Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA.
School of Nursing, University of Alabama at Birmingham, Birmingham, AL, USA.
Nurs Open. 2021 May;8(3):1005-1022. doi: 10.1002/nop2.654. Epub 2020 Oct 15.
To provide a systematic review of the literature from 1997 to 2017 on nursing-sensitive indicators.
A qualitative design with a deductive approach was used.
Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature.
Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross-Sectional Studies.
A total of 3,633 articles were identified, and thirty-nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing-sensitive indicators.
This review provides a comprehensive list of nursing-sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing-sensitive indicators.
This review provides evidence-based results that health organizations can benefit from nursing care quality.
对 1997 年至 2017 年护理敏感指标的文献进行系统综述。
采用定性设计和演绎法。
Cochrane 图书馆、Medline/PubMed、Embase 和 CINAHL、Google Scholar 原始和灰色文献中的原始和灰色文献参考文献。
使用 NIH 观察性队列和横断面研究质量评估工具对质量进行评估。
共确定了 3633 篇文章,其中 39 项研究符合纳入标准。这些研究中对调查关系的定量评估表明,护理人员配置、死亡率和医院感染是最常报告的护理敏感指标。
本综述提供了护理敏感指标的综合清单,包括它们的使用频率以及这些指标与各种结果变量之间的关联。护理研究的利益相关者可以利用这些发现来简化指标的制定工作和护理敏感指标的标准化。
本综述提供了循证结果,表明卫生组织可以从护理质量中受益。