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Exploring how key performance indicators influence nursing and midwifery practice: A mixed-methods study.

Olivia Gray1, Tanya McCance2, Donna Brown2

  • 1Belfast Health and Social Care Trust, Belfast, UK.

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|September 21, 2021
PubMed
Summary
This summary is machine-generated.

Over 100 key performance indicators (KPIs) are used in UK and Ireland nursing and midwifery, but many lack validity. Enhanced understanding and collective leadership are needed for effective KPI use in healthcare.

Keywords:
collective leadershipkey performance indicatorsmidwiferynursingquality improvement

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Area of Science:

  • Healthcare Management
  • Nursing and Midwifery Practice
  • Performance Measurement

Background:

  • Key Performance Indicators (KPIs) are widely used in healthcare organizations.
  • The specific KPIs employed in UK and Republic of Ireland nursing and midwifery require comprehensive scoping.
  • Understanding how these KPIs influence healthcare practice is crucial for quality improvement.

Purpose of the Study:

  • To identify and scope the key performance indicators (KPIs) utilized in nursing and midwifery across the UK and Republic of Ireland.
  • To explore the influence of these KPIs on practices within healthcare organizations.

Main Methods:

  • A sequential, exploratory mixed-methods design was employed.
  • Phase 1 involved a questionnaire distributed to 77 Directors of Nursing.
  • Phase 2 included semi-structured interviews with 35 nurses and midwives at various professional levels.

Main Results:

  • Over 100 nursing and midwifery-specific KPIs were identified, with national requirements heavily influencing selection.
  • Clinical involvement was primarily limited to data collection, and few patient experience KPIs were deemed valid.
  • Thematic analysis revealed challenges in leadership, KPI alignment, and the need for staff engagement and collective decision-making.

Conclusions:

  • The extensive measurement of KPIs hinders meaningful evaluation of performance and quality of care.
  • Nurses and midwives need improved knowledge regarding the nature and purpose of KPIs for effective practice improvement.
  • Collective leadership and inclusive decision-making processes are essential for optimizing KPI utilization and impact.