Evidence Synthesis for the Development of National Nursing-Sensitive Indicators in Malaysia: A Literature Review and Stakeholder Engagement Approach

Autor: Devi Shantini Rata Mohan RPh, MSc, Nurul Iman Jamalul-lail MD, MBChB, Diane Woei-Quan Chong MD, DrPH, Kalvina Chelladorai DDS, Kartiekasari Syahidda Mohammad Zubairi MSc, Inin Roslyza Rusli MSc, Nur Azmiah Zainuddin RPh, MSc, Roslina Supadi RN, BSc, Noor Hasidah Ab Rahman RN, BSc, Mariyah Mohamad RN, BSc, Devi K. Saravana Muthu RN, MSc, Gowry Narayanan RN, MSc, Cheah Jenny RN, BSc
Jazyk: angličtina
Rok vydání: 2024
Předmět:
Zdroj: SAGE Open Nursing, Vol 10 (2024)
Druh dokumentu: article
ISSN: 2377-9608
23779608
DOI: 10.1177/23779608241286426
Popis: Introduction Nursing-sensitive indicators measure and evaluate nursing care quality and its contribution to patient care. The identification of indicators that demonstrate nursing care contribution and the quality of care delivered locally is of paramount importance, and national indicators that demonstrate this are essential. This paper aims to provide an evidence base of nursing-sensitive indicators that can facilitate the conceptualization of local nursing national indicators. Method A multifaceted and iterative approach incorporating literature review, and stakeholder engagements was utilized in evidence synthesis. A review of indicators present internationally complemented by the inclusion of context-specific local NSIs through stakeholder engagements was performed. Secondary data analysis of documents from an environmental scan was also included to highlight areas of concern for nursing-sensitive indicator prioritization from the viewpoint of nurses. Results A total of 64 articles were reviewed and indicators were coded according to the Nursing Care Performance Framework subsystems, dimensions, and variables. All papers reviewed had documented outcome indicators. From our secondary data analysis, nurses identified areas of concern such as nursing staff supply, staff maintenance, nursing processes and risk outcomes, and safety to be prioritized for developing quality indicators. Conclusion This paper provides a list of NSIs coded systematically with definitions to aid stakeholders in prioritizing indicators for national indicator development. The inclusion of areas of concern provides insight into NSIs that nurse practitioners find relevant to the local context. To our knowledge, this is the first paper that includes evidence available in the literature and incorporates stakeholders’ perspectives in synthesizing evidence needed to guide the development of national nursing indicators. This iterative approach is crucial because it enhances the likelihood of knowledge translation.
Databáze: Directory of Open Access Journals