Loftus Moran Orla, Casey Mary
School of Nursing, Midwifery and Health Systems, University College Dublin, Dublin, Ireland.
J Adv Nurs. 2025 Apr 29. doi: 10.1111/jan.17008.
To synthesise current evidence on the development and implementation of quality care metrics for nurses working in general practice.
A Scoping review guided by Arksey and O'Malley's framework and the Preferred Reporting Items for Systematic Reviews and Meta-Analysis for Scoping Reviews (PRISMA-ScR).
Articles included peer-reviewed primary research, published in English between 1989 and 2024, reporting on the development, implementation and evaluation of quality care nursing metrics in general practice settings. EndNote was used for citation management, while Covidence facilitated screening and data extraction by four reviewers. The Donabedian model of quality care assessment (2005) and the WHO tool for primary care nurse competencies (2020) were used to synthesise the findings.
A systematic search of PubMed, CINAHL, EMBASE and Web of Science databases was conducted between June 2022 and June 2024. The search strategy was developed using Population, Concept and Context criteria, with keywords including 'Nurse', 'General Practice', 'Metric' and 'Indicator.'
Eleven studies conducted between 2005 and 2024 met the inclusion criteria. Five studies focused on quality care indicators or measures, and six examined nurse competencies or standards of care.
Quality care metrics are underutilised in general practice. There is ambiguity in metric terminology and nursing roles, education and primary care systems. Quality care metrics must align with nursing values, with digital technology and leadership as core enablers.
IMPLICATIONS FOR THE PROFESSION AND/OR PATIENT CARE: Adoption of nursing metrics in general practice provides insights into nursing contributions to patient care. Standardising the definitions of nursing care metrics will enable valid and reliable comparisons.
Quality care nursing metrics will enable the nurse's role to be manifested in general practice settings in relation to patient outcomes.
PRISMA reporting guidelines have been adhered to. WHAT DOES THIS PAPER CONTRIBUTE TO THE WIDER GLOBAL CLINICAL COMMUNITY?: Understanding of the role of the nurse in general practice will support improved quality, safety, policy and governance in general practice settings.
No patient or public contribution.
综合目前关于为从事全科医疗工作的护士制定和实施优质护理指标的证据。
一项范围综述，以阿克西和奥马利的框架以及范围综述的系统评价和Meta分析优先报告项目（PRISMA-ScR）为指导。
纳入1989年至2024年间以英文发表的同行评审的原发性研究文章，这些文章报告了全科医疗环境中优质护理护理指标的制定、实施和评估情况。EndNote用于文献管理，而Covidence便于四名评审人员进行筛选和数据提取。采用多纳贝迪安优质护理评估模型（2005年）和世界卫生组织基层医疗护士能力工具（2020年）对研究结果进行综合分析。
2022年6月至2024年6月期间对PubMed、CINAHL、EMBASE和科学网数据库进行了系统检索。检索策略根据人群、概念和背景标准制定，关键词包括“护士”、“全科医疗”、“指标”和“指标”。
2005年至2024年间进行的11项研究符合纳入标准。五项研究关注优质护理指标或措施，六项研究考察了护士能力或护理标准。
优质护理指标在全科医疗中未得到充分利用。指标术语以及护理角色、教育和基层医疗系统存在模糊性。优质护理指标必须与护理价值观相一致，以数字技术和领导力为核心推动因素。
对专业和/或患者护理的意义：在全科医疗中采用护理指标可深入了解护理对患者护理的贡献。规范护理护理指标的定义将有助于进行有效和可靠的比较。
优质护理护理指标将使护士的角色在全科医疗环境中与患者结局相关联地得以体现。
遵循PRISMA报告指南。本文对更广泛的全球临床社区有何贡献？：理解护士在全科医疗中的作用将有助于改善全科医疗环境中的质量、安全性、政策和治理。
无患者或公众贡献。
