards: a literature review. Journal of health organization and management, 31(3), 385-406.

Drennan, V. M., & Ross, F. (2019). Global nurse shortages: the facts, the impact and action for change. British medical bulletin, 130(1), 25-37.

Johnson, J. L., Adkins, D., & Chauvin, S. (2020). A review of the quality indicators of rigour in qualitative research. American Journal of Pharmaceutical Education, 84(1).

Peñacoba, C., Catala, P., Velasco, L., Carmona‐Monge, F. J., Garcia‐Hedrera, F. J., & Gil‐Almagro, F. (2021). Stress and quality of life of intensive care nurses during the COVID‐19 pandemic: Self‐efficacy and resilience as resources. Nursing in critical care, 26(6), 493-500.

Rollo, S., Antsygina, O., & Tremblay, M. S. (2020). The whole day matters: understanding 24-hour movement guideline adherence and relationships with health indicators across the lifespan. Journal of Sport and Health Science, 9(6), 493–510. https://www.sciencedirect.com/science/article/pii/S2095254620300910

Tucker, S., Sheikholeslami, D., Farrington, M., Picone, D., Johnson, J., Matthews, G., … & Cullen, L. (2019). Patient, nurse, and organizational factors that influence Evidence‐Based fall prevention for hospitalized oncology patients: an exploratory study. Worldviews on Evidence‐Based Nursing, 16(2), 111–120.