SAT TASK 1: NURSING-QUALITY INDICATORS ORGANIZATIONAL SYSTEMS AND
QUALITY LEADERSHIP —
Principles of Leadership
The graduate applies principles of leadership to promote high-quality healthcare in a variety of
settings through the application of sound leadership principles. 734.3.2 :
Interdisciplinary Collaboration
The graduate applies theoretical principles necessary for effective participation in an
interdisciplinary team. 734.3.3 :
Quality and Patient Safety
The graduate applies quality improvement processes intended to achieve optimal healthcare
outcomes, contributing to and supporting a culture of safety.
INTRODUCTION
National initiatives driven by the American Nurses Association have determined nursing-quality
outcome indicators that are intended to focus plans and programs to increase quality and safety
in patient care. The following outcomes are commonly used nursing-quality indicators: •
complications such as urinary tract infections, pressure ulcers, hospital-acquired pneumonia,
and DVT • patient falls • surgical patient complications, including infection, pulmonary failure,
and metabolic derangement • length of patient hospital stay • restraint prevalence • incidence of
failure to rescue, which could potentially result in increased morbidity or mortality • patient
satisfaction • nurse satisfaction and staffing
SCENARIO
Mr. J is a 72-year-old retired rabbi with a diagnosis of mild dementia. He was admitted for
treatment of a fractured right hip after falling in his home. He has received pain medication and
is drowsy, but he answers simple questions appropriately.
A week after Mr. J was admitted to the hospital, his daughter, who lives eight hours away, came
to visit. She found him restrained in bed. While Mr. J was slightly sleepy, he recognized his
daughter and was able to ask her to remove the restraints so he could be helped to the
bathroom. His daughter went to get a certified nursing assistant (CNA) to remove the restraints
and help her father to the bathroom. When the CNA was in the process of helping Mr. J sit up in
bed, his daughter noticed a red, depressed area over Mr. J’s lower spine, similar to a severe
sunburn. She reported the incident to the CNA who replied, “Oh, that is not anything to worry
about. It will go away as soon as he gets up.” The CNA helped Mr. J to the bathroom and then
returned him to bed where she had him lie on his back so she could reapply the restraints.
The diet order for Mr. J was “regular, kosher, chopped meat.” The day after his daughter
arrived, Mr. J was alone in his room when his meal tray was delivered. The nurse entered the
room 30 minutes later and observed that Mr. J had eaten approximately 75% of the meal. The
meal served was labeled, “regular, chopped meat.” The tray contained the remains of a
chopped pork cutlet.
The nurse notified the supervisor, who said, “Just keep it quiet. It will be okay.” The nursing
supervisor then notified the kitchen supervisor of the error. The kitchen supervisor told the staff
on duty what had happened.
When the patient’s daughter visited later that night, she was not told of the incident.
The next night, the daughter was present at suppertime when the tray was delivered by a
dietary worker. The worker said to the patient’s daughter, “I’m so sorry about the pork cutlet last
night.” The daughter asked what had happened and was told that there had been “a mix up in
the order.” The daughter then asked the nurse about the incident. The nurse, while confirming
the incident, told the daughter, “Half a pork cutlet never killed anyone.”
The daughter then called the physician, who called the hospital administrator. The physician,
who is also Jewish, told the administrator that he has had several complaints over the past six
months from his hospitalized Jewish patients who felt that their dietary requests were not taken
seriously by the hospital employees.
The hospital is a 65-bed rural hospital in a town of few Jewish residents. The town’s few Jewish
members usually receive care from a Jewish hospital 20 miles away in a larger city.
REQUIREMENTS
Your submission must be your original work. No more than a combined total of 30% of the
submission and no more than a 10% match to any one individual source can be directly quoted
or closely paraphrased from sources, even if cited correctly. An originality report is provided
when you submit your task that can be used as a guide. You must use the rubric to direct the
creation of your submission because it provides detailed criteria that will be used to evaluate
your work. Each requirement below may be evaluated by more than one rubric aspect.
The rubric aspect titles may contain hyperlinks to relevant portions of the course. Analyze the
scenario (suggested length of 2–3 pages) by doing the following:
A. Discuss how the application of nursing-quality indicators could assist the nurses in this case
in identifying issues that may interfere with patient care.
B. Analyze how hospital data of specific nursing-quality indicators (such as incidence of
pressure ulcers and prevalence of restraints) could advance quality patient care throughout the
hospital.
C. Analyze the specific system resources, referrals, or colleagues that you, as the nursing shift
supervisor, could use to resolve an ethical issue in this scenario.
D. Acknowledge sources, using in-text citations and references, for content that is quoted,
paraphrased, or summarized.
E. Demonstrate professional communication in the content and presentation of your
submission.
File Restrictions
File name may contain only letters, numbers, spaces, and these symbols: ! -_. * ‘ ( ) File size
limit: 200 MB File types allowed: doc, docx, rtf, xls, xlsx, ppt, pptx, odt, pdf, txt, qt, mov, mpg,
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7z
RUBRIC
A:UNDERSTANDING OF NURSING QUALITY INDICATORS
COMPETENT The discussion logically addresses how the application of nursing-quality
indicators could assist the nurses in the scenario with identification of issues that may interfere
with patient care.
B:ADVANCING QUALITY PATIENT CARE C:RESOLUTION OF ETHICAL ISSUES
COMPETENT The analysis identifies specific nursing-quality indicators from the scenario and
logically discusses how hospital data on the identified indicators could advance quality patient
care throughout the hospital.
C: RESOLUTION OF ETHICAL ISSUES
COMPETENT
The analysis describes specific system resources, referrals, or colleagues that are appropriate
for the candidate to use in the HOSPITAL
D:SOURCES
COMPETENT The submission includes in-text citations for sources that are properly quoted,
paraphrased, or summarized and a reference list that accurately identifies the author, date, title,
and source location as available.
E:PROFESSIONAL COMMUNICATION COMPETENT Content reflects attention to detail, is
organized, and focuses on the main ideas as prescribed in the task or chosen by the candidate.
Terminology is pertinent, is used correctly, and effectively conveys the intended meaning.
Mechanics, usage, and grammar promote accurate interpretation and understanding