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Posted: January 12th, 2024

Tools for measuring quality in nursing practice

Tools for measuring quality in nursing practice
There are several tools that can be used to measure the quality of nursing practice. These include:

Clinical practice guidelines: These provide evidence-based recommendations for the management of specific health conditions and can be used to benchmark the quality of nursing practice.

Clinical audit: This involves systematically reviewing and evaluating the care provided to patients against predetermined standards or benchmarks, such as clinical practice guidelines or professional standards.

Patient satisfaction surveys: These surveys ask patients to rate their experience with the care they received, including the quality of nursing care.

Clinical outcomes: Measures of clinical outcomes, such as hospital readmission rates, mortality rates, and infection rates, can be used to assess the quality of nursing care.

Clinical performance indicators: These indicators, such as the percentage of patients receiving timely care or the percentage of patients receiving prescribed medications, can be used to measure the quality of nursing care.

Peer review: This involves evaluating the care provided by a nurse by other nurses or healthcare professionals.

Self-assessment: Nurses can assess their own practice using tools such as self-reflection or self-assessment tools.
Due Sunday by 10:59pm Points 100 Submitting a text entry box or a file upload Attempts 0
Allowed Attempts 2
Start Assignment
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How do we determine quality? Quality in other areas of our lives can be subjective, so how
do we ensure—specifically as it relates to our nursing practice—that quality is clearly
defined and measurable?
Tools for measuring quality are used to assess the value measured, collected, or
compared. These tools allow for subjectivity to be replaced with objectivity through data,
formula, ranking, and analysis.
For this Assignment, you will explore at least three rate-based measures of quality. You will deconstruct each measure to explore your
understanding of the measure, its importance, and its impact on patient safety, cost of healthcare, and overall quality of healthcare.
TOOLS FOR MEASURING QUALITY
RESOURCES
Review the Learning Resources, for this week, and reflect on tools for measuring quality in nursing practice.
Select three rate-based measurements of quality that you would like to focus on for this Assignment.
Note: These measurements must relate to some aspect of clinical or service quality that directly relates to patient care or the
patient’s experience of care. For the purposes of this Assignment, an analysis of staffing levels is not permitted.
You can find useful information on quality indicators that are of interest to you on these websites and resources. You may choose
only one of the three measures to be some form of patient satisfaction measure.
Consider how the three rate-based measures (you will select) are defined, how the rates were determined or calculated, how the
measures were collected, and how these measures are communicated to both internal and external stakeholders.
Reflect on how the three rate-based measures (you will select) may relate to organizational goals for improved performance.
Reflect on the three rate-based measures (you will select), and consider the importance of these measures on patient safety, cost of
healthcare, and overall quality of healthcare.
Describe the three rate-based measures of quality you selected, and explain why.
Be sure to review the Learning Resources before completing this activity.
Click the weekly resources link to access the resources.
WEEKLY RESOURCES (https:/waldenu.instructure.com/courses/25876/modules/items/559876)
TO PREPARE:
THE ASSIGNMENT: (8–10 PAGES)
Deconstruct each rate-based measure to include the following:
Describe the definition of the measure.
Explain the numerical description of how the measure is constructed (the numerator/denominator measure counts, the formula
used to construct the rate, etc.).
Explain how the data for this measure are collected.
Describe how the measurement is compared externally to other like settings, and differentiate between the actual rate and a
percentile ranking. Be specific.
Explain whether the measure is risk adjusted or not. If so, explain briefly how this is accomplished.
Describe how goals might be set for each measure in an aggressive organization, which is seeking to excel in the marketplace. Be
specific and provide examples.
Describe the importance of each rate-based measure to a chosen clinical organization and setting.
Using the websites and resources, you can choose a hospital, a nursing home, a home health agency, a dialysis center, a health
plan, an outpatient clinic, or private office; a total population of patient types is also acceptable, but please be specific as to the
setting. That is, if you are interested in patients with chronic illness across the continuum of care, you might home in a particular
health plan, a multispecialty practice setting or a healthcare organization with both inpatient and outpatient/clinic settings.
Note: Faculty appointments and academic settings are not permitted for this exercise. For all other settings, consult the Instructor
for guidance. You do not need actual data from a given organization to complete this Assignment.
Explain how each rate-based measure (you selected) relates to patient safety, to the cost of poor quality, and to the overall cost of
healthcare delivery. Be specific and provide examples.
Reminder: The College of Nursing requires that all papers submitted include a title page, introduction, summary, and references. The
Sample Paper provided at the Walden Writing Center provides an example of those required elements (available
at https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632
(https://academicguides.waldenu.edu/writingcenter/templates/general#s-lg-box-20293632) ). All papers submitted must use this formatting.
Submit your Assignment by Day 7 of Week 4.
BY DAY 7
NURS_8302_Week4_Assignment2_Rubric
Before submitting your final assignment, you can check your draft for authenticity. To check your draft, access the Turnitin Drafts
from the Start Here area.
1. To submit your completed assignment, save your Assignment as WK4Assgn2_LastName_Firstinitial
2. Then, click on Start Assignment 2 near the top of the page.
3. Next, click on Upload File and select Submit Assignment 2 for review.
SUBMISSION INFORMATION
Criteria Ratings Pts
20 pts
25 pts
Describe the three rate based measures of quality
you selected, and explain
why.
20 to >17.0 pts
Excellent
The response accurately
and clearly describes in
detail three rate-based
measures of quality…. The
response provides
accurate and specific
details that fully support
the selection of the three
rate-based measures
described.
17 to >15.0 pts
Good
The response accurately
describes three rate based measures of
quality…. The response
provides accurate
details that support the
selection of the three
rate-based measures
described.
15 to >13.0 pts
Fair
The response inaccurately or
vaguely describes three rate based measures of quality….
OR… The response describes
less than three rate-based
measures of quality…. The
response provides inaccurate
or vague details that may
support the selection of the
rate-based measures
described.
13 to >0 pts
Poor
The response
inaccurately and vaguely
describes three rate based measures of
quality, or it is missing….
The response provides
inaccurate and vague
details that do not
support the selection of
the rate-based
measures described, or
it is missing.
Deconstruct each rate based measure to include
the definition of each
measure, explanation of
the numerical description
of how the measure is
constructed, explanation of
how the data is collected,
description of how the
measure is compared
externally, explanation of
whether or not the
measure is risk adjusted,
and a description of the
25 to >22.0 pts
Excellent
The response accurately and
clearly explains in detail each
of the three rate-based
measures…. The response
accurately and clearly
explains all elements of each
measure, including: the
definition of the measure,
explanation of the numerical
description, explanation of
how the data is collected,
description of how the
22 to >19.0 pts
Good
The response accurately
explains each of the three
rate-based measures…. The
response accurately explains
the elements of each
measure, including: the
definition of the measure,
explanation of the numerical
description, explanation of
how the data is collected,
description of how the
measure is compared,
19 to >17.0 pts
Fair
The response
inaccurately or vaguely
explains each of the
three rate-based
measures…. The
response inaccurately
or vaguely explains the
elements of each
measure…. The
response includes
inaccurate and
irrelevant examples that
17 to >0 pts
Poor
The response
inaccurately or
vaguely explains each
of the three rate based measures, or it
is missing…. The
response inaccurately
or vaguely explains
the elements of each
measure, or it is
missing…. The
response includes
Criteria Ratings Pts
20 pts
how goals might be set for
each measure. Be specific,
and provide examples.
measure is compared,
explanation of risk, and
description of goals…. The
response includes relevant,
specific, and appropriate
examples that fully support
the explanations provided for
each of the three rate-based
measures described.
explanation of risk, and
description of goals…. The
response includes relevant,
specific, and accurate
examples that support the
explanations provided for
each of the three rate-based
measures described.
may support the
explanations provided
for each of the three
rate-based measures
described.
inaccurate and vague
examples that do not
support the
explanations provided
for each of the three
rate-based measures
described, or it is
missing.
Describe the importance of
each measure to a chosen
clinical organization and
setting. Be specific as to
the setting.
20 to >17.0 pts
Excellent
The response accurately
and clearly explains in
detail the importance of
each measure to a chosen
clinical organization and
setting. … The response
provides accurate and
specific details that fully
support the selection of the
three rate-based measures
and the clinical
organization or setting
described.
17 to >15.0 pts
Good
The response accurately
explains the importance
of each measure to a
chosen clinical
organization and setting.
… The response provides
accurate details that
support the selection of
the three rate-based
measures and the clinical
organization or setting
described.
15 to >13.0 pts
Fair
The response inaccurately
or vaguely explains the
importance of each
measure to a chosen
clinical organization and
setting. … The response
inaccurately or vaguely
provides details that may
support the selection of the
three rate-based measures
and the clinical
organization or setting
described.
13 to >0 pts
Poor
The response
inaccurately and vaguely
explains the importance
of each measure to a
chosen clinical
organization and setting,
or it is missing…. The
response inaccurately
and vaguely provides
details that do not
support the selection of
the three rate-based
measures and the clinical
organization or setting
described, or it is
missing.
Criteria Ratings Pts
20 pts
5 pts
Explain how each rate based measure you
selected relates to patient
safety, to the cost of poor
quality, and to the overall
cost of healthcare delivery.
Be specific, and provide
examples.
20 to >17.0 pts
Excellent
The response accurately
and clearly explains in
detail how each rate-based
measure relates to patient
safety, cost of poor quality,
and overall cost of
healthcare delivery…. The
response includes relevant,
specific, and appropriate
examples that fully support
the explanations provided
for each of the rate-based
measures described.
17 to >15.0 pts
Good
The response accurately
explains how each
measure relates to patient
safety, cost of poor
quality, and overall cost of
healthcare delivery…. The
response includes
relevant, specific, and
accurate examples that
support the explanations
provided for each of the
rate-based measures
described.
15 to >13.0 pts
Fair
The response inaccurately
or vaguely explains how
each measure relates to
patient safety, cost of poor
quality, and overall cost of
healthcare delivery…. The
response includes
inaccurate and irrelevant
examples that may
support the explanations
provided for each of the
rate-based measures
described.
13 to >0 pts
Poor
The response
inaccurately and vaguely
explains how each
measure relates to
patient safety, cost of
poor quality, and overall
cost of healthcare
delivery, or it is
missing…. The response
includes inaccurate and
vague examples that do
not support the
explanations provided for
each of the rate-based
measures described, or it
is missing.
Written Expression and
Formatting – Paragraph
Development and
Organization: Paragraphs
make clear points that
support well-developed
5 to >4.0 pts
Excellent
Paragraphs and sentences
follow writing standards for
flow, continuity, and clarity….
A clear and comprehensive
4 to >3.5 pts
Good
Paragraphs and
sentences follow writing
standards for flow,
continuity, and clarity 80%
3.5 to >3.0 pts
Fair
Paragraphs and sentences
follow writing standards for
flow, continuity, and clarity
60%–79% of the time. …
3 to >0 pts
Poor
Paragraphs and
sentences follow
writing standards for
flow, continuity, and
Criteria Ratings Pts
5 pts
5 pts
ideas, flow logically, and
demonstrate continuity of
ideas. Sentences are
carefully focused—neither
long and rambling nor
short and lacking
substance. A clear and
comprehensive purpose
statement and introduction
is provided which
delineates all required
criteria.
purpose statement,
introduction, and conclusion
is provided which delineates
all required criteria.
of the time. Purpose,
introduction, and
conclusion of the
assignment is stated, yet
is brief and not
descriptive.
Purpose, introduction, and
conclusion of the
assignment is vague or off
topic.
clarity < 60% of the
time…. No purpose
statement, introduction,
or conclusion was
provided.
Written Expression and
Formatting – English
writing standards: Correct
grammar, mechanics, and
proper punctuation
5 to >4.0 pts
Excellent
Uses correct grammar,
spelling, and
punctuation with no
errors.
4 to >3.5 pts
Good
Contains a few (1 or 2)
grammar, spelling, and
punctuation errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4)
grammar, spelling, and
punctuation errors.
3 to >0 pts
Poor
Contains many (≥ 5) grammar,
spelling, and punctuation errors
that interfere with the reader’s
understanding.
Written Expression and
Formatting – The paper
follows correct APA format
for title page, headings,
font, spacing, margins,
indentations, page
numbers, parenthetical/in 5 to >4.0 pts
Excellent
Uses correct APA format
with no errors.
4 to >3.5 pts
Good
Contains a few (1 or 2)
APA format errors.
3.5 to >3.0 pts
Fair
Contains several (3 or 4)
APA format errors.
3 to >0 pts
Poor
Contains many (≥ 5)
APA format errors.
Total Points: 100
Criteria Ratings Pts
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x
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cit
a
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n
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