Evaluating the impact of a quality care‐metric on public health nursing practice: protocol for a mixed methods study

Giltenane, Martina; Frazer, Kate; Sheridan, Ann

doi:10.1111/jan.12964

Cited by 3 publications

(8 citation statements)

References 47 publications

Supporting

Mentioning

Contrasting

Order By: Relevance

“…Awareness of PHNs’ work environment challenges could facilitate effective management, improve patient outcomes, and enhance daily organizational capacity (Graham et al., 2011). Measuring nursing processes could identify where resources are required to improve the work environment and ultimately care quality (Cusack et al., 2014; Giltenane et al., 2016; Butler et al., 2019). Limited resources and limited managerial or clinical support have been shown to impact negatively on quality improvement using process performance indicators (Cusack et al., 2014).…”

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

“…Measurement using quality indicators plays an integral role in improving the quality of care provided (Giltenane et al., 2016). Quality Care‐Metrics (QCMs) measure the quality of nursing processes and are informed by evidence‐based standards internationally (Giltenane et al., 2016). Development of a public health nursing measure may facilitate PHNs to work to their full scope of practice competencies and reduce adverse health system outcomes (Graham et al., 2011).…”

Section: Introductionmentioning

confidence: 99%

See 2 more Smart Citations

Work environment challenging Irish public health nurses’ care quality: First postnatal visit

Giltenane

Sheridan

Kroll

et al. 2021

Public Health Nursing

Self Cite

View full text Add to dashboard Cite

Objectives Exploring views and experiences of public health nurses of their work environment and measurement of care practices at first postnatal visits. Design An exploratory qualitative design. Data collected using four focus groups and analyzed using thematic analysis. Sample Nineteen public health nurses from four health service regions in Ireland participated. Results Two themes emerged. Theme one identified "challenges of providing a quality service." Public health nurses identified workload demands and that the working environment can detract from the ability to provide a quality service. Challenges within the home, language barriers, and lack of support from management were key issues. Theme two identified "challenges of measuring quality of public health nursing practice." While Measuring practice through quantitative outcomes such as key performance indicators were viewed as inadequate to measure the quality of care provided, positive views of using quality process indicators to measure the quality of their practice emerged. Conclusions Key issues concern the working environment of public health nurses and challenges of providing and measuring care practices. Absence of appropriate supports and resources means public health nurses work hard to provide quality care. Public health nurses were confident they would score high on quality process measurements of their practice.

show abstract

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

Section: Introductionmentioning

confidence: 99%

See 1 more Smart Citation

Work environment challenging Irish public health nurses’ care quality: First postnatal visit

Giltenane

Sheridan

Kroll

et al. 2021

Public Health Nursing

Self Cite

View full text Add to dashboard Cite

show abstract

“…The private obstetric led option remains popular amongst those who can afford the cost. (13) found that over a six-year period between 2005-2010 30.3% of all maternities had booked for privately. However, this gure steadily decreased to 24.2% over the six years.…”

Section: Introductionmentioning

confidence: 99%

“…Follow up postnatal appointment(s) are arranged with their obstetrician, in a clinic style setting. Despite women being signi cantly more likely to have an obstetric intervention irrespective of obstetric risk factors, private obstetric led care remains the only viable option for many women to ensure continuity of carer in Ireland (13,15).…”

Section: Introductionmentioning

confidence: 99%

Factors Influencing Women’s Perceptions of Choice and Control During Pregnancy and Birth: A Cross-Sectional Study.

Leahy‐Warren

Mulcahy

Corcoran

et al. 2020

Preprint

View full text Add to dashboard Cite

Background Women across the world value choice and control throughout their maternity care experiences. In response to this health policy and frameworks are adapting and developing. The concepts of choice and control are extrinsically complex and open to interpretation by healthcare professionals and service users, with the two not necessarily aligning. Depending on a number of factors, women’s experiences of choice and control within the same maternity care system may be very different. This study aimed to investigate the factors influencing women’s perceptions of choice and control during pregnancy and birth in Ireland.MethodsWe conducted a cross-sectional study using an adapted version of the questionnaire from the UK national maternity experience survey (National Perinatal Epidemiology Unit). During 2017, a sample of 1,277 women were recruited from the postnatal wards of three maternity units and a tertiary maternity hospital. Poisson regression was used to assess the association between twelve factors and a series of measures of the women’s perception of choice and control. Results The majority of women were multiparous (64%), aged over 30 years (79%), educated to third level (82%), of Irish nationality (85%) and accessed public maternity care (76%). Most women reported not having choice in the model or location of their maternity care but most reported being involved enough in decision-making, especially during birth. Women who availed of private maternity care reported higher levels of choice and control than those who availed of public maternity care. This factor was the most influential factor on almost all choice and control measures.Conclusion Most women experiencing maternity care in Ireland report not having choice in the model and location of care. These are core elements of the Irish maternity strategy and significant investment will be required if improved choice is to be provided. Availing of private maternity care has the strongest influence on a woman’s perceived choice and control but many women cannot afford this type of care.

show abstract

Identifying the role of public health nurses during first postnatal visits: Experiences of mothers and public health nurses in Ireland

Giltenane

Sheridan

Kroll

et al. 2021

International Journal of Nursing Studies Advances

Self Cite

View full text Add to dashboard Cite

Evaluating the impact of a quality care‐metric on public health nursing practice: protocol for a mixed methods study

Abstract: This study will evaluate the impact of introducing a quality care-metric into public health nursing practice. Results will illuminate the quality of public health nursing practice in relation to the primary visit.

Cited by 3 publications

References 47 publications

Work environment challenging Irish public health nurses’ care quality: First postnatal visit

Work environment challenging Irish public health nurses’ care quality: First postnatal visit

Factors Influencing Women’s Perceptions of Choice and Control During Pregnancy and Birth: A Cross-Sectional Study.

Identifying the role of public health nurses during first postnatal visits: Experiences of mothers and public health nurses in Ireland

Contact Info

Product

Resources

About