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Prepare an 8–10 minute audio training tutorial (video is optional) for new nurses
on the importance of nursing-sensitive quality indicators.
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Introduction
The focus of Assessment 4 is on how informatics support monitoring of
nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or
video) training module to orient new nurses in a workplace to a single
nursing-sensitive quality indicator critical to the organization. Your recording will
address how data are collected and disseminated across the organization along
with the nurses’ role in supporting accurate reporting and high quality results.
Professional Context
The American Nursing Association (ANA) established the National Database of
Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality
indicators heavily influenced by nursing action.
NDNQI® was established as a standardized approach to evaluating nursing
performance in relation to patient outcomes. It provides a database and quality
measurement program to track clinical performance and to compare nursing
quality measures against other hospital data at the national, regional, and state
levels. Nursing-sensitive quality indicators help establish evidence-based
practice guidelines in the inpatient and outpatient settings to enhance quality
care outcomes and initiate quality improvement educational programs, outreach,
and protocol development.
The quality indicators the NDNQI® monitors are organized into three categories:
structure, process, and outcome. Theorist Avedis Donabedian first identified
these categories. Donabedian’s theory of quality health care focused on the links
between quality outcomes and the structures and processes of care (Grove et al.,
2018).
Nurses must be knowledgeable about the indicators their workplaces monitor.
Some nurses deliver direct patient care that leads to a monitored outcome. Other
nurses may be involved in data collection and analysis. In addition, monitoring
organizations, including managed care entities, exist to gather data from
individual organizations to analyze overall industry quality. All of these roles are
important to advance quality and safety outcomes.
Reference
Grove, S. K., Gray, J. R., Jay, G. W., Jay, H. M., & Burns, N. (2018). Understanding
nursing research: Building an evidence-based practice (7th ed.). Elsevier.
Preparation
As you begin to prepare this assessment you are encouraged to complete the
Conabedian Quality Assessment Framework activity. Quality health care delivery
requires systematic action. Completion of this will help you succeed with the
assessment as you consider how the triad of structure (such as the hospital,
clinic, provider qualifications/organizational characteristics) and process (such
as the delivery/coordination/education/protocols/practice style or standard of
care) may be modified to achieve quality outcomes.
This assessment requires you to prepare an 8–10 minute audio training tutorial
(with optional video) for new nurses on the importance of nursing-sensitive
quality indicators. To successfully prepare for your assessment, you will need to
complete the following preparatory activities:
● Review the nursing-sensitive quality indicators presented in the
Assessment 04 Supplement: Informatics and Nursing Sensitive quality
Indicators [PDF]
● Download Assessment 04 Supplement: Informatics and Nursing
Sensitive quality Indicators [PDF]
● resource and select one nursing-sensitive quality indicator to use as the
focus for this assessment.
● Conduct independent research on the most current information about
the selected nursing-sensitive quality indicator.
● Interview a professional colleague or contact who is familiar with quality
monitoring and how technology can help to collect and report quality
indicator data. You do not need to submit the transcript of your
conversation, but do integrate what you learned from the interview into
the audio tutorial. Consider these questions for your interview:
○ What is your experience with collecting data and entering it
into a database?
○ What challenges have you experienced?
○ How does your organization share with the nursing staff and
other members of the health care system the quality
improvement monitoring results?
○ What role do bedside nurses and other frontline staff have in
entering the data? For example, do staff members enter the
information into an electronic medical record for extraction?
Or do they enter it into another system? How effective is this
process?
● Watch the Informatics and Nursing-Sensitive Quality Indicators Video
Exemplar.
Recording Your Presentation
To prepare to record the audio for your presentation, complete the following:
● Set up and test your microphone or headset using the installation
instructions provided by the manufacturer. You only need to use the
headset if your audio is not clear and high quality when captured by the
microphone.
● Practice using the equipment to ensure the audio quality is sufficient.
● Review Using Kaltura for Kaltura to record your presentation.
● View Creating a Presentation: A Guide to Writing and Speaking. This
video addresses the primary areas involved in creating effective
audiovisual presentations. You can return to this resource throughout
the process of creating your presentation to view the tutorial
appropriate for you at each stage.
Notes:
● You may use other tools to record your tutorial. You will, however, need
to consult Using Kaltura for instructions on how to upload your
audio-recorded tutorial into the courseroom, or you must provide a
working link your instructor can easily access.
● You may also choose to create a video of your tutorial, but this is not
required.
● If you require the use of assistive technology or alternative
communication methods to participate in this activity, please contact
[email protected] to request accommodations.
Instructions
For this assessment, first review the nursing-sensitive quality indicators
presented in the Assessment 04 Supplement: Informatics and Nursing Sensitive
quality Indicators [PDF]
Download Assessment 04 Supplement: Informatics and Nursing Sensitive quality
Indicators [PDF]
resource and select one nursing-sensitive quality indicator to use as the focus for
this assessment.
Next, imagine you are a member of a Quality Improvement Council at any type of
health care system, whether acute, ambulatory, home health, managed care, et
cetera. Your Council has identified that newly hired nurses would benefit from
comprehensive training on the importance of nursing-sensitive quality indicators.
The Council would like the training to address how this information is collected
and disseminated across the organization. It would also like the training to
describe the role nurses have in accurate reporting and high-quality results.
The Council indicates a recording is preferable to a written fact sheet due to the
popularity of audio blogs. In this way, new hires can listen to the tutorial on their
own time using their phone or other device.
As a result of this need, you offer to create an audio tutorial orienting new hires
to these topics. You know that you will need a script to guide your audio
recording. You also plan to incorporate into your script the insights you learned
from conducting an interview with an authority on quality monitoring and the use
of technology to collect and report quality indicator data.
You determine that you will cover the following topics in your audio tutorial
script:
Introduction: Nursing-Sensitive Quality Indicator
● What is the National Database of Nursing-Sensitive Quality Indicators?
● What are nursing-sensitive quality indicators?
● Which particular quality indicator did you select to address in your
tutorial?
● Why is this quality indicator important to monitor?
○ Be sure to address the impact of this indicator on the quality
of care and patient safety.
● Why do new nurses need to be familiar with this particular quality
indicator when providing patient care?
Collection and Distribution of Quality Indicator Data
● According to your interview and other resources, how does your
organization collect data on this quality indicator?
● How does the organization disseminate aggregate data?
● What role do nurses play in supporting accurate reporting and
high-quality results?
○ As an example, consider the importance of accurately
entering data regarding nursing interventions.
After completing your script, practice delivering your tutorial several times before
recording it.
Additional Requirements
● Audio communication: Deliver a professional, effective audio tutorial on
a selected quality indicator that engages new nurses and motivates
them to accurately report quality data in a timely fashion.
● Length: 8–10 minute audio recording. Use Kaltura to upload your
recording to the courseroom, or provide a working link your instructor
can access.
● Script: A separate document with the script or speaker’s notes is
required. Important: Submissions that do not include the script or
speaker’s notes will be returned as a non-performance.
● References: Cite a minimum of three scholarly and/or authoritative
sources.
● APA: Submit, along with the recording, a separate reference page that
follows APA style and formatting guidelines. For an APA refresher,
consult the Evidence and APA page on Campus.
Competencies Measured
By successfully completing this assessment, you will demonstrate your
proficiency in the following course competencies and scoring guide criteria:
● Competency 1: Describe nurses’ and the interdisciplinary team’s role in
informatics with a focus on electronic health information and patient
care technology to support decision making.
○ Describe the interdisciplinary team’s role in collecting and
reporting quality indicator data to enhance patient safety,
patient care outcomes, and organizational performance
reports.
● Competency 3: Evaluate the impact of patient care technologies on
desired outcomes.
○ Explain how a health care organization uses nursing-sensitive
quality indicators to enhance patient safety, patient care
outcomes, and organizational performance reports.
● Competency 4: Recommend the use of a technology to enhance quality
and safety standards for patients.
○ Justify how a nursing-sensitive quality indicator establishes
evidence-based practice guidelines for nurses to follow when
using patient care technologies to enhance patient safety,
satisfaction, and outcomes.
● Competency 5: Apply professional, scholarly communication to
facilitate use of health information and patient care technologies.
○ Deliver a professional, effective audio tutorial on a selected
quality indicator that engages new nurses and motivates them
to accurately report quality data in a timely fashion.
○ Follow APA style and formatting guidelines for citations and
references.
Informatics and Nursing-Sensitive Quality
Indicators Scoring Guide
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Use the resources linked below to help complete this assessment.
Expand All
Nursing Quality Databases
● HealthLinks. (n.d.). NDNQI. https://www.health-links.me/web/ndnqi.html
● Evangelou, E., Lambrinou, E., Kouta, C., & Middleton, N. (2018). Identifying
validated nursing quality indicators for the intensive care unit: An integrative
review. Connect: Critical Care Nursing in Europe, 12(2), 28–39.
● Ju, Q. -Y., Huang, L. -H., Zhao, X. -H., Xing, M. -Y., Shao, L. -W., Zhang, M.
-Y., & Shao, R. -Y. (2018). Development of evidence‐based nursing‐sensitive
quality indicators for emergency nursing: A Delphi study. Journal of Clinical
Nursing, 27(15–16), 3008–3019.
● Start, R., Matlock, A. M., Brown, D., Aronow, H., & Soban, L. (2018).
Realizing momentum and synergy: Benchmarking meaningful ambulatory
care nurse-sensitive indicators. Nursing Economics, 36(5), 246–251.
● Thomas-Hawkins, C., Latham, C. E., & Hain, D. J. (2017). Emphasizing the
value of nephrology nursing through nursing-sensitive indicators: A call for
action. Nephrology Nursing Journal, 44(4), 317–325.–
ANA Documentation Standards
● Connolly, D., & Wright, F. (2017). The nursing quality indicator framework tool.
International Journal of Health Care Quality Assurance, 30(7), 603–616.
○ This paper presents a nursing quality indicator (NQI) framework
using multiple approaches that provides a comprehensive reporting
mechanism for nursing care.
● Egbert, N., Thye, J., Hackl, W. O., Müller-Staub, M., Ammenwerth, E., &
Hübner. U. (2018). Competencies for nursing in a digital world. Methodology,
results, and use of the DACH-recommendations for nursing informatics core
competency areas in Austria, Germany, and Switzerland. Informatics for
Health and Social Care, 44(4), 351–375.
○ Informatics and documentation competencies are highlighted.
● Nam, A., Naimark, D. M. J., Stanbrook, M. B., & Krahn, M. D. (2019). Using a
health economic framework to prioritize quality indicators: An example with
smoking cessation in chronic obstructive pulmonary disease. MDM Policy &
Practice, 4(1), 1–11.
○ This article provides examples of practical application of quality
indicators.
● Rodenberg, H., Shay, L., Sheffield, K., & Dange, Y. (2019). The expanding
role of clinical documentation improvement programs in research and
analytics. Perspectives in Health Information Management, 1–10.
○ The authors discuss informatics and documentation standards.
Quality Indicator Frameworks
● Fremmelevholm, A., & Soegaard, K. (2019). Pressure ulcer prevention in
hospitals: A successful nurse-led clinical quality improvement intervention.
British Journal of Nursing, 28(6), S6–S11.
● Henry, M. (2019). Nursing education program for hospital-acquired pressure
injury prevention in adult acute care setting: A quality improvement project.
Journal of Wound, Ostomy & Continence Nursing, 46, 161–164.
● Ju, Q. -Y., Huang, L. -H., Zhao, X. -H., Xing, M. -Y., Shao, L. -W., Zhang, M.
-Y., & Shao, R. -Y. (2018). Development of evidence‐based nursing‐sensitive
quality indicators for emergency nursing: A Delphi study. Journal of Clinical
Nursing, 27(15–16), 3008–3019.
○ This article reports on the efforts to establish evidence-based
nursing‐sensitive quality indicators for emergency nursing in
China.
● MacDonald, V., Maher, A. B., Mainz, H., Meehan, A. J., Brent, L., Hommel, A.,
Hertz, K., Taylor, A., & Sheehan, K. J. (2018). Developing and testing an
international audit of nursing quality indicators for older adults with fragility hip
fracture. Orthopaedic Nursing, 37(2), 115–121.
○ This article examines an audit process created to identify the
extent to which accepted nursing quality care indicators for older
adults are reflected in acute care policies and protocols.
● Rahn, D. J. (2016). Transformational teamwork: Exploring the impact of
nursing teamwork on nurse-sensitive quality indicators. Journal of Nursing
Care Quality, 31(3), 262–268.
○ This study investigates the relationship between nursing teamwork
and NDNQI® outcomes, including pressure ulcers, falls, and
catheter-associated urinary tract infections.
Assessment 04 –
Informatics and Nursing-Sensitive Quality Indicators
For this assessment, you will prepare an 8–10 minute audio training tutorial (video is optional)
for new nurses on the importance of nursing-sensitive quality indicators.
Before you complete the detailed instructions in the courseroom, first review the NursingSensitive Quality Indicators below and select the one you’re most interested in. NursingSensitive Quality Indicators reflect the structure, process, and patient outcomes of nursing care.
Nursing-Sensitive Quality Indicators are developed by identifying potential indicators that reflect
nursing care and are not represented by current indicators, performing a literature review, and
determining the validity of the potential indicator in nursing practice.
After you select one of the Nursing-Sensitive Quality Indicators below, return to the courseroom
to review the detailed instructions and complete your assessment.
•
•
•
•
•
Patient Falls With Injury – Process and Outcome.
Pressure Ulcer Rate – Process and Outcome.
Pediatric Pain Assessment, Intervention, and Reassessment – Process and
Outcome.
Restraint Prevalence – Process and Outcome.
RN Education/Specialty Certification – Structure.
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