St. Michael's Hospital, Toronto, Ontario, Canada.
BMJ Qual Saf. 2014 Dec;23(12):1001-6. doi: 10.1136/bmjqs-2013-002595. Epub 2014 Sep 5.
Performance data can be used to monitor and guide interventions aimed at improving the quality and safety of patient care. To use performance data effectively, nurses need to understand how to interpret and use data in meaningful ways to guide practice. Dashboards are interactive computerised tools that display performance data. In one large, urban teaching hospital in Toronto, Canada, unit-specific dashboards were implemented across the organisation.
A qualitative study was undertaken to explore the perceptions and experiences of front-line nurses and managers associated with the implementation of a unit-level dashboard. Six units were selected to participate in the study. Data were analysed using a directed content analysis approach.
The sample included 56 study participants, including 51 front-line nurses and 5 unit managers. Three key themes emerged around nurses' and unit managers' perspectives on the implementation of unit-specific dashboards. Nurses and managers described that the Care Utilising Evidence dashboard was a visual tool that displayed data on the impact of the nursing care provided to patients. This tool also was used by the nurses and managers to keep track of processes of care and patient outcomes and experiences at a unit level. Further, nurses were able to use performance data to identify quality care improvements specific to their unit.
The results highlight how unit-specific dashboards are being used to monitor performance and drive quality improvement efforts from the perspectives of nurses and unit managers. In practice, nurse leaders may consider investing in dashboards as a quality improvement strategy to optimise the use of performance data at their organisations.
绩效数据可用于监测和指导旨在提高患者护理质量和安全性的干预措施。为了有效使用绩效数据，护士需要了解如何以有意义的方式解释和使用数据，以指导实践。仪表盘是显示绩效数据的交互式计算机工具。在加拿大多伦多的一家大型城市教学医院，该组织在各个科室实施了科室特定的仪表盘。
开展了一项定性研究，以探讨与实施科室级仪表盘相关的一线护士和管理人员的看法和经验。选择了六个科室参与研究。使用定向内容分析方法对数据进行分析。
样本包括 56 名研究参与者，包括 51 名一线护士和 5 名科室经理。围绕护士和科室经理对科室特定仪表盘实施的看法，出现了三个关键主题。护士和管理人员描述说，“利用证据进行护理”仪表盘是一个可视化工具，可显示提供给患者的护理对患者产生的影响的数据。该工具还被护士和管理人员用于跟踪科室层面的护理流程和患者结果和体验。此外，护士能够使用绩效数据来确定特定于其科室的优质护理改进。
结果突出了科室特定的仪表盘如何从护士和科室经理的角度用于监测绩效和推动质量改进工作。在实践中，护理领导者可以考虑将仪表盘作为一种质量改进策略，以优化其组织对绩效数据的使用。
