Nurse-sensitive outcomes in district nursing care: A Delphi study

Veldhuizen, Jessica D.; Bulck, Anne O. E. van den; Elissen, Arianne; Mikkers, Misja; Schuurmans, Marieke J.; Bleijenberg, Nienke

doi:10.1371/journal.pone.0251546

Cited by 14 publications

(31 citation statements)

References 14 publications

(34 reference statements)

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“…A strength of this study was the evaluation of quality of care using nursing‐sensitive outcomes (NSOs; Twigg et al, 2015 ). NSOs are not only relevant for the scope and domain of nursing practice (Veldhuizen et al, 2021 ) but could also be considered relevant for investigating the effects of family participation. Another strength of this study is the sample size of 530.…”

Section: Discussionmentioning

confidence: 99%

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Bloemberg

Musters

Wal-Huisman

et al. 2022

Journal of Advanced Nursing

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Aim To investigate the impact of family visit restrictions during the COVID‐19 pandemic on deliriums, falls, pneumonia, pressure ulcers and readmissions among surgical inpatients with gastrointestinal (oncologic) diseases. Design Cohort study. Methods This study was conducted among adult inpatients undergoing gastrointestinal surgery in two academic hospitals. During the COVID‐19 outbreak in 2020, over a 10‐week period, one cohort was subjected to family visit restrictions. Per patient, one person per day was allowed to visit for a maximum of 30 min. This cohort was compared with another cohort in which patients were not subjected to such restrictions during a 10‐week period in 2019. Logistic regression analyses were used to investigate the impact of the restrictions on deliriums, falls, pneumonia, pressure ulcers and readmissions. Results In total, 287 patients were included in the 2020 cohort and 243 in the 2019 cohort. No differences were observed in the cohorts with respect to baseline characteristics. Logistic regression analyses showed no significant differences in deliriums, falls, pneumonia, pressure ulcers and readmissions between the cohorts. Conclusion We cautiously conclude that the family visit restrictions during the COVID‐19 pandemic did not contribute to deliriums, falls, pneumonia, pressure ulcers or readmissions in surgical patients with gastrointestinal (oncologic) diseases. Impact COVID‐19 influenced family‐centred care due to family visit restrictions. Nurses need to continue monitoring outcomes known to be sensitive to family‐centred care to gain insight into the effects of visit restrictions and share the results in order to include nurses' perspectives in COVID‐19‐decision‐making. Re‐implementing of family visit restrictions should be carefully considered in policy‐making.

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Section: Discussionmentioning

confidence: 99%

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Bloemberg

Musters

Wal-Huisman

et al. 2022

Journal of Advanced Nursing

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“…The musical background will be assessed as a possible explanation for the success of the live or recorded music interventions. Other complications (classified according to Clavien-Dindo [ 33 ], nursing-sensitive outcomes such as dehydration and falling [ 34 ]) will be explored for changes in the music groups compared to care-as-usual to derive hypotheses for future studies.…”

Section: Methodsmentioning

confidence: 99%

“…Other study parameters used in this study are as follows: (1) comorbidities (Charlson comorbidity index) [32]; (2) complications (Clavien Dindo [33] and nurse-sensitive outcomes [34]); (3) postoperative days (T0=surgery); (4) surgery characteristics (invasiveness, etc) [20]; (5) musical background (excerpt from DMBQ) [30]; (6) age; and (7) presurgery cognitive testing [22] (eg, 6-item cognitive impairment score) [28].…”

Section: Other Study Parametersmentioning

confidence: 99%

Live and Recorded Music Interventions to Reduce Postoperative Pain: Protocol for a Nonrandomized Controlled Trial

Harding¹,

Wal-Huisman²,

Leeuwen³

2023

JMIR Res Protoc

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Background Postoperative patients who were previously engaged in the live musical intervention Meaningful Music in Healthcare reported significantly reduced perception of pain than patients without the intervention. This encouraging finding indicates a potential for postsurgical musical interventions to have a place in standard care as therapeutic pain relief. However, live music is logistically complex in hospital settings, and previous studies have reported the more cost-effective recorded music to serve as a similar pain-reducing function in postsurgical patients. Moreover, little is known about the potential underlying physiological mechanisms that may be responsible for the reduced pain perceived by patients after the live music intervention. Objective The primary objective is to see whether a live music intervention can significantly lower perceived postoperative pain compared to a recorded music intervention and do-nothing control. The secondary objective is to explore the neuroinflammatory underpinnings of postoperative pain and the potential role of a music intervention in mitigating neuroinflammation. Methods This intervention study will compare subjective postsurgical pain ratings among 3 groups: live music intervention, recorded music intervention, and standard care control. The design will take the form of an on-off nonrandomized controlled trial. Adult patients undergoing elective surgery will be invited to participate. The intervention is a daily music session of up to 30 minutes for a maximum of 5 days. The live music intervention group is visited by professional musicians once a day for 15 minutes and will be asked to interact. The recorded music active control intervention group receives 15 minutes of preselected music over headphones. The do-nothing group receives typical postsurgical care that does not include music. Results At study completion, we will have an empirical indication of whether live music or recorded music has a significant impact on postoperative perceived pain. We hypothesize that the live music intervention will have more impact than recorded music but that both will reduce the perceived pain more than care-as-usual. We will moreover have the preliminary evidence of the physiological underpinnings responsible for reducing the perceived pain during a music intervention, from which hypotheses for future research may be derived. Conclusions Live music can provide relief from pain experienced by patients recovering from surgery; however, it is not known to what degree live music improves the patients’ pain experience than the logistically simpler alternative of recorded music. Upon completion, this study will be able to statistically compare live versus recorded music. This study will moreover be able to provide insight into the neurophysiological mechanisms involved in reduced pain perception as a result of postoperative music listening. Trial Registration The Netherlands Central Commission on Human Research NL76900.042.21; https://www.toetsingonline.nl/to/ccmo_search.nsf/fABRpop?readform&unids=F2CA4A88E6040A45C1258791001AEA44 International Registered Report Identifier (IRRID) PRR1-10.2196/40034

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“…This is the first step to selecting appropriate solutions and facilitation to help district nursing care implement nurse‐sensitive outcomes. The following research questions guided this study: Which of the 26 nurse‐sensitive outcomes, previously identified by experts (Veldhuizen, van den Bulck, et al, 2021), are currently measured in Dutch district nursing practice, and how are these outcomes measured? How are nurse‐sensitive outcomes used to learn and improve current practice? What are the barriers and facilitators of using nurse‐sensitive outcomes in district nursing care? …”

Section: Introductionmentioning

confidence: 99%

“…A potential reason for this absence of evidence is the worldwide variation in the organisation, delivery and funding of district nursing care (Genet et al, 2012 ; Jarrín et al, 2019 ; Van Eenoo et al, 2016 ). A recent Delphi study was conducted to identify what nurse‐sensitive outcomes are relevant for district nursing care (Veldhuizen, van den Bulck, et al, 2021 ). The Delphi study identified 46 potentially nurse‐sensitive patient outcomes for district nursing care in the literature, of which 26 were assessed as nurse sensitive by various experts in district nursing care (Veldhuizen, van den Bulck, et al, 2021 ).…”

Section: Introductionmentioning

confidence: 99%

Exploring nurse‐sensitive patient outcomes in Dutch district nursing care: A survey study

Veldhuizen

Schuurmans

Mikkers

et al. 2022

Health Social Care Comm

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There is a lack of evidence to guide district nurses in using nurse‐sensitive patient outcomes as it is unclear how these outcomes are currently used in daily district nursing practice. Therefore, we aimed to explore (1) which nurse‐sensitive patient outcomes are measured and how these outcomes are measured, (2) how district nurses use the outcomes to learn from and improve current practice and (3) the barriers and facilitators to using outcomes in current district nursing practice. An exploratory cross‐sectional survey study was conducted. The survey was distributed online among nurses working for various district nursing care organisations across the Netherlands. The responses from 132 nurses were analysed, demonstrating that different instruments or questionnaires are available and used in district nursing care as outcome measures. The nurse‐sensitive patient outcomes most often measured with validated instruments are pain using the Numeric Rating Scale or Visual Analogue Scale, delirium using the Delirium Observation Scale, weight loss using the Short Nutritional Assessment Questionnaire and caregiver burden using the Caregiver Strain Index or a Dutch equivalent. Falls and client satisfaction with delivered care are most often measured using unvalidated outcome measures. The other nurse‐sensitive outcomes are measured in different ways. Outcomes are measured, reported and fed back to the nursing team multiple times and in various ways to learn from and improve current practice. In general, nurses have a positive attitude towards using nurse‐sensitive outcomes in practice, but there is a lack of facilitation to support them. Because insight into how nurses can and should be supported is still lacking, exploring their needs in further research is desirable. Additionally, due to the high variation in the utilisation of outcomes in current practice, it is recommended to create more uniformity by developing (inter)national guidelines on using nurse‐sensitive patient outcomes in district nursing care.

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Nurse-sensitive outcomes in district nursing care: A Delphi study

Cited by 14 publications

References 14 publications

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Impact of family visit restrictions due to COVID‐19 policy on patient outcomes: A cohort study

Live and Recorded Music Interventions to Reduce Postoperative Pain: Protocol for a Nonrandomized Controlled Trial

Exploring nurse‐sensitive patient outcomes in Dutch district nursing care: A survey study

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