Nursing quality indicators for adult intensive care: A consensus study

Abstract

Background:The selection of quality indicators demonstrating the efficiency and relevance of nursing practice in patient outcomes in the intensive care unit remains a challenge. Aim:The aim of this study was to develop a set of potential quality indicators to quantify nursing care provided to critically ill patients through a consensus method.Design: This was a three-phase study including a European survey of intensive care unit (ICU) nurses (phase one) followed by a two-phase face-to-face consensus meeting of experts from Cyprus.Method: Two distinct panels of experts were asked to rate each quality indicator using a 4-point Likert scale in phases one and two. The level of consensus was set at 60%. In phase three, scores of the content validity index for items and scales were considered for the final selection of quality indicators.Results: The phase one survey included 139 ICU nurses from 13 European countries, and phases two and three included seven ICU experts from Cyprus. "Consensus in" was achieved for 12 items at the end of phase two. Three of the quality indicators were significantly different by country: (a) falls (P = .006), (b) accidental removal of nasogastric tube (P < .001), and (c) accidental removal of intravascular catheters (P < .001). Only falls was significantly correlated with higher academic qualifications of the participants (P = .002).Conclusions: Fifteen items have been identified as potential indicators for adult ICU nursing quality. These need to be prospectively studied to determine the extent to which they can accurately capture nursing care quality in this setting.This study was approved by a vising committee as part of a doctoral thesis.

Value of Intensive Nursing Detail Management in Intensive Care Unit Nursing

“…Clinical practice has confirmed [ 16 ] that the application of enhanced detail management in intensive care unit nursing could achieve satisfactory nursing outcomes and significantly reduce nursing accidents in clinical settings. Detail management focuses on the quality of care [ 17 , 18 ] to enhance treatment outcomes. Clinical care requires accurate nursing and dynamic monitoring of changes in the patient's condition to further improve the predictability of clinical care [ 19 ].…”

Analysis of Risk Factors of Hospital Emergency Nursing Based on Comprehensive Nursing Methods

“…The literature [ 14 ] proposed to develop the patient's quality standard evaluation-emergency nursing model and believed that this will be a good way, and through this way, patients can more meaningfully evaluate the quality of nursing services they receive. It treats the patient as a diversified social person, and from the perspective of holistic nursing [ 15 ], it regards the patient's physiology, mind, surrounding environmental factors, and physical factors as a whole. China should learn from foreign advanced concepts and combine Duna Bettis' three-dimensional quality structure theory with continuous quality improvement theory to revise and improve emergency department triage and nursing quality evaluation standards in emergency areas.…”

Qualitätsentwicklung in der Intensivpflege – ein Update

“…Die ▶ Qualitätsindikatoren der Intensivmedizin [18] existieren in vierter Auflage und sind teilweise unter Beteiligung von intensivpflegerischer Expertise entwickelt worden. In einer internationalen Konsensus-Studie [23] mit 13 europäischen Ländern wurden Indikatoren für die Intensivpflege Erwachsener identifiziert. Die am meisten verwendeten Indikatoren waren Länge des Aufenthalts (length of stay = LOS), Infektionen über zentrale Zugänge (central line associated bloodstream infections = CLABSI), Sterblichkeitsrate (standardized mortality rare = SMR), beatmungsassoziierte Pneumonie (ventilator-associated pneumonia = VAP) und Dekubitusrate (pressure ulcers = Pus).…”