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Nurse-sensitive outcomes in district nursing care: A Delphi study
Jessica D Veldhuizen1, Anne O E van den Bulck2, Arianne M J Elissen2
1Research Centre for Healthy and Sustainable Living, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.
This study identified 26 nurse-sensitive outcomes for older adults receiving district nursing care. Key outcomes include patient autonomy, decision-making, satisfaction, quality of death, and care compliance.
Area of Science:
- Gerontology
- Nursing Science
- Health Services Research
Background:
- District nursing care is crucial for community-living older adults.
- Identifying nurse-sensitive outcomes is essential for quality improvement in nursing practice.
- Nurse-sensitive outcomes are patient outcomes influenced by nursing interventions.
Purpose of the Study:
- To determine nurse-sensitive outcomes in district nursing care for community-living older people.
- To establish a consensus among experts on key indicators of nursing quality.
Main Methods:
- A Delphi study utilizing the RAND/UCLA Appropriateness Method was conducted.
- Two rounds of data collection involved 11 district nursing experts.
- Experts rated the relevance and influenceability of 46 potential nurse-sensitive outcomes.
Main Results:
- A total of 26 (56.5%) outcomes were identified as nurse-sensitive.
- Top-rated outcomes included patient autonomy, decision-making ability, satisfaction with care, quality of dying, and compliance.
- Expert agreement was high, with a disagreement index below 1 for most outcomes.
Conclusions:
- This study established 26 nurse-sensitive outcomes for district nursing care in older adults.
- These outcomes can inform the development of quality indicators for district nursing.
- Further research is needed to operationalize these outcomes and assess their relevance for specific patient subgroups.
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