护理敏感指标：概念分析
Nursing-sensitive indicators: a concept analysis.
作者信息
Heslop Liza, Lu Sai, Xu Xiaoquan
机构信息
College of Health and Biomedicine, Victoria University, Melbourne, Victoria, Australia.
出版信息
J Adv Nurs. 2014 Nov;70(11):2469-82. doi: 10.1111/jan.12503. Epub 2014 Aug 12.
AIM
To report a concept analysis of nursing-sensitive indicators within the applied context of the acute care setting.
BACKGROUND
The concept of 'nursing sensitive indicators' is valuable to elaborate nursing care performance. The conceptual foundation, theoretical role, meaning, use and interpretation of the concept tend to differ. The elusiveness of the concept and the ambiguity of its attributes may have hindered research efforts to advance its application in practice.
DESIGN
Concept analysis.
DATA SOURCES
Using 'clinical indicators' or 'quality of nursing care' as subject headings and incorporating keyword combinations of 'acute care' and 'nurs*', CINAHL and MEDLINE with full text in EBSCOhost databases were searched for English language journal articles published between 2000-2012. Only primary research articles were selected.
METHODS
A hybrid approach was undertaken, incorporating traditional strategies as per Walker and Avant and a conceptual matrix based on Holzemer's Outcomes Model for Health Care Research.
RESULTS
The analysis revealed two main attributes of nursing-sensitive indicators. Structural attributes related to health service operation included: hours of nursing care per patient day, nurse staffing. Outcome attributes related to patient care included: the prevalence of pressure ulcer, falls and falls with injury, nosocomial selective infection and patient/family satisfaction with nursing care.
CONCLUSION
This concept analysis may be used as a basis to advance understandings of the theoretical structures that underpin both research and practical application of quality dimensions of nursing care performance.
目的
报告在急性护理环境应用背景下对护理敏感指标的概念分析。
背景
“护理敏感指标”的概念对于阐述护理绩效很有价值。该概念的概念基础、理论作用、含义、用途和解释往往存在差异。该概念的难以捉摸及其属性的模糊性可能阻碍了将其应用于实践的研究工作。
设计
概念分析。
数据来源
使用“临床指标”或“护理质量”作为主题词，并结合“急性护理”和“护士*”的关键词组合，在EBSCOhost数据库中搜索CINAHL和MEDLINE中2000年至2012年发表的英文期刊文章。仅选择了原始研究文章。
方法
采用混合方法，结合了Walker和Avant的传统策略以及基于Holzemer的医疗保健研究结果模型的概念矩阵。
结果
分析揭示了护理敏感指标的两个主要属性。与卫生服务运作相关的结构属性包括：每位患者每天的护理时长、护士配备。与患者护理相关的结果属性包括：压疮患病率、跌倒及跌倒致伤率、医院内选择性感染以及患者/家属对护理的满意度。
结论
这一概念分析可作为增进对护理绩效质量维度的研究和实际应用的理论结构理解的基础。
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