Organizational Systems and Quality Leadership

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OrganizationalSystems and Quality Leadership

OrganizationalSystems and Quality Leadership

Thedevelopment of nursing sensitive indicators is attributed to theincrease in cases of patient dissatisfaction. These indicators wereintended to guide nurses in delivering care in a way that couldmaximize client outcome as well as satisfaction (Heslop &amp Lu,2014). In this paper, the effect of understanding the sensitiveindicators in the process of addressing issues that interfere withpatient care will be discussed. The paper will also focus on theimportance of analyzing the data on the indicators and the use ofresources, collaboration, and referrals in addressing ethical issuesin the case study of Mr. J.

Understandingof the Nursing-Sensitive Indicators

Theunderstanding of the nursing-sensitive indicators is a key factorthat helps nurses to deliver the client-centered care. Thisunderstanding would have helped the nurses in the case study to serveMr. J in two ways. First, it would have helped the nurses to focus onthe identification of specific issues that could affect the treatmentoutcome. This is because these sensitive indicators are expected toguide nurses in identifying the structure as well as the processes ofcare (Heslop &amp Lu, 2014). The two factors influence the healthcare outcomes. Therefore, the nurses taking care of Mr. J could haveprovided better services had they understood these sensitiveindicators. Secondly, the application of restraints interfered withthe process of delivering care to Mr. J. The understanding of thenursing sensitive indicators would have motivated the nurses to adoptmore effective evidence-based practices. This would have helped theMr. J. to access quality care without being subjected to anuncomfortable situation that interred with his treatment.

Dataon Sensitive Indicators and Quality of Care

Theability of a hospital to collect data on nursing sensitive indicatorscan go a long way in enhancing the quality care throughout thefacility. The collection and analysis of this data inform the processof developing effective nursing care systems by addressing thecurrent weaknesses. This is attributed to the fact that the data helpthe stakeholders in the hospital to identify trends pertaining to thedelivery of healthcare. These trends help the nurses to identifycauses of errors as well as weaknesses, thus help them to embark onthe process of continuous quality improvement. Moreover, the data areused by the hospital administrators to monitor possible issues thatare related to patient-nurse relationship, which is a key determinantof the client’s satisfaction (Swartz &amp Kirschling, 2014). Foran instant, the collection and analysis of data on the prevalence ofrestraints over time would have helped the nurses and the hospital tounderstand that such a treatment procedure interferes with thedelivery of care. This means that the collection of data provides thehealth care facilities as well as providers with lessons that helpthem avoid repeating mistakes, thus advancing the quality of care inthe entire hospital.

SpecificSystem Resources, Referrals, and Colleagues That Could Be Used ToResolve Ethical Issues

Thefamily would have been a great resource in addressing the issuepertaining to the delivery of foods with wrong labels. The nursesupervisor should have approached Mr. J’s daughter in order tooffer an apology. This would have been a great opportunity to assurethe client and the family that this mistake will not take placeagain.

Theissue of rudeness of nurses and persistent errors made by kitchensupervisors should have been referred to the top managers of thehealth care facility. From the case study, several complaints havebeen received from Jewish clients, who have been given foodcontaining pork. This means that Mr. J was not the only client whowas offended. Referral is important for issues that are beyond thecapacity of nurse supervisor.

Collaborationamong nurses is important in identifying the cultural as well as thereligious issues that could interfere with the delivery of care andtreatment outcome to Jewish patients. Collaboration among nurses willlead to the identification of evidence-based practices (Swartz &ampKirschling, 2014). Nurses can conduct research that will inform thestakeholders about the implications of giving certain types of food(such as pork) to Jewish patients.


Thenursing sensitive indicators are important because they facilitatethe delivery of quality care. In addition, the ability of a healthcare facility to collect data on these indicators can enable it toembark on the process of continuous improvement of quality. Unethicalissues in the field of nursing can be addressed effectively throughthe collaboration of nurses, referral to the top management, andapplication of the necessary resources.


Heslop,L. &amp Lu, S. (2014). Nursing-sensitive indicators: A conceptanalysis. Journalof Advanced Nursing,70 (11), 2469-2482.

Swartz,C. &amp Kirschling, J. (2014). Theblueprint for improving patient care nursing sensitive indicators.Lexington, KY: University of Kentucky.