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Conabedian Quality Assessment Framework activity

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:
• Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system. Choose from the following list:
o Staffing measures.
 Nursing hours per patient day.
 RN education/certification.
 Skill mix.
 Nurse turnover.
 Nursing care hours in emergency departments, perioperative units, and perinatal units.
 Skill mix in emergency departments, perioperative units, and perinatal units.
o Quality measures.
 Patient falls.
 Patient falls with injury.
 Pressure ulcer prevalence.
 Health care-associated infections.
 Catheter-associated urinary tract infection.
 Central line catheter associated blood stream infection.
 Ventilator-associated pneumonia.
 Ventilator- associated events.
 Psychiatric physical/sexual assault rate.
 Restraint prevalence.
 Pediatric peripheral intravenous infiltration rate.
 Pediatric pain assessment, intervention, reassessment (air) cycle.
 Falls in ambulatory settings.
 Pressure ulcer incidence rates from electronic health records.
 Hospital readmission rates.
 RN satisfaction survey options.
 Job satisfaction scales.
 Job satisfaction scales – short form.
 Practice environment scale.
• Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

Sample Answer

Nursing-sensitive quality indicators (NSQIs) are measures of the quality of care that can be influenced by nurses. NSQIs are important because they can help to identify areas where nurses can improve care and make a difference in patient outcomes.

There are many different NSQIs, but some of the most important ones include:

Patient falls: Patient falls are a major safety concern in hospitals and other healthcare settings. Nurses can help to prevent patient falls by assessing patients for fall risk, providing fall prevention interventions, and monitoring patients for signs of instability.

Full Answer Section

Pressure ulcers: Pressure ulcers are sores that can develop on the skin when it is not properly cared for. Nurses can help to prevent pressure ulcers by regularly repositioning patients, providing skin care, and using pressure-relieving mattresses and cushions.
Healthcare-associated infections: Healthcare-associated infections (HAIs) are infections that patients acquire while they are receiving care in a healthcare setting. Nurses can help to prevent HAIs by following infection control practices, such as handwashing, using sterile equipment, and cleaning patients’ rooms.
Catheter-associated urinary tract infections: Catheter-associated urinary tract infections (CAUTIs) are infections that can develop in patients who have urinary catheters. Nurses can help to prevent CAUTIs by using sterile technique when inserting and caring for urinary catheters, and by emptying and changing catheters on a regular basis.
Central line catheter associated blood stream infections: Central line catheter associated blood stream infections (CLABSIs) are infections that can develop in patients who have central line catheters. Nurses can help to prevent CLABSIs by using sterile technique when inserting and caring for central line catheters, and by changing catheters on a regular basis.
Ventilator-associated pneumonia: Ventilator-associated pneumonia (VAP) is a type of pneumonia that can develop in patients who are on ventilators. Nurses can help to prevent VAP by using sterile technique when suctioning patients, and by changing ventilator tubing on a regular basis.

The Importance of NSQIs

NSQIs are important because they can help to identify areas where nurses can improve care and make a difference in patient outcomes. By tracking NSQIs, nurses can identify trends and patterns that can help them to target their interventions and improve care. For example, if a hospital sees an increase in the number of patient falls, nurses can investigate the reasons for the increase and implement interventions to prevent falls.

NSQIs can also be used to compare the quality of care between different healthcare settings. This information can be used to improve care across the healthcare system. For example, if a hospital has a higher rate of CAUTIs than other hospitals, it can use this information to identify areas where it can improve its infection control practices.

Conclusion

NSQIs are an important tool for nurses to use to improve the quality of care. By tracking NSQIs, nurses can identify areas where they can improve care and make a difference in patient outcomes.

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Conabedian Quality Assessment Framework activity

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