Coproducing and Implementing Person-Centered Key Performance Indicators in Ambulatory Cancer Nursing

Abstract

BackgroundPolicy advocates person-centered healthcare for people living with cancer. Although nurses and patients alike recognize that a good care experience cannot be measured solely by clinical outcomes, the difficulty in finding indicators that measure the delivery of effective person-centered care remains a challenge.ObjectiveThe aim of this study was to explore the impact of a coproduced implementation project using the person-centered nursing key performance indicators to support the development of person-centered practice across ambulatory chemotherapy units.MethodsThe study adopted an evaluation approach derived from work of the Medical Research Council. A mobile app was used to collect and analyze 3 cycles of data using 4 measurement tools, with the aim of informing quality improvement activities. Six implementation teams were recruited from chemotherapy units across a region in the United Kingdom. Qualitative interviews were used to evaluate the experience of participants.ResultsData analysis revealed 4 themes: building relationships that nurture the care experience, inspiring nursing staff to flourish, shaping practice and service changes through the nature of the conversations, and becoming person-centered through coproduction.ConclusionThis study provides evidence of the value of implementing these person-centered key performance indicators using a model of coproduction in cancer nursing. The data generated by the key performance indicators offer valuable feedback to nurses that can inform the development of person-centered practice and contribute to an enhanced patient experience.Implications for PracticeThis study provides an innovative and transferable approach for implementing relevant and appropriate key performance indicators within cancer nursing, which can contribute to developing person-centered cultures.

CONTACT–Patient‐Centred Care Questionnaire to assess care for patients treated with oral anticancer drugs: Development and psychometric validation

“…The CONTACT‐PCCQ can also be used in the context of improvement projects, for example, the development, implementation and evaluation of a care pathway or educational intervention. As shown in the study of Lynch and McCance (2022), the implementation of relevant and appropriate key performance indicators (KPI) can provide valuable feedback to HCPs and contribute to more patient‐centred practices in ambulatory cancer care (Lynch & McCance, 2022). However, data collection can be time consuming and challenging.…”

“…As these medicines are often taken on a long-term basis, the situation of cancer patients treated with OACD is comparable to that of patients with chronic conditions for whom achieving an adequate level of self-management is essential. In chronic conditions, patient education and counselling are key aspects in the care process and are crucial to ensure effective patient selfmanagement (Kinnaer, De Coster, et al, 2019;Legido-Quigley et al, 2013). Many authors have stressed the importance of an individualised approach for patients taking OACD (Kav et al, 2010;Rittenberg, 2012) and showed that, for example, tailored educational interventions may promote adherence (Arthurs et al, 2015;Kavookjian & Wittayanukorn, 2015).…”

The experience of staff utilizing data to evaluate and improve person‐centred practice: An action research study

“…These KPIs and accompanying measurement framework were developed and tested internationally across a range of specialities (Lynch & McCance, 2022;McCance et al, 2012, 2015, McCance, Dickson, et al, 2020Wilson et al, 2021). The measurement framework includes qualitative and quantitative data.…”

“…One response to this identified gap was the development of eight person‐centred nursing key performance indicators (KPIs) (see Table 1) by McCance et al (2012). These KPIs and accompanying measurement framework were developed and tested internationally across a range of specialities (Lynch & McCance, 2022; McCance et al, 2012, 2015, 2016, McCance, Dickson, et al, 2020; McCance, Lynch, et al, 2020; Wilson et al, 2021). The measurement framework includes qualitative and quantitative data.…”

Implementation of a mobile app (iMPAKT) for improving person-centredness in nursing and midwifery practice: Protocol for a multi-methods evaluation study

“…For example, KPI 5 (Time spent by nurses with the patient) is informed by survey data, observations, and the patient stories. The KPIs and measurement framework has been evaluated in a range of contexts [5][6][7]. This work has been underpinned by the MRC guidelines for the development, evaluation and implementation of complex interventions [8].…”