The identification and characterization of nurse-sensitive outcomes in acute and critical care: A systematic review

IF 3.7 2区医学 Q1 NURSING

Nursing Outlook Pub Date : 2025-02-24 DOI:10.1016/j.outlook.2025.102379

Natalie L. McEvoy PhD, RN, FAAN , Laura Beth Kalvas PhD, RN , Killian Walsh BA, MA , Martha A.Q. Curley PhD, RN, FAAN

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引用次数: 0

Abstract

Background

Few nurse-sensitive patient and family outcome measures are included in hospital core metrics used for accreditation, credentialing, or recognition.

Purpose

Identify and characterize patient and family outcome measures that are sensitive to the work of acute and critical nursing.

Methods

Systematic literature review that included all age groups and excluded measures commonly reported for hospital accreditation, credentialing, or recognition (i.e., patient falls, pressure injuries/pressure ulcers, and hospital-acquired infections).

Discussion

In total, 16 studies met review criteria. Eight (50%) studies were conducted in acute care, five (31.3%) in critical care, and three (18.8%) in surgical settings. Eight (50%) were conducted in adults, four (25%) in pediatrics, and one (6.3%) in neonates. Three (18.8%) studies did not specify the population of interest. Overall, 55 nurse-sensitive outcomes were identified and 47 (85.5%) were operationally defined. These included patient/family satisfaction (n = 7, 12.7%), patient complications (n = 6, 10.9%), ventilator-related outcomes (n = 6, 10.9%), unplanned extubation (n = 5, 9.1%), and symptom-related outcomes (n = 6, 10.9%). Outcomes differed by patient population and setting.

Conclusion

It is important to broaden nurse-sensitive outcome measurement in acute/critical care settings to recognize the full spectrum of nursing’s work in hospitals. When core hospital outcome measures reflect the true work of nursing, its value to patients, families, and organizations can be made visible.

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识别和表征护士敏感的结果在急性和危重症护理：一个系统的回顾

背景：很少有对护士敏感的患者和家属结果指标被纳入医院用于认证、认证或认可的核心指标。目的识别和描述对急危护理工作敏感的患者和家庭结果指标。方法系统的文献综述，包括所有年龄组，排除了医院认证、认证或认可的常见措施（即患者跌倒、压伤/压疮和医院获得性感染）。总共有16项研究符合审查标准。8项（50%）研究在急性护理中进行，5项（31.3%）在重症监护中进行，3项（18.8%）在外科环境中进行。8例（50%）为成人，4例（25%）为儿科，1例（6.3%）为新生儿。3项（18.8%）研究没有明确目标人群。总体而言，确定了55个护士敏感结果，47个（85.5%）是手术定义的。其中包括患者/家属满意度（n = 7, 12.7%）、患者并发症（n = 6, 10.9%）、呼吸机相关结果（n = 6, 10.9%）、计划外拔管（n = 5, 9.1%）和症状相关结果（n = 6, 10.9%）。结果因患者群体和环境而异。结论在急危护理环境中拓宽护士敏感性结局测量方法，认识医院护理工作的全面性是很重要的。当医院的核心结果指标反映出护理工作的真实情况时，它对患者、家庭和组织的价值就可以显现出来。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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来源期刊

Nursing Outlook 医学-护理

CiteScore

6.20

自引率

7.00%

发文量

109

审稿时长

25 days

期刊介绍： Nursing Outlook, a bimonthly journal, provides innovative ideas for nursing leaders through peer-reviewed articles and timely reports. Each issue examines current issues and trends in nursing practice, education, and research, offering progressive solutions to the challenges facing the profession. Nursing Outlook is the official journal of the American Academy of Nursing and the Council for the Advancement of Nursing Science and supports their mission to serve the public and the nursing profession by advancing health policy and practice through the generation, synthesis, and dissemination of nursing knowledge. The journal is included in MEDLINE, CINAHL and the Journal Citation Reports published by Clarivate Analytics.