National Database of Nursing Quality Indicators (NDNQI) Essay Papers

Reply to 2 peers and provide them each with a potential or actual study using  a mixed method design to address their practice challenge.  Be sure to provide citations.

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For week 2, you will add the following content to your formal literature synthesis based on the practice challenge you described last week.

 

1.  Define problem statement, hypothesis, and PICOT statement. Cite resources

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

A problem statement is developed by the researcher and identifies a potential problem that is relevant to practice. A hypothesis is a fundamental explanation based on limited data and observation that serves as a foundational starting point with which to proceed with further investigation. PICOT stands for Population (P), Intervention (I), Comparison (C), Outcome (O) and Time-frame (T) of intervention. A PICOT statement is a reliable “formula” for producing answerable, researchable questions (Polit& Beck, 2017).

2.  Develop a problem statement, potential hypothesis, and potential PICOT statement based on your practice challenge.

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

Nursing staff shortages impact patient care as well as the nurses who provide the patient care. Nurse staffing needs vary depending on acuity, day or night shift, procedures, and any number of unforeseen events. Short staffing jeopardizes not only the patients but the license and health of the nurses as well. A potential hypothesis regarding this topic may be that if nursing staffing was improved, the occurrence error related patient incidences. The population affected in this PICOT statement is the patients. The intervention in this PICOT statement is that the nursing staffing levels can be increased to alleviate the shortages. The comparison will be a hospital that remains at lower staffing levels. The outcome will be the number of nurse retention compared in both hospitals. The comparison time will be one year.

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

3.  Identify potential (ones you make up) or actual studies using 2 different methodologies (qualitative and quantitative). Be sure to provide citations. 

A qualitative study that evaluates the patient effects of nurse short staffing is study performed by Clark, P. A., Leddy, K., Drain, M., &Kaldenberg, D. “state nursing shortages and patient satisfaction: more RNs—better patient experiences” (2007). In this study, the do a qualitative analysis on the quality of patients care and the correlation between adequate nursing staffing.

A quantitative study that evaluates the patient effects of nurse short staffing is “nurse staffing and patient outcomes: a longitudinal study on trend and seasonality by He, J., Staggs, V. S., Bergquist-Beringer, S., &Dunton, N. (2016). In this study He performed a longitudinal study based off quarterly unit-level nursing data in 2004–2012 were extracted from the National Database of Nursing Quality Indicators (NDNQI).

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

Second Post

 

The opioid misuse and abuse has become an epidemic nationwide. There has been a 30 percent increase in overdoses in the U.S. from July 2016 through September 2017. (Centers for Disease Control and Prevention, 2018) To be able develop a solution for this epidemic, the problem must be identified. To identify the issue, a problem statement and hypothesis needs to be created. This will better identify the problem and study the cause behind the issue.

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

“A problem statement presents the idea, issue, or situation that the researcher intends to examine in the study” (Trice & Bloom, 2015 p. 128). The problems statement sets the foundation for the researcher. To further describe the problem statement, the PICOT format is used to clarify “more fully the population of the study as well as the intervention/comparison of interest, the outcome desired, and the time framed involved” (Trice & Bloom, 2015 p. 130). PICOT format stands for P) population of the subjects in the study I) treatment that will be provided in the study C) comparison of the control group to the one in the study O) outcome that is being measure to test the effectiveness of the intervention T) time; the duration of the data collection. (Riva, Malik, Burnie, Endicott, &Busse, 2012) Along with a problem statement, a hypothesis is needed to put a “question into a form that can be tested” (Trice & Bloom, p. 134). A hypothesis will allow the researcher to make a proposition regarding the issue pertaining to the problem statement chosen.

National Database of Nursing Quality Indicators (NDNQI) Essay Papers

Problem statement: The opioid epidemic is costing thousands of American lives annually.

Hypothesis: If a person is started on narcotics at an earlier age than 21 years, they are more likely to be addicted to narcotics than those not started after 21 years of age.

PICOT:

1. P) Population: addicts; those addicted to narcotics
2. I) Intervention: safe prescribing (not prescribing narcotics under the age of 21)
3. C) The difference between addicts who received narcotics before the age of 21 vs the addicts who were given narcotics after age 21.
4. O) fewer addicts and overdoses
5. T) time of my data collection

The Centers for Disease Control and Prevention(CDC) analyses data using the National Vital Statistics System (NVSS). The CDC “combined the natural, semi-synthetic, and synthetic opioid categories (including methadone) when reporting deaths involving opioid analgesics, also referred to as prescription opioids” (Centers for Disease Control and Prevention, 2017). In 2016, there has been 32,445 reports deaths involving opioids, averaging 89 deaths per day. From 2015, reported deaths have increased by 9,847 annually. A large amount of these deaths are not correlated with prescription opioids but to illegally-made fentanyl. The NVSS data does not differentiate between prescription drugs and illegally-made.

 

“Every ‘Never’ I Ever Said Came True”: Transitions from opioid pills to heroin injecting is a qualitative study “documents the pathways to injecting heroin by users in Philadelphia and San Francisco before and during a pharmaceutical opioid pill epidemic” (Mars, Bourgois, Karandinos, Montero, &Ciccarone, 2014). Data was collected by interviewing the drug dealers and observing the addicts behavior. The study include Philadelphia and San Francisco due to the “contrasting political economies, immigration patterns and source type of heroin” (Mars, Bourgois, Karandinos, Montero, &Ciccarone, 2014). It was determined in this study that heroin users in both cities began using heroin after they became addicted to prescription pills. They switches to heroin due to the availability being more accessible National Database of Nursing Quality Indicators (NDNQI) Essay Papers

 

 

MORE INFO 

National Database of Nursing Quality Indicators (NDNQI)

Introduction

The National Database of Nursing Quality Indicators (NDNQI) is a key resource for hospitals and nursing organizations. The NDNQI has identified 5 critical focus areas. These include patient safety, clinical outcomes, staff quality and environment factors. The purpose behind developing these indicators is to provide key quality indicators that allow hospitals to compare themselves against national benchmarks so they can improve their performance in these areas.”

What is the NDNQI?

The National Database of Nursing Quality Indicators (NDNQI) is a national database that includes nursing quality indicators for acute myocardial infarction. The database was developed by the National Quality Forum, which is an organization that works with the federal government on issues related to health care quality improvement.

The NDNQI measures patient outcomes after acute myocardial infarction at four different times—within 24 hours, five days later, 10 days later and 30 days later. It also measures differences in hospital performance based on how well each hospital follows recommended practices for treating patients with acute myocardial infarctions.

The NDNQI has identified 5 critical focus areas.

The NDNQI has identified 5 critical focus areas. These are:

• Patient safety

• Safe medication use

• Safe surgical care

• Effective leadership and management of care delivery systems, programs and services (including quality improvement).

Quality of care is also included in this category.

What is the purpose of the NDNQI?

The National Database of Nursing Quality Indicators (NDNQI) is a database that contains data on the quality of care provided by nurses. It was created to help improve patient outcomes, identify areas for improvement and increase nurse effectiveness.

The NDNQI will also help hospitals improve their performance by standardizing measures across the country.

Why are these indicators important to hospital systems and nurses?

The NDNQI is important to hospitals because it helps them identify areas of strength, weakness and opportunity. It also allows the hospital to benchmark itself against other institutions in their state or region. Hospitals can use the data collected through the NDNQI to identify best practices that are being followed by other hospitals across the country.

The NDNQI provides key quality indicators that allow hospitals to compare themselves to national benchmarks.

The NDNQI is a national database of quality indicators that allows hospitals to compare themselves with other hospitals. This can help them improve their own care and outcomes for patients, as well as the quality of nursing education programs. The database provides critical information about nursing practice in the United States, including:

• How many nurses are registered?

• How many nurses have bachelor’s degrees?

• What is their training level (e.g., BSN or MSN)?

• How much time does it take them to complete their degree program?

Conclusion

The NDNQI provides key quality indicators that allow hospitals to compare themselves to national benchmarks. The NDNQI has been instrumental in helping hospitals identify gaps and opportunities for improvement, which can lead to better patient care outcomes and ultimately higher quality of care.