Koy V, Yunibhand J, Angsuroch Y
Faculty of Nursing, Chulalongkorn University, Bangkok, Thailand.
Int Nurs Rev. 2016 Sep;63(3):490-8. doi: 10.1111/inr.12269. Epub 2016 Jun 12.
Measuring nursing care quality is essential for nursing practice. However, because of its complexity, such a quality is difficult to define and measure appropriately and a review of available instruments to measure this is important.
This systematic review reports on contemporary quantitative instruments for evaluating nursing care quality and suggests some directions for further study.
A comprehensive search was conducted in 2015 to review five databases CINAHL, HINARI, ScienceDirect, Google and PubMed, and 18 articles met the inclusion criteria. The search covered the earliest literature found up until November 2015.
We found that instruments could be categorized from three different measuring perspectives (1) nurses, (2) patients and (3) both nurses and patients.
First, only English language literature was sought and only five databases were reviewed. Second, the instruments reviewed are of varying dimensions. Finally, some authors did not provide the psychometric properties of the instruments studied.
Many reviews published in peer-reviewed journals have serious methodological flaws that focus on different perspectives in relation to instruments to measure nursing care quality. As the result of this systematic review instruments are focused on different perspectives of nursing care quality for nurse managers. In addition, the findings of this systematic review enhance better understanding of the perspectives in regard to both nurses and patients in the health-care facilities.
The results of this systematic review contribute to the ability of nurse managers to improve and consider the measurement of nursing care quality in clinical practice. The first suggests the need to understand the different perceptions of both nurses and patients' instruments regarding NCQ. Also, a health-care quality-related policy should also be formulated to reduce adverse events. The recording system policy must be designed appropriately in order to monitor patient outcomes every year.
衡量护理质量对护理实践至关重要。然而，由于其复杂性，这种质量难以恰当定义和测量，因此对现有测量工具进行综述很重要。
本系统综述报告当代用于评估护理质量的定量工具，并提出一些进一步研究的方向。
2015年进行了全面检索，以查阅五个数据库（CINAHL、HINARI、ScienceDirect、谷歌和PubMed），18篇文章符合纳入标准。检索涵盖了截至2015年11月找到的最早文献。
我们发现工具可从三个不同测量视角进行分类：（1）护士，（2）患者，（3）护士和患者两者。
首先，仅检索了英文文献且仅查阅了五个数据库。其次，所综述的工具维度各异。最后，一些作者未提供所研究工具的心理测量特性。
同行评审期刊发表的许多综述存在严重的方法学缺陷，这些缺陷聚焦于测量护理质量工具的不同视角。作为本系统综述的结果，工具聚焦于护理质量对护士长的不同视角。此外，本系统综述的结果增进了对医疗机构中护士和患者视角的更好理解。
本系统综述的结果有助于护士长在临床实践中改进并考虑护理质量的测量。首先表明需要了解护士和患者对护理质量相关工具的不同看法。此外，还应制定与医疗质量相关的政策以减少不良事件。必须适当设计记录系统政策，以便每年监测患者结果。
