Young Lisa, Johnson Alisha H, Reeder Blaine P, Vogelsmeier Amy
Author Affiliations: Sinclair School of Nursing, University of Missouri, Columbia, MO.
Comput Inform Nurs. 2025 Feb 1;43(2):e01212. doi: 10.1097/CIN.0000000000001212.
Dashboards display hospital quality and patient safety measures aimed to improve patient outcomes. Although literature establishes dashboards aid quality and performance improvement initiatives, research is limited from the frontline nurse manager's perspective. This study characterizes factors influencing hospital nurse managers' use of dashboards for unit-level quality and performance improvement with suggestions for dashboard design. Using a descriptive qualitative design, semistructured interviews were conducted with 11 hospital nurse managers from a health system in the Midwestern United States. Thematic analysis was used to describe four perceived factors influencing dashboard use: external, data, technology features, and personal. External factors included regulatory standards, professional standards of care, organizational expectations, and organizational resources. Data factors included dashboard data quality and usefulness. Technology features included preference for simple, interactive, and customizable visual displays. Personal factors included inherent nurse manager qualities and knowledge. Guidelines for dashboard design involve display of required relevant quality measures that are accurate, timely, useful, and usable. Future research should involve hospital nurse managers in user-centered design to ensure dashboards are favorable for use. Further, opportunities exist for nurse manager informatics training and education on dashboard use in preparation for their role and responsibilities in unit-level quality and performance improvement.
仪表盘展示旨在改善患者治疗效果的医院质量和患者安全指标。尽管文献表明仪表盘有助于质量和绩效改进举措，但从一线护士管理者的角度来看，相关研究有限。本研究描述了影响医院护士管理者使用仪表盘进行科室层面质量和绩效改进的因素，并对仪表盘设计提出了建议。采用描述性定性设计，对美国中西部一个医疗系统的11名医院护士管理者进行了半结构化访谈。主题分析用于描述影响仪表盘使用的四个感知因素：外部、数据、技术特性和个人因素。外部因素包括监管标准、专业护理标准、组织期望和组织资源。数据因素包括仪表盘数据质量和实用性。技术特性包括对简单、交互式和可定制视觉显示的偏好。个人因素包括护士管理者固有的素质和知识。仪表盘设计指南包括展示准确、及时、有用且可用的所需相关质量指标。未来的研究应让医院护士管理者参与以用户为中心的设计，以确保仪表盘便于使用。此外，存在为护士管理者提供信息学培训和关于仪表盘使用的教育的机会，以便他们为在科室层面质量和绩效改进中的角色和职责做好准备。
