Developing Measures of Pediatric Nursing Quality

Abstract

Recent research has highlighted the impact of nursing care on patient outcomes. The link to staffing has also been documented for selected conditions. To date, efforts to establish nurse-sensitive measures have focused largely on adults. This article describes the project undertaken to select and pilot 2 pediatric indicators of nursing quality care to be included in an ongoing national benchmarking program.

Using the Delphi method to develop nursing‐sensitive quality indicators for the NICU

“…The articles were then reviewed individually (Lacey et al . , Mokhnach et al . , Sekar , Profit et al .…”

The Humpty Dumpty Falls Scale: A Case–Control Study

“…The reason given for this was the issue of definition (CHCA, MMP, & NACHRI, 2007). Neither NACHRI nor CHCA collects fall-rate data on their member children's hospitals, and falls were not selected as one of the pediatric indicators of the National Database of Nursing Quality Indicators (Lacey, Klaus, Smith, & Dunton, 2006). Even the Joanna Briggs Institute's Falls in Hospitals does not specifically differentiate between adult and children's hospitals (1998).…”

The effect of nurse staffing on clinical outcomes of children in hospital: a systematic review

“…Since the American Nurses Association launched their Safety and Quality Initiative to identify empirical evidence between nursing care and patient outcomes in 1994, 1 and the Nursing Quality Forum endorsed nursing sensitive measures in 2004, 2 clinical outcomes have been identified in various healthcare settings for use in different patient populations as indicators of the quality of nursing care 1,3–10 . These indicators, also referred to as nursing‐sensitive outcomes, are defined as ‘changes in health status upon which nursing care has had a direct influence’ 11 (p. 1), which is the definition accepted by the International Council of Nurses 12 .…”