Nursing quality indicators for adult intensive care: A consensus study

Autor: Ekaterini Lambrinou, Lakis Palazis, Nicos Middleton, Vasilios Raftopoulos, Christiana Kouta, Anastasios Merkouris, Efi Evangelou, Theodoros Kyprianou
Rok vydání: 2020
Předmět:
Zdroj: Nursing in critical careREFERENCES. 26(4)
ISSN: 1478-5153
Popis: Background: The selection of quality indicators demonstrating the efficiency and relevance of nursing practice in patient outcomes in the intensive care unit remains a challenge. Aim: The aim of this study was to develop a set of potential quality indicators to quantify nursing care provided to critically ill patients through a consensus method. Design and methods: This was a three-phase study including a European survey of intensive care unit (ICU) nurses (phase one) followed by a two-phase face-to-face consensus meeting of experts from Cyprus. Method: Two distinct panels of experts were asked to rate each quality indicator using a 4-point Likert scale in phases one and two. The level of consensus was set at 60%. In phase three, scores of the content validity index for items and scales were considered for the final selection of quality indicators. Results: The phase one survey included 139 ICU nurses from 13 European countries, and phases two and three included seven ICU experts from Cyprus. “Consensus in” was achieved for 12 items at the end of phase two. Three of the quality indicators were significantly different by country: (a) falls (P =.006), (b) accidental removal of nasogastric tube (P
Databáze: OpenAIRE