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Pediatric nursing-sensitive outcomes in lower and medium complexity care units: A Delphi study

Martina Batino1, Jacopo Fiorini2, Francesco Zaghini1

  • 1Department of Biomedicine and Prevention, University of Rome Tor Vergata, Rome, Italy.

Journal of Pediatric Nursing
|October 19, 2024
PubMed

Insights

This study identified 17 priority Pediatric Nursing-Sensitive Outcomes (PNSOs) for lower and medium-complexity care units (LMCCUs). These findings aim to improve pediatric patient care quality and safety in broader hospital settings.

Area of Science:

  • Pediatric Nursing
  • Healthcare Quality Improvement
  • Patient Safety

Background:

  • Pediatric care presents unique challenges due to patient growth, development, and distinct demands.
  • Existing research on Pediatric Nursing-Sensitive Outcomes (PNSOs) primarily focuses on intensive care units.
  • There is a need to identify PNSOs applicable to lower and medium-complexity care units (LMCCUs) to enhance care for a larger pediatric population.

Purpose of the Study:

  • To identify and establish consensus on priority Pediatric Nursing-Sensitive Outcomes (PNSOs) within lower and medium-complexity care units (LMCCUs).
  • To expand the understanding of nursing-sensitive outcomes beyond intensive care settings.
  • To inform strategies for improving the quality and safety of pediatric care in general hospital environments.

Main Methods:

  • The Delphi method was employed to gather expert consensus on priority PNSOs.
  • A literature review informed the initial list of potential PNSOs.
  • Two rounds of Delphi surveys were conducted with 27 panelists between January and March 2023, using a 75% consensus threshold.

Main Results:

  • Seventeen priority PNSOs were identified and agreed upon by the expert panelists.
  • Key outcomes include pressure injuries, failure to rescue, patient/family experiences, healthcare-associated infections, medication errors, and pain management.
  • Other identified PNSOs encompass breastfeeding continuity, falls, vital sign monitoring, nutrition, discharge planning, family-centered care, healthcare environment, and nurse turnover.

Conclusions:

  • This study establishes a consensus on priority PNSOs for LMCCUs, contributing valuable data to pediatric nursing research.
  • The findings provide a foundation for improving care quality and safety in non-intensive pediatric settings.
  • Further research is recommended to clinically validate these PNSOs and explore their links to organizational and professional factors in pediatrics.
Abstract

Keywords:
ChildNursing-sensitive outcomesOutcomesPatient outcome assessmentPediatric nursing

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