NRS 493 Topic 6 DQ 1

NRS 493 Topic 6 DQ 1 After discussion with your preceptor, name one financial aspect, one quality aspect, and one clinical aspect that need to be taken into account for developing the evidence-based change proposal. Explain how your proposal will directly and indirectly impact each of the aspects. Quality and finances go hand-in-hand because quality is increasingly linked to a hospital’s financial health, adverse outcomes related to inadequate staffing will have a growing impact on a hospital’s bottom line. The most direct example of the quality–finance link can be seen in the Center for Medicare & Medicaid Services’ (CMS) Inpatient Prospective Payment System rules, which state that hospitals will no longer be reimbursed for any patient care needed as a result of a hospital-acquired condition. Many of these events can be directly tied to or influenced by nursing care. Many studies have shown that hospital-acquired events like postoperative infections, urinary tract infections, pneumonia and pressure ulcers were preventable conditions that could be reduced with increased nurse staffing (Serafim, Dell’Acqua, Castro, Spiri, & Nunes, 2017). Nursing is the single most important factor involved in patient satisfaction in every part of the hospital. My proposal to adequately staff the ER by reducing the patient/nurse ratio to 4:1. This will increase patient safety, patient and nurse satisfactions rates and reduce errors, nosocomial infections and sentinel evens. Adverse events studied including pneumonia, pressure ulcers, infections, patient falls/injuries, sepsis and adverse drug events were associated with increased costs. Adequate nurse staffing has been shown to reduce these events. References Serafim, C. T. R., Dell'Acqua, M. C. Q., Castro, M. C. N. E., Spiri, W. C., & Nunes, H. R. de C. (2017). Severity and workload related to adverse events in the ICU. Retrieved April 22, 2020, from