Part A
Maintaining proper care levels among patients is an essential task for a hospital management. However, this task is best achieved if the medical personnel is conversant with the fundamental principles of Nursing-sensitive indicators. These provisions are developed by the American Nursing Association to assist the management of medical facilities in meeting the needs of the nurses and the patients (Matlock, Start, Aronow & Brown, 2016). In the current case, the nurses would be in a better position to offer appropriate medical care to Mr. J if they have a proper understanding of the nursing-sensitive indicators. The nursing sensitive indicators give a provision for evaluating the process of attention while attending to patients. This stipulation allows the nurses to assess the impact of the treatment measures applied to the patient by assessing the nature of the feedback generated. In this case, the nurses would have an augmented ability to evaluate the impact of restraint treatment to the patient. For starters, this treatment approach was issued and the patient, Mr. J, does not seem to pose any threat to himself. Because he can distinguish different people including her daughter, one can determine that he is conscious of his environment and capable of restraining himself from self-inflicted injury. Additionally, the nurses would have noted the harm inflicted on the patient’s lower spine due to the restraint straps and applied an alternative treatment measure.
Additionally, nursing-sensitive indicators give a provision for the evaluation of the structure of care used in a health institution. In this case, a proper understanding of these principles would lead to better allocation of the nurses to patients. It is worth mentioning that Mr. J lacked a real-time nurse to evaluate his medical progress. This claim can be ascertained by the fact that it took the intervention of the patient’s daughter to get the nurse to help Mr. J use the bathroom. As such, proper assessment of the qualifications of the nurses through the nursing-sensitive indicators would have led to better positioning of the nurses to enhance the betterment of the patient’s healthcare. Moreover, proper internalization of these indicators would have improved the accuracy of food delivery to the patients. From an analytical perspective, one can determine that the medical institution lacks enough personnel to ensure the hospital is properly run. This notion can be verified by the fact that Mr. J was served wrong food in more than one instance. Despite the fact that his religion condemns the consumption of pork, and the hospital is aware of this information, he was inappropriately served this meal on more than one occasion. Additionally, the hospital management had received numerous reports over the past six months about erroneous food delivery. This lack of action affirms the ineffectiveness of the current staff, which could be made better through the utilization of nursing-sensitive indicators.
Part B
If the hospital management is keen on the feedback generated from the patients through the nurse-sensitive indicators, handling incidences within the medical institution would be easier. For instance, the restraint measures used to prevent Mr. J from inflicting self-injurious injuries are negatively impacting his health. This situation is largely accredited to the fact that Mr. J’s daughter noticed a depressed area on his father’s lower spine while at the hospital. If the institution’s management were to take this matter into concern, they would minimize the number of injuries patients accidentally pick up while at the medical establishment. Additionally, instances of pressure ulcers would be minimized, as the patients would feel lesser oppressed. According to Burston, Chaboyer and Gillespie (2014), not dedicating enough time to the assessment of the patient’s performance makes them feel neglected and uncared for. In this case, one can determine that Mr. J does not have a personal nurse to evaluate his overall medical progress. For starters, he takes his food without supervision and the nurses do not visit him regularly to inquire what services he would like offered. The hospital data on this issue can be used to increase the number of nurses in the medical institution to cater for the unattended patients. Additionally, the nursing-sensitive indicators reports can be used to determine the feasibility of hiring permanent or travel nurses. Consequently, patient care would be improved in the hospital.
Part C
References
Burston, S., Chaboyer, W., & Gillespie, B. (2014). Nurse‐sensitive indicators suitable to reflect nursing care quality: a review and discussion of issues. Journal of clinical nursing, 23(13-14), 1785-1795.
Matlock, A. M., Start, R., Aronow, H., & Brown, D. S. (2016). Ambulatory care nursing-sensitive indicators. Nursing Management, 47(6), 16-18.
