Measuring Outcomes of Nursing Care, Improving the Health of Canadians: NNQR (C), C-HOBIC and NQuiRE

Abstract

the purpose of this paper is to inform the nursing community of the extraordinary progress that the Canadian National Nursing Quality Report (NNQR (C)), the Canadian health outcomes for Better information and Care (C-hoBiC) and the Nursing Quality indicators for Reporting and Evaluation (NQuiRE) have made to date, and to share our commitment to continue working together to build a strong nursing profession that, armed with evidence, will contribute to healthier Canadians.

Understanding the use of standardized nursing terminology and classification systems in published research: A case study using the International Classification for Nursing Practice ®

“…These datasets can then be utilized for analysis among research and quality improvement 4 initiatives aimed at better measuring the effectiveness of nursing care, and providing an evidence base for the profession (Westra et al, 2015). Additionally, datasets such as those used by C-HOBIC, may allow for the measurement of patient outcomes in relation to nursing care (Hannah et al, 2009;VanDeVelde-Coke et al, 2012) thus showing where nursing has or has not made a difference.…”

Optimizing Nursing Practice through Integration of Best Practice Guidelines into Electronic Medical Records

“…NQuIRE is a data system of nursing-sensitive quality indicators derived from RNAO BPGs that track the progress of BPSOs across multiple indicators. NQuIRE includes indicators that are classified into three categories based on Donabedian's framework: structure indicators (measuring organizational characteristics), process indicators (measuring nursing activities) and outcome indicators (measuring patient outcomes) (Donabedian 2005;VandeVelde-Coke et al 2012). HRH is committed to implementing five RNAO BPGs across the threeyear BPSO pre-designate phase, including pressure injuries, pain management, care transition, fall prevention and delirium, dementia and depression.…”

Evaluating the outcomes of complex nursing initiatives: Insights from the CANO/ACIO National Strategy for Chemotherapy Administration Project

“…Nous avons réalisé qu'elle n'est pas bien placée pour entreprendre une initiative majeure en recherche en évaluation. Relativement peu d'infirmières chercheuses du Canada possèdent actuellement l'ensemble de compétences nécessaire à la réalisation de recherches qui tiennent compte des résultats dépendant du personnel infirmier (Doran, Mildon & Clarke, 2011;VandeVelde-Coke et al, 2012), et il faut reconnaître que la science associée à la corrélation de variables complexes comme le niveau de compétence infirmière avec les résultats pour le patient n'en est qu'à ses premiers pas à l'échelle mondiale (Aiken et al, in press). Nous nous sommes donc mis à la recherche d'une approche maniable qui pouvait être implantée en temps utile avec des ressources minimes et servir de mécanisme cohérent grâce auquel nous pourrions examiner les questions d'évaluation.…”