Nursing Sensitive Indicators

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Nursing sensitive indicators are three separate indicators that reflect the nursing process and how it affects patient care; the three indicators are structural, process and outcome (The 3 Types of Nursing Sensitive Indicators, 2011). Structural indicators define the nursing staff of the organization, is there enough staff to properly care for the patients? What is the experience of the staff? How well educated are the nurses, are they hospital diploma nurses or do they have their Bachelors of Science in nursing? The process indicators are what the nurses provide for their patient, assessment, planning, and interventions are examples. The last aspect of nursing sensitive indicators is the outcome; how did the care that the patient receive impact their life? (Sauls, 2013). …show more content…
J, there are two nursing sensitive indicators that seem to be overlooked by the nurses and certified nursing assistants (CNA) providing care for him. The first indicator that is not being taken into consideration is the use of restraints. Mr. J, while diagnosed with mild dementia, does not appear to need to be restrained; he was described as “drowsy” and “slightly sleeping”, there is no mention that Mr. J is a danger to himself or the hospital staff and therefore the use of restraints is unwarranted in this case. According to The National Database of Nursing Quality Indicators® (NDNQI®), Restraint Prevalence is related to the outcome measurement of nursing sensitive indicators and the use of the restraints in his case is directly related to another nursing sensitive indicator of Pressure Ulcer Prevalence (Montalvo, 2007). Mr. J was restrained and due to this, he was unable to move on his own; because of this he suffered the beginning of the pressure ulcer. When Mr. J’s daughter pointed this out to the CNA, it was brushed off and the CNA then placed him back in the same position which would only exacerbate the