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Criteria formulation and application: an evaluative framework

A Kitson¹, G Harvey, S Hyndman

¹Royal College of Nursing Standards of Care Programme, National Institute for Nursing, Oxford, U.K.

International Journal of Nursing Studies

|April 1, 1994

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This study explores how quality criteria are developed and used in healthcare systems, contrasting expert-driven versus practitioner-developed approaches. It offers a framework to improve criteria formulation and application for better quality assurance.

Area of Science:

Healthcare Quality Improvement
Health Services Research

Background:

Quality assurance systems rely on criteria for evaluation.
A gap exists between criteria developed by experts and those by local practitioners.

Purpose of the Study:

To critically examine the formulation and application of criteria in quality assurance.
To analyze the strengths and weaknesses of expert- versus practitioner-developed criteria.
To offer a framework for effective criteria formulation.

Main Methods:

Critical examination of criteria formulation and application processes.
Analysis of contrasting approaches: expert-derived vs. practitioner-developed criteria.
Development of an evaluative framework for criteria formulation.

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Main Results:

Identified a division between expert and practitioner-developed criteria.
Proposed an evaluative framework with three key areas: construction, formulation procedures, and application.
Illustrated framework components with examples from the ODySSSy Project.

Conclusions:

Recommends more systematic studies on criteria formulation in complex healthcare settings.
Highlights the need for a balanced approach considering both expert and practitioner input.
Emphasizes the importance of a structured framework for effective quality criteria development.