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Measuring the outcomes of nursing practice: A Delphi study


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Sim, J, Crookes, P, Walsh, K ORCID: 0000-0002-6314-7443 and Halcomb, E 2017 , 'Measuring the outcomes of nursing practice: A Delphi study' , Journal of Clinical Nursing, vol. 27, no. 1-2 , e368-e378 , doi: 10.1111/jocn.13971.

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Aim: To develop nursing-sensitive patient indicators to measure the outcomes ofnursing practice.Background: Nurses play an important role in the health care system yet there is noconsensus on how the impact of nursing work should be evaluated. Limited researchhas previously examined the views of clinical nurses on the important concepts formeasuring nursing practice.Design: A four-round modified Delphi survey sought opinions from patients andnurses about the relevant concepts and their relative priority as indicators of qualitynursing practice.Method: Round 1 comprised semi-structured interviews with patients and nurses toidentify key concepts. Nurses were then asked to participate in three rounds ofDelphi survey to identify and rate key concepts from which indicators weredeveloped. Thematic analysis and descriptive statistics were used to analyse thedata.Results: By the end of Round 4, the process had generated 103 concepts andparticipants had agreed on 8 overarching constructs, namely: care and caring;communication; coordination and collaboration; safety; patient characteristics;workload; Nurses work environment; and organisational characteristics.Conclusions: Consensus was achieved between nurses on the most importantconcepts which can provide the basis for measuring the quality and safety of nursingpractice in a comprehensive and holistic way.Relevance to clinical practice: The identification of concepts that patients andnurses consider important for measuring nursing practice will guide the developmentof methods for evaluating nursing in the future. Ensuring that nursing practice isrigorously evaluated has the potential to identify opportunities to improve nursingquality, patient safety and improve health outcomes.

Item Type: Article
Authors/Creators:Sim, J and Crookes, P and Walsh, K and Halcomb, E
Journal or Publication Title: Journal of Clinical Nursing
Publisher: Blackwell Publishing Ltd
ISSN: 0962-1067
DOI / ID Number: 10.1111/jocn.13971
Copyright Information:

Copyright 2017 John Wiley & Sons Ltd

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