Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study

Poortaghi, Sarieh; Ebadi, Abbas; Salsali, Mahvash; Raiesifar, Afsaneh; Davoudi, Nayyereh; Pourgholamamiji, Nima

doi:10.1186/s12913-019-4781-y

Cited by 12 publications

(10 citation statements)

References 21 publications

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“…indicated that a nurse's performance is associated with the rules or measures that govern them. As suggested by Poortaghi et al., 22 it is necessary to develop a regulatory measure for the performance of head nurses. This is because an effective performance assessment can determine their strengths and weaknesses, and develop their management and leadership 2 .…”

Section: Discussionmentioning

confidence: 99%

Performance evaluation index system in public hospitals: The Delphi technique in nursing

Liu

Chen³

et al. 2022

Health Planning & Management

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Aims: To establish a general performance evaluation index system for nursing managers in public hospitals of Wenzhou city.Background: Head nurses' performance plays a critical role in the development and operation of hospitals. Owing to the lack of accuracy and defects in the current evaluation system in Mainland China, there is an urgent need to develop a systematic performance evaluation index system for nursing managers.Methods: A systematic review of literature, two rounds of expert consultation using the Delphi techniques, and empirical analyses were performed. In this study, a total of 20 experts in nursing-related fields were invited to provide reliable comments on the evaluation system. The index system was modified twice during the Delphi consultation, followed by a questionnaire (n = 113) to test the suitability of the system created for public hospitals in Wenzhou.Results: Both rounds of the consultation showed high response rates of 20 experts. A consensus of over 70% was reached for most indicators in the first round, while a 100% consensus was achieved for the modified index system in the second round. The results of the questionnaire for the modified index system were 100%, 98.23%, 100%, 96.46%, and 93.80% in terms of scientificity, public welfare, importance, measurability, and feasibility, respectively. Conclusion: A suitable index system with 4 first-level indicators, 10 second-level indicators, and 37 third-level indicators was generated to assess head nurses' performance

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Section: Discussionmentioning

confidence: 99%

Performance evaluation index system in public hospitals: The Delphi technique in nursing

Liu

Chen³

et al. 2022

Health Planning & Management

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“…Nurses' assessment of the QNC can encourage them to develop their practical skills, pinpoint weaknesses, guarantee that services are provided properly and eliminate defects and dissatisfaction in the units, which will ultimately result in greater motivation for giving higher quality services and meeting the patients' needs (Poortaghi et al, 2020). Since it is never possible to achieve very great quality, it is essential that quality be assessed constantly (Esmaeilpourzanjani & Mashouf, 2018).…”

Section: Introductionmentioning

confidence: 99%

Psychometric testing of the Persian version of the Nursing Care Quality Scale: A methodological study

Tehranineshat,

Rivaz,

Kargar Dolatabadi

2023

Nursing Open

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AimTo evaluate the psychometric properties of the Persian version of the Cambodian Nursing Care Quality Scale.DesignMethodological design.MethodsThis study was carried out in several steps: a forward‐backward translation was done, face and construct validity was measured using exploratory and confirmatory factor analysis and the reliability was evaluated. A convenience sampling method was employed to recruit 350 nurses from May 2021 to March 2022.ResultsThe exploratory factor analysis extracted six factors that explained 60.76% of the total variance. The six‐factor model is supported by confirmatory factor analysis. The Cronbach's alpha and the intra‐class correlation coefficient were 0.94 and 0.85, respectively.Patient or Public ContributionEvaluation of the quality of care can lead to the enhancement of the quality of nursing services and patient safety. This will subsequently increase the patients' and community satisfaction.

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“…Since the nurses are constantly in close contact with the patients, decision making and giving moral comments are inseparable parts of their responsibility. 1 It can also be said that the nursing profession is based on ethics and many nurses consider professional ethics in their work environment. 2 However, some nurses may not have the power and support to do the right thing and sometimes do not even know what to do.…”

Section: Introductionmentioning

confidence: 99%

The effect of professional ethics workshop with virtual follow-up on nurses moral distress

et al. 2021

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Research objectives Moral distress is a common phenomenon among nurses and can negatively affect their mental health and quality of the care. This study aimed to determine the effect of professional ethics workshop with virtual follow-up on the moral distress of nurses. Methods This experimental study was performed on 50 nurses in Ghaem Hospital, Mashhad, Iran. The intervention group received 8-hour professional ethics workshop and 4 weeks follow-up through social network. The moral distress was evaluated through the Moral Distress Scale-Revised at the beginning of the study, two weeks after the workshop and at the end of follow-up. Data were analyzed using SPSS21 by descriptive and statistical analysis.This study approved by Mashhad university Medical Ethics Committee and publishing ethics were also observed. Results The changes in the mean value of the frequency of moral distress in the intervention group was not significant, while these changes were significant in the control group ( p < 0.001, df = 2, f = 26.41) and had an upward trend. About intensity changes in the intervention group were significant ( p < 0.01, df = 2, f = 8.52) and had a downward trend, while it was not significant in the control group. Changes in the mean value of level of moral distress in the intervention group were not significant, while these changes were significant in the control group ( p < 0.01, df = 1, f = 16.8). The mean value of moral distress level decreased in the intervention and increased in control group. Conclusion The level of moral distress was increased in the control group due to increase in its frequency. This could be due to awareness of nurses regarding the concept of moral distress which caused them to pay more attention to this issue. Professional ethics workshop did not have effect on the frequency of moral distress, while it reduced the intensity and level of moral distress. Moreover, follow-up through social network reduced the frequency, intensity and the level of moral distress among nurses.

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Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study

Cited by 12 publications

References 21 publications

Performance evaluation index system in public hospitals: The Delphi technique in nursing

Performance evaluation index system in public hospitals: The Delphi technique in nursing

Psychometric testing of the Persian version of the Nursing Care Quality Scale: A methodological study

The effect of professional ethics workshop with virtual follow-up on nurses moral distress

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