Identification of quality indicators of public health nursing practice: "modified Delphi" approach.

Public Health Nursing (Boston, Mass.) Pub Date : 2022-01-01 Epub Date: 2021-10-25 DOI:10.1111/phn.13000
Martina Giltenane, Ann Sheridan, Thilo Kroll, Kate Frazer
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引用次数: 2

Abstract

Objective: Identify process indicators to measure public health nursing practice during first postnatal visits in Ireland.

Design: Using a RAND/UCLA appropriateness- "modified Delphi" method, a two-round rating and ranking process was completed in 2016. Fifty-nine statements were reviewed for consensus and priority ranking.

Sample: The sample comprised a panel of 21 national and international experts.

Results: Fifty-nine indicators were identified and subsequently reduced across two rounds of consensus testing. Fifty-six indicators achieved consensus and priority ranking identified 13 indicators to measure care for mothers and 15 indicators to measure care for newborns resulting in 28 process indicators to enable Public Health Nurses (PHNs) to measure care during the first postnatal visit.

Conclusions: Measurement of care using quality indicators plays an integral role in quality improvement. Developing quality indicators is important in improving care outcomes. This two round "modified Delphi" study combined with literature and previous qualitative findings identified process indicators to measure public health nursing practice at first postnatal visits and enables benchmarking. Developing quality indicators for public health nursing practice using a "modified Delphi" technique has enabled a platform to provide consensus amongst a panel of experts and identified key processes of care by PHNs and mothers.

公共卫生护理实践质量指标的确定:“修正德尔菲”法。
目的:确定过程指标,以衡量爱尔兰首次产后就诊期间的公共卫生护理实践。设计:2016年,采用RAND/UCLA适当性“修正德尔菲”法,完成了两轮评级和排名过程。审查了59项发言以达成协商一致意见并确定优先次序。样本:样本由21名国内和国际专家组成。结果:确定了59个指标,随后在两轮共识测试中减少了这些指标。56个指标达成了共识,优先排序确定了衡量母亲护理的13个指标和衡量新生儿护理的15个指标,从而确定了28个过程指标,使公共卫生护士能够衡量产后首次就诊期间的护理。结论:使用质量指标测量护理在质量改进中起着不可或缺的作用。制定质量指标对于改善护理结果非常重要。这两轮“修正德尔菲”研究结合文献和以前的定性发现,确定了在产后首次就诊时衡量公共卫生护理实践的过程指标,并使基准成为可能。使用“改进的德尔菲”技术为公共卫生护理实践制定质量指标,使一个平台能够在专家小组之间达成共识,并确定初级保健护士和母亲的关键护理过程。
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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