Lecturer in Nursing/Program Director Master in Health Sciences (Public Health Nursing), Room 410 School of Nursing and Midwifery, Aras Moyola, National University of Ireland, Galway, Ireland.
Lecturer and Researcher Mental Health, Subject Head-Mental Health Nursing, Chairperson Irish Institute of Mental Health Nursing, UCD School of Nursing, Midwifery & Health Systems, Room B310 UCD Health Sciences Centre, University College Dublin, Belfield, Dublin 4, Ireland.
Public Health Nurs. 2022 Jan;39(1):214-228. doi: 10.1111/phn.13000. Epub 2021 Oct 25.
Identify process indicators to measure public health nursing practice during first postnatal visits in Ireland.
Using a RAND/UCLA appropriateness- "modified Delphi" method, a two-round rating and ranking process was completed in 2016. Fifty-nine statements were reviewed for consensus and priority ranking.
The sample comprised a panel of 21 national and international experts.
Fifty-nine indicators were identified and subsequently reduced across two rounds of consensus testing. Fifty-six indicators achieved consensus and priority ranking identified 13 indicators to measure care for mothers and 15 indicators to measure care for newborns resulting in 28 process indicators to enable Public Health Nurses (PHNs) to measure care during the first postnatal visit.
Measurement of care using quality indicators plays an integral role in quality improvement. Developing quality indicators is important in improving care outcomes. This two round "modified Delphi" study combined with literature and previous qualitative findings identified process indicators to measure public health nursing practice at first postnatal visits and enables benchmarking. Developing quality indicators for public health nursing practice using a "modified Delphi" technique has enabled a platform to provide consensus amongst a panel of experts and identified key processes of care by PHNs and mothers.
确定衡量爱尔兰首次产后访视中公共卫生护理实践的过程指标。
采用 RAND/UCLA 适宜性-“改良德尔菲”方法，于 2016 年完成了两轮评分和排名过程。对 59 项声明进行了共识和优先排序审查。
样本由 21 名国家和国际专家组成。
确定了 59 个指标，并在两轮共识测试中进行了相应的简化。56 项指标达成共识并进行了优先排序，确定了 13 项用于衡量产妇护理的指标和 15 项用于衡量新生儿护理的指标，最终确定了 28 项过程指标，使公共卫生护士（PHN）能够在首次产后访视中衡量护理情况。
使用质量指标衡量护理质量是质量改进的重要组成部分。制定质量指标对于改善护理结果至关重要。这项两轮“改良德尔菲”研究结合文献和先前的定性研究结果，确定了衡量首次产后访视中公共卫生护理实践的过程指标，并实现了基准比较。使用“改良德尔菲”技术为公共卫生护理实践制定质量指标，为专家组提供共识，并确定了 PHN 和母亲的关键护理流程提供了一个平台。
