The concept of nursing-sensitive outcome indicators emphasizes the expected outcome on the patient recovery process in response to the quality of care offered. It is important that nurses value the patient, interact and provide services in line with professionalism devoid of any negligence and assumptions (Burns,et al.2011). Restraint prevalence is an aspect of nursing-sensitive indicator that nurses need to master. In this case, Mr. J is restrained over a long time and it was until the daughter arrives in the healthcare facility that he is relieved to go to the bathroom. It is evident that long hours of restraint may have resulted to the observed red, depressed area near the spine. Such a restraint leads to undesirable outcome as evidenced by this scenario. In that respect, if the nurses had noted restraint prevalence as nursing-sensitive indicator, the red, depressed part would not occur. Besides, such insensitivity to the patient bore more danger that is counterproductive to the care given. Serving the patient wrong diet and the supervisor concealing the information is equally disastrous. Honesty and timely communication of any mistake while offering nursing service to the patient is important as it may initiate immediate response and prevent potential risk to the patient. If the nurses considered the risk of failure to report a mistake like in this case of wrong diet, they would save many lives. The case exposes the prevalence of nurses’ insensitivity as indicated by the Jewish physician while reporting the case to the administrator. It is therefore worth to note that issues such as long restraint, failure to communicate mistake, misleading information, and patient falls may interfere with quality of patient care.

Data management is an instrumental tool in boosting the outcome of nursing service. Routine observation and reporting on the state of the patient bear the key to desirable outcome. It is imperative that healthcare providers collect data, record and report data on any observed change on the patient so that an immediate remedy is put in place. Hospital data gives a chronology of events in the life of the patient and such inform the physicians and administrators on the most appropriate action to take (Burns,et al.2011). Relevant medication, social support and adjustments on the treatment process on the patient are possible if based on collected data. In fact, the outcome is predictable and any deviation prompts rescue response. Pressure ulcers and prevalence of restraints are some of the nursing-sensitive indicators that require proper patient data management (Bulechek & Dochterman,1999). Drawing from the case of Mr.J, longer time of restraint was associated with the red, depressed part. However, if it were for the use of data, changes in the spine of Mr.J  would be observed to prevent possible extended pain.

The case in question demonstrates significant insensitivity and lacking follow up by the administration. There are series of mistakes that include; longer patient restraint, shelving important information on dietary mistake, blatant ignorance even after the certified assistant nurse report to the supervisor. Resolving such overwhelming unethical actions require hospital sponsored training and awareness among the staff on the need to be honest, sensitive and report in time to enhance quality of outcome (Bulechek & Dochterman,1999). While harsh measures like suspension may be applicable, the extensive nature of the problem among the nursing and other staff in this hospital necessitates mass awareness promotion.







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