Author Question: A complete appraisal of quality of care in an institution is undertaken. It could justifiably be ... (Read 42 times)

imowrer · **on:** Jul 8, 2018

A complete appraisal of quality of care in an institution is undertaken. It could justifiably be linked with which of the following? (Select all that apply.)

a. The types of insurance the hospital accepts
b. The general safety of the hospital grounds for visitors and family
c. Advertisements for health care in the area
d. Numbers of complaints the hospital administrator receives
e. Nurse: patient staffing ratios
f. National research funding for healthcare
g. Measures of physiologic function, twelve weeks after surgery

Question 2

How do practice pattern profiling and nursing-sensitive patient outcomes research relate to one another?

a. The identification of nursing-sensitive patient outcomes is a type of practice pattern profiling. The purpose of both is to identify the outlier, so as to improve patient outcomes.
b. Practice pattern profiling scrutinizes an individual in comparison with a group; nursing-sensitive patient outcomes research addresses nurses as a group, rather than as individuals.
c. Both can identify variables that affect patient outcome.
d. Both pose risk to the person who delivers care.
e. Neither can be undertaken without signed consent from the participants.
f. Both are types of outcomes research.

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

Answer to Question 1

ANS: B, D, E, G
Donabedian identified three objects to evaluate when appraising quality: structure, process, and outcome. A complete quality assessment program requires the simultaneous use of all three concepts and an examination of the relationships among the three. Only structures and processes can be logically linked with outcomes.

Answer to Question 2

ANS: B, C, F
A nursing-sensitive patient outcome is sensitive because it is influenced by nursing care decisions and actions. It may not be caused by nursing, but is associated with nursing. Practice pattern profiling is an epidemiological technique that focuses on patterns of care rather than individual occurrences of care. Researchers use large database analysis to identify a provider's pattern of practice and compare it with that of similar providers or with an accepted standard of practice. The technique has been used to determine overutilization and underutilization of services, to examine costs associated with a particular provider's care, to uncover problems related to efficiency and quality of care, and to assess provider performance. Both use existent databases as data sources, a majority of the time.