School of Nursing & Midwifery, Trinity College Dublin, Dublin, Ireland.
Department of Nursing and Health Sciences, Institute of Technology, Tralee, Co.Kerry, Ireland.
J Clin Nurs. 2019 Jul;28(13-14):2589-2598. doi: 10.1111/jocn.14845. Epub 2019 Apr 4.
To develop a suite of metrics and indicators to measure the quality of children's nursing care processes. The objectives were to identify available metrics and indicators and to develop consensus on the metrics and indicators to be measured.
The Office of Nursing and Midwifery Services Director, Health Service Executive, in Ireland established seven workstreams aligned to the following care areas: acute, older persons, children's, mental health, intellectual disability, public health nursing and midwifery.
A comprehensive design included stakeholder consultation and a survey with embedded open-ended questions.
A two-round online Delphi survey was conducted to identify metrics to be measured in practice, followed by a two-round online Delphi survey to identify the associated indicators for these metrics. A face-to-face consensus meeting was held with key stakeholders to review the findings and build consensus on the final metrics and indicators for use. A STROBE checklist was completed.
A suite of eight nursing quality care process metrics and 67 associated process indicators was developed for children's nursing.
By creating a national suite of metrics and indicators, more robust measurement and monitoring of nursing care processes can be achieved. This will enable the provision of evidence for any local and/or national level changes to policy and practice to enhance care delivery.
The roll-out of the metrics and indicators in clinical practice has commenced. This national suite of metrics and indicators will ensure that a robust system of measurement for improvement is in place to provide assurance to Directors of Nursing of the quality of nursing care being provided to children and their families. It supports the value of nursing sensitive data to inform change and improvement in healthcare delivery and to demonstrate the contribution of the nursing workforce to safe patient care.
开发一套衡量儿童护理服务过程质量的指标和标准。目标是确定现有指标和标准，并就需要衡量的指标和标准达成共识。
爱尔兰卫生服务执行局护理和助产服务主任办公室确定了七个与以下护理领域相一致的工作流程：急性、老年人、儿童、心理健康、智力残疾、公共卫生护理和助产。
综合设计包括利益相关者咨询和一项嵌入开放式问题的调查。
进行了两轮在线 Delphi 调查，以确定在实践中需要衡量的指标，然后进行两轮在线 Delphi 调查，以确定这些指标的相关指标。与主要利益相关者举行了一次面对面的共识会议，以审查结果并就最终用于衡量和指标达成共识。完成了 STROBE 检查表。
为儿童护理开发了一套八项护理质量护理过程指标和 67 个相关过程指标。
通过创建国家护理质量指标和标准套件，可以更有效地衡量和监测护理过程。这将为任何地方和/或国家层面的政策和实践变更提供证据，以加强护理服务的提供。
这些指标已在临床实践中推出。这个国家的指标套件将确保建立一个稳健的改进衡量系统，为护理主任提供有关为儿童及其家庭提供护理质量的保证。它支持护理敏感数据的价值，以告知医疗保健提供的变更和改进，并展示护理劳动力对安全患者护理的贡献。
