Florence Nightingale introduced research to the field of nursing, and with this

Florence Nightingale introduced research to the field of nursing, and with this introduction, a focus on improving patient care has continued to be at the forefront of nursing practice. Improving patient care lends itself to the study of quality care and patient safety, and nurse-sensitive quality indicators highlight the elements of healthcare in which patients are directly impacted by the care provided by nurses.
What are nurse-sensitive indicators? What elements of a patient’s care are directly impacted by the role and delivery of care of nurses? How might these nurse-sensitive indicators change healthcare delivery and the nursing profession for a future DNP-prepared nurse?
For this Discussion, you will explore your understanding of nurse-sensitive indicators of quality by reflecting on those quality indicators that may pertain most to your practice setting. You will conduct a literature search for articles that address these quality indicators and reflect on the connections between the quality indicators and quality improvement theories and philosophies.
To Prepare:
• Review the Learning Resources on quality indicators for this week. Focus on those quality indicators that most pertain to your practice setting.
• Consider the influence of early quality improvement theories and philosophies on the development of those quality indicators.
• Using the Walden Library, locate at least two scholarly research articles to focus on, for this Discussion, that discuss how quality indicators may influence your practice setting.
• Select one definition of quality published by any peer-reviewed source that particularly resonates with your thinking about quality.
• Identify and select at least two nurse-sensitive indicators of quality related to patient care. Note: Do not select nurse-sensitive indicators related to staffing.
Question to answer:
Write a description of the two nurse-sensitive indicators of quality that you selected. Analyze the influence of early quality improvement theories and philosophies on the development of the quality indicators you selected. Be specific. Then, cite the two (2) nursing research articles you selected, and explain how these indicators may influence your practice setting. Be specific and provide examples.
Reading materials:
Nash, D. B., Joshi, M. S., Ransom, E. R., & Ransom, S. B. (Eds.). (2019). The healthcare quality book: Vision, strategy, and tools (4th ed.). Health Administration Press.
• Chapter 3, “Variation in Medical Practice and Implications for Quality” (pp. 75–101)
• Chapter 7, “Health Information Technology in Healthcare Quality and Safety: Prevention, Identification, and Action” (pp. 189–211)
Agency for Healthcare Research and Quality. (n. d.). Topic: Quality indicators (QIs). https://www.ahrq.gov/topics/quality-indicators-qis.html
American College of Surgeons. (2021). ACS National Surgical Quality Improvement Program (ACS NSQIP). https://www.facs.org/quality-programs/acs-nsqip?
American Nurses Association. (n. d.). Nursing quality. https://www.nursingworld.org/practice-policy/health-policy/health-system-reform/quality/
Centers for Medicare and Medicaid Services. (2011). Quality of care center. https://www.cms.gov/Center/Special-Topic/Quality-of-Care-Center
National Quality Forum. (2021). https://www.qualityforum.org/Home.aspx
Polonsky, M. (2019). High-reliability organizations: The next frontier in healthcare quality and safety. Journal of Healthcare Management, 64, 213-221. https://doi.org/10.1097/JHM-D-19-00098
The Leapfrog Group. (n. d.). https://www.leapfroggroup.org/
Vermont Oxford Network. (n. d.). Databases and reporting. https://public.vtoxford.org/data-and-reports/

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