Posted: May 25th, 2022

Organizational Systems and Quality Leadership


Organizational Systems and Quality Leadership

Don't use plagiarized sources. Get Your Custom Essay on
Organizational Systems and Quality Leadership
Just from $13/Page
Order Essay

Efforts to measure and improve the quality of nursing care provided to patients began with Florence Nightingale, who measured patient outcomes and worked towards the improvement of hospital conditions. Recently, studies linking nurses to patient outcomes have been given significant focus within healthcare. Efforts to measure the indicators of the quality of care dispensed by nurses have led to the phrase “nursing sensitive indicators,” which has become a buzzword in healthcare. These are “outcomes from patient care that reflect the nursing care provided” (Kelly, Vottero, & Christie-McAuliffe, 2014). These indicators reflect the structure, nursing care process, and nursing care outcomes (American Nurses Association, 2014). Structural indicators include nursing staff supply, skill level of nurses and certification. The process indicators include patient assessment measures of nursing interventions while outcome indicators include all patient experiences such as falls, pressure ulcers, and readmissions and reflect the quality and quantity of nursing care provided at the facilities (American Nurses Association, 2014). Understanding the concept of such indicators enables nurses to identify problems in healthcare delivery and indicate areas in which the quality of nursing care can be improved.

The nursing sensitive indicators confirm the association between nurses and patient outcomes like hospital-acquired nosocomial infections, patient falls, pressure ulcers, medication and feeding errors and other patient outcomes (Buerhaus, Staiger, & Auerbach, 2012). They explain the premise that nurses are responsible for dispensing good quality nursing care to patients. For example, falls portray patient’s neglect and the failure of nurses to ensure that their safety is guaranteed. However, dissatisfaction indicates is an indicator that portrays that the patient’s expectations are not met.

In the case of Mr. J, the error in feeding, the presence of pressure ulcers, the poor communication between nurses and the patient’s daughter, and the dissatisfaction of the daughter with the quality of care provided are helpful indicators determining the factors affecting nursing care in the facility. The understanding of these indicators requires nurses to work tirelessly for the betterment of services to the patient. In case the nurses were careful and had an understanding of the sensitive indicators relating to Mr. J, they would analyze the nursing problems and identify the possible solutions within the hospital.

For example, the nurses can examine the occurrence of errors in feeding of Mr. J and other patients. Besides, they can analyze the occurrence of pressure ulcers and their possible interference in with their prospect of offering high-quality care to patients. The factors interfering with quality of nursing care may include a shortage of nursing staff, poor nursing mix (RNs, LPNs, and nurse assistants), dissatisfaction of nurses with the working environment, and low education levels of nurses. The nurses would be able to identify nursing problems in the facility if they understood and developed the indicators.

The development of new indicators involves the identification of patient outcome issues via empirical researches (American Nurses Association, 2014). Data on patient outcomes and other nursing issues in hospitals is important in creating clear linkages between nursing contributions and nursing care outcomes. In the facility where Mr. J is receiving nursing care, hospital data on specific indicators can significantly lead to the formulation of appropriate strategies for the improvement of healthcare quality in the hospital. The data to be collected may include patient falls (the number of times that patients descend to the floor from their beds unexpectedly in 1000 days), the development of pressure ulcers by patients, and the occurrence of errors in drug administration or diet provision (Grove, Burns, & Gray, 2012).

The American Nurses Association has been lobbying state legislatures to include nursing sensitive indicator data collection in law and encouraging hospitals to collect data because it is useful in improving nursing care quality (ANA, 2014). In the case of Mr. J, the hospital can use data on nursing service indicators to examine the areas in which nursing care can be improved. For instance, if there is a high incidence of patient falls and pressure ulcers, it may indicate that nurses do not spend adequate time with patients. Data on nursing sensitive indicators also triggers secondary research on the staffing levels, efficiency of nurses, education levels among staff and other factors that may influence health care delivery. Collecting hospital data is henceforth vitally important to improvement of nursing practice and care delivery.

The scenario of Mr. J presents a case of unethical nursing practice. It is unethical for the nurses not to disclose errors to patients and their relatives. When such errors occur, nurses are expected to follow the accountability guidelines by reporting to supervisors who will take the necessary actions. The ANA code of ethics explains, “under no circumstances should the nurse participate in, or condone through silence, either an attempt to hide an error or a punitive response that serves only to fix blame rather than correct the conditions that led to the error” (American Nurses Association, 2013).

In this case, the ethical issue can be resolved through reporting to the nursing management in the hospital. Working together with the registered nurses and advanced practice nurses empowered with nursing leadership and problem-solving skills, a method for collecting data on the occurrence of errors in the hospital would be chosen and the data used to identify the nursing problem and the causes. The fact that Jewish patients have been opting to visit a facility 20 miles away indicates that errors in the hospital occur often. The most effective way of enhancing responsibility among nurses requires the adoption of effective ways of recording diet request errors and reporting to the patients/relatives. Once the problem is highlighted, adequate measures should be taken according to the research results.


American Nurses Association. (2013). Code of Ethics for Nurses with Interpretive Statements. Retrieved 2014, from Nursing World:

American Nurses Association. (2014). Nursing-Sensitive Indicators. Retrieved 2014, from Nursing World:

ANA. (2014). ANA Indicator History. Retrieved 2014, from Nursing World:

Buerhaus, P.L., Staiger, D.O., & Auerbach, D.I. (2012). Global Health Care: Issues and Policies. Sudbury, MA: Jones and Bartlett.

Grove, S.K., Burns, ?., & Gray, ?. (2012). The Practice of Nursing Research: Appraisal, Synthesis, and Generation of . St. Louis MO: Elsevier Health Sciences / Saunders.

Kelly, P., Vottero, B., & Christie-McAuliffe, C. (2014). Introduction to Quality and Safety Education for Nurses: Core Competencies. New York, NY: Springer Publishing Company.

Get Professional Assignment Help Cheaply

Buy Custom Essay

Are you busy and do not have time to handle your assignment? Are you scared that your paper will not make the grade? Do you have responsibilities that may hinder you from turning in your assignment on time? Are you tired and can barely handle your assignment? Are your grades inconsistent?

Whichever your reason is, it is valid! You can get professional academic help from our service at affordable rates. We have a team of professional academic writers who can handle all your assignments.

Why Choose Our Academic Writing Service?

  • Plagiarism free papers
  • Timely delivery
  • Any deadline
  • Skilled, Experienced Native English Writers
  • Subject-relevant academic writer
  • Adherence to paper instructions
  • Ability to tackle bulk assignments
  • Reasonable prices
  • 24/7 Customer Support
  • Get superb grades consistently

Online Academic Help With Different Subjects


Students barely have time to read. We got you! Have your literature essay or book review written without having the hassle of reading the book. You can get your literature paper custom-written for you by our literature specialists.


Do you struggle with finance? No need to torture yourself if finance is not your cup of tea. You can order your finance paper from our academic writing service and get 100% original work from competent finance experts.

Computer science

Computer science is a tough subject. Fortunately, our computer science experts are up to the match. No need to stress and have sleepless nights. Our academic writers will tackle all your computer science assignments and deliver them on time. Let us handle all your python, java, ruby, JavaScript, php , C+ assignments!


While psychology may be an interesting subject, you may lack sufficient time to handle your assignments. Don’t despair; by using our academic writing service, you can be assured of perfect grades. Moreover, your grades will be consistent.


Engineering is quite a demanding subject. Students face a lot of pressure and barely have enough time to do what they love to do. Our academic writing service got you covered! Our engineering specialists follow the paper instructions and ensure timely delivery of the paper.


In the nursing course, you may have difficulties with literature reviews, annotated bibliographies, critical essays, and other assignments. Our nursing assignment writers will offer you professional nursing paper help at low prices.


Truth be told, sociology papers can be quite exhausting. Our academic writing service relieves you of fatigue, pressure, and stress. You can relax and have peace of mind as our academic writers handle your sociology assignment.


We take pride in having some of the best business writers in the industry. Our business writers have a lot of experience in the field. They are reliable, and you can be assured of a high-grade paper. They are able to handle business papers of any subject, length, deadline, and difficulty!


We boast of having some of the most experienced statistics experts in the industry. Our statistics experts have diverse skills, expertise, and knowledge to handle any kind of assignment. They have access to all kinds of software to get your assignment done.


Writing a law essay may prove to be an insurmountable obstacle, especially when you need to know the peculiarities of the legislative framework. Take advantage of our top-notch law specialists and get superb grades and 100% satisfaction.

What discipline/subjects do you deal in?

We have highlighted some of the most popular subjects we handle above. Those are just a tip of the iceberg. We deal in all academic disciplines since our writers are as diverse. They have been drawn from across all disciplines, and orders are assigned to those writers believed to be the best in the field. In a nutshell, there is no task we cannot handle; all you need to do is place your order with us. As long as your instructions are clear, just trust we shall deliver irrespective of the discipline.

Are your writers competent enough to handle my paper?

Our essay writers are graduates with bachelor's, masters, Ph.D., and doctorate degrees in various subjects. The minimum requirement to be an essay writer with our essay writing service is to have a college degree. All our academic writers have a minimum of two years of academic writing. We have a stringent recruitment process to ensure that we get only the most competent essay writers in the industry. We also ensure that the writers are handsomely compensated for their value. The majority of our writers are native English speakers. As such, the fluency of language and grammar is impeccable.

What if I don’t like the paper?

There is a very low likelihood that you won’t like the paper.

Reasons being:

  • When assigning your order, we match the paper’s discipline with the writer’s field/specialization. Since all our writers are graduates, we match the paper’s subject with the field the writer studied. For instance, if it’s a nursing paper, only a nursing graduate and writer will handle it. Furthermore, all our writers have academic writing experience and top-notch research skills.
  • We have a quality assurance that reviews the paper before it gets to you. As such, we ensure that you get a paper that meets the required standard and will most definitely make the grade.

In the event that you don’t like your paper:

  • The writer will revise the paper up to your pleasing. You have unlimited revisions. You simply need to highlight what specifically you don’t like about the paper, and the writer will make the amendments. The paper will be revised until you are satisfied. Revisions are free of charge
  • We will have a different writer write the paper from scratch.
  • Last resort, if the above does not work, we will refund your money.

Will the professor find out I didn’t write the paper myself?

Not at all. All papers are written from scratch. There is no way your tutor or instructor will realize that you did not write the paper yourself. In fact, we recommend using our assignment help services for consistent results.

What if the paper is plagiarized?

We check all papers for plagiarism before we submit them. We use powerful plagiarism checking software such as SafeAssign, LopesWrite, and Turnitin. We also upload the plagiarism report so that you can review it. We understand that plagiarism is academic suicide. We would not take the risk of submitting plagiarized work and jeopardize your academic journey. Furthermore, we do not sell or use prewritten papers, and each paper is written from scratch.

When will I get my paper?

You determine when you get the paper by setting the deadline when placing the order. All papers are delivered within the deadline. We are well aware that we operate in a time-sensitive industry. As such, we have laid out strategies to ensure that the client receives the paper on time and they never miss the deadline. We understand that papers that are submitted late have some points deducted. We do not want you to miss any points due to late submission. We work on beating deadlines by huge margins in order to ensure that you have ample time to review the paper before you submit it.

Will anyone find out that I used your services?

We have a privacy and confidentiality policy that guides our work. We NEVER share any customer information with third parties. Noone will ever know that you used our assignment help services. It’s only between you and us. We are bound by our policies to protect the customer’s identity and information. All your information, such as your names, phone number, email, order information, and so on, are protected. We have robust security systems that ensure that your data is protected. Hacking our systems is close to impossible, and it has never happened.

How our Assignment  Help Service Works

1.      Place an order

You fill all the paper instructions in the order form. Make sure you include all the helpful materials so that our academic writers can deliver the perfect paper. It will also help to eliminate unnecessary revisions.

2.      Pay for the order

Proceed to pay for the paper so that it can be assigned to one of our expert academic writers. The paper subject is matched with the writer’s area of specialization.

3.      Track the progress

You communicate with the writer and know about the progress of the paper. The client can ask the writer for drafts of the paper. The client can upload extra material and include additional instructions from the lecturer. Receive a paper.

4.      Download the paper

The paper is sent to your email and uploaded to your personal account. You also get a plagiarism report attached to your paper.

smile and order essaysmile and order essay PLACE THIS ORDER OR A SIMILAR ORDER WITH US TODAY AND GET A PERFECT SCORE!!!

order custom essay paper

Expert paper writers are just a few clicks away

Place an order in 3 easy steps. Takes less than 5 mins.

Calculate the price of your order

You will get a personal manager and a discount.
We'll send you the first draft for approval by at
Total price:
Open chat
Need assignment help? You can contact our live agent via WhatsApp using +1 718 717 2861

Feel free to ask questions, clarifications, or discounts available when placing an order.