Nursing quality indicators is the measurement and indicators that show the structural, processes and the result of nursing cure, according to the American Nurses Association, for a patient to experience proper treatment during the period of illness the quality indicators must be upheld. This procedure helps the relationship between the patient and the medical personnel. The measurement is crucial because they show the effect on a nursing cure. Moreover, there majorly presented in three types, namely: Patient satisfaction, clinical quality, and nurse satisfaction.
In this case scenario, nursing quality indicator aspects application helps the nurse to identify matters arising that may interrupt patient care. The structural indicator includes the supply of using staff, nursing skills, and certification and knowledge of nursing staff (Frankel, Leonard, Simmonds, et al. .2009). When the daughter of Mr. visit him in the hospital and seek the assistance of certified nursing assistants, she notices a red, depressed area over his father’s lower spine, similar to a severe sunburn. She reports to the nurse the incidence to the nurse who seems to careless, terming the incident as something not to worry. Application of nursing quality indicator, in this case, would help to determine the cause of the sunburn, and treatment to reduce pain and to heal the depressed red area
Process indicators are a measurement of patient examination and intervention of nurse care, and it may also include nursing job satisfaction (ReGallagher & Rowell,2003). Mr J is served with regular kosher and chopped meat which arrives thirty minutes later. The nurse also observes him until he has eaten 75% of the meal. The meal contains chopped pork cutlet, which is contrary to patient belief since he is a Jewish. Quality indicator application, in this case, would ensure the patient is served with the best meal and able to finish.
Cronenwett, Sherwood and Gelmon argue suggest outcome indicators show the result of the patient that are identified to be nursing-sensitive due to their dependence on quality and quantity care (2009). This include thing like pressure ulcers and falls. Mr. J daughter noticed a red, depressed are over his father’s lower spine. Application of proper nursing -quality indicator would ensure this issue is examined and treated to reduce pain and more damage to the patient. Mr. J is also diagnosed with mild dementia and fractured right hip after falling in his home. Application of quality and quantity in this scenario would assist in evaluating nursing care for the patient and provide the necessary medication, treatment to the patient. The patient health status is determined and this assists inpatient drug prescription.
Analyzation of patient previous data help the medical personnel to antagonize problems the patient experience. In this case there several information that are crucial to medical staff that guide on how the medication will be provided to the patient. Mr. J is 72 years -old with a diagnosis of mild dementia, this information guide on medication he should be given due to his age and illness. The nurse knows his immune system is quite weak compared to a young person, also the information he gives about his well-being may be altered by the dementia status. Precaution should be upheld due to his state of a fractured right hip and the drowsy situation caused by the pain medication he is subjected to. An important nursing-quality indicator in this situation is the
Outcome indicator that reflect outcome of the patient which are known as the nursing-sensitive due to mode of care that in qualitative and quantitative.
In this context there are several ethical issues that the hospital should address. Mr. J’s religion stipulates that it’s a requirement for him to feed on kosher meat. The required dietary was not observed and his daughter was not updated about the situation. Religion believe may differ from person to person but the patient preference should be upheld, it’s their duty to respect that. Another scenario is when the nurse supervisor asks the nurse to “keep it quiet” and the statement of the nurse, “a little pork won’t kill anyone “was not right and ethical. There is no apology offered to the family member about the mix up with the order. Its unethical by not acknowledging and been responsible for the mistake, the appropriate measure to this mistake is by genuinely accepting the mistake.
Although there were various unethical behaviors informing the kitchen supervisor about the error was a good measure that could help elimination of any further mistake, resulting to proper checking of order before delivery. I would note down and write a report in regard to the incident, informing the management about the case situation in the presence of patient’s advocate, ensuring distortion of such incident happening in the future. I would ensure the nurse and any other person involved are held accountable for there mistake and appropriate discipline procedures are install to them. Also, a I would request the management to plan for a sensitization and educational forum involving all staff about different religion and their preferences. This will ensure all patient in the hospital are treat with care and also their right respected
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