Promoting excellence - Evidence-based Practice at the Bedside and Beyond

Hyrkäs, Kristiina; Rhudy, James P.

doi:10.1111/jonm.12051

Cited by 6 publications

(3 citation statements)

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“… 2009 , White et al . 2013 ). Other examples of clinical utilization of NREM include assessing the effectiveness of nursing interventions on patient outcomes in a general nursing setting (Morris et al .…”

Section: Discussionmentioning

confidence: 99%

Nursing‐sensitive indicators: a concept analysis

Heslop

2014

Journal of Advanced Nursing

130

139

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AimTo report a concept analysis of nursing-sensitive indicators within the applied context of the acute care setting.BackgroundThe concept of ‘nursing sensitive indicators’ is valuable to elaborate nursing care performance. The conceptual foundation, theoretical role, meaning, use and interpretation of the concept tend to differ. The elusiveness of the concept and the ambiguity of its attributes may have hindered research efforts to advance its application in practice.DesignConcept analysis.Data sourcesUsing ‘clinical indicators’ or ‘quality of nursing care’ as subject headings and incorporating keyword combinations of ‘acute care’ and ‘nurs*’, CINAHL and MEDLINE with full text in EBSCOhost databases were searched for English language journal articles published between 2000–2012. Only primary research articles were selected.MethodsA hybrid approach was undertaken, incorporating traditional strategies as per Walker and Avant and a conceptual matrix based on Holzemer's Outcomes Model for Health Care Research.ResultsThe analysis revealed two main attributes of nursing-sensitive indicators. Structural attributes related to health service operation included: hours of nursing care per patient day, nurse staffing. Outcome attributes related to patient care included: the prevalence of pressure ulcer, falls and falls with injury, nosocomial selective infection and patient/family satisfaction with nursing care.ConclusionThis concept analysis may be used as a basis to advance understandings of the theoretical structures that underpin both research and practical application of quality dimensions of nursing care performance.

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Section: Discussionmentioning

confidence: 99%

Nursing‐sensitive indicators: a concept analysis

Heslop

2014

Journal of Advanced Nursing

130

139

View full text Add to dashboard Cite

show abstract

“…). Although EBP is a key element in health care quality and safety, improved health outcomes and decreased health care costs (Hyrkas & Rhudy ), community nursing practice continues to be based more on experience, tradition and intuition than on empirical knowledge (Patelarou et al . ).…”

Section: Introductionmentioning

confidence: 99%

“…Evidence-based practice (EBP) is a process of making health care decisions based on the best available scientific evidence as well as the characteristics, health status, needs, values and preferences of the individual patients; the resources available; and the experience of the health professional, in a specific setting and organizational context (Satterfield et al 2009). Although EBP is a key element in health care quality and safety, improved health outcomes and decreased health care costs (Hyrkas & Rhudy 2013), community nursing practice continues to be based more on experience, tradition and intuition than on empirical knowledge (Patelarou et al 2013).…”

Section: Introductionmentioning

confidence: 99%