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Nurse-Sensitive Quality Metrics to Benchmark in Pediatric Cardiovascular Care
Jean Connor1, Lauren Hartwell2, Jennifer Baird3
1Jean Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, and an assistant professor of pediatrics, Harvard Medical School, Boston, Massachusetts.
Summary
This study tested nurse-sensitive measures in pediatric cardiovascular care, finding them feasible and usable. The results support developing benchmarks to improve pediatric cardiovascular nursing quality and inform staffing.
Area of Science:
- Pediatric Nursing
- Healthcare Quality Improvement
- Cardiovascular Care
Background:
- Global evidence links nursing care quality to patient outcomes.
- Application of this evidence to pediatric specialty nursing measurement is limited.
Purpose of the Study:
- To assess the feasibility and performance of nurse-sensitive measures.
- To evaluate these measures within pediatric cardiovascular programs.
Main Methods:
- Ten nurse-sensitive measures were implemented across nine children's hospitals.
- Data on nursing workforce, care processes, and patient outcomes were collected over six months.
- Sites assessed data collection feasibility and usability.
Main Results:
- Variations in nursing workforce characteristics were observed.
- Clinical data indicated areas for care process improvement, such as infant weight gain and pain management.
- All measures achieved ≥75% feasibility and usability scores.
Conclusions:
- Collaborative evaluation refined measures and identified needs for data collection systems and benchmarks.
- Results support developing target benchmarks for performance comparison and best practice sharing.
- Findings inform nurse staffing models for improved pediatric cardiovascular nursing quality.
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