NSG 6620 Week 2 Discussion 2

Discussion Question 2: Nurse Sensitive Indicators and the CNO

Nurse sensitive indicators reflect the structure, process, and outcomes of nursing care in a healthcare organization. Key factors influencing nurse sensitive indicators include the structure of nursing care, skill level of nursing staff, and education or certification of nursing staff. Greater quality or quantity of nursing care results in an improvement in patient outcomes that are closely linked to nurse sensitive indicators.

Nursing-sensitive indicators (NSIs) are metrics and indicators that reflect nursing care’s structure, process(es), and results. These indicators serve to indicate the impact of the care provided by nurses in healthcare facilities.
Efforts to assess the quality of nursing practice began a long time ago, when Florence Nightingale, the founder of modern nursing, was trying to improve hospital conditions and track patient outcomes. She was a well-known statistician who used statistical tools to create reports that linked patient outcomes to environmental and practice factors.

The term “nursing-sensitive indicators” or “nurse-sensitive outcomes” refers to gathering data to detect and assess nursing outcomes on the healthcare system or in patient care. Recent study relating nurse staffing issues to poor patient outcomes has piqued the interest of many in and out of the health-care industry.
The 1990s and early 2000s saw a lot of research into a possible link between the two. It was during a time when there was a critical nursing shortage. Burnout, understaffing, and job unhappiness were all noted by nurses. The media and the general public became interested in NSI studies after reports that understaffing was causing an increase in mortality.

Using the readings for the week, the South University Online Library, and the Internet, respond to the following:


Examine the role of a CNO in relation to nurse sensitive indicators, such as the following:

Central line-associated bloodstream infection (CLABSI)

Catheter-associated urinary tract infection (CAUTI)

Ventilator-associated pneumonia (VAP)

Pressure ulcers

As a CNO, what process will you use for developing a nurse sensitive indicator?

Estimate the time it takes to create and approve a nurse sensitive indicator.

Comment on the postings of at least two peers.

Evaluation Criteria:

Examined the role of CNO in relation to nurse sensitive indicators, such as CLABSI, CAUTI, VAP, and pressure ulcers.

Described the process utilized for developing a nurse sensitive indicator.

Estimated the time it takes to create and approve a nurse sensitive indicator.

Justified your answers with appropriate research and reasoning.

Commented on the postings of at least two peers.

Discussion 2

 Research and EBP projects can be communicated in many ways. Which method do you think is most effective to get to the staff nurse level? To the advance practice nurses? How will you ensure that all appropriate audiences receive your information? 2 pages, at least 3 references. APA format, please address all the questions. Thanks

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Discussion 3

G010 Walden University Project Performance Measurement

You must proofread your paper. But do not strictly rely on your computer’s spell-checker and grammar-checker; failure to do so indicates a lack of effort on your part and you can expect your grade to suffer accordingly. Papers with numerous misspelled words and grammatical mistakes will be penalized. Read over your paper – in silence and then aloud – before handing it in and make corrections as necessary. Often it is advantageous to have a friend proofread your paper for obvious errors. Handwritten corrections are preferable to uncorrected mistakes.

Use a standard 10 to 12 point (10 to 12 characters per inch) typeface. Smaller or compressed type and papers with small margins or single-spacing are hard to read. It is better to let your essay run over the recommended number of pages than to try to compress it into fewer pages.

Likewise, large type, large margins, large indentations, triple-spacing, increased leading (space between lines), increased kerning (space between letters), and any other such attempts at “padding” to increase the length of a paper are unacceptable, wasteful of trees, and will not fool your professor. G010 Walden University Project Performance Measurement 

The paper must be neatly formatted, double-spaced with a one-inch margin on the top, bottom, and sides of each page. When submitting hard copy, be sure to use white paper and print out using dark ink. If it is hard to read your essay, it will also be hard to follow your argument.


Discussion Questions (DQ)

Initial responses to the DQ should address all components of the questions asked, include a minimum of one scholarly source, and be at least 250 words.
Successful responses are substantive (i.e., add something new to the discussion, engage others in the discussion, well-developed idea) and include at least one scholarly source.
One or two sentence responses, simple statements of agreement or “good post,” and responses that are off-topic will not count as substantive. Substantive responses should be at least 150 words.
I encourage you to incorporate the readings from the week (as applicable) into your responses.

Weekly Participation

Your initial responses to the mandatory DQ do not count toward participation and are graded separately.
In addition to the DQ responses, you must post at least one reply to peers (or me) on three separate days, for a total of three replies.
Participation posts do not require a scholarly source/citation (unless you cite someone else’s work).
Part of your weekly participation includes viewing the weekly announcement and attesting to watching it in the comments. These announcements are made to ensure you understand everything that is due during the week.

APA Format and Writing Quality

Familiarize yourself with APA format and practice using it correctly. It is used for most writing assignments for your degree. Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for APA paper templates, citation examples, tips, etc. Points will be deducted for poor use of APA format or absence of APA format (if required).
Cite all sources of information! When in doubt, cite the source. Paraphrasing also requires a citation.
I highly recommend using the APA Publication Manual, 6th edition.

Use of Direct Quotes

I discourage overutilization of direct quotes in DQs and assignments at the Masters’ level and deduct points accordingly.
As Masters’ level students, it is important that you be able to critically analyze and interpret information from journal articles and other resources. Simply restating someone else’s words does not demonstrate an understanding of the content or critical analysis of the content.
It is best to paraphrase content and cite your source.

LopesWrite Policy

For assignments that need to be submitted to LopesWrite, please be sure you have received your report and Similarity Index (SI) percentage BEFORE you do a “final submit” to me.
Once you have received your report, please review it. This report will show you grammatical, punctuation, and spelling errors that can easily be fixed. Take the extra few minutes to review instead of getting counted off for these mistakes.
Review your similarities. Did you forget to cite something? Did you not paraphrase well enough? Is your paper made up of someone else’s thoughts more than your own?
Visit the Writing Center in the Student Success Center, under the Resources tab in LoudCloud for tips on improving your paper and SI score.

Late Policy

The university’s policy on late assignments is 10% penalty PER DAY LATE. This also applies to late DQ replies.
Please communicate with me if you anticipate having to submit an assignment late. I am happy to be flexible, with advance notice. We may be able to work out an extension based on extenuating circumstances.
If you do not communicate with me before submitting an assignment late, the GCU late policy will be in effect.
I do not accept assignments that are two or more weeks late unless we have worked out an extension.
As per policy, no assignments are accepted after the last day of class. Any assignment submitted after midnight on the last day of class will not be accepted for grading.


Communication is so very important. There are multiple ways to communicate with me:
Questions to Instructor Forum: This is a great place to ask course content or assignment questions. If you have a question, there is a good chance one of your peers does as well. This is a public forum for the class.
Individual Forum: This is a private forum to ask me questions or send me messages. This will be checked at least once every 24 hours.