How hospital data of specific nursing-quality indicators

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. Jʼs 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 patientʼs 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 patientʼs daughter, “Iʼm 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
townʼs 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.