Question

What performance measures are identified in The National Database of Nursing Quality Indicators?

Answer 1

the national database of nursing quality indicators used 6 indicators for  implementation.According to feasibility testing, initially a set of  indicators are selected.they are falls, falls with injury, nursing care of patient hours per day, skill mix, pressure ulcer prevalence, hospital acquired pressure ulcer prevalence. the registered satff nurse job satisfaction indicator was tested and which was implemented in 2002 the job sstisfaction survey  was conducted to identify job environment in order to retain staff nurse in job

1. main indicator used in National database quality indicator is nursing hours per patient and subndicator are registered nurse, licensed practical nurses and unlicensed assistive personal and the resulted outcome is structued one.

2. main indicator usedfor in national database quality indicatoris patinet falls and injury and sub indicator is injury level and showed under process and outcome

3. main indiactor are used in patient falls and results are under process

4. main indicators used in national database quality indiactors, are peadiatric pain assessment, intrevention, reassessment ,results under process

5. main indicators used in national database in quaity indicators are pediatric peripheral intravenous infilteration rate and showed outcome

6. main indiactors are pressure ulcer prevalence and their subindicators are community acquired, hospital acquired, unit acquired and results are under process and showed outcome

7.psychiatrci physical/sexual assault rate and it showed outcom

9.main indicators used in national database quality indicators, is  Restraint prevalence and showed outcome

9. main indicators used in National database quality indiactors, is RN education/certification and showed structure

10. main indicators is RN satisfaction surveyan and  sub indicators are job satisfaction, job satsfaction scale, short form, practice environment scale and under proces and outcome

11.main indicators is skil mix : percentage of totalnursing hours supplied by and sub indicators are Registered Nurse, licensed practical nurse, licensed vocational nurse, vocational assistive personnel and results are structure.

12main indicator is voluntary turnoverand resulted structure

13. main indicator used in national database quality indicators is nurse vacancy rate and results structure

14. Nosocominal infections a. urinary catheter associated urinary tract b. central line catheter associated blood stream infections, ventilator associated pneumonia.and is under process and showed outcome.

there are 15 standard measurs have been identified by national database quality indicator of which 13 was implemented by national database quality indicator. 3 additional indicators are scheduled for implementation. implemented 13 measures of which 8 are national quality framework. national quality framework have process in order to endorse measures. they are consenses standard development, widespread review, memeber voting,member council approval, boards of directors action, evaluation.

the study also yielded a good respose on the higher staffing will lower incidence of patient and injury. there also strong corelation between the incidence of falls and skill mix, nursing hours.   the pressure ulcer an dwound managemnet depends on the certification means the qualification of the staff. the higher qualification staff provide quality care to the individuals. there are various staff nurse elements that cause major effect on the patients outcome, they are skill mix, staff nurse, staff nursing processes. by the identification correlation between structures and outcome and observed nursing outcome causes major outcome and benefit  in care of patient.there is also increase knowledge of staff increase outcome of patient.