Integrating Key Nursing Measures into a Comprehensive Healthcare Performance Management System: A Tuscan Experience

Abstract

This paper addresses the evaluation of nursing quality and safety beyond nursing tasks in specific healthcare settings and sets it in a context that conveys the sense of complexity and multifaceted nature of the contribution that nursing makes to the whole system. The paper describes research conducted in Tuscany during 2019 involving regional managers and heads of nursing departments. This research has led to the development of an integrated evaluation framework through focus groups and consensus process with the latter, which includes Performance Organizational climate data, Patient-Reported Experience Measures (PREMs), and Patient-Reported Outcome Measures (PROMs). This integrated framework aims at both making sense of extant measures as key performance indicators shared among different professionals while recognizing the important role of nursing care by adding specific measures and can be seen as a tool that boosts the sense of “teamness” in healthcare.

Introducing value‐based healthcare perspectives into hospital performance assessment: A scoping review

“…Some studies pointed out that the employees' development and their relationship with patients could, to a certain extent, influence the overall process and level of care. 65 Therefore, when the employee's voice was included in the performance review process, it triggered a "sense of value" and thus a "sense of teamwork" because all participants in the system could monitor their performance. In addition, employees also become aware of how important their role was in the overall patient process, and managers could monitor the effectiveness of their policies and decisions.…”

Méthode d’opérationnalisation de mesures de la performance sensibles aux soins infirmiers basées sur des données de routine

“…Un modèle théorique permet d'orienter les efforts des parties prenantes pour définir et opérationnaliser les mesures de la performance sensibles aux soins infirmiers (Dubois, D'Amour, Pomey, et al, 2013). De nombreux modèles théoriques de la performance des services infirmiers ont été développés (Barchielli et al, 2022;Biron et al, 2012;Boyle & Baernholdt, 2021;Dubois, D'Amour, Pomey, et al;Qureshi et al, 2021;Schwirian, 1981;Unruh & Wan, 2004). Ces auteur•trices proposent des définitions variées de la performance de services infirmiers.…”

Perception and Deception in Nurses’ Clinical and Work-Related Professional Autonomy: Case Study for a Hospital in Romania

“…Nurses believe that the presence of motivational factors such as better working conditions or salary incentives could create the basis for taking on more responsibilities, even those traditionally reserved for physicians [13]. The progressive shift from physician-led to nurse-led medical care models accelerated during the COVID-19 pandemic in different countries, where a series of strategies and regulations were adopted to recognize nurses' critical role [14]. As nurses assumed additional responsibilities in times of crises, it becomes obvious that specialized education and training is imperative [15].…”

“…The importance of the nurses' role and the clarity of its definition in the US is noted [14]. Not coincidentally, in the US, the nursing profession ranked first in terms of ethics and honesty for the 20th consecutive year [19].…”

“…The radical changes imposed by the pandemic required the adaptation of NSI systems and the review of nurse responsibilities [14]. Over time, the Donabedian model was enriched with a whole series of variables specific to nursing activity, leading to the creation of the Nursing Role Effectiveness Model [68].…”