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用于老年人护理机构的护理质量护理过程度量标准和指标的制定:德尔福共识研究
Author(s) -
Murphy Fiona,
Doody Owen,
Lyons Rosemary,
Gallen Anne,
Nolan Mary,
Killeen Angela,
Kavanagh Paula,
Donegan Joan,
Sezgin Duygu
Publication year - 2019
Publication title -
journal of advanced nursing
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 0.948
H-Index - 155
eISSN - 1365-2648
pISSN - 0309-2402
DOI - 10.1111/jan.14126
Subject(s) - delphi method , nursing , health care , delphi , medicine , quality (philosophy) , nursing care , nursing outcomes classification , nursing research , team nursing , computer science , philosophy , epistemology , artificial intelligence , economics , economic growth , operating system
Aim To develop a suite of nursing quality care process metrics and indicators for older persons care settings in Ireland. Background Regulatory investigations of health system failures highlight non‐adherence to clinical guidelines and standards resulting in deficiencies in nursing care delivery. Limited attention has been paid to measuring nursing care processes particularly in the care of older people. Quality care process metrics can facilitate measurement of nurse‐sensitive measures of care. Design A scoping literature review and modified Delphi‐Consensus Technique. Methods A scoping review of literature published between January 2007 – January 2017 was conducted to identify nursing process metrics and indicators. The Delphi Consensus phase incorporated a four‐round electronic survey of 404 nurses and a consensus meeting with 13 stakeholders working in Older Persons Care Settings in Ireland. Findings From the review, 33 potential metrics were identified. After all Delphi survey rounds, 20 metrics and 90 associated indicators were selected by the nurses. Following the consensus meeting, 19 metrics and 80 indicators were included in the final suite of nursing quality care process metrics and indicators. Conclusion Developing this suite of nursing quality care process metrics and indicators for use in older persons care settings provided consensus on what nursing processes should be measured to improve the quality and safety of care delivery. Impact The nursing processes identified, provide a framework for future research and educational programmes in the care of older persons. Although conducted in the Irish healthcare system, there is potential for adoption or adaption in other healthcare settings.