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Nurse-Sensitive Indicators | American Academy of Ambulatory Care Nursing
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span4" data-element-type="we-mega-menu-col" data-width="4" data-block="" data-blocktitle="0" data-hidewhencollapse="" data-class=""> <ul class="nav nav-tabs subul"> <li class="we-mega-menu-li dropdown-menu we-mega-menu-group" data-level="1" data-element-type="we-mega-menu-li" description="" data-id="9ffa5f7f-2f6d-4f45-9a25-1fff83818dff" data-submenu="1" hide-sub-when-collapse="" data-group="1" data-class="" data-icon="" data-caption="" data-alignsub="" data-target=""> <a href='#' data-drupal-link-system-path="<front>" class="we-megamenu-nolink"> Ambulatory Care Nursing</a> <div class="we-mega-menu-submenu" data-element-type="we-mega-menu-submenu" data-submenu-width="" data-class="" style="width: px"> <div class="we-mega-menu-submenu-inner"> <div class="we-mega-menu-row" data-element-type="we-mega-menu-row" data-custom-row="0"> <div class="we-mega-menu-col span12" data-element-type="we-mega-menu-col" data-width="12" data-block="" data-blocktitle="0" data-hidewhencollapse="0" 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data-alignsub="" data-target=""> <a class="we-mega-menu-li" title="" href="/practice-resources/ambulatory-care-nursing/what-ambulatory-care-nursing/best-practice-guidelines" target=""> Academic/Practice Partnership Guidelines </a> </li> </ul> </div> </div> </div> </div> </li> <li class="we-mega-menu-li" data-level="2" data-element-type="we-mega-menu-li" description="" data-id="64c17e4d-3cf0-47ac-88c8-979c15fb5e31" data-submenu="0" hide-sub-when-collapse="" data-group="0" data-class="" data-icon="" data-caption="" data-alignsub="" data-target=""> <a class="we-mega-menu-li" title="" href="/practice-resources/what-ambulatory-care-nursing/conceptual-framework" target=""> Conceptual Framework </a> </li> <li class="we-mega-menu-li" data-level="2" data-element-type="we-mega-menu-li" description="" data-id="44609d86-18a6-4b9a-87dd-2f15b93f1f31" data-submenu="0" hide-sub-when-collapse="" data-group="0" data-class="" data-icon="" data-caption="" data-alignsub="" data-target=""> <a class="we-mega-menu-li" title="" href="/practice-resources/what-ambulatory-care-nursing/defining-characteristics" target=""> Defining Characteristics </a> </li> <li class="we-mega-menu-li" data-level="2" data-element-type="we-mega-menu-li" description="" data-id="976d5487-7a42-4da2-924d-83dc796721b2" data-submenu="0" hide-sub-when-collapse="" data-group="0" data-class="" data-icon="" data-caption="" data-alignsub="" data-target=""> <a class="we-mega-menu-li" title="" href="/practice-resources/ambulatory-care-nursing/value-ambulatory-care-rn" target=""> Value of the Ambulatory Care RN </a> </li> </ul> </div> </div> </div> </div> </li> <li class="we-mega-menu-li dropdown-menu we-mega-menu-group" data-level="1" data-element-type="we-mega-menu-li" description="" data-id="25609f4e-92c2-48d8-99d8-1478cc487880" data-submenu="1" hide-sub-when-collapse="" data-group="1" data-class="" data-icon="" data-caption="" data-alignsub="" data-target=""> <a href='#' data-drupal-link-system-path="<front>" 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href="/practice-resources/role-rn/nurse-sensitive-indicators" class="active dropdown-item is-active" data-drupal-link-system-path="node/3037">Nurse-Sensitive Indicators</a> </li> <li class="nav-item"> <a href="/about/position-statements" class="dropdown-item" data-drupal-link-system-path="node/890">Position Statements</a> </li> </ul> </li> </ul> </nav> </div> </div> <div class="order-1 order-lg-2 col-12 col-lg-9"> <div class="region region-content"> <div id="block-aaacnv2-content" class="block block-system block-system-main-block"> <article role="article" about="/practice-resources/role-rn/nurse-sensitive-indicators" typeof="foaf:Document" class="node node--type-page node--view-mode-full"> <span property="dc:title" content="Nurse-Sensitive Indicators" class="rdf-meta hidden"></span> <div class="node__content"> <div property="content:encoded" class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><h2>Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment</h2> <h3 class="rteindent1"><em><img alt="" src="/./sites/default/files/images/icons/blue-dot-8p.png" /> How do you quantify ambulatory care nurse value with metrics?</em></h3> <h3 class="rteindent1"><em><img alt="" src="/./sites/default/files/images/icons/blue-dot-8p.png" /> How do you quantify the impact of the ambulatory care RN role on patient care and outcomes?</em></h3> <h3 class="rteindent1"><em><img alt="" src="/./sites/default/files/images/icons/blue-dot-8p.png" /> What Nurse-Sensitive Indicators (NSIs) are you using in ambulatory care?</em></h3> <hr /><p>Nurse-Sensitive Indicators (NSIs) assess, evaluate, and articulate the value of ambulatory care nursing.</p> <p><a href="/get-involved/special-interest-groups/nurse-sensitive-indicator-nsi" title="Read more">Learn about the NSI Special Interest Group</a>.</p> <!--<p>AAACN announces a partnership with Press Ganey, a frontrunner in facilitating transformative shifts within healthcare's Human Experience (HX) to elevate the standards of ambulatory care nursing.</p> <p>Focused on enhancing nursing-sensitive indicators (NSIs) for quality ambulatory care, this collaboration responds to the shifting landscape of patient care from acute care hospitals to ambulatory clinical settings, helping to bridge the gaps in NSI development. Leveraging Press Ganey's expertise, this alliance aims for comprehensive NSIs, meeting Magnet Recognition Program® standards.</p> <p>AAACN members' clinical insights will shape and expand Press Ganey's NSI catalog, ensuring a tailored approach to superior ambulatory care.</p> <p>This partnership signals a united effort to empower ambulatory care nursing, amplifying the impact across diverse healthcare settings.</p>--><!--<p>Over the past 20 years, with an eye on reducing costs and improving care, patients are spending less time in the hospital and more time in ambulatory care. Yet the way we currently measure a nurse’s impact is the same for inpatient and outpatient settings.</p> <p>As patients and families in ambulatory care settings often need care coordination, transition management, health promotion, and access to community resources, the role of the RN as a leader in this setting is increasingly vital.</p> <p>Nurse-sensitive indicators (NSIs) articulate the value of nursing’s contributions by measuring elements of patient care and patient outcomes that are directly affected by nursing practice. The identification and measurement of NSIs is critical in describing the contributions and value of registered nurses (RNs) in ambulatory care settings.</p> <p>In fall 2015, AAACN and the <a href="https://calnoc.org/" target="_blank">Collaborative Alliance for Nursing Outcomes (CALNOC)</a> formalized a collaborative partnership to develop and pilot test ambulatory care NSIs and move them into a structured, benchmarkable database. The initial work involved pilot testing endorsed measures for adoption as NSIs in ambulatory and procedural areas.</p> <p>Technical Expert Panels (TEPs) representing more than 150 participant organizations around the US were convened to work on development and feasibility for measurement and benchmarking for several NSIs.</p> <p>To date, a number of NSIs are available for benchmarking that occurred as a result of the AAACN/CALNOC partnership and the leadership of AAACN to drive this work.</p> <p><a href="/sites/default/files/documents/NSI-Measure-Table.pdf" target="_blank">View a table that shows NSIs available for benchmarking through the CALNOC registry in 2018</a>.</p> <p>The next phase of the work addresses more complex areas related to care coordination, patient-centered medical homes, telehealth, chronic conditions, and population health outcomes.</p>--> <p> </p> <!--<p class="rtecenter"><img alt="" src="/sites/default/files/images/quote_Pres.png" style="border-style:solid; border-width:0px" /></p>--> <p class="rtecenter"> </p> <!--<div class="collapsible-container closed"> <h3><a href="/sites/default/files/documents/NSIToolkitTemplate2023.pdf" target="_blank">Nurse Sensitive Indicatory Toolkit Template</a></h3> </div>--> <!-- -- BEGIN COLLAPSE -- --> <div class="collapsible-container closed" id="nsireport"> <h3 class="nsireport-report"><a href="#nsireport-report">Ambulatory Care Nurse-Sensitive Indicator Industry Report</a></h3> <div class="pane"> <p>The <em>AAACN Ambulatory Care Nurse-Sensitive Indicator Industry Report</em> (2016) proposed initial ambulatory care NSIs and additional publications have reported progress. The AAACN/CALNOC collaboration validated the role of the RN in ambulatory care settings with the development of the nation's first ambulatory care NSI registry database.</p> <p>I<img alt="" src="/./sites/default/files/images/nsi-nurses-download-225w.png" style="border-style: solid; border-width: 0px; float: right; margin: 5px;" />n spring 2013, the American Academy of Ambulatory Care Nursing (AAACN) Board of Directors commissioned a task force to identify and define nurse-sensitive indicators specific to the ambulatory care setting, and the <em>Ambulatory Care Nurse-Sensitive Indicator Industry Report: Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment</em> was published in 2016.</p> <p><em><strong>This landmark document explores:</strong></em></p> <ul><li>The evidence behind NSIs in ambulatory care.</li> <li>Existing NSIs with recommended changes for more meaningful use in ambulatory care.</li> <li>13 newly proposed measures that uniquely reflect the role of the RN in the ambulatory care setting.</li> </ul><p>You can use this report as a stepping stone to enhance quality reporting and benchmarking to drive nursing excellence in ambulatory care.</p> <p><strong><em>NSI Industry Report </em>Table of Contents</strong></p> <ul><li>Section 1: Overview of Information Affecting Quality Measurement in Ambulatory Care Nursing</li> <li>Section 2: Review of Existent Endorsed Ambulatory Care Nurse-Sensitive Indicator Measures</li> <li>Section 3: AAACN NSI Task Force Proposed Indicators for Development and Endorsement: Existent Health Care Measures Adapted and Recommended as Ambulatory Care Nurse-Sensitive Indicator Measures</li> <li>Section 4: AAACN NSI Task Force Proposed Indicators for Development and Endorsement: Original Measures Recommended as Ambulatory Care Nurse-Sensitive Indicator Measures</li> <li>Section 5: Current Exemplars in Ambulatory Care Nurse-Sensitive Indicator Measurement</li> <li>Section 6: Glossary of Definitions and Supportive Statements</li> <li>Section 7: References and Additional Readings</li> </ul><p>The <em>NSI Report</em> is available to everyone!</p> </div> <h3 class="nsireport-download"><a href="#nsireport-download">Download the FREE Report</a></h3> <div class="pane"> <p><em><strong>This</strong></em><em><strong> report is freely available to any AAACN member, and/or an AAACN account holder.</strong></em></p> <p class="rteindent1">If you do not have an AAACN account, you will be prompted to create one when you click the button below. <em>There is no cost for creating an account!</em></p> <p class="rteindent1">If you already have an AAACN account, you will be prompted to login if you are not already.</p> <p><a class="btn btn-primary" href="/practice-resources/ambulatory-care/nurse-sensitive-indicators/download-nsi-report">Download the Free NSI Report</a></p> <p><em>(You must be <a href="https://my.aaacn.org/eweb/DynamicPage.aspx?Site=AAACN&WebCode=LoginRequired&DLI=yes&URL_success=https%3A%2F%2Fwww.aaacn.org%2Fnetforum_sso_web_login%3FWebLoginKey%3D%7Btoken%7D%26destination%3D/practice-resources/ambulatory-care/nurse-sensitive-indicators/download-nsi-report" rel="noopener" target="_blank" title="Log in">logged in</a> to fill out the form.)</em></p> </div> <h3 class="comingsoon"><a href="#comingsoon">Coming Soon: Second Edition Ambulatory Care NSI Industry Report</a></h3> <div class="pane"> <h2>Ambulatory Care Nurse-Sensitive Indicator Industry Report Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment, Second Edition</h2> <p><img alt="NSICover" class="align-right" data-entity-type="file" data-entity-uuid="7a2e8a0b-6a8a-4b43-b9a1-0d123d888876" id="" padding="25px" src="/sites/default/files/images-rte/industry-report_2nd_cover_with-outline%20%281%29.png" title="" width="150px" height="2427" loading="lazy" />We are pleased to announce that the Ambulatory Care Nurse-Sensitive Indicator Industry Report Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment, Second Edition, will be released later in 2024. This version will be sold in hardcopy book and ebook formats.</p> <h5>Be the First to Know</h5> <p class="rteindent1">If you’d like to be among the first to know when this book will be available for purchase, please share your email and/or mobile phone number to receive an update via email and/or text message. (By providing your cell phone number, you agree to receive no more than ten text messages per year from AAACN. Reply STOP to cancel. Msg and data rates may apply.)</p> <p><a class="btn btn-primary" href="https://www.surveymonkey.com/r/NSIUpdate">Sign Up Now</a></p> <h5>Executive Summary Brief</h5> <p class="rteindent1">The Ambulatory Care Nurse-Sensitive Indicator Industry Report: Meaningful Measurement of Nursing in the Ambulatory Patient Care Environment, Second Edition, will be released in Summer 2024. We are sharing this brief with members and stakeholders to provide a look at what the updated report will provide.</p> <p class="rteindent1">The executive summary brief aims to highlight the significance of measuring the service provided by RNs in ambulatory care, serving as a comprehensive reflection of the current state of healthcare. It showcases various measures from pertinent organizations and literature, emphasizing the urgency for nursing innovation and advocacy to address widening gaps exacerbated by the COVID-19 pandemic. By understanding and advancing the role of ambulatory nurses, we can work towards improving access and outcomes in healthcare nationwide.</p> <p>Download the executive summary brief for a preview of the second edition report.</p> <p><a class="btn btn-primary" href="/sites/default/files/documents/misc-docs/NSI2ndEdExecutiveSummaryBrief.pdf">Read the Brief</a></p> </div> <!--<h3 class="nsireport-resources"><a href="#nsireport-resources">More resources and information</a></h3> <div class="pane"> <p><a class="btn btn-primary" href="/sites/default/files/documents/NSIFlyer.pdf" target="_blank">View / Download NSI Flyer</a></p> <ul> <li><a href="https://library.aaacn.org/aaacn/sessions/223/view" target="_blank">Access the FREE Archived Webinar</a> - Ambulatory Care Nurse-Sensitive Indicators: State of the Industry. Recorded Monday, June 20, 2016.</li> <li><a href="https://www.aaacn.org/sites/default/files/documents/PositionStatementRN.pdf" id="download" name="download" target="_blank">Role of the Registered Nurse in Ambulatory Care Position Statement</a></li> <li>From <a href="http://www.nursingeconomics.net/" target="_blank"><em>Nursing EconomicS</em></a> - <em>Ambulatory Care Nurse-Sensitive Indicators Series:</em> <ul> <li><a href="/sites/default/files/documents/misc-docs/NEC_MA_Capturing%20the%20Role.pdf" target="_blank">Capturing the Role of Nursing in Ambulatory Care – The Case for Meaningful Nurse-Sensitive Measurement</a></li> <li><a href="/sites/default/files/documents/misc-docs/NEC_MJ_16_p147.pdf" target="_blank">Reaching for the Tipping Point in Measuring Nurse-Sensitive Quality in the Ambulatory Surgical and Procedure Environments</a></li> <li><a href="/sites/default/files/documents/misc-docs/NEC_JA_16_p199.pdf" target="_blank">Starting with Low-Hanging Fruit: Proposing the Adaptation Of Health Care Measures to the Role of the Nurse in Ambulatory Care</a></li> <li><a href="/sites/default/files/documents/misc-docs/NEC_ND16_p303.pdf" target="_blank">Patient Engagement as a Nurse-Sensitive Indicator In Ambulatory Care</a></li> <li><a href="/sites/default/files/documents/misc-docs/NEC_JA_17_p205.pdf" target="_blank">Registered Nurses Make a Difference with Ambulatory Care Nurse-Sensitive Indicators</a></li> </ul> </li> <li><a href="/article/nursing-leader-describes-positive-impact-ambulatory-care-nurses">Nursing Leader Describes Positive Impact of Ambulatory Care Nurses</a> - The increasingly vital role of ambulatory care nurses in health care today is the focus of this interview with Rachel E. Start, MSN, RN, Director of Ambulatory Care Nursing at Rush Oak Park Hospital.</li> </ul> </div>--><!-- last div of cords below --></div> <!-- -- END COLLAPSE ----></div> </div> </article> </div> </div> </div> </div> </div> </main> <footer class="mt-4 "> <div class="container"> <div class="region region-footer"> <div id="block-footer" class="block block-block-content block-block-content2c7ad540-06ab-45ae-8f8b-1aead7049969"> <div class="clearfix text-formatted field field--name-body field--type-text-with-summary field--label-hidden field__item"><p><img alt="Home" class="footer-logo" src="/sites/default/files/aaacn-logo-trans_0.png" style="top: -2em;" /></p> <div class="contextual-region block block-block-content block-block-content2c7ad540-06ab-45ae-8f8b-1aead7049969" style="overflow:visible;"> <section class="block block-block aaacn-address col-lg-12 clearfix" id="block-block-14" style="padding-bottom: 1em;"> <p class="footer-row-1 text-align-center"><a href=" https://www.facebook.com/AAACN" rel="noopener" target="_blank"><img alt="" src="/sites/default/files/facebook-icon.png" style="filter: invert(1); border-width: 0px; border-style: solid;" /></a> <a href="https://twitter.com/AmbCareNursing" rel="noopener" target="_blank"><img alt="" src="/sites/default/files/X-icon.png" style="filter: invert(1);" /></a> <a href="https://www.linkedin.com/company/american-academy-of-ambulatory-care-nursing" rel="noopener" target="_blank"><img alt="" src="/sites/default/files/linkedin-icon.png" style="filter: invert(1);" /></a> <a href="https://www.instagram.com/ambcarenursing" rel="noopener" target="_blank"><img alt="" src="/sites/default/files/instagram-icon.png" style="filter: invert(1);" /></a></p> <p class="footer-row-2 text-align-center"><a href="/about/press-room">Press Room</a> | <a href="/about/media-coverage">Media Coverage</a> | <a href="/about/contact-aaacn">Contact</a> | <a href="/accreditation-statement">Accreditation Statement</a> | <a href="/about/privacypolicy">Privacy Policy</a> | <a href="/about/termsandconditionsofsale">Terms & Conditions of Sale</a></p> <p class="rtecenter">Copyright ©2023, <a href="/">American Academy of Ambulatory Care Nursing (AAACN)</a>.<br /> No materials, including graphics, may be reused, modified, or reproduced without written permission.</p> </section> </div> </div> </div> </div> </div> </footer> </div> <script type="application/json" data-drupal-selector="drupal-settings-json">{"path":{"baseUrl":"\/","scriptPath":null,"pathPrefix":"","currentPath":"node\/3037","currentPathIsAdmin":false,"isFront":false,"currentLanguage":"en"},"pluralDelimiter":"\u0003","suppressDeprecationErrors":true,"google_analytics":{"account":"UA-37772294-1","trackOutbound":true,"trackMailto":true,"trackTel":true,"trackDownload":true,"trackDownloadExtensions":"7z|aac|arc|arj|asf|asx|avi|bin|csv|doc(x|m)?|dot(x|m)?|exe|flv|gif|gz|gzip|hqx|jar|jpe?g|js|mp(2|3|4|e?g)|mov(ie)?|msi|msp|pdf|phps|png|ppt(x|m)?|pot(x|m)?|pps(x|m)?|ppam|sld(x|m)?|thmx|qtm?|ra(m|r)?|sea|sit|tar|tgz|torrent|txt|wav|wma|wmv|wpd|xls(x|m|b)?|xlt(x|m)|xlam|xml|z|zip","trackDomainMode":1},"data":{"extlink":{"extTarget":true,"extTargetNoOverride":false,"extNofollow":false,"extNoreferrer":false,"extFollowNoOverride":false,"extClass":"ext","extLabel":"(link is external)","extImgClass":false,"extSubdomains":true,"extExclude":"whatismybrowser\\.com","extInclude":"","extCssExclude":"nav, .btn","extCssExplicit":"","extAlert":false,"extAlertText":"This link will take you to an external web site. 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