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Nursing-sensitive indicators for nursing care: A systematic review (1997-2017)
Beratiye Oner1, Ferhat D Zengul1, Nurettin Oner1
1Department of Health Services Administration, University of Alabama at Birmingham, Birmingham, AL, USA.
Nursing Open
|September 5, 2021
Summary
This systematic review identifies key nursing-sensitive indicators, including staffing, mortality, and infections. Findings help standardize nursing quality metrics for healthcare organizations.
Area of Science:
- Nursing Research
- Healthcare Quality Improvement
- Evidence-Based Practice
Background:
- Nursing-sensitive indicators are crucial for evaluating patient care quality.
- Standardization of these indicators is needed for consistent measurement and improvement.
- Literature on nursing-sensitive indicators requires a comprehensive synthesis.
Purpose of the Study:
- To systematically review nursing-sensitive indicators from 1997 to 2017.
- To identify frequently reported indicators and their associations with patient outcomes.
- To provide a foundation for standardizing nursing-sensitive indicator development.
Main Methods:
- Systematic literature review utilizing a deductive qualitative design.
- Searched databases including Cochrane Library, Medline/PubMed, Embase, CINAHL, and Google Scholar.
- Assessed study quality using the NIH Quality Assessment Tool.
Main Results:
- Identified 3,633 articles, with 39 meeting inclusion criteria.
- Nursing staffing, mortality rates, and nosocomial infections were the most frequently reported indicators.
- Established associations between indicators and various outcome variables.
Conclusions:
- Provides a comprehensive list and frequency of nursing-sensitive indicators.
- Findings can guide nursing research stakeholders in standardizing indicator development.
- Offers evidence-based results to benefit healthcare organizations in assessing nursing care quality.
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