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Measuring Performance

Engagement

Engage nurses to achieve safe, high-quality care

Nurse engagement correlates directly with critical safety, quality and patient experience outcomes

Understanding the current state of nurse engagement is imperative

(Dempsey & Reilly, 2016; Press Ganey, 2016)

Satisfaction

Nursing-Sensitive Quality Indicators

RN satisfaction survey

given annually

300,000 Participants

Importance to Nursing

Nursing Hours

Structure

(Mantalvo, 2007; Press Ganey, 2016)

Nursing Education

Nursing Turnover Rate

Engagement

Nursing Satisfaction

Process

Pressure Ulcer Prevalence

Satisfaction

Patient Falls

Patient Falls with Injury

Outcome

Empowerment

Restraint Prevalence

Empowerment

Nosocomial Infections

When nurses work in a facility that participate in NDNQI they feel empowered to make the workplace changes that will lead to a better health care system

(Press Ganey, 2016; University of Kansas Medical Center. (n.d.))

Recognition

(Montalvo, 2007; Press Ganey, 2016)

What does NDNQI Report Look Like?

References

Recognition

Quality is not an act, it is a habit.

-Aristotle

Press Ganey, 2016

Objectives

What is the NDNQI?

(Montalvo, 2007)

  • Over 2,000 hospitals in the US and 95% of magnet hospitals participate in the database

Future of NDNQI

  • Data on Nurse Sensitive Indicators (NSI) is complied into a database

American Nurses Association (Producer). (2009). Nurses impact at the bedside - measuring performance [video]. Available from https://w ww.youtube.com/watch?v=89uSLanF8SA

Dempsey, C., & Reilly, B. (2016). Nurse engagement: What are the contributing factors for success? Online Journal of Issues in Nursing, 21(1), 2-2. doi:10.3912/OJIN.Vol21No01Man02

Gallager, R., & Rowell, P. (2013). Claiming the future of nursing through nursing-sensitive quality indicators. Nursing Administration Quarterly, 27(4), 273-284.

Montalvo, I. (2007). The National Database of Nursing Quality Indicators (NDNQI). OJIN: The Online Journal of Issues in Nursing, 12(3).  

Nalley, C. (2014). Creating change in nursing: ANA’s national database of nursing quality indicators provides nurses with essential tools necessary to generate positive outcomes. Advance Healthcare Network. Retrieved from http://nursing.advanceweb.com/Features/Articles/Creating-Change-in-Nursing.aspx

Press Ganey. (2016). Nursing quality (NDNQI). Retrieved from http://www.pressganey.com/solutions/clinical-quality/nursing-quality

University of Kansas Medical Center. (n.d.). NDNQI: Transforming Data into Quality Care. Retrieved February 21, 2017, from http://public.qualityforum.org/actionregistry/Lists/List%20of%20Actions/Attachments/141/NDNQIBrochure.pdf?Mobile=1

  • Similar units can be compared and benchmarked
  • Facilities can use this information to implement meaningful improvement
  • Understand the information contained in the NDNQI and its importance to nursing practice
  • Identify what a nurse sensitive indicator (NSI) is and how they are utilized
  • Learn what data is used from the database and how it is stored and potentially shared
  • Identify ways the NDNQI is important to nursing practice
  • Recognize the potential future of NDNQI in nursing

  • Nursing Satisfaction is also collected

Goals: Improve quality of care and patient experience

(Montalvo, 2007)

Where Do We Go From Here?

History of NDNQI

“Quality is ballet…not hockey…ballet in which all of us must move forward together in claiming the future of nursing through nursing-sensitive indicators”.

  • Public concern
  • Out-come oriented, cost effective health care is a mandate!
  • Data collection

Gallager & Rowell. (2003).

2014 and beyond...

  • Continue to look to the future
  • Ambulatory care
  • Reducing patient suffering and achieving higher-quality, more coordinated care
  • ANA's participation in Press Ganey Chief Nursing Officer Advisory Council
  • 1990- Workforce restructuring which demonstrated the need to evaluate nurse staffing
  • 1994- Patient Safety and Quality Initiative was launched by the ANA
  • 10 nursing sensitive quality indicators
  • 1998- NDNQI was established
  • 2001- NDNQI managed by The University of Kansas School of Nursing
  • 2014- NDNQI sold to Press Ganey

(ANA, 2014 and Nalley, 2014)

(Montalvo, 2007)

(Gallager & Rowell, 2003)

Picture from Google

National database of nursing quality indicators

NDNQI

Lori Bachman, Whitney Gessert, Carly Grassle, & Sara Yernberg

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