Mapping nursing goals of an Intensive Care Unit to the Nursing Outcomes Classification (original) (raw)
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Identifying validated nursing quality indicators for the intensive care unit: an integrative review
Connect: The World of Critical Care Nursing, 2018
SUMMARYBackground: Quality indicators (QIs) play an important role in evaluating quality improvement initiatives. A generally accepted set of QIs specific to the nursing care in the intensive care unit (ICU) is not available.Aim: To identify QIs associated with nursing care for adult ICU in the literature. The methodological quality of QIs was assessed and associated variables of quality and quantity of nursing care were also identified.Methods: We employed an integrative literature review. A focused search of electronic databases was applied. Inclusion and exclusion criteria were used for the selection of relevant articles. Quality assessment of the included studies was based on the guidance document of domains and elements suggested by the Agency of Health Care Research and Quality. QIs’ methodological quality was assessed using the Appraisal of Indicators through Research and Evaluation (AIRE) instrument.Results: The review identified 13 studies and 45 QIs associated with nursing...
Classifying Nursing-Sensitive Patient Outcomes
Image: the Journal of Nursing Scholarship, 1996
This report describes research at the University of Iowa College of Nursing to develop a comprehensive classification of nursing-sensitive patient outcomes. The Nursing-Sensitive Outcomes Classification (NOC) completes the nursing process elements of the Nursing Minimum Data Set (NMDS). We describe resolution of conceptual and methodological problems that define the inductive approach taken to develop the NOC. Strategies used to develop NOC included review of the literature, clinical databases and instruments; concept analysis; and surveys of nurse experts. Examples of outcomes, definitions, and indicators are presented. The NOC provides standardized patient outcomes for determining the effectiveness of nursing interventions and enables inclusion of these data in data sets for healthcare effectiveness research.
Nursing measure in Intensive Care Unit: evidence about the Nursing Activities Score
Revista da Rede de Enfermagem do Nordeste, 2014
This study aimed to identify the use of the Nursing Activities Score to measure the nursing workload in Intensive Care Unit. This is a review conducted in the databases SCOPUS, CINAHL, PUBMED and LILACS in June 2013, including 18 articles that have been published since 2002. The studies included are concentrated in Brazil; the average of Nursing Activities Score was bigger than 50%, reflecting an inconsistency with the measure recommended by the Brazilian Ministry of Health. The Nursing Activities Score was the most appropriate instrument to estimate the amount of nurses in the Intensive Care Unit.; the correlation between the Nursing Activities Score and the demographic and clinical variables are not well defined in the research results, showing variations in the studies analyzed. The Nursing Activities Score is a relatively new tool, which shows a great potential for expansion due to the good results obtained with its use so far. Descriptors: Nursing; Intensive Care Units; Workload. Objetivou-se identificar a utilização do Nursing Activities Score para dimensionar a carga de trabalho de enfermagem em Unidade de Terapia Intensiva. Revisão realizada nas bases de dados SCOPUS, CINAHL, PUBMED e LILACS, em junho de 2013, sendo incluídos 18 artigos publicados a partir de 2002. Os estudos concentram-se no Brasil; a média de Nursing Activities Score foi maior que 50%, refletindo incoerência com o dimensionamento preconizado pelo Ministério da Saúde do Brasil. O Nursing Activities Score foi o instrumento mais adequado para estimar o quantitativo de profissionais de enfermagem em Unidade de Terapia Intensiva; a correlação do Nursing Activities Score com variáveis demográficas e clínicas ainda não está bem definida nos resultados das pesquisas, apresentando variações nos estudos analisados. O Nursing Activities Score é um instrumento relativamente novo, o qual apresenta grande potencial de expansão em função dos resultados eficazes encontrados com seu uso até o momento. Descritores: Enfermagem; Unidades de Terapia Intensiva; Carga de Trabalho. El objetivo fue identificar el uso del Nursing Activities Score para dimensionar la carga de trabajo de enfermería en Unidad de Cuidados Intensivos. Revisión realizada en las bases de datos SCOPUS, CINAHL, PubMed y LILACS, en junio de 2013, en que se incluyeron 18 artículos publicados desde 2002. Los estudios se concentran en el Brasil; los medios Nursing Activities Score fue mayor que 50%, reflejando incompatibilidad con el recomendado por el Ministerio de la Salud brasileño. El Nursing Activities Score fue el instrumento más adecuado para estimar la cantidad de personal de enfermería en Unidad de Cuidados Intensivos; la correlación del Nursing Activities Score con variables demográficas y clínicas no está bien definida en los resultados de búsqueda, presentándose variaciones en los estudios analizados. El Nursing Activities Score es una herramienta relativamente nueva que presenta gran potencial de expansión por los resultados eficaces obtenidos con su uso hasta el momento.
Assessing the outcomes of nursing care
Journal of Advanced Nursing, 1992
There are many dimensions to outcome measurement for patient care and this study focuses on one aspect of outcome, namely that which is most concemed with the immediate effects of nursmg care Traditionally, outcome studies have been abnost exclusively concemed with measunng the clmical outcomes of care with very little attempt being made to assess the effect of the nurses' contnbutions to that care One of this study's purposes has been to redress this imbalance As part of a research project on skill mix and the effectiveness of nursmg care, a number of patient-focused standards related to the outcome of nursing care were designed These were tested, in a case study situation, on 15 wards at seven acute hospitals Initial testmg mdicates that these outcome measures show promise as a valid and reliable evaluation mstrument with the utihty for easy apphcation m the dmical setting They are bemg presented as a possible way forward to assessmg the outcomes of nursing care
Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit USP
aBStract Objective: To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method: This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, Brazil). The Delphi technique was used in expertise meetings and consensus. Results: The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers' consensus. Conclusion: NAS score were different in the seven countries. Future studies must verify if the fine standardization of the guideline can have a impact on differences in the NAS results.
Pflege, 2010
The instrument Q-DIO was developed in the years 2005 till 2006 to measure the quality of documented nursing diagnoses, interventions, and nursing sensitive patient outcomes. Testing psychometric properties of the Q-DIO (Quality of nursing Diagnoses, Interventions and Outcomes.) was the study aim. Instrument testing included internal consistency, test-retest reliability, interrater reliability, item analyses, and an assessment of the objectivity. To render variation in scores, a random strata sample of 60 nursing documentations was drawn. The strata represented 30 nursing documentations with and 30 without application of theory based, standardised nursing language. Internal consistency of the subscale nursing diagnoses as process showed Cronbach's Alpha 0.83 [0.78, 0.88]; nursing diagnoses as product 0.98 [0.94, 0.99]; nursing interventions 0.90 [0.85, 0.94]; and nursing-sensitive patient outcomes 0.99 [0.95, 0.99]. With Cohen's Kappa of 0.95, the intrarater reliability was...
Nursing Activities Score: an updated guideline for its application in the Intensive Care Unit
Revista da Escola de Enfermagem da U S P, 2015
Objective To describe nursing workload in Intensive Care Units (ICU) in different countries according to the scores obtained with Nursing Activities Score (NAS) and to verify the agreement among countries on the NAS guideline interpretation. Method This cross-sectional study considered 1-day measure of NAS (November 2012) obtained from 758 patients in 19 ICUs of seven countries (Norway, the Netherlands, Spain, Poland, Egypt, Greece and Brazil). The Delphi technique was used in expertise meetings and consensus. Results The NAS score was 72.8% in average, ranging from 44.5% (Spain) to 101.8% (Norway). The mean NAS score from Poland, Greece and Egypt was 83.0%, 64.6% and 57.1%, respectively. The NAS score was similar in Brazil (54.0%) and in the Netherlands (51.0%). There were doubts in the understanding of five out 23 items of the NAS (21.7%) which were discussed until researchers' consensus. Conclusion NAS score were different in the seven countries. Future studies must verify if...