Specifying and Standardizing Performance Measures for Use at a National Level

Riehle, Annette; Hanold, Linda S.; Sprenger, Sharon; Loeb, Jerod M.

doi:10.1177/1077558707299263

Cited by 14 publications

(7 citation statements)

References 16 publications

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“…This renewed interest has resulted in an accelerated expansion of a range of initiatives within and outside the nursing profession to make explicit those aspects of care outcomes directly attributable to nursing practice. Specifically, indicators to quantify nursing’s contribution to healthcare performance have been considered in several countries by influential organizations such as the Agency for Healthcare Research and Quality and the National Quality Forum in the United States, the Ontario Hospital Association in Canada, and the Council on Health Care Standards in Australia [12,13]. …”

Section: Introductionmentioning

confidence: 99%

Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review

et al. 2013

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BackgroundDespite the critical role of nursing care in determining high-performing healthcare delivery, performance science in this area is still at an early stage of development and nursing’s contribution most often remains invisible to policy-makers and managers. The objectives of this study were: 1) to develop a theoretically based framework to conceptualize nursing care performance; 2) to analyze how the different components of the framework have been operationalized in the literature; and 3) to develop a pool of indicators sensitive to various aspects of nursing care that can be used as a basis for designing a performance measurement system.MethodsWe carried out a systematic review of published literature across three databases (MEDLINE, EMBASE and CINAHL), focusing on literature between 1990 and 2008. Screening of 2,103 papers resulted in final selection of 101 papers. A detailed template was used to extract the data. For the analysis, we used the method of interpretive synthesis, focusing first on 31 papers with theoretical or conceptual frameworks; the remaining 70 articles were used to strengthen and consolidate the findings.ResultsCurrent conceptualizations of nursing care performance mostly reflect a system perspective that builds on system theory, Donabedian’s earlier works on healthcare organization, and Parsons’ theory of social action. Drawing on these foundational works and the evidence collated, the Nursing Care Performance Framework (NCPF) we developed conceptualizes nursing care performance as resulting from three nursing subsystems that operate together to achieve three key functions: (1) acquiring, deploying and maintaining nursing resources, (2) transforming nursing resources into nursing services, and (3) producing changes in patients’ conditions. Based on the literature review, these three functions are operationalized through 14 dimensions that cover 51 variables. The NCPF not only specifies core aspects of nursing performance, it also provides decision-makers with a conceptual tool to serve as a common ground from which to define performance, devise a common and balanced set of performance indicators for a given sector of nursing care, and derive benchmarks for this sector.ConclusionsThe NCPF provides a comprehensive, integrated and theoretically based model that allows performance evaluation of both the overall nursing system and its subsystems. Such an approach widens the view of nursing performance to embrace a multidimensional perspective that encompasses the diverse aspects of nursing care.

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Section: Introductionmentioning

confidence: 99%

Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review

et al. 2013

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“…Nurses and midwives are the single largest provider of care at home, in the community or in a hospital setting within Ireland and comprise almost 40% of the health care workforce (NCNM, 2009). They are pivotal to influencing patient outcomes, meeting organizational needs and are seen as paramount (Riehle et al, 2007) in the provision of safe and efficacious patient care in all sectors of the health care system. By virtue of the potential that nurses and midwives have to influence the care outcomes for individuals and their families, it is appropriate that this care is qualified as effective.…”

Section: Contextmentioning

confidence: 99%

Evaluating Nursing and Midwifery Metrics: Providing Evidence to Support Change and Renewal in Healthcare Services in Ireland

Parlour¹,

Slater²,

Breslin³

2015

International Journal of Research in Nursing

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This study was commissioned by senior nursing and midwifery management to evaluate the impact of 'medication management metrics' (Medication Storage and Custody and Medication Administration) upon the delivery of nursing and midwifery care in the Health Service Executive (HSE) North West Area. The study employed a mixedmethodology using both quantitative and qualitative approaches to data collection and analysis. Methodological and source triangulation were incorporated to crosscheck and affirm the reliability and validity of the findings. Quantitative and qualitative data were gathered across two time points from 3 locations (38 settings) across the HSE North West Area. The evaluation design incorporated three research strands. The first strand evaluated the performance of each ward/unit using standardized 'metrics' criteria'. The second strand evaluated the experiences of both patients and staff within the context of local implementation. Strand three examined the impact of the initiative upon the context within which care is delivered-the workplace setting. The study findings have important policy implications that should inform any future corporate approach towards system wide implementation of nursing and midwifery metrics. Outcomes from this should promote improvements in care delivery and enhanced corporate understanding of the central role of nurses and midwives in the delivery of safe, effective and person-centred care.

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“…The Joint Commission's established measure development process was initiated with a stakeholder meeting in early 2007 7 . The purpose of this meeting was to obtain advice from experts in the field regarding the importance, feasibility, and utility of developing a set of blood management performance measures.…”

Section: Blood Management Performance Measure Developmentmentioning

confidence: 99%

Developing performance measures for patient blood management

et al. 2011

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In 2005, The Joint Commission set about assessing the need for performance measures associated with the provision of blood products. Through a rigorous process, seven patient blood management performance measures were created. These measures incorporated a measure requiring transfusion consent; three measures requiring the combination of a laboratory value and a rationale for transfusion of plasma, platelets, or red blood cells; a measure requiring standard documentation about a transfusion; a measure evaluating preoperative anemia screening; and a measure of preoperative type screening and antibody testing before the start of major blood loss surgery. This article describes the process of this measure development and summarizes the final measures and some of the evidence supporting the measures.

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Specifying and Standardizing Performance Measures for Use at a National Level

Cited by 14 publications

References 16 publications

Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review

Conceptualizing performance of nursing care as a prerequisite for better measurement: a systematic and interpretive review

Evaluating Nursing and Midwifery Metrics: Providing Evidence to Support Change and Renewal in Healthcare Services in Ireland

Developing performance measures for patient blood management

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