Quality Indicators  How do you define quality as it pertains to health care and the practice of nursing? Some nurses may define quality as effective interdisciplinary teamwork that results in better patient-health outcomes, while hospital administrators may define quality as appropriately delegated responsibilities, completion of tasks, and effective patient flow. Due to the subjective nature of the term, quality is a topic of great debate. In an effort to define quality in health care, standards have been developed to establish consistency and provide guidance. The National Database of Nursing Quality Indicators (NDNQI) outlines nursing-sensitive indicators that encompass measurement scales for quality of nurse professionals as well as quality of the services provided by nurses to patients. In this week’s Discussion, you evaluate the determinants of quality.m based on the NDNQI indicators and the theoretical underpinnings of these quality indicators. You apply nursing-sensitive indicators to your current setting and assess how each definition of quality contributes to the idea of quality overall. To prepare: Review      the NDNQI indicators presented in the Learning Resources that emphasize      quality. Focus on those indicators that pertain to your practice setting (Hospital). Consider      the influence of early quality improvement theories and philosophies on      the development of those quality indicators. Using      the Walden Library, locate at least two scholarly research articles that      discuss how quality indicators influence your practice setting. Select      one definition of quality published by any peer-reviewed source that      particularly resonates with your thinking about quality. By tomorrow 12-06-2017 by 2 pm, write a minimum of 550 words essay in APA format with at least 3 references from the list of required readings below. Include the level one headings as numbered below: post a cohesive scholarly response that addresses the following: 1) Identify two nurse-sensitive indicators of quality that relate to patient care and analyze the influence of early quality improvement theories and philosophies on the development of those indicators.   For this exercise, do not choose nurse sensitive indicators that relate to staffing levels.  2) Find and cite at least 2 nursing research articles you located and evaluate how these indicators influence a practice setting (See attached PDF for the 2 Articles). Required Readings Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.). (2014). The Healthcare Quality Book, 3rd ed. Chicago, IL: Health Administration Press. Chapter 3: “Variation in Medical Practice and Implications for Quality” Chapter 4: “QI Foundation, Processes, Tools and Knowledge Transfer Techniques” 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) ...

1. Quality Indicators
How do you define quality as it pertains to health care and the
practice of nursing? Some nurses may define quality as
effective interdisciplinary teamwork that results in better
patient-health outcomes, while hospital administrators may
define quality as appropriately delegated responsibilities,
completion of tasks, and effective patient flow. Due to the
subjective nature of the term, quality is a topic of great debate.
In an effort to define quality in health care, standards have been
developed to establish consistency and provide guidance. The
National Database of Nursing Quality Indicators (NDNQI)
outlines nursing-sensitive indicators that encompass
measurement scales for quality of nurse professionals as well as
quality of the services provided by nurses to patients. In this
week’s Discussion, you evaluate the determinants of quality.m
based on the NDNQI indicators and the theoretical
underpinnings of these quality indicators. You apply nursing-
sensitive indicators to your current setting and assess how each
definition of quality contributes to the idea of quality overall.
To prepare:
Review the NDNQI indicators presented in the Learning
Resources that emphasize quality. Focus on those indicators
that pertain to your practice setting (Hospital).

2. Consider the influence of early quality improvement theories
and philosophies on the development of those quality
indicators.
Using the Walden Library, locate at least two scholarly
research articles that discuss how quality indicators
influence your practice setting.
Select one definition of quality published by any peer-
reviewed source that particularly resonates with your
thinking about quality.
By tomorrow 12-06-2017 by 2 pm, write a minimum of 550
words essay in APA format with at least 3 references from the
list of required readings below. Include the level one headings
as numbered below:
post
a cohesive scholarly response that addresses the following:
1)
Identify two nurse-sensitive indicators of quality that relate to
patient care and analyze the influence of early quality
improvement theories and philosophies on the development of
those indicators.
For this exercise, do not choose nurse sensitive indicators that
relate to staffing levels.
2) Find and cite at least 2 nursing research articles you located
and evaluate how these indicators influence a practice setting
(See attached PDF for the 2 Articles).

3. Required Readings
Joshi, M.S., Ransom, E.R., Nash, D.B., & Ransom, S.B., (Eds.).
(2014). The Healthcare Quality Book, 3rd ed. Chicago, IL:
Health Administration Press.
Chapter 3: “Variation in Medical Practice and Implications for
Quality”
Chapter 4: “QI Foundation, Processes, Tools and Knowledge
Transfer Techniques”
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. doi: 10.1111/j.1365-
2648.2010.05272.x
The authors of this article attempt to reduce medication errors,
patient falls, and ulcers by using Transforming Care at the
Bedside, which is a framework that values safety and reliability,
creates a good work environment, is centered on the patient, and
increases value. They conclude that these principles are able to
positively affect their patients, but some aspects of the study
may be inconclusive.
Gerritsen, D.L., & van Beek, A. P. A. (2010). The relationship
between organizational culture of nursing staff and quality of
care for residents with dementia: Questionnaire surveys and

4. systematic observations in nursing homes. International Journal
of Nursing Studies, 47(10), 1272–1282.
After briefly discussing the background of organizational
culture, the study in this article focuses on how organizational
culture affects quality of care in long-term care. It uses two
independent measurements and determines that different styles
of organizational culture affect the quality of care.
The American Nurses Association, Inc. (2011). Nursing-
sensitive indicators. Retrieved from
http://web.archive.org/web/20120921021800/http://www.nursin
gworld.org/MainMenuCategories/ThePracticeofProfessionalNur
sing/PatientSafetyQuality/Research-Measurement/The-National-
Database/Nursing-Sensitive-Indicators_1.aspx
From the American Nurses Association, this article discusses
nursing-sensitive indicators. It provides a definition of the term
and then describes the development process and indicator list.
American Nurses Association. (2011). National Database of
Nursing Quality Indicators. Retrieved from
http://www.nursingworld.org/
This website acts as a database for unit-specific nurse-sensitive
information that comes from multiple health care organizations.
Agency for Healthcare Research and Quality. (n.d.) Retrieved
from http://www.ahrq.gov/

5. The provided link takes you to the homepage of the Agency for
Healthcare Research and Quality (AHRQ), where you can find
information about improving safety and quality in the health
care industry.
National Quality Forum. (2011). Retrieved from
http://www.qualityforum.org/Home.aspx
Various members of the health care community can become
members of the National Quality Forum (NQF) through this site.
The nonprofit organization NQF aims to increase quality
improvement for its members.
The 2 Articles Selected
1. Storer Brown, D. (2016). Perspectives in Ambulatory Care.
Ambulatory Care Nurse-Sensitive Indicators Series: Reaching
for the Tipping Point in Measuring Nurse-Sensitive Quality in
the Ambulatory Surgical and Procedure Environments.
Nursing Economic$
,
34
(3), 147-151.
2. Wilson, M. (2011). Addressing the problems of long-term
urethral catheterization: Part 1.
British Journal Of Nursing (Mark Allen Publishing)
,
20
(22), 1418.