Nursing‐Sensitive Patient Care Outcomes in Taiwanese Nursing Homes

Yang, Kun; Simms, Lillian M.; Yin, Jeo-Chen

doi:10.1111/j.1547-5069.1998.tb01309.x

Cited by 6 publications

(8 citation statements)

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“…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 . Therefore, the presence (or lack) of competent nursing care affects the clinical outcome of the patient.…”

Section: Introductionmentioning

confidence: 99%

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

Wilson

Bremner

Hauck

et al. 2011

International Journal of Evidence-Based Healthcare

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There is evidence that levels of nurse staffing are associated with clinical outcomes of children. Standardisation of nurse-sensitive indicators and measures of nurse staffing will enable empirical research. Further research to find the levels of Registered Nurse hours per patient day and proportion of Registered Nurse in the skill mix that maximises children's clinical outcomes is still required.

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Section: Introductionmentioning

confidence: 99%

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

Wilson

Bremner

Hauck

et al. 2011

International Journal of Evidence-Based Healthcare

View full text Add to dashboard Cite

show abstract

Section: Nursing Sensitive Indicatorsmentioning

confidence: 99%

“…1997; Cox 1998; Trossman 2002). The development of clinical indicators to measure the effectiveness of nursing care has not been well documented, however, especially outside the US (Yang et al . 1999).…”

Section: Nursing Sensitive Indicatorsmentioning

confidence: 99%

“…Although it is common for clinical indicator sets to represent multidisciplinary perspectives, there is increasing recognition that some health outcomes are specifically sensitive to nursing (Duffy 2002;Ingersoll et al 2000;Krau 2001;Spilsbury & Meyer 2001;Yang et al 1999). Research has shown that healthcare outcomes are affected by staffing levels, support for nursing activities, and autonomy of nursing practice (Aiken et al 1997;Cox 1998;Trossman 2002).…”

Section: Nursing Sensitive Indicatorsmentioning

confidence: 99%

“…Research has shown that healthcare outcomes are affected by staffing levels, support for nursing activities, and autonomy of nursing practice (Aiken et al 1997;Cox 1998;Trossman 2002). The development of clinical indicators to measure the effectiveness of nursing care has not been well documented, however, especially outside the US (Yang et al 1999).…”

Section: Nursing Sensitive Indicatorsmentioning

confidence: 99%

See 2 more Smart Citations

The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand

Gaskin¹,

O’Brien²,

Hardy³

2003

Int J Mental Health Nurs

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This paper reports the three-stage development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand. In Study 1, clinical indicator statements (n = 99) generated from focus group data, which were considered to be unobservable in the nursing documentation in consumer case notes, were included in a three-round Delphi process. Consensus of ratings occurred for the mental health nurse and academic participants (n = 7) on 83 clinical indicator statements. In Study 2, the clinical indicator statements (n = 67) that met importance and consensus criteria were incorporated into a questionnaire, which was piloted at a New Zealand mental health service. The questionnaire was then modified for use in a national field study. In Study 3, the national field study, registered mental health nurses (n = 422) from 11 New Zealand District Health Board mental health services completed the questionnaire. Five categories of nursing practice were identified: professional and evidence-based practice; consumer focus and reflective practice; professional development and integration; ethically and legally safe practice; and culturally safe practice. Analyses revealed little difference in the perceptions of nurses from different backgrounds regarding the regularity of the nursing practices. Further research is needed to calibrate the scores on each clinical indicator statement with behaviour in clinical practice.

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Identifying paediatric nursing-sensitive outcomes in linked administrative health data

Wilson

Bremner

Hauck

et al. 2012

BMC Health Serv Res

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BackgroundThere is increasing interest in the contribution of the quality of nursing care to patient outcomes. Due to different casemix and risk profiles, algorithms for administrative health data that identify nursing-sensitive outcomes in adult hospitalised patients may not be applicable to paediatric patients. The study purpose was to test adult algorithms in a paediatric hospital population and make amendments to increase the accuracy of identification of hospital acquired events. The study also aimed to determine whether the use of linked hospital records improved the likelihood of correctly identifying patient outcomes as nursing sensitive rather than being related to their pre-morbid conditions.MethodsUsing algorithms developed by Needleman et al. (2001), proportions and rates of records that identified nursing-sensitive outcomes for pressure ulcers, pneumonia and surgical wound infections were determined from administrative hospitalisation data for all paediatric patients discharged from a tertiary paediatric hospital in Western Australia between July 1999 and June 2009. The effects of changes to inclusion and exclusion criteria for each algorithm on the calculated proportion or rate in the paediatric population were explored. Linked records were used to identify comorbid conditions that increased nursing-sensitive outcome risk. Rates were calculated using algorithms revised for paediatric patients.ResultsLinked records of 129,719 hospital separations for 79,016 children were analysed. Identification of comorbid conditions was enhanced through access to prior and/or subsequent hospitalisation records (43% of children with pressure ulcers had a form of paralysis recorded only on a previous admission). Readmissions with a surgical wound infection were identified for 103 (4.8/1,000) surgical separations using linked data. After amendment of each algorithm for paediatric patients, rates of pressure ulcers and pneumonia reduced by 53% and 15% (from 1.3 to 0.6 and from 9.1 to 7.7 per 10,000 patient days) respectively, and an 84% increase in the proportion of surgical wound infection (from 5.7 to 10.4 per 1,000 separations).ConclusionsAlgorithms for nursing-sensitive outcomes used in adult populations have to be amended before application to paediatric populations. Using unlinked individual hospitalisation records to estimate rates of nursing-sensitive outcomes is likely to result in inaccurate rates.

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Nursing‐Sensitive Patient Care Outcomes in Taiwanese Nursing Homes

Cited by 6 publications

References 0 publications

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

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

The development of a professional practice audit questionnaire for mental health nursing in Aotearoa/New Zealand

Identifying paediatric nursing-sensitive outcomes in linked administrative health data

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