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Dissertation/Thesis Abstract

Using a Quality Workbook Committee to Improve Nurse-Sensitive Patient Indicator Scores
by Robinson, Nicole, D.N.P., Walden University, 2019, 45; 10979565
Abstract (Summary)

Health care providers gather and track quality patient indicator scores to monitor patients’ safety and outcomes and decrease the number of adverse events. Nursing leaders implemented a Quality Workbook Committee (QWC) within a hospital setting to improve patient outcomes and the facility’s reported scores for nurse-sensitive patient indicators. The practice-focused question for this quality improvement evaluation project examined whether the implementation of the QWC improved nurse-sensitive patient indicator scores. Watson’s theory of human caring was used to evaluate the gap in practice, and Rosswurm and Larabee’s model for evidence-based practice change provided guidance for planning the project. Sources of evidence were 2017 end-of-year organization report cards. The 4 specific areas chosen for evaluation were: patient falls, hospital-acquired pressure ulcers, pain reassessment scores, and medication scanning rates. Results from an analysis of variance showed improvements in 3 of the 4-nurse-sensitive patient indicator scores. Hospital-acquired pressure ulcers decreased by 13 pressure ulcers, pain reassessment rates increased by 18.42%, and medication scanning scores increased by 4.03%. However, patient falls increased by 15, suggesting the need for further evaluation measures. Project findings may help nursing leaders to improve nurse-sensitive patient indicator scores and promote social change by reducing hospital adverse events, length of hospitalization stays, and wasted healthcare resources.

Indexing (document details)
Advisor: Long, Janice, Riedel, Eric
Commitee: Garner, Mary C., Hadley, Nancy
School: Walden University
Department: Nursing
School Location: United States -- Minnesota
Source: DAI-B 80/03(E), Dissertation Abstracts International
Subjects: Nursing, Health care management
Keywords: Nurse sensitive patient indicator scores, Quality improvement, Quality workbook
Publication Number: 10979565
ISBN: 978-0-438-66766-2
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