Thomas-Hawkins Charlotte, Latham Carolyn E, Hain Debra J
Associate Professor, Rutgers University School of Nursing, Newark, NJ.
Member of ANNA's Jersey South Chapter.
Nephrol Nurs J. 2017 Jul-Aug;44(4):317-325.
Nursing is the largest healthcare profession in the United States (U.S.). As principal frontline caregivers in the U.S. healthcare system, nurses have tremendous influence over a patient's healthcare experience. A growing body of evidence states that the nursing workforce has a direct impact on healthcare quality. A standardized approach to measuring nursing's contribution to patient care and safety using nursing-sensitive quality indicators assists in examining the extent to which nurses and nursing affect the quality and safety of health care. This article focuses on nursing-sensitive quality indicators and discusses healthcare quality indicators and nursing-sensitive indicators used in the U.S. A summary of the work of the American Nephrology Nurses' Association Task Force on Nephrology Nursing-Sensitive Quality Indicators (NNSQI) and an NNSQI exemplar are provided.
护理是美国最大的医疗保健专业。作为美国医疗保健系统中的主要一线护理人员，护士对患者的医疗保健体验有着巨大影响。越来越多的证据表明，护理人员队伍对医疗质量有直接影响。使用护理敏感质量指标来衡量护理对患者护理和安全贡献的标准化方法，有助于审视护士及护理工作对医疗保健质量和安全的影响程度。本文重点关注护理敏感质量指标，并讨论美国使用的医疗保健质量指标和护理敏感指标。还提供了美国肾脏病护士协会肾脏病护理敏感质量指标（NNSQI）特别工作组的工作总结及一个NNSQI示例。
