Pediatric nurse‐sensitive outcomes: A systematic review of international literature

Abstract

Background: Nurse-sensitive outcomes are measures for improvement and evaluation of the quality of nursing care delivered. The specific outcomes that need to be measured will be determined by the patient population, as well as the field and scope of practice, in which nursing care is being delivered. Currently, there is no internationally agreed upon set of nurse-sensitive outcomes for pediatric nursing, which provides specialist care to infants, children, and young people. Aim: To identify and evaluate nurse-sensitive outcomes for pediatric nursing. Methods: A systematic review was conducted. Five electronic databases (British Nursing Index, CINAHL, EMBASE, MEDLINE, and EMCARE) were searched in the period up to February 2022. Studies were selected for inclusion using title and abstract screening using predetermined criteria. The Critical Appraisal Skills Programme tool was used for quality assessment. A narrative synthesis of the results was performed. Results: A total of 633 studies were identified from online searches, with 14 studies meeting the inclusion criteria. All studies had moderate to high methodological strength. A total of 57 nurse-sensitive outcomes were identified from all included studies. Using the nurse-sensitive outcome conceptual analysis framework, 25 (45%) of the items were classified as outcome attributes, 20 (35%) as process attributes, and 13 (23%) as structure attributes. The most frequently reported nurse-sensitive outcomes included pressure ulcers, nosocomial infections, hospital-acquired infections, peripheral intravenous infiltration, failure to rescue, and staffing levels. Conclusions: This review provides an up-to-date and comprehensive list of nursesensitive outcomes for use in pediatric nursing and describes their frequency of use. However, further work is required to achieve consensus for an international core nursesensitive outcome set for pediatric nursing with policy recommendations to ensure agreed-upon minimum standards. Implications for nursing and health policy: Policy initiatives and guideline recommendations on nurse-sensitive outcome frameworks as part of patient safety should be a part of key priorities for policy makers. The commonly reported nurse-sensitive outcomes should be incorporated into daily bedside pediatric clinical nursing practice as a mechanism to evaluate and improve the quality of care, enhancement of patient safety, and better outcomes. K E Y WO R D S children and infant care, nurse-sensitive outcomes, nursing, pediatrics 

Contributions of representing the elements of nursing practice in the ISO 18.104:2023 standard: a theoretical study

“…A Dutch study that explored sensitive outcome use by nurses concluded that there is a lack of information on how nurses can and should be supported by outcome measurement tools ( 10 ) . In pediatric nursing, a literature review presented a total of 57 sensitive outcomes for use in the specialty ( 11 ) . The conclusion of both studies highlights the need to reach international consensus to guarantee minimum standards for actions or at least national guidelines.…”

Contribuições da representação dos elementos da prática de enfermagem na norma ISO 18.104:2023: estudo teórico

“…Estudo holandês que explorou a utilização de resultados sensíveis por enfermeiras concluiu que falta informações sobre como as enfermeiras podem e devem ser apoiadas por instrumentos de medidas de resultados (10) . Na área da enfermagem pediátrica, revisão de literatura apresentou um total de 57 resultados sensíveis para uso na especialidade (11) . Na conclusão de ambos os estudos, destaca-se a necessidade de alcançar consenso internacional para garantir padrões mínimos para as ações ou ao menos diretrizes nacionais.…”

Aportes de la representación de los elementos de la práctica de enfermería en la norma ISO 18.104:2023: estudio teórico

“…Un estudio holandés que exploró el uso de resultados sensibles por parte de los enfermeros concluyó que falta información sobre cómo los enfermeros pueden y deben recibir apoyo de los instrumentos de medición de resultados (10) . En el área de enfermería pediátrica, una revisión de la literatura presentó un total de 57 resultados sensibles para su uso en la especialidad (11) . En la conclusión de ambos estudios se destaca la necesidad de alcanzar consensos internacionales para garantizar estándares mínimos de actuación o al menos directrices nacionales.…”