McCance Tanya, Wilson Val, Kornman Kelly
Institute of Nursing and Health Research, School of Nursing, Faculty of Life and Health Sciences, University of Ulster, Newtownabbey, Co. Antrim, UK.
University of Technology Sydney, Sydney, Australia.
J Clin Nurs. 2016 Jul;25(13-14):2018-27. doi: 10.1111/jocn.13232. Epub 2016 Apr 29.
The aim of the Paediatric International Nursing Study was to explore the utility of key performance indicators in developing person-centred practice across a range of services provided to sick children. The objective addressed in this paper was evaluating the use of these indicators to benchmark services internationally.
This study builds on primary research, which produced indicators that were considered novel both in terms of their positive orientation and use in generating data that privileges the patient voice. This study extends this research through wider testing on an international platform within paediatrics.
The overall methodological approach was a realistic evaluation used to evaluate the implementation of the key performance indicators, which combined an integrated development and evaluation methodology.
The study involved children's wards/hospitals in Australia (six sites across three states) and Europe (seven sites across four countries). Qualitative and quantitative methods were used during the implementation process, however, this paper reports the quantitative data only, which used survey, observations and documentary review.
The findings demonstrate the quality of care being delivered to children and their families across different international sites. The benchmarking does, however, highlight some differences between paediatric and general hospitals, and between the different key performance indicators across all the sites.
The findings support the use of the key performance indicators as a novel method to benchmark services internationally. Whilst the data collected across 20 paediatric sites suggest services are more similar than different, benchmarking illuminates variations that encourage a critical dialogue about what works and why.
The transferability of the key performance indicators and measurement framework across different settings has significant implications for practice. The findings offer an approach to benchmarking and celebrating the successes within practice, while learning from partners across the globe in further developing person-centred cultures.
儿科国际护理研究的目的是探讨关键绩效指标在为患病儿童提供的一系列服务中发展以人为本实践的效用。本文探讨的目标是评估这些指标在国际服务基准评估中的应用。
本研究建立在初步研究的基础上，该研究产生的指标在积极导向以及用于生成重视患者声音的数据方面都被认为是新颖的。本研究通过在儿科国际平台上进行更广泛的测试扩展了这项研究。
总体方法是一种用于评估关键绩效指标实施情况的现实评估，它结合了综合开发和评估方法。
该研究涉及澳大利亚（三个州的六个地点）和欧洲（四个国家的七个地点）的儿童病房/医院。在实施过程中使用了定性和定量方法，然而，本文仅报告定量数据，这些数据采用了调查、观察和文献综述的方法。
研究结果表明了不同国际地点为儿童及其家庭提供的护理质量。然而，基准评估确实突出了儿科医院和综合医院之间以及所有地点不同关键绩效指标之间的一些差异。
研究结果支持将关键绩效指标用作国际服务基准评估的新方法。虽然在20个儿科地点收集的数据表明服务之间的相似性大于差异性，但基准评估揭示了差异，这有助于就哪些措施有效以及原因展开批判性对话。
关键绩效指标和测量框架在不同环境中的可转移性对实践具有重要意义。研究结果提供了一种基准评估方法，用于在实践中衡量并彰显成功之处，同时向全球各地的合作伙伴学习，进一步发展以人为本的文化。
