WGU Nursing Quality Indicators and Ethical Issues Report

This report examines the application of nursing-sensitive indicators to improve patient care and address ethical issues in a presented case. It highlights how these indicators can help identify problems, such as pressure ulcers and improper restraint use, that compromise patient safety and satisfaction. The report emphasizes the importance of hospital data analysis on nursing-sensitive indicators to enhance quality throughout the facility. It also outlines the specific resources a nursing shift supervisor could use to resolve ethical dilemmas, including notifying family members of errors and reviewing documentation to ensure appropriate care. The analysis underscores the need for culturally sensitive care and the proper handling of mistakes to maintain patient trust and improve outcomes, referencing relevant literature to support its claims.

Running head: ORGANIZATIONAL SYSTEMS AND QUALITY LEADERSHIP 1
Organizational Systems and Quality Leadership
Student’s Name
Institutional Affiliations

ORGANIZATIONAL SYSTEMS AND QUALITY LEADERSHIP 2
Organizational Systems and Quality Leadership
How the Application of Nursing-Quality Indicators Could Assist the Nurses in the
Presented Case
It is important to note that nursing-sensitive indicators are determination used in
delineating the excellence or quality of positive patients’ outcomes and nursing interventions.
Nursing-sensitive indicators are used in health care to increase patient safety and quality of care.
In the presented case, the nursing-sensitive indicators can aid the nurse in the identification of the
issues which interjected the delivery of quality care to Mr. J. Notably, prevention of pressure
ulcers, involvement of proper care whilst caring for the patient, and better knowledge of
appropriate restraint use would have prevented or barred the critical issues involved in the case
(Chaboyer et al., 2010). The patient ought to have been turned from side to side frequently,
helped to use the restroom, and provided with regular breaks from the restraints. The patient was
as well offered incorrect meal and the nursing supervisor notified the nurse not to inform the
family members in regards to the mix up. It is vital to note that this is culturally insensitive and
can have adverse impact on patient satisfaction. Mix-ups and mistakes unfortunately occur and it
is essential that the mistake is properly addressed and the family as well as the patient is
informed of the issue (Moorhead et al., 2018). The nurse was showed insensitivity and rudeness
by stating that half pork cutlet cannot kill someone. Remarkably, a solid understanding and
comprehension of nursing-sensitive indicators would have prevented most of the adverse
outcomes in Mr. J case.

ORGANIZATIONAL SYSTEMS AND QUALITY LEADERSHIP 3
How Hospital Data of Specific Nursing-Quality Indicators Could Advance Quality
Patient Care
Healthcare data on certain nursing-sensitive indicators can enhance quality care all
through the facility. For instance, the information on pressure ulcer prevalence ought to have
been analysed to identify the best practice to decrease their happenings (Van Beek & Gerritsen,
2010). An evidenced-based practice working group should have been instituted to examine
issues like pressure ulcers, for example, the factors which result in pressure ulcers. Hospital data
or information on the usage of restraints could have been examined to enhance the patient
satisfaction and outcome. This data could be analyzed to identify whether the restraints were
really needed in Mr. J’s scenario or if a different approach would have used initially.
Additionally, documentation would have been assessed to determine if Mr. J received proper
care during the caring period.
The Specific Resources I Could Use as the Nursing Shift Supervisor
If I were the nursing shift supervisor in the patient’s scenario, I would have used different
resources to resolve the ethical issues. First, I would have notified Mr. J’s daughter on the meal
mix-up as well as the food department. I would have promised the daughter that the mistake
would not occur again and ask the dietary staff to double check any meal being offered to a
patient. The second ethical issue experienced is the use of restraints and pressure ulcer
development. As the nursing shift supervisor, I would have requested the relevant resources to
review the documentation and examine if restraints are needed in the scenario (Bowling, 2014). I
would have also prevented the development of pressure ulcer by repositioning and turning the
patient after every hour and ensured appropriate cushioning of bony prominence and bed
mattress.

ORGANIZATIONAL SYSTEMS AND QUALITY LEADERSHIP 4
References
Bowling, A., (2014). Research methods in health: investigating health and health services.
McGraw-Hill Education (UK).
Chaboyer, W., Johnson, J., Hardy, L., Gehrke, T., & Panuwatwanich, K. (2010). Transforming
care strategies and nursing‐sensitive patient outcomes. Journal of advanced nursing,
66(5), 1111-1119.
Moorhead, S., Johnson, M., Maas, M.L. and Swanson, E., (2018). Nursing Outcomes
Classification (NOC)-E-Book: Measurement of Health Outcomes. Elsevier Health
Sciences.
Van Beek, A. P. A., & Gerritsen, D. L. (2010). The relationship between organizational culture
of nursing staff and quality of care for residents with dementia: questionnaire surveys and
systematic observations in nursing homes. International journal of nursing studies,
47(10), 1274-1282.