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Exploring nurse-sensitive patient outcomes in Dutch district nursing care: A survey study
Jessica D Veldhuizen1, Marieke J Schuurmans2,3,4, Misja C Mikkers4,5
1Research Centre for Healthy and Sustainable Living, Faculty of Health Care, University of Applied Sciences Utrecht, Utrecht, The Netherlands.
District nurses measure various patient outcomes, but inconsistent methods and lack of support hinder practice improvement. Further research and standardized guidelines are needed for effective use of nurse-sensitive outcomes.
Area of Science:
- Nursing Science
- Healthcare Management
- Patient Outcomes Research
Background:
- District nursing practice lacks clear guidance on utilizing nurse-sensitive patient outcomes.
- Current application of these outcomes in daily district nursing is not well understood.
Purpose of the Study:
- To identify nurse-sensitive patient outcomes measured in district nursing.
- To understand how these outcomes are measured and utilized for practice improvement.
- To explore barriers and facilitators to outcome utilization in district nursing.
Main Methods:
- An exploratory cross-sectional online survey was conducted.
- 132 nurses from Dutch district nursing organizations participated.
- Data were analyzed to identify measured outcomes, methods, and usage patterns.
Main Results:
- Validated instruments are used for pain, delirium, weight loss, and caregiver burden; unvalidated measures are common for falls and client satisfaction.
- Outcomes are measured, reported, and fed back to nursing teams for learning and improvement.
- Nurses generally have a positive attitude but face a lack of supportive facilitation.
Conclusions:
- District nursing utilizes various nurse-sensitive outcomes, but measurement methods lack uniformity.
- Supportive facilitation and further research into nurses' needs are crucial for effective outcome utilization.
- Developing international guidelines is recommended to standardize the use of nurse-sensitive patient outcomes in district nursing.
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