Organizational Systems and Quality Leadership
Task 1

A. Nurse Sensitive indicators assist in the structure, process and outcomes of nursing care. It is indicated by the supply, skill level and education/certification of nursing staff. Indicators measure aspects of nursing care such as assessment, interventions and job satisfaction. Patient outcomes determined to be nurse sensitive are those that improve if there is great quanity and quality of care. http://www.nursingworld.org
Knowing about pressure ulcers could have helped the nurse prevent one on this patient. The nurse and the certified nursing assistant would have understood that repositioning a patient would prevent this patient from getting a pressure ulcer by understanding the signs of a Stage one pressure ulcer which begins with a reddened area that does not blanch. https://www.nlm.nih.gov/medlineplus/pressuresores.html 2016 Had the CNA understood signs and symptoms of a pressure ulcer she would not have placed the patient on their back again when he got back to bed. The nurse would have also understood the reasoning for restraints; when they should be applied and the proper assessment needed when a patient is in restraints. Respect for patient beliefs and satisfaction is another indicator the nurse would have taken into consideration when it came to the patient’s diet. Being of Jews background it is important for nurses to understand his beliefs, this was not done since he received the wrong diet. On top of that being transparent when something happens is very important as well, letting the family know what had happened and apologizing for the mistake and taking appropriate action to make sure it does not happen again would have been better than not telling the family at all. Instead the nurse made a comment that was inappropriate to the daughter upsetting her and causing this to