Nursing‐sensitive indicators for nursing care: A systematic review (1997–2017)

Abstract

Aim To provide a systematic review of the literature from 1997 to 2017 on nursing‐sensitive indicators. Design A qualitative design with a deductive approach was used. Data sources Original and Grey Literature references from Cochrane Library, Medline/PubMed, Embase, and CINAHL, Google Scholar Original and Grey Literature. Review methods Quality assessment was performed using the NIH Quality Assessment Tool for Observational Cohort and Cross‐Sectional Studies. Results A total of 3,633 articles were identified, and thirty‐nine studies met the inclusion criteria. The quantitative assessment of investigated relationships in these studies suggests that nursing staffing, mortality, and nosocomial infections were the most frequently reported nursing‐sensitive indicators. Conclusion This review provides a comprehensive list of nursing‐sensitive indicators, their frequency of use, and the associations between these indicators and various outcome variables. Stakeholders of nursing research may use the findings to streamline the indicator development efforts and standardization of nursing‐sensitive indicators. Impact This review provides evidence‐based results that health organizations can benefit from nursing care quality.

Intentional Rounding versus Standard of Care for Patients Hospitalised in Internal Medicine Wards: Results from a Cluster-Randomised Nation-Based Study

“…This is also based on the fact that the events with which we chose to compose the main outcome are of primary interest for patients, in addition to nursing-sensitive patient outcomes [ 22 ] and indexes of good quality and safety of care. Nursing-sensitive indicators play a key role in assessing the nursing care and the performance of a nursing organisational intervention [ 23 , 24 ].…”

Nursing‐sensitive quality indicators for pernicious placenta previa in obstetrics: A Delphi study based across Chinese institutions

“…So far, no references about nursing‐sensitive indicators for PPP were retrieved. So, we can only compare our indicators with those for obstetric nursing and more general nursing (Gao et al., 2018 ; Heslop & Lu, 2014 ; Ju et al., 2018 ; Koch et al., 2020 ; Mcintyre et al., 2020 ; Oner et al., 2020 ).…”

The impact of a multilevel interactive nursing quality control and audit application on nursing quality management

“…To understand the impact of nursing on patient care, the American Nurses Association has developed a set of indicators that can reflect the quality of care. These include structural indicators covering the skill mix of nursing resources, process indicators covering skin integrity and nurses’ satisfaction, and outcome indicators covering nosocomial infection rate, patient injury rate, patient satisfaction with nursing services, pain management and health education, and patient care satisfaction [ 7 – 9 ]. The purpose of nursing quality indicators is to evaluate the effectiveness and adequacy of patient care, ensure the quality of care, establish a bridge between nurses and other professionals, and facilitate administrative management [ 8 , 10 ].…”

“…As a good patient-nurse relationship can positively impact the quality of care, building patients’ trust in nursing staff is important. Studies have suggested that enhancing the quality of nursing care depends on nurses’ professional knowledge, continuous communication and coordination, alertness, and individualization, while treating patients as partners [ 9 ]. The Taiwan Quality Indicator Project 2017 proposed comprehensive nursing quality audit indicators, which cover various aspects, such as nursing techniques, nursing procedures, and nursing record documentation [ 11 ].…”