Author Question: A nurse manager discovers that the actual number of visits per patient in a home health service is ... (Read 78 times)

pragya sharda · **on:** Jul 8, 2018

A nurse manager discovers that the actual number of visits per patient in a home health service is 3.8 visits per day when the standard is 5 visits per day. Based on this information, the nurse manager:

a. Concludes that the complexity of care in each visit has arisen.
b. Concludes that patient volume has been decreased.
c. Decides that more information is needed before a conclusion can be reached.
d. Initiates a training session regarding the importance of ensuring that visits are made.

Question 2

As a head nurse, you are concerned about the service orientation on your unit. Which of the following findings and approaches might provide useful information for you?

a. Patients find nurses friendly and accessi-ble; data are aggregated for the institution as a whole.
b. Data indicate that nurses are responsive to requests for assistance; data are available for the unit and the institution.
c. Specific questions related to management of comfort are included for the institution as a whole.
d. The survey asks for a range of responses for the unit and the organization, with a focus on facilities, such as cleanliness and responsiveness of administrative services.

mistyjohnson · **Reply #1 on:** Jul 8, 2018

Answer to Question 1

C
Variance from measures of productivity or ratio of outputs to inputs does not necessarily offer an explanation of whether or not care was delivered as needed. Before proceeding to any further conclusion, the nurse manager will need to investigate reasons for the decreased output.

Answer to Question 2

B
The National Database of Nursing Quality Indicators (NDNQI) is a national repository for unit-based quality data that can be used by organizations to benchmark the outcomes of care against those of other institutions (ANA, n.d.). Unit-based quality indicators, including satisfac-tion with nursing care, are a key feature of the NDNQI. In addition to hospitals being provided with their own and comparison data, researchers are able to access de-identified data in order to answer important questions about nursing care quality. Pain management, the discharge process, and post-discharge patient callbacks are specific areas where nurses can make significant im-provement in patient satisfaction. Because patients and nurses may differ in what they see as factors that produce satisfaction, total reliance on nursing perceptions of patient satisfaction may not provide a complete picture.