Nursing Quality Indicators Essay Example

The nursing profession involves complex issues of maintaining and improving human life. The nurses must meet some standards of care to ensure that they offer quality care to the patients. Since different healthcare providers would define quality care differently, the American Nurses Association has set specific standards to facilitate quality of care. The standards also called the quality indicators, rely on Florence Nightingale’s ideology that claimed that environmental concerns determined the level of patient outcomes. This paper evaluates different quality indicators and their contribution to providing quality care to patients.

The American Nursing Association (ANA) was developed in the National Database of Nursing Quality Indicators (NDNQI) in 1998 to indicate the nursing reports on the impact of nursing operations at different levels. The NDNQI aims to develop a fast-growing strategy of acquiring knowledge to improve the nursing quality of care (Merkley et al., 2018). The strategy was effective and efficient in determining the quality of care since it is difficult for any healthcare professional to measure and evaluate their caring practices. Therefore, the quality indicators determine whether particular practiced nursing practices affect the patient’s outcomes by providing positive or negative effects. These sensitive indicators include patients’ falls, staff mix, patient’s satisfaction, nurse job satisfaction, rates of nosocomial infections, pressure ulcers, and nursing- hours per patient day (Evangelou et al., 2018). In Mr. J’s case, evaluating this indicator would ensure that he receives quality care.

Nurses need to evaluate the possibility of patient falls. ANA indicators of quality care indicate the patients fall with and without injuries (Naik et al., 2020). Therefore, nurses should evaluate the patient’s condition to know whether there is any factor that would cause patient falls. In this case, the patients ensured that Mr. J would not fall when turning on the bed; hence they kept him restrained. Besides, they ensured that he would relieve himself with support from a family member or by the help of the caregivers. Evaluating patient satisfaction is another essential indicator that the nurses should have considered ensuring quality patient care. Patients’ satisfaction involves their satisfaction with strategies used for pain management, their satisfaction with nursing care, their contentment with the information provided on their medication, and overall satisfaction (Merkley et al., 2018). In Mr. J’s case, the nurses and other hospital workers did not consider this indicator since the patient was not satisfied with the services in the healthcare sector.

First, Mr. J. was not satisfied with the pain management strategies offered by the hospital since he was left unturned for a very long time, such that he developed bruises for staying in the same place for a long time. Besides, the nurses failed to consider the consequences of restraining him due to his broken rib and assumed other challenges that may arise due to the restriction. The patient was also unsatisfied with the nursing care since the nurses left him unattended for a long time and ignored other problems that arose from the length restrictions. For instance, he had to wait until his daughter came to visit him to be unrestricted to visit the toilet. If the nurses had considered this indicator, they would have planned for frequent taking him to the toilet or changing his sleeping position. Besides, they would have used more appropriate care tools such as the catheter to ensure that the patient relieved himself more comfortably. Mr. J is also unsatisfied with the overall care given by the healthcare workers since they do not honor his dietary request. Being a Jewish Rabbi, Mr. J does not consume pork. However, the hospital’s dietary worker does not respect his lifestyle and instead insists that “half a pork cutlet never killed anyone.” The ignorance leaves the patient and his daughter angry hence contacting the hospital administration to register their disappointments.

The nurses should also have considered hospital-acquired nosocomial infections. In this case, the nurses failed to consider this indicator hence making Mr. J have bruises due to the prolonged restriction. Besides, he was subjected to acquiring urinary tract infections and stomach-related problems due to prolonged restriction of digestion wastes. The nursing hours per patient day is also a vital indicator of quality care in nursing. The indicator considers the nurse-to-patient ratios, which is the number of patients a nurse should attend to daily (MacDonald et al., 2018). This consideration is important since it ensures that the patient’s vital diagnoses are taken in time to ensure that patients are satisfied with all aspects of care in the healthcare facility. In Mr. J’s case, the nurses failed to consider this indicator, leaving them unattended for a long time and getting bruises.

Hospital data on specific nursing- quality indicators helps improve the quality of care between patients in different ways. The data on these indicators is essential in improving the quality of care given in a particular healthcare sector by providing sufficient information on the areas that require improvement to improve patient outcomes (Koch et al., 2020). The data helps the healthcare management design more effective interventions to improve the caring process. For instance, data on the level of satisfaction of patients with broken limbs would help determine other conditions with a particular intervention on the patient. For instance, if the nurses attending to Mr. J had sufficient data on the consequences of restricting the patient for a long time would make them develop bruises and other complications such as back and joint pains. Hence, they would have ensured that the patient is allocated more caring time to change his sleeping position and take him to the toilet. Data on patients’ satisfaction with nursing care for patients with similar problems as Mr. J would also help the nurses improve the quality of care by helping them determine the most appropriate methods of care they would require. For instance, they would know that instead of leaving him to struggle with visiting the toilet, they should have used the catheter and fed him using glucose to avoid going for long calls when he cannot move.

Moreover, data on the number of nurses per patient per day is essential in determining when patients should be attended. In this case, the nurses would know what they require to offer effective care to the patients and the time needed to check on the well-being of the patients. Since patients in a healthcare facility have different illnesses and the severity also differ, the nurses should allocate different time to different patients. For instance, if Mr. was in the same ward with patients who had broken limbs, it was inappropriate to allocate them equal time. The nurses should have allocated Mr. J more hours than other patients who could change their sleeping positions and take themselves to the toilet.

In conclusion, the quality indicators in nursing ensure that they offer quality care to the patients. These sensitive quality indicators include patients’ falls, staff mix, patient’s satisfaction, nurse’s job satisfaction, rates of nosocomial infections, pressure ulcers, and nursing- hours per patient day. Hospital data on specific nursing- quality indicators helps improve the quality of care between patients in different ways. The data on these indicators is essential in improving the quality of care given in a particular healthcare sector by providing sufficient information on the areas that require improvement to improve patient outcomes.


Koch, D., Kutz, A., Conca, A., Wenke, J., Schuetz, P., & Mueller, B. (2020). The relevance, feasibility and benchmarking of nursing quality indicators: A Delphi study. Journal of Advanced Nursing76(12), 3483-3494.

MacDonald, V., Maher, A. B., Mainz, H., Meehan, A. J., Brent, L., Hommel, A., … & Sheehan, K. J. (2018). Developing and testing an international audit of nursing quality indicators for older adults with fragility hip fracture. Orthopaedic Nursing37(2), 115-121.

Merkley, J., Amaral, N., Sinno, M., Jivraj, T., Mundle, W., & Jeffs, L. (2018). Developing a Nursing Scorecard Using the National Database of Nursing Quality Indicators®: A Canadian Hospital’s Experience. Nursing Leadership (Toronto, Ont.)31(4), 82-91.

Naik, S., Voong, S., Bamford, M., Smith, K., Joyce, A., & Grinspun, D. (2020). Using a data quality index, the Nursing Quality Indicators for Reporting and Evaluation (NQuIRE) database. Journal of the American Medical Informatics Association27(5), 776-782.

Evangelou, E., Lambrinou, E., Kouta, C., & Middleton, N. (2018). An integrative review identifies validated nursing quality indicators for the intensive care unit. Connect: The World of Critical Care Nursing12(2), 28-39. DOI: 10.1891/1748-6254.12.2.28

Occupy Wall Street And Tea Party Movements Analysis Free Writing Sample

The Tea Party movement was formed in 2010, whereas the Occupy Wall Street movement became prominent in 2011. Many debates are going on about the Occupy Wall Street and Tea Party movements concerning the upcoming presidential elections. The Tea Party and Occupy Wall Street parties are effective in mobilizing republicans and influencing more people to join the movements. Therefore, there is no doubt that the two movements’ political stand will greatly affect how the elections will be conducted and the outcomes; hence, an analysis of the movements are done below.

The tea party movement started as a grassroots movement and attracted many supporters. The members were against the presidential elections results of 2008 that took president Obama into power. The main agenda of the TPM was to oppose government spending and taxation. The OWS, on the other hand, had its focused on economic discontents that brought about a lack of jobs and other economic inequalities(Klein,2021) ). From the two goals of the movements, the chances are that citizens will support them because they want to grow economically and also will like to see that taxation is regulated. Due to the large numbers of supporters, especially the young adults, the two movements will be influential in the forthcoming elections, hence likely to participate in the DRNC event.

Some differences are noted between the TPM, OWS and other past political movements regarding functionality and influence. The first difference is in terms of using social media platforms to have more influence on people. Tea Party and Occupy Wall Street movements have benefitted more from the internet in reaching out to more people and selling their agendas (Jensen & Bang, 2013). In the past, movements did not use the internet effectively, focusing more on selling agendas in congregations. Nowadays, conservative and liberal blogs support their preferred movements, unlike in the past(Laschever,2017 ). Another significant difference is the acceptance by young people; the past movements were mostly dependent on old influential people, whereas the TPM and OWS movements have attracted young adults who feel their needs are being represented.

The Tea Party and the Occupy Wall Street movements have notable differences, including their goals. For instance, according to Klein (2021), the TPM’s major goal was taxation, while the OWS movement focused on the existing economic discontents that resulted in several challenges, such as a lack of jobs. Another difference is that TPM is specific on the taxation plan while the OWS talks on the general issue of the economy. The youths mostly fuel the OWS movement, while the TPM is supported mostly by older people who are wealthier. Another difference is that OWS talks more about politics and the government to develop better strategies while TPM focuses on empowering people economically.

During the upcoming DRNC event in Miami, there is likely to be a misunderstanding between TPM and OWS movements which might result in violence due to the large numbers of supporters. Therefore, some policies have to be enacted to prevent chaos. According to (Crawford 2015), biasness exist between the TPM and OWS movements in terms of political beliefs; hence there is a need for the Miami-Dade Department of the police to ensure the differences do not end up in violence. The police department needs to discuss with the party heads before the event to mobilize their supporters not to engage in violence. Media blogs about the DRNC event can spread hatred between parties (Laschever, 2018). Hence, only certified media blog agents should create blogs about the event to prevent misinformation.

From the above analysis, it is evident that the Tea Party and Occupy Wall Street movements have a high influential capability on people. Despite the two parties being popular, they have differences in their goals. Due to the influence, the parties might cause violence in the forthcoming elections if they do not achieve their goals. Therefore, during DRNC events, security has to be reinforced to cope with any possible incidence of violence that might occur during the event.


Klein, J. (2021). Activists and Non-Activists: Differential Activist Identification in the Tea Party and Occupy Movements. Qualitative Report26(1).

Crawford, J. T., & Xhambazi, E. (2015). Predicting Political Biases Against the Occupy Wall Street and Tea Party Movements. Political Psychology36(1), 111-121.

Jensen, M. J., & Bang, H. P. (2013). Occupy Wall Street: A new political form of movement and community?. Journal of Information Technology & Politics10(4), 444-461.

Laschever, E. (2017, June). Are they not worthy? How partisan political blogs legitimize the Tea Party Movement and Occupy Wall Street. In Sociological Forum (Vol. 32, No. 2, pp. 359-380).

Military Operation: Operation Anaconda Essay Sample For College

Everything needs a good plan before starting off. Operation Anaconda involved several instances portraying poor planning. Operation Anaconda was the first large-scale coordinated operation in the fight on terror. The term “anaconda” is derived from the word “anaconda,” which refers to one of the largest snakes in the world. Unfamiliar adversaries would put the US’s lack of readiness to the test, and the mission would serve as a demonstration of this.

American General Tommy Franks, USA, Ret., retired CENTCOM commander, hailed Operation Anaconda in his biography as a “complete and unequivocal triumph.” According to Gen. Franks’ firsthand recollections, the first US military combat strategy did not survive the first encounter with the enemy. This case study of Operation Anaconda, which took place in the Shahikot Valley in eastern Afghanistan in early March 2002, is set against the stunning presentation by General Franks. The narrative is delivered from the viewpoints of the many individuals. It was a principal goal of Operation Anaconda to eliminate any remaining enemy forces that had gathered in the valley following their prior failures. Weaver and anvil attacks by US and Afghan ground forces into the valley were devised by US military commanders to achieve this purpose. During the first day of the operation, friendly Afghan forces were unable to complete their march into the valley due to fierce opposition, leaving deployed US infantry soldiers to battle the Taliban alone.

Tactical shift

US troops allowed coordinated air attacks and ground operations in order to disrupt and degrade the adversary’s capabilities. As a result, we achieved victory. Initially, Operations Anaconda were envisioned as three-day clashes with minimal action. In the end, it was a seven-day battle marred by fierce violence that took 17 days to conclude legally. Around 1,000 enemy soldiers were killed between March 2 and March 18 during Operation Anaconda. The surviving adversaries fled the Shahikot Valley, which US and coalition forces ultimately reclaimed. The tragedy claimed the lives of eight US military personnel and injured more than 50 others. The United States military demonstrated its adaptability in the face of an unexpected and difficult condition by utilizing combined operations and new information networks. As a result, successful outcomes were achieved. This page discusses the various facets of the conflict in detail, including the initial failures and eventual triumph.

From the outset of operations on March 2, 2002, the JFC and coalition forces involved in this mission encountered significant sadness and hardship (Kelly, 2014). At least eight Americans were murdered and more than 50 others were injured during a 16-day operation that was originally scheduled to last only three days. Close air support and cooperation amongst all units operating inside their respective areas of responsibility were vital to the fight’s victory. Throughout the conflict, the Joint Forces Command came to this conclusion. The coalition was compelled to abandon Operation Anaconda following the failure of the first phase. Following the failure of a previous plan, the commander immediately implemented adjustments to guarantee that the mission’s critical objectives were met.


According to analysts, Operation Anaconda had five main flaws that contributed to the mission’s early failure. To ensure success from the start, all parties involved in the operation needed to have clearly defined lines of duty.

The attack could finally proceed after more than two months of precise planning and execution. The operation was scheduled to last three days, after which the coalition forces would go on to their final objective. The military learned they had been duped by pre-war intelligence only after the fight began. On the other side, they encountered a far more powerful foe than they had anticipated. Due to logistical difficulties created by the weather, the US ground forces were initially reduced; only 200 men landed in the country, less than half the number intended. Following their entry into the combat, USA and Afghan forces discovered they were surrounded on three sides by platoon-sized elements with whom they were battling. Due to a dearth of air missions, the ground forces were forced to defend themselves with artillery (Hastert, 2005).

Air operations that had been planned were frequently rescheduled or cancelled due to a lack of attention. After realizing that Special Operations Soldiers (SOF) personnel were in the area, the Joint Task Force was obliged to cancel all flights. The Afghan forces were obliged to withdraw their men as a result of this. The battlefield assessment conducted by Tactical Force Mountain necessitated a shift toward air missions (TF Mountain). When they realized that ground forces would be insufficient to complete the JTF’s objectives on their own, they were forced to request reinforcements.

The battle plan changes

The US Air Force, Marine Corps, and Navy were requested to provide close air assistance. These three services’ air assets replied to the Joint Task Force’s request (CAS). The significance of the CAS was overlooked during the initial planning stage. The air support system was eventually relocated to give more help for the mission. The United States’ air assistance increased, reentry began, and additional US Army forces were dispatched to the area of operation in the days that followed. There were multiple days when forces were involved at a level more than 100%, and the opposition’s resistance began to wane (Grau, 2011).

The ability of the TF Mountain planning staff to rapidly alter previously developed plans was a significant benefit to the company. Five types of lessons can be drawn from early planning phase blunders: The Battle of the Bulge was a shambles due to a lack of intelligence preparation and an overestimation of air power’s capabilities. Consider deployment delays, a lack of operational and strategic collaboration, a lack of tactical coordination for close air support, and airpower omission while making decisions. These are all critical points to consider.


As this historical backdrop demonstrates, historical lessons may be applied to all branches of the United States military. Anaconda’s planning challenges have been worse and more problematic from the start due to a lack of air support and ground information. The military forces of this country must lobby for the addition of an aviation branch. Without the CAS, this mission would have been a complete and utter failure. The Joint Task Force moved rapidly while remaining cognizant of its mandate’s limits. The mission was doomed from the start due to a lack of support from his staff and an inability to deploy ground forces due to inclement weather.


Grau, L. W., & Billingsley, D. (2011). Operation Anaconda: America’s First Major Battle in Afghanistan. University Press of Kansas.

Hastert, P. L. (2005). Operation Anaconda: perception meets reality in the hills of Afghanistan. Studies in Conflict & Terrorism, 28(1), 11-20.

Kelly, M. A., Comberiate, J. M., Miller, E. S., & Paxton, L. J. (2014). Progress toward forecasting of space weather effects on UHF SATCOM after Operation Anaconda. Space Weather, 12(10), 601-611.