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Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition
Émilie Dufour1, Arnaud Duhoux, Damien Contandriopoulos
1Faculty of Nursing, Université de Montréal, Montreal, Quebec, Canada (Ms Dufour and Dr Duhoux); CR-CSIS (Centre de Recherche-Charles-Le Moyne-Saguenay-Lac-Saint-Jean sur les innovations en santé), Université de Sherbrooke, Longueuil, Quebec, Canada (Dr Duhoux); and School of Nursing, University of Victoria, Victoria, British Columbia, Canada (Dr Contandriopoulos).
Background:
Access to both valid and reliable nursing-sensitive indicators is currently limited in primary care.
Purpose:
The objectives were to (1) measure primary care nursing indicators using a wound care tracer condition and (2) study the associations between process and outcome indicators.
Methods:
We conducted a longitudinal study in an ambulatory care clinic in Quebec, Canada. The sample included 482 episodes of care. We studied 5 indicators related to processes and 3 to outcomes.
Results:
Performance levels were moderately high for indicators of initial assessment and duration and low for those of continuity and education. Associations between nursing follow-up and continuity indicators and 3 outcome indicators were highly significant.
Conclusion:
Continuity and nursing follow-up are associated with improved outcomes. Increasing these indicators' performance level can improve both nursing processes and patient outcomes.
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