Peer Response Instructions

· Please respond to at least 
one peer this week. Your response should be thoughtful, respectful, and substantially add value to the discussion. In your response to a peer, explain how you have grown as a BSN nurse in this session.

Kiersten Echols

Oct 23, 2023 at 1:00 AM

  For this discussion board, I chose to appraise the role and responsibilities of the nurse and members of an interdisciplinary team across multiple healthcare settings in recognition, assessment, and interventions for the management of acute and chronic diseases. The role of the nurse is vital to patient care of acute and chronic diseases in many different ways. The nurse's role in all patient care is to educate the patient, advocate for adequate and ethical care, and be a middleman between the patient and the rest of the patient's care team. The nurses are the ones at the bedside assessing the patient and getting to know them. They then take this vital information to the other members of the care team like case management, specialists, or surgeons to provide adequate and holistic care. Without this information from the bedside, the patient wouldn't be able to be taken care of. The other members are vital to the patient's care by providing specific services that the nurse cannot like surgical intervention or certain medication. This class has shown me through each week's case study how important the interdisciplinary team is to the patient's holistic care of acute and chronic conditions. Going further in my practice I will make it a point to advocate for consulting the appropriate teams for adequate and quality care.  

Assessment 4

Informatics and Nursing-Sensitive Quality Indicators

Instructions- Prepare an 8–10 minute audio training tutorial (video is optional) for new nurses on the importance of nursing-sensitive quality indicators.

Introduction- The focus of Assessment 4 is on how informatics support monitoring of nursing-sensitive quality indicator data. You will develop an 8–10 minute audio (or video) training module to orient new nurses in a workplace to a single nursing-sensitive quality indicator critical to the organization. Your recording will address how data are collected and disseminated across the organization along with the nurses’ role in supporting accurate reporting and high quality results.

Preparation- As you begin to prepare this assessment you are encouraged to complete the Conabedian Quality Assessment Framework activity. Quality health care delivery requires systematic action. Completion of this will help you succeed with the assessment as you consider how the triad of structure (such as the hospital, clinic, provider qualifications/organizational characteristics) and process (such as the delivery/coordination/education/protocols/practice style or standard of care) may be modified to achieve quality outcomes.

This assessment requires you to prepare an 8–10 minute audio training tutorial (with optional video) for new nurses on the importance of nursing-sensitive quality indicators. To successfully prepare for your assessment, you will need to complete the following preparatory activities:

· Select a single nursing-sensitive quality indicator that you see as important to a selected type of health care system. Choose from the following list:

·
Staffing measures.

· Nursing hours per patient day.

· RN education/certification.

· Skill mix.

· Nurse turnover.

· Nursing care hours in emergency departments, perioperative units, and perinatal units.

·

·

· Skill mix in emergency departments, perioperative units, and perinatal units.

·
Quality measures.

· Patient falls.

· Patient falls with injury.

· Pressure ulcer prevalence.

· Health care-associated infections.

· Catheter-associated urinary tract infection.

· Central line catheter associated blood stream infection.

· Ventilator-associated pneumonia.

· Ventilator- associated events.

· Psychiatric physical/sexual assault rate.

· Restraint prevalence.

· Pediatric peripheral intravenous infiltration rate.

· Pediatric pain assessment, intervention, reassessment (air) cycle.

· Falls in ambulatory settings.

· Pressure ulcer incidence rates from electronic health records.

· Hospital readmission rate

· RN satisfaction survey options.

· Job satisfaction scales.

· Job satisfaction scales – short form.

· Practice environment scale.

· Conduct independent research on the most current information about the selected nursing-sensitive quality indicator.

· Interview a professional colleague or contact who is familiar with quality monitoring and how technology can help to collect and report quality indicator data.
 You do not need to submit the transcript of your conversation, but do integrate what you learned from the interview into the audio tutorial. Consider these questions for your interview:

· What is your experience with collecting data and entering it into a database?

· What challenges have you experienced?

· How does your organization share with the nursing staff and other members of the health care system the quality improvement monitoring results?

· What role do bedside nurses and other frontline staff have in entering the data? For example, do staff members enter the information into an electronic medical record for extraction? Or do they enter it into another system? How effective is this process?

· Watch the 

Informatics and Nursing-Sensitive Quality Indicators Video Exemplar
.

Recording Your Presentation

To prepare to record the audio for your presentation, complete the following:

· Set up and test your microphone or headset using the installation instructions provided by the manufacturer. You only need to use the headset if your audio is not clear and high quality when captured by the microphone.

· Practice using the equipment to ensure the audio quality is sufficient.

· Review 

Using Kaltura
 for Kaltura to record your presentation.

· View 

Creating a Presentation: A Guide to Writing and Speaking
. This video addresses the primary areas involved in creating effective audiovisual presentations. You can return to this resource throughout the process of creating your presentation to view the tutorial appropriate for you at each stage.

Notes:

· You may use other tools to record your tutorial. You will, however, need to consult 

Using Kaltura
 for instructions on how to upload your audio-recorded tutorial into the courseroom, or you must provide a working link your instructor can easily access.

· You may also choose to create a video of your tutorial, but this is not required.

· If you require the use of assistive technology or alternative communication methods to participate in this activity, please contact 

[email protected]
 to request accommodations.

Instructions- For this assessment, imagine you are a member of a Quality Improvement Council at any type of health care system, whether acute, ambulatory, home health, managed care, et cetera. Your Council has identified that newly hired nurses would benefit from comprehensive training on the importance of nursing-sensitive quality indicators. The Council would like the training to address how this information is collected and disseminated across the organization. It would also like the training to describe the role nurses have in accurate reporting and high-quality results.

The Council indicates a recording is preferable to a written fact sheet due to the popularity of audio blogs. In this way, new hires can listen to the tutorial on their own time using their phone or other device.

As a result of this need, you offer to create an audio tutorial orienting new hires to these topics. You know that you will need a script to guide your audio recording. You also plan to incorporate into your script the insights you learned from conducting an interview with an authority on quality monitoring and the use of technology to collect and report quality indicator data.

You determine that you will cover the following topics in your audio tutorial script:

Introduction: Nursing-Sensitive Quality Indicator

· What is the National Database of Nursing-Sensitive Quality Indicators?

· What are nursing-sensitive quality indicators?

· Which particular quality indicator did you select to address in your tutorial?

· Why is this quality indicator important to monitor?

· Be sure to address the impact of this indicator on the quality of care and patient safety.

· Why do new nurses need to be familiar with this particular quality indicator when providing patient care?

Collection and Distribution of Quality Indicator Data

· According to your interview and other resources, how does your organization collect data on this quality indicator?

· How does the organization disseminate aggregate data?

· What role do nurses play in supporting accurate reporting and high-quality results?

· As an example, consider the importance of accurately entering data regarding nursing interventions.

After completing your script, practice delivering your tutorial several times before recording it.

·
Additional Requirements-Audio communication: Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

·
Length: 8–10 minute audio recording. Use Kaltura to upload your recording to the courseroom, or provide a working link your instructor can access.

·
Script: A separate document with the script or speaker's notes is required. 
Important: Submissions that do not include the script or speaker's notes will be returned as a non-performance.

·
References: Cite a minimum of three scholarly and/or authoritative sources.

·
APA: Submit, along with the recording, a separate reference page that follows APA style and formatting guidelines. For an APA refresher, consult the 

Evidence and APA
 page on Campus.

Context-The American Nursing Association (ANA) established the National Database of Nursing Quality Indicators (NDNQI®) in 1998 to track and report on quality indicators heavily influenced by nursing action.

NDNQI® was established as a standardized approach to evaluating nursing performance in relation to patient outcomes. It provides a database and quality measurement program to track clinical performance and to compare nursing quality measures against other hospital data at the national, regional, and state levels. Nursing-sensitive quality indicators help establish evidence-based practice guidelines in the inpatient and outpatient settings to enhance quality care outcomes and initiate quality improvement educational programs, outreach, and protocol development.

The quality indicators the NDNQI® monitors are organized into three categories: structure, process, and outcome. Theorist Avedis Donabedian first identified these categories. Donabedian’s theory of quality health care focused on the links between quality outcomes and the structures and processes of care (Grove et al., 2018).

Nurses must be knowledgeable about the indicators their workplaces monitor. Some nurses deliver direct patient care that leads to a monitored outcome. Other nurses may be involved in data collection and analysis. In addition, monitoring organizations, including managed care entities, exist to gather data from individual organizations to analyze overall industry quality. All of these roles are important to advance quality and safety outcomes.

Reference

Grove, S. K., Gray, J. R., Jay, G. W., Jay, H. M., & Burns, N. (2018). 
Understanding nursing research: Building an evidence-based practice (7th ed.). Elsevier.

Competencies Measured-By successfully completing this assessment, you will demonstrate your proficiency in the following course competencies and scoring guide criteria:

· Competency 1: Describe nurses' and the interdisciplinary team's role in informatics with a focus on electronic health information and patient care technology to support decision making.

· Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

· Competency 3: Evaluate the impact of patient care technologies on desired outcomes.

· Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

· Competency 4: Recommend the use of a technology to enhance quality and safety standards for patients.

· Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

· Competency 5: Apply professional, scholarly communication to facilitate use of health information and patient care technologies.

· Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

· Follow APA style and formatting guidelines for citations and references.

Scoring Guide

Use the scoring guide to understand how your assessment will be evaluated.

Informatics and Nursing-Sensitive Quality Indicators Scoring Guide

CRITERIA	NON-PERFORMANCE	BASIC	PROFICIENT	DISTINGUISHED
Describe the interdisciplinary team’s role in collecting and reporting quality indicator data to enhance patient safety, patient care outcomes, and organizational performance reports.

Explain how a health care organization uses nursing-sensitive quality indicators to enhance patient safety, patient care outcomes, and organizational performance reports.

Justify how a nursing-sensitive quality indicator establishes evidence-based practice guidelines for nurses to follow when using patient care technologies to enhance patient safety, satisfaction, and outcomes.

Deliver a professional, effective audio tutorial on a selected quality indicator that engages new nurses and motivates them to accurately report quality data in a timely fashion.

Follow APA style and formatting guidelines for citations and references.

·

 

A person’s nutrient needs may change for a variety of reasons, but the most influential is stage-of-life. In this discussion, you will examine two stages of life chosen from the following:

• Infancy
• Childhood
• Adolescence
• Adulthood
• Older adulthood
• Pregnancy and Lactation

For your initial post, address the following:

1. Identify the two life stages of life you will discuss and list their names in the title of your initial post.
2. Research and describe the current nutrient recommendations for the life stages you selected.
3. Suggest foods that would be beneficial for each of the life stages you selected and explain why.

1. Read the 

Emotional Intelligence (EI)


 Download Emotional Intelligence (EI)
handout.

2. Then, take the 

EI quizLinks to an external site.
https://globalleadershipfoundation.com/geit/eitest.html

3. After you have completed the quiz, review the scores for the categories: self-awareness; self-management; social awareness and relationship management..

4. Do a self-evaluation and see whether you are high or low in any of the areas.

5. Explain why you may be low in any particular area and then continue on to the questions in #6

6. Finally, answer the following questions below:

a. Addressing the components of EI, can you think of an occurrence at work where EI was used and then why it helped in this particular situation.

b. What is your opinion of EI, is it worth the time learning or is just another fad that will fade away in a couple of years?

7. Your answer should be:

. One (1) page

. Typed according to 

APA Writing StyleLinks to an external site.
 for margins, formatting and spacing standards.

“People may not remember what you said, but they remember the way
you made them feel.” Maya Angelou

Emotional Intelligence (EI)

Introduction to Emotional Intelligence
Emotions play a big role in our lives; they help to guide decisions for the world around
us and influence our interactions with others. Accordingly, emotions are also shaped
from the external world. Emotional intelligence brings control to our everyday emotions
and will affect every aspect of our lives. The ability to control one’s emotions and use
them in a healthy manner can be life-changing. Emotional intelligence combines
emotional and social skills to navigate through organizations and relationships, as well
as deal with emotional stress. It is a skill that can be learned and strengthened, bringing
great success to an individual’s personal and professional life. With an emotionally
intelligent team, maximum success can be achieved.

Defining Emotional Intelligence
Every day we face situations in which we emotionally react. Emotional intelligence (EI)
brings cognition to emotional responses. It involves recognizing, understanding, and
managing our own emotions, as well as recognizing, understanding, and influencing the
emotions of others. This includes being aware of the emotions that drive specific
behaviors. It does not mean denying personal feelings, but rather identifying and
reasoning with them. Developing emotional intelligence is especially important in the
workplace, as it teaches professional and empathetic communication.
The Importance of Emotional Intelligence
Emotional intelligence is incredibly valuable to many major aspects of our lives, our
mental and physical health, professional success, and personal relationships. There are
many positive traits that come from emotional intelligence. In business, emotional
intelligence will cultivate motivation, change, and leadership. It encourages us to step
away from an autopilot mode and become better at navigating through the many social
complexities in life. Respectively, emotional intelligence will help us to create a healthy
and balanced lifestyle. Signs of low emotional intelligence include:
• Having a victim mentality
• Being unaccepting of feedback
• Dwelling on mistakes
• Difficulty listening and connecting
• Often quick to make judgments

Page 2 of 2 Leadership and Management Theory

Who Needs It?
Humans are wired for connection; these connections consist of social interactions full of
emotions. Essentially, identifying and building emotional intelligence is important for
everyone. High emotional intelligence is a hiring trait desired by leading corporations,
and to some extent, more important than IQ. Emotional intelligence provides a strong
foundation for humans to reflect on their emotional responses, including when
managing feelings of stress or overwhelm, creating a collaborative environment, and
having difficult conversations with others. It is the key to achieving success in any
leadership role. When emotional intelligence is lacking from one individual in the
workplace, it affects everyone else within the organization. These repercussions can
include a lower company morale, and decrease in productivity and performance. A
positive work environment requires employees who are willing to coach and motivate
one another, in which emotional intelligence is the foundation.

What Are Emotions?
Since emotional intelligence is all about the management and control of emotions, it is
advantageous to understand what emotions are and why they matter. Although we all
share the same emotions, we do not all experience these emotions the same way.
Emotions are natural reactions that we experience, in response to a situation, mood, or
connection. They signal a change that has occurred within us, or in our environment.
The six basic human emotions, also known as primary emotions, are happiness,
sadness, surprise, fear, disgust, and anger. Emotions may be momentary or long-lived.
There are three key elements of emotions, including the subjective experience (how
someone experiences an emotion), the physiological response (how their body reacts to
this emotion), and the behavioral/expressive response (how they behave in response to
this emotion). Emotions will guide decisions, help us to avoid danger, and motivate
action. Our daily lives are influenced on whether we are feeling happy, sad, or bored.

Practical Illustration
Shawn was in charge of hiring the new marketing analyst. He was looking for an
employee who was knowledgeable in this field, along with great social skills and
emotional control. After reading a few resumes, he had two strong prospects that he
chose to interview. The first candidate, Hunter, had many years of experience. Although
he had a lot of knowledge to bring to the team, he did not demonstrate strong
leadership and interpersonal skills. Shawn’s second prospect, Leah, did not have many
years of experience. Leah understood the essentials for the position, and assured
Shawn that she was willing to learn and transition with the company. She was confident,
empathetic, and professional. The positive impact that Leah left on Shawn had helped
to guide his decision. He believed that Leah was perfect for the position, and would
share her enthusiastic attitude with the rest of the team