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Nursing quality indicators for adult intensive care: A consensus study
Efi Evangelou1, Nicos Middleton1, Theodoros Kyprianou2
1Department of Nursing, School of Health Sciences, Cyprus University of Technology, Limassol, Cyprus.
Nursing in Critical Care
|September 4, 2020
Summary
Developing quality indicators for intensive care unit (ICU) nursing is crucial. This study identified 15 potential indicators for adult ICU nursing quality through a consensus method, aiding healthcare quality assurance.
Area of Science:
- Nursing Quality Measurement
- Healthcare Management
- Critical Care Research
Background:
- Selecting effective quality indicators for intensive care unit (ICU) nursing practice is challenging.
- Measuring nursing efficiency and relevance to patient outcomes in ICUs requires robust metrics.
Purpose of the Study:
- To develop a set of potential quality indicators for quantifying nursing care in intensive care units.
- To establish a consensus-based method for identifying key nursing quality indicators.
Main Methods:
- A three-phase study involving a European survey of ICU nurses and face-to-face expert consensus meetings.
- Utilized a 4-point Likert scale and content validity index for indicator evaluation.
- Achieved consensus on 12 items, with subsequent analysis of country-specific differences and correlations with participant qualifications.
Main Results:
- Fifteen potential quality indicators for adult ICU nursing were identified.
- Significant country-specific variations were noted for falls, nasogastric tube removal, and intravascular catheter removal.
- Falls were correlated with higher academic qualifications among participants.
Conclusions:
- A set of 15 potential indicators for adult ICU nursing quality has been established.
- These indicators require prospective validation to confirm their accuracy in capturing nursing care quality.
- The identified indicators can form the basis for nursing management and quality assurance strategies in ICUs.
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