Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample

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

The American Nursing Association established the National Database of Nursing-Sensitive Quality Indicators (NDNQI) to sustain and build on data collection from studies to develop further nursing knowledge on factors influencing nursing quality care (Grove et al., 2018). The NDNQI consistently reports nursing structures, processes, and outcome indicators crucial to evaluating nursing care at the basic unit.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample

What are nursing-sensitive quality indicators?

Nursing-sensitive quality indicators (NSQIs) are the criteria that delineate an individual’s health status influenced by nursing care (Afaneh, Abu-Moghli & Ahmad, 2021). NSQIs the foundation crucial for monitoring the nursing care quality since it identifies care structures and processes that influences care outcomes. The purpose of the NSQIs is to determine the degree of impacts of nursing actions on patients, i.e., whether the indicators positively impact patients and communities. The NSQIs provide a level-ground guideline and evidence for evidence-based nursing and cost-effectiveness.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

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

For this tutorial, Nurse Turnover is addressed. Nurse turnover occurs when a nurse(s) chooses to leave employment under any circumstance or for any given reason, i.e., retirement, changing professions, or moving to an alternative health organization. Usually, the drive to leave one health organization includes under-appreciation of nurses, hard physical/mental strains, and barriers dealing with short staffing. High nurse turnover is a recurring problem for most healthcare providers because it determines the nurse-patient ratio and time to attend to patients. As a result, most health organizations have focused on nurse retention to prevent nurse turnover and retain nurses in employment.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

Why is this quality indicator important to monitor?

Nurse turnover has a critical impact on hospital services. Nursing processes affected by nurse turnover include staffing, management, revenue, and operation costs. According to Dewato & Wardha (2018), nursing turnover increases overhead costs related to newly engaged nurses’ staffing and on-job training. Consequently, nurse turnover affects hospital services since newly employed or replacement nurses have limited skills that do not meet the expected professional standards. Usually, new nursing staff must readjust and orient themselves to the nursing processes, which is financially costly and impacts health care quality safety.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

Moreover, turnover contributes to less optimal services dues to communication barriers between nursing teams constitution new nurses. Due to short staffing, hospitals tend to lose experienced and trained nurses, leading to an imbalanced constitution of nursing teams. There are imbalanced nursing teams, consequent scheduling work and settings, and ultimately nurses’ morale.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)   

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

Nurses are a critical part of healthcare, and nurse turnover directly affects the nursing process. Nurses work in a fast-paced environment, and high nurse turnover increases the workload for remaining nurses and limits support for high performers. In addition, high workload causes physical and mental strain, leading to nursing incidents such as patient falls, delayed medical attention, and medication errors (Carlesi et al., 2017). Consequently, high turnover leads to poor satisfaction rates among nursing staff.  Therefore, nurses should support the environment and work cultures supporting workplace cohesion and limiting high turnover.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

Collection and Distribution of Quality Indicator Data

How does your organization collect data on this quality indicator according to your interview and other resources?

Speaking to a nurse administrator, a mentor, and works in the A&E department, my organization collects data on nurse turnover from quarterly unit-level records on the number of nurses who leave the organization. Moreover, the organization record the number of nurses with experience and those without experience per given nursing unit. The administrator stresses the significance of this activity and the existence of guidelines for monitoring turnover rates.(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

How does the organization disseminate aggregate data?

The organization has a targeted distribution of aggregate data determined by the need and use. Data on nurse turnover is only shared with leaders within the organization, including nursing team leaders, administrators, managers, and HR personnel. Moreover, the aggregate data is shared with the organization’s board, making critical management decisions and policies relating to nurses’ hiring, promotion, and training. The aggregate data on nurse turnover is shared through secure electronic medium and paper files. Through a non-propriety system(Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)

Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample

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

Nurses play a crucial role in supporting the correct recording and dissemination of high-quality clinical results for the sustained quality of nursing processes and positive health outcomes. Nurses have the knowledge and skills to collect clear, concise, and objective data about healthcare occurrences and situations to aid definitive decision-making on quality improvement initiatives. In addition, nurses commit to data collection accountability by recording their credentials whenever a particular data is collected. Furthermore, nurses contribute to quality data collection by providing feedback on collected data or providing evidence-based insights on improving data collection. (Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample)


Afaneh, T., Abu-Moghli, F., & Ahmad, M. (2021). Nursing-sensitive indicators: a concept analysis. Nursing Management28(3).

Carlesi, K. C., Padilha, K. G., Toffoletto, M. C., Henriquez-Roldán, C., & Juan, M. A. C. (2017). Patient Safety Incidents and Nursing Workload1. Revista latino-americana de enfermagem25.

Dewanto, A., & Wardhani, V. (2018). Nurse turnover and perceived causes and consequences: a preliminary study at private hospitals in Indonesia. BMC nursing17(2), 1-7.

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.

Nursing-Sensitive Quality Indicator Comprehensive Nursing Paper Sample

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