Faculty of Health Sciences, University of Southampton, Southampton, England, UK.
Eur J Oncol Nurs. 2012 Jul;16(3):238-46. doi: 10.1016/j.ejon.2011.06.004. Epub 2011 Jul 23.
There is long standing interest in identifying patient outcomes that are sensitive to nursing care and an increasing number of systems that include outcomes in order to demonstrate or monitor the quality of nursing care.
We undertook scoping reviews of the literature in order to identify patient outcomes sensitive to the quality of nursing services in ambulatory cancer chemotherapy settings to guide the development of an outcomes-based quality measurement system.
A 2-stage scoping review to identify potential outcome areas which were subsequently assessed for their sensitivity to nursing was carried out. Data sources included the Cochrane Library, Medline, Embase, the British Nursing Index, Google and Google scholar.
We identified a broad range of outcomes potentially sensitive to nursing. Individual trials support many nursing interventions but we found relatively little clear evidence of effect on outcomes derived from systematic reviews and no evidence associating characteristics of nursing services with outcomes.
The purpose of identifying a set of outcomes as specifically nurse-sensitive for quality measurement is to give clear responsibility and create an expectation of strong clinical leadership by nurses in terms of monitoring and acting on results. It is important to select those outcomes that nurses have most impact upon. Patient experience, nausea, vomiting, mucositis and safe medication administration were outcome areas most likely to yield sensitive measures of nursing service quality in ambulatory cancer chemotherapy.
长期以来，人们一直关注能够反映护理质量的患者结果，并出现了越来越多包含此类结果的系统，以展示或监测护理质量。
我们对文献进行了范围综述，以确定在门诊癌症化疗环境中对护理服务质量敏感的患者结果，从而指导基于结果的质量测量系统的开发。
采用两阶段范围综述来确定潜在的结果领域，随后评估其对护理的敏感性。数据来源包括 Cochrane 图书馆、Medline、Embase、英国护理索引、Google 和 Google Scholar。
我们确定了广泛的可能对护理敏感的结果。个别试验支持许多护理干预措施，但我们从系统综述中发现相对较少明确的关于护理效果的证据，也没有证据表明护理服务的特点与结果有关。
确定一套作为质量测量特定护士敏感的结果的目的是明确责任，并期望护士在监测和根据结果采取行动方面具有强大的临床领导力。选择那些护士最有影响力的结果非常重要。患者体验、恶心、呕吐、黏膜炎和安全用药管理是门诊癌症化疗中最有可能产生护理服务质量敏感测量的结果领域。
