A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice
| Autor: | Liz Dore, Laserina O'Connor, Seán Paul Teeling, Martin McNamara, Anne Gallen, Rita Smith, Mary Casey, Timothy Frawley, Alice Coffey, Suja Somanadhan, Veronica Lambert, Dympna Tuohy, Sylvia M. Murphy, Carmel Bradshaw, Owen Doody, Marlize Barnard, Máire McGeehan, Catherine Redmond, Carmel Davies, Yvonne Corcoran, Maria Noonan, Rosemary Lyons, Denise O'Brien |
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| Jazyk: | angličtina |
| Rok vydání: | 2021 |
| Předmět: |
Program evaluation
medicine.medical_specialty Quality management Process (engineering) Health Toxicology and Mutagenesis media_common.quotation_subject Article outcome measures Nursing nursing Pregnancy Health care medicine Humans Quality (business) implementation Research question midwifery media_common Quality of Health Care business.industry Obstetrics person Public Health Environmental and Occupational Health Usability Quality Improvement quality metrics Benchmarking Organizational learning realist Medicine Female business Psychology Delivery of Health Care |
| Zdroj: | International Journal of Environmental Research and Public Health, Vol 18, Iss 11932, p 11932 (2021) International Journal of Environmental Research and Public Health Volume 18 Issue 22 |
| ISSN: | 1661-7827 1660-4601 |
| Popis: | Quality measurement initiatives promote quality improvement in healthcare but can be challenging to implement effectively. This paper presents a Rapid Realist Review (RRR) of published literature on Quality Care-Process Metrics (QCP-M) implementation in nursing and midwifery practice. An RRR informed by RAMESES II standards was conducted as an efficient means to synthesize evidence using an expert panel. The review involved research question development, quality appraisal, data extraction, and evidence synthesis. Six program theories summarised below identify the key characteristics that promote positive outcomes in QCP-M implementation. Program Theory 1: Focuses on the evidence base and accessibility of the QCP-M and their ease of use by nurses and midwives working in busy and complex care environments. Program Theory 2: Examines the influence of external factors on QCP-M implementation. Program Theory 3: Relates to existing cultures and systems within clinical sites. Program Theory 4: Relates to nurses’ and midwives’ knowledge and beliefs. Program Theory 5: Builds on the staff theme of Programme Theory four, extending the culture of organizational learning, and highlights the meaningful engagement of nurses and midwives in the implementation process as a key characteristic of success. Program Theory 6: Relates to patient needs. The results provide nursing and midwifery policymakers and professionals with evidence-based program theory that can be translated into action-orientated strategies to help guide successful QCP-M implementation. |
| Databáze: | OpenAIRE |
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