School of Nursing, University of Wollongong, Wollongong, NSW, Australia.
School of Nursing, Midwifery & Paramedicine, Australian Catholic University, North Sydney, NSW, Australia.
J Clin Nurs. 2018 Jan;27(1-2):e368-e378. doi: 10.1111/jocn.13971. Epub 2017 Dec 6.
To develop nursing-sensitive patient indicators to measure the outcomes of nursing practice.
Nurses play an important role in the healthcare system, yet there is no consensus on how the impact of nursing work should be evaluated. Limited research has previously examined the views of clinical nurses on the important concepts for measuring nursing practice.
A four-round modified Delphi survey sought opinions from patients and nurses about the relevant concepts and their relative priority as indicators of quality nursing practice.
Round 1 comprised semi-structured interviews with patients and nurses to identify key concepts. Nurses were then asked to participate in three rounds of Delphi survey to identify and rate key concepts from which indicators were developed. Thematic analysis and descriptive statistics were used to analyse the data.
By the end of Round 4, the process had generated 103 concepts and participants had agreed on eight overarching constructs, namely care and caring; communication; coordination and collaboration; safety; patient characteristics; workload; Nurses work environment; and organisational characteristics.
Consensus was achieved between nurses on the most important concepts, which can provide the basis for measuring the quality and safety of nursing practice in a comprehensive and holistic way.
The identification of concepts that patients and nurses consider important for measuring nursing practice will guide the development of methods for evaluating nursing in the future. Ensuring that nursing practice is rigorously evaluated has the potential to identify opportunities to improve nursing quality, patient safety and improve health outcomes.
开发护理敏感的患者指标，以衡量护理实践的结果。
护士在医疗保健系统中发挥着重要作用，但对于如何评估护理工作的影响尚未达成共识。以前的研究很少探讨临床护士对衡量护理实践的重要概念的看法。
四轮改良德尔菲调查征求了患者和护士对相关概念的意见，并对其作为优质护理实践指标的相对重要性进行了评估。
第一轮包括对患者和护士进行半结构化访谈，以确定关键概念。然后要求护士参加三轮德尔菲调查，以确定和评估关键概念，从而制定指标。使用主题分析和描述性统计来分析数据。
在第四轮结束时，该过程共产生了 103 个概念，参与者就八个总体结构达成一致，即护理和关怀；沟通；协调与合作；安全；患者特征；工作量；护士工作环境；和组织特征。
护士就衡量护理实践最重要的概念达成了共识，这可以为全面、整体地衡量护理实践的质量和安全提供基础。
确定患者和护士认为对衡量护理实践重要的概念将指导未来评估护理方法的发展。严格评估护理实践有可能确定改善护理质量、患者安全和改善健康结果的机会。
