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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
Summary
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.
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