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Co-Producing Peritoneal Dialysis Nursing Sensitive Indicators for Quality Care: A Multinational Consensus Building
Jessica Baillie1, Ann Bonner2, Sonia Guillouet3
1School of Healthcare Sciences, Cardiff University, Cardiff, UK.
Journal of Renal Care
|January 28, 2025
Summary
Researchers co-developed nursing-sensitive indicators to measure peritoneal dialysis nursing care quality. These indicators, focusing on patient satisfaction and clinical outcomes, aim to improve care standards.
Area of Science:
- Nephrology Nursing
- Quality Improvement in Healthcare
- Patient Care Metrics
Background:
- Existing nursing-sensitive indicators are not well-suited for peritoneal dialysis nursing practice.
- There is a need for specific, measurable indicators to assess the quality of peritoneal dialysis nursing care.
Purpose of the Study:
- To co-develop a set of nursing-sensitive indicators tailored for peritoneal dialysis nursing.
- To establish a framework for measuring the quality of peritoneal dialysis nursing care.
Main Methods:
- A multinational co-production consensus design informed by the Donabedian quality framework (structure, process, outcome).
- An expert panel proposed 65 potential indicators, refined through consensus meetings and online discussions.
- Indicator confirmation involved 25 nurses rating 28 finalized indicators on a 5-point scale.
Main Results:
- The consensus process reduced 65 initial indicators to 28 (8 structural, 12 process, 8 outcome).
- All 28 indicators were supported by nurses (average rating >3.5/5).
- Highly supported indicators included patient satisfaction, fluid balance assessment, catheter site care, clinical sign measurement, peritonitis investigation, complication referral, and infection rates.
Conclusions:
- The co-developed nursing-sensitive indicators provide a valid means to measure peritoneal dialysis nursing quality.
- Further testing for validity, reliability, and feasibility is recommended before widespread implementation.
- These indicators can enhance the quality of care for patients and families undergoing peritoneal dialysis.
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