Which priority indicators to use to evaluate nursing care performance? A discussion paper

Dubois, Carl-Ardy; D’Amour, Danielle; Brault, Isabelle; Dallaire, Clémence; Déry, Johanne; Duhoux, Arnaud; Lavoie‐Tremblay, Mélanie; Mathieu, Luc; Karemere, Hermès; Zufferey, Arnaud

doi:10.1111/jan.13373

Cited by 33 publications

(52 citation statements)

References 51 publications

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“…Positive results are found for the effects of hierarchical leadership in nursing on quality of care and, more specifically, on nursing-sensitive patient outcomes (Vaismoradi, Griffiths, Turunen, & Jordan, 2016;Wong, Cummings, & Ducharme, 2013). However, further research is needed to establish the relationship between leadership practices of APNs and CNLs and nursing-sensitive patient outcomes (Dubois et al, 2017;Kapu & Kleinpell, 2013).…”

Section: Discussionmentioning

confidence: 99%

An integrative review of leadership competencies and attributes in advanced nursing practice

Heinen¹,

Oostveen

Peters

et al. 2019

Journal of Advanced Nursing

124

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AimTo establish what leadership competencies are expected of master level‐educated nurses like the Advanced Practice Nurses and the Clinical Nurse Leaders as described in the international literature.BackgroundDevelopments in health care ask for well‐trained nurse leaders. Advanced Practice Nurses and Clinical Nurse Leaders are ideally positioned to lead healthcare reform in nursing. Nurses should be adequately equipped for this role based on internationally defined leadership competencies. Therefore, identifying leadership competencies and related attributes internationally is needed.DesignIntegrative review.MethodsEmbase, Medline and CINAHL databases were searched (January 2005–December 2018). Also, websites of international professional nursing organizations were searched for frameworks on leadership competencies. Study and framework selection, identification of competencies, quality appraisal of included studies and analysis of data were independently conducted by two researchers.ResultsFifteen studies and seven competency frameworks were included. Synthesis of 150 identified competencies led to a set of 30 core competencies in the clinical, professional, health systems. and health policy leadership domains. Most competencies fitted in one single domain the health policy domain contained the least competencies.ConclusionsThis synthesis of 30 core competencies within four leadership domains can be used for further development of evidence‐based curricula on leadership. Next steps include further refining of competencies, addressing gaps, and the linking of knowledge, skills, and attributes.ImpactThese findings contribute to leadership development for Advanced Practice Nurses and Clinical Nurse Leaders while aiming at improved health service delivery and guiding of health policies and reforms.

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Section: Discussionmentioning

confidence: 99%

An integrative review of leadership competencies and attributes in advanced nursing practice

Heinen¹,

Oostveen

Peters

et al. 2019

Journal of Advanced Nursing

124

View full text Add to dashboard Cite

show abstract

“…Participants were asked to evaluate the indicators of effectiveness raised in the literature (1,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) , based on the indicator's technical data sheet of the elaborated by Seiffert (31) for the present study. Each indicator sheet contained its name, definitions, purpose/ use, estimate method, measure type/unit of , assessment method, including collection and origin of data, frequency which it would be measured with and references.…”

Section: Study Protocolmentioning

confidence: 99%

“…It is found in the literature (1,(11)(12)(13)(14)(15)(16)(17)(18)(19)(20)(21)(22)(23)(24)(25) nursing care effectiveness indicators not validated by specialists with expertise in the study and/ or use of indicators in health practice. This study focuses on the following indicators: Fall with damage (1,(11)(12)(14)(15)21,(23)(24) , hip fracture (15,22) and postoperative hip fracturing (15) , equipment-related incidents (15) , incidents due to failures in patient Identification (21) , pressure injury (11)(12)(13)(14)(15) , medication error (1,(13)(14)(18)(19)(20)26) and hand hygiene (16)(17) .…”

Section: Introductionmentioning

confidence: 99%

Indicators of effectiveness of nursing care in the dimension of patient safety

et al. 2020

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Objectives: to validate nursing care effectiveness indicators of patient safety dimension. Methods: quantitative survey, using the electronic Delphi sampli, with 52 participants selected by the Snowball sampling. Eight indicators were evaluated regarding the attributes: availability, reliability, simplicity, representativeness, sensitivity, comprehensiveness, objectivity, cost, utility, stability and timeliness. For validation, the minimum agreement criterion was 70%. Results: Cronbach’s alpha (0.942) evidenced the high internal consistency among the attributes. The indicators fall with damage, hip fracture, and postoperative hip fracture, incidents related to equipment, incidents due to failures in patient identification, and pressure injury were validated in all attributes, and those of medication error and hand Hygiene were not validated. Conclusions: the validated indicators allow assessment of the effectiveness of hospital nursing care. Unavailability of data is an obstacle to monitoring patient safety.

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“…Starting from this broad base of indicators, C. A. Dubois et al. (2017) have identified a set of 12 priority indicators to evaluate nursing care performance. Still, there is no consensus on a standard set of indicators that best illustrates the performance of nursing care in acute care hospitals.…”

Section: Introductionmentioning

confidence: 99%

“…To date, a relationship between nursing or nurse staffing and patient outcomes has been established in several studies for various indicators (Aiken et al., 2002, 2012; Dubois et al, 2013, 2017; Kane et al, 2007; Needleman et al., 2002, 2011). In addition, several sets of indicators have been proposed and implemented in various countries such as the first‐ever nationally standardized performance measure for nursing care in acute care hospitals the ‘NQF’ in the United States (National Quality Forum, 2004) which has developed fifteen NSIs or the ‘Canadian Health Outcomes for Better Information and Care’ (C‐HOBIC) (Hannah et al, 2012).…”

Section: Introductionmentioning

confidence: 99%

The relevance, feasibility and benchmarking of nursing quality indicators: A Delphi study

Kutz

Conca

Wenke

et al. 2020

Journal of Advanced Nursing

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Aims To identify indicators of nursing care performance by identifying structures, processes, and outcomes that are relevant, feasible and have the potential for benchmarking in Swiss acute hospitals. Design A modified Delphi‐Consensus Technique. Methods We examined 19 indicators based on the current evidence and that were pre‐selected by nursing scientists. Between August–October 2019, a consortium of experts (representatives of different cantons, hospitals, and healthcare roles in Switzerland) determined the relevance, feasibility, and suitability for benchmarking these indicators in two‐round modus of digital survey. Consensus was defined a priori by at least 75% agreement on the highest level of a 3‐point Likert‐type scale. Results The response rate was 70.4% in the first and 68.4% in the second round. In round one consensus was reached for three indicators on relevance but for none of the indicators regarding feasibility or potential for benchmarking. For round two, the experts suggested two additional indicators (new total of 21 indicators). Of 21 indicators, consensus was reached on twelve regarding relevance, seven regarding feasibility, and two regarding the potential for benchmarking. Conclusion A national expert consortium defined 12 of 21 nursing care indicators as relevant. Feasibility, however, was estimated only among seven indicators and a consensus on suitability for benchmarking was reached for two nursing‐sensitive indicators. Impact The results show how the indicators to evaluate nursing care performance, which have been identified as priority by Canadian nursing scientists, are assessed in a different setting. There are many overlaps, but also some differences in the assessment of the indicators between the different settings. Different health systems prioritize the indicators to evaluate nursing care performance differently, which is why national surveys are important for the compilation of their own (priority) indicator sets.

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Which priority indicators to use to evaluate nursing care performance? A discussion paper

Abstract: This study sets the stage for new initiatives aiming at filling current gaps in operationalization of nursing care performance. The next milestone is to set up the infrastructure required to collect data on these indicators and make effective use of them.

Cited by 33 publications

References 51 publications

An integrative review of leadership competencies and attributes in advanced nursing practice

An integrative review of leadership competencies and attributes in advanced nursing practice

Indicators of effectiveness of nursing care in the dimension of patient safety

The relevance, feasibility and benchmarking of nursing quality indicators: A Delphi study

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