Belfast Trust/University of Ulster, Belfast, UK.
J Clin Nurs. 2012 Apr;21(7-8):1145-54. doi: 10.1111/j.1365-2702.2011.03820.x. Epub 2011 Aug 21.
The aim of this study was to gain consensus on key performance indicators that are appropriate and relevant for nursing and midwifery practice in the current policy context.
There is continuing demand to demonstrate effectiveness and efficiency in health and social care and to communicate this at boardroom level. Whilst there is substantial literature on the use of clinical indicators and nursing metrics, there is less evidence relating to indicators that reflect the patient experience.
A consensus approach was used to identify relevant key performance indicators.
A nominal group technique was used comprising two stages: a workshop involving all grades of nursing and midwifery staff in two HSC trusts in Northern Ireland (n = 50); followed by a regional Consensus Conference (n = 80). During the workshop, potential key performance indicators were identified. This was used as the basis for the Consensus Conference, which involved two rounds of consensus. Analysis was based on aggregated scores that were then ranked.
Stage one identified 38 potential indicators and stage two prioritised the eight top-ranked indicators as a core set for nursing and midwifery. The relevance and appropriateness of these indicators were confirmed with nurses and midwives working in a range of settings and from the perspective of service users.
The eight indicators identified do not conform to the majority of other nursing metrics generally reported in the literature. Furthermore, they are strategically aligned to work on the patient experience and are reflective of the fundamentals of nursing and midwifery practice, with the focus on person-centred care.
Nurses and midwives have a significant contribution to make in determining the extent to which these indicators are achieved in practice. Furthermore, measurement of such indicators provides an opportunity to evidence of the unique impact of nursing/midwifery care on the patient experience.
本研究旨在就适用于当前政策背景下护理和助产实践的关键绩效指标达成共识。
在卫生和社会保健领域不断需要证明其有效性和效率，并在董事会层面进行沟通。虽然有大量关于临床指标和护理指标的文献，但反映患者体验的指标证据较少。
使用共识方法确定相关的关键绩效指标。
采用名义群体技术，包括两个阶段：在北爱尔兰的两个 HSC 信托中涉及所有级别的护理和助产人员的研讨会（n=50）；随后是区域共识会议（n=80）。在研讨会上，确定了潜在的关键绩效指标。这是共识会议的基础，共识会议涉及两轮共识。分析基于汇总分数，然后对其进行排名。
第一阶段确定了 38 个潜在指标，第二阶段将排名前八的指标作为护理和助产的核心指标进行优先排序。这些指标的相关性和适当性得到了在各种环境中工作的护士和助产士以及服务使用者的认可。
确定的 8 个指标与文献中通常报告的大多数其他护理指标不一致。此外，它们与改善患者体验的工作战略一致，并反映了护理和助产实践的基本原理，重点是以人为本的护理。
护士和助产士在确定这些指标在实践中的实现程度方面可以做出重大贡献。此外，对这些指标的衡量提供了一个机会，可以证明护理/助产护理对患者体验的独特影响。
