Development and Validation of an Indicator System for Evaluating Clinical Nursing Process Quality Using Mobile...

Area of Science:

• Nursing Science
• Health Informatics
• Quality Improvement

Background:

• Clinical nursing processes are critical for patient outcomes.
• Assessing nursing process quality is essential for healthcare improvement.
• Mobile nursing information systems offer potential for enhanced efficiency and safety.

Purpose of the Study:

• To develop and validate a standardized indicator system for clinical nursing process quality assessment.
• To leverage a mobile nursing information system for efficient and safe care evaluation.
• To identify variations in nursing process quality across different clinical departments.

Main Methods:

• A Delphi method was used for expert consultation to establish indicator importance and weights.
• A precedence ordering chart was utilized for assigning indicator weights.
• The system was tested using data from three clinical departments, focusing on 20 indicators across assessment, execution, guidance, and management.

Main Results:

• High expert consensus (100% response rates, authority coefficients 0.89-0.90) and moderate agreement (Kendall's W = 0.21, 0.129) were achieved.
• A final system comprised 4 primary indicators (assessment, execution, guidance, management) and 44 secondary indicators.
• Significant inter-departmental variations were found in injection/infusion execution rates and specimen submission timeliness.

Conclusions:

• The developed indicator system is scientifically reliable and valid for assessing clinical nursing process quality via mobile systems.
• The system effectively identified variations in nursing practices, indicating its utility for quality improvement.
• Further research is recommended to validate the system's timeliness and objectivity in real-world nursing settings.