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A. Nursing Sensitive Indicators Nursing Sensitive Indicators are factors that are shown to be impacted by nursing care. NSI are broken down into three categories structure, processes, and outcomes. The National Database of Nursing Quality Indicators (NDNQI) was developed by the American Nurses Association in 1998 to gather data related to designated 15 indicators such as pressure ulcers, nosocomial infections, nurse staffing mix and education, restraint use, and nurse satisfaction and turnover rates. This database is used to provide comparative data between facilities on the indicators to support quality improvement, and provide data to understand the link between nurse staffing and outcomes (Montalvo, 2007). Understanding of Nursing sensitive indicators can help guide our practice by making us aware of factors that are influenced by nursing, and take actions to prevent or correct problems. Like in the scenario, the use of patient restraints and the prevalence of pressure ulcers. The data associated with nursing interventions to limit restraint use would be valuable in this scenario considering that the patient is already showing signs of the beginning of a pressure ulcer. The CMA attending to the patient returned the patient to the same position upon returning from toileting, which would lead to further pressure on the area. Knowledge of pressure ulcers and strategies for limiting restraint use could be useful for the CMA and the nursing staff in this scenario. They would be asking themselves, “Are the restraints really necessary?”, “Ca
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