Background: There is long standing interest in identifying patient outcomes that are sensitive to nursing care and an increasing number of systems that include outcomes in order to demonstrate or monitor the quality of nursing care. Objective: We undertook scoping reviews of the literature in order to identify patient outcomes sensitive to the quality of nursing services in ambulatory cancer chemotherapy settings to guide the development of an outcomes based quality measurement system. Methods: A 2 stage scoping review to identify potential outcome areas which were subsequently assessed for their sensitivity to nursing. Data sources included the Cochrane Library, Medline, Embase, the British Nursing Index, Google and Google scholar Results: We identified a broad range of outcomes potentially sensitive to nursing. Individual trials support many nursing interventions but we found relatively little clear evidence of effect on outcomes derived from a systematic reviews and no evidence associating characteristics of nursing services with outcomes. Conclusion: The purpose of identifying a set of outcomes as specifically nurse-sensitive for quality measurement is to give clear responsibility and create an expectation of strong clinical leadership by nurses in terms of monitoring and acting on results. It is important to select those outcomes that nurses have most impact upon. .Patient experience, nausea and vomiting, mucositis and safe medication administration were outcome areas most likely to yield sensitive measures of nursing service quality in ambulatory cancer chemotherapy. All authors contributed significantly to the conception writing and revision of the paper and meet the criteria for authorship. We have no conflicts of interest of which we are aware.
Yours SincerelyPeter Griffiths
Authors' contributionsGriffiths -design of study, review and selection of papers, drafting paper, approval of final version Richardson -design of study, drafting paper, approval of final version Blackwell -literature searching, review and selection of papers, drafting paper, approval of final version
*Title Page (with authors and addresses)Outcomes sensitive to nursing service quality in ambulatory cancer chemotherapy: literature review Abstract Background: There is long standing interest in identifying patient outcomes that are