Nursing Care Processes

2021 ◽  
pp. 157-176
Author(s):  
Terry L. Jones
Keyword(s):  
Nursing Care ◽  
Care Processes

Nurse-Sensitive Quality Metrics to Benchmark in Pediatric Cardiovascular Care

2020 ◽  
Vol 29 (6) ◽  
pp. 468-478
Author(s):  
Jean Connor ◽  
Lauren Hartwell ◽  
Jennifer Baird ◽  
Benjamin Cerrato ◽  
Araz Chiloyan ◽  
...  
Keyword(s):  
Nursing Education ◽  
Patient Outcomes ◽  
Nursing Care ◽  
Measurement Data ◽  
Care Process ◽  
Nursing Workforce ◽  
Care Processes ◽  
And Performance ◽  
Collaborative Evaluation

Background Associations between the quality of nursing care and patient outcomes have been demonstrated globally. However, translation and application of this evidence to robust measurement in pediatric specialty nursing care has been limited. Objectives To test the feasibility and performance of nurse-sensitive measures in pediatric cardiovascular programs. Methods Ten nurse-sensitive measures targeting nursing workforce, care process, and patient outcomes were implemented, and measurement data were collected for 6 months across 9 children’s hospitals in the Consortium of Congenital Cardiac Care–Measurement of Nursing Practice (C4-MNP). Participating sites evaluated the feasibility of collecting data and the usability of the data. Results Variations in nursing workforce characteristics were reported across sites, including proportion of registered nurses with 0 to 2 years of experience, nursing education, and nursing certification. Clinical measurement data on weight gain in infants who have undergone cardiac surgery, unplanned transfer to the cardiac intensive care unit, and pain management highlighted opportunities for improvement in care processes. Overall, each measure received a score of 75% or greater in feasibility and usability. Conclusions Collaborative evaluation of measurement performance, feasibility, and usability provided important information for continued refinement of the measures, development of systems to support data collection, and selection of benchmarks across C4-MNP. Results supported the development of target benchmarks for C4-MNP sites to compare performance, share best practices for improving the quality of pediatric cardiovascular nursing care, and inform nurse staffing models.

scholarly journals Nurses’ attitudes regarding the importance of families in pediatric nursing care

2014 ◽  
Vol 48 (spe) ◽  
pp. 74-79 ◽  
Author(s):  
Margareth Angelo ◽  
Andréia Cascaes Cruz ◽  
Francine Fernandes Pires Mekitarian ◽  
Carolina Cavalcante da Silva dos Santos ◽  
Maria Júlia Costa Marques Martinho ◽  
...  
Keyword(s):  
Clinical Practice ◽  
Data Collection ◽  
Nursing Care ◽  
Older Age ◽  
University Hospital ◽  
Portuguese Version ◽  
Family Nursing ◽  
Care Processes ◽  
Previous Contact ◽  
Family Centered

Affective, cognitive and behavioral components affect nurses´ attitudes to include families in the care processes. The purpose of this study was to investigate the attitudes of nurses about the importance of including families in nursing care. Data collection was performed in pediatric and maternal-child unit of a Brazilian university hospital. A sample of 50 nurses completed the Portuguese version of the instrument Families’Importance in Nursing Care-Nurses’ Attitudes (FINC-NA). The results indicated that nurses have supportive attitudes regarding families participation in nursing care. Attitudes of lower support for involving families in nursing care were found among nurses with older age, more time in the profession and who had no previous contact with contents related to Family Nursing. The application of the instrument in other contexts of assistance may help to illuminate important aspects of the challenges to implementing a family-centered approach in clinical practice.





scholarly journals Nursing Care Systems: Enhancing Care Processes in Practice and Management

2008 ◽  
Vol 17 (01) ◽  
pp. 25-28
Author(s):  
R. Carr ◽  
H.F. Marin
Keyword(s):  
Nursing Care ◽  
Nursing Informatics ◽  
Community Settings ◽  
Administrative Positions ◽  
Nursing Knowledge ◽  
Care Processes ◽  
Care Systems ◽  
Computer Based ◽  
Nursing Data ◽  
Informatics Application

Summary ObjectiveTo summarize aspects of nursing informatics application and introduces challenges that are currently being addressed by nurses around the world. MethodsKey contributions in the field are surveyed and put in the perspective of the IMIA Nursing Informatics Strategic Plan. Results As a discipline, nursing informatics offers real and practical instruments and opportunities to delivery nursing care across settings, units of care and specialties. A variety of patient care systems are managed by nurses who are introduced to this link during their training embracing information networks, communication skills together with an ability to work both in practice and administrative positions in a variety of clinical and community settings. Conclusion At a time when the tendency is toward a computer-based patient record, nurses must be able to identify what kind of nursing data and information will construct useable and useful nursing knowledge. There are many options for each area of application and the selection must be done carefully, considering the enhancement for organizational, technological and local requirements.

scholarly journals Collaborative Identification and Prioritisation of Mental Health Nursing Care Process Metrics and Indicators: A Delphi Consensus Study

2021 ◽  
Author(s):  
Andrew Hunter ◽  
Nora Barrett ◽  
Anne Gallen ◽  
Gillian Conway ◽  
Anne Brennan ◽  
...  
Keyword(s):  
Mental Health ◽  
Health Care ◽  
Nursing Care ◽  
Care Process ◽  
Mental Health Nursing ◽  
Mental Health Nurses ◽  
Health Care Settings ◽  
Care Processes ◽  
Process Metrics ◽  
Health Nursing

Abstract Background The Irish Office of Nursing & Midwifery Services Director (ONMSD) commissioned the development an updated suite of mental health nursing metrics and indicators for implementation in Irish mental health clinical settings. While measuring care processes does offer the potential to improve care quality, the choice of which mental health nursing metrics to measure presents a significant challenge, both in Ireland and internationally. The provision of safe and high-quality mental health nursing care stems from nurses’ expertise, skills and overall capacity to provide recovery focused care across a range of health care settings. Accordingly, efforts to measure what mental health nurses do depends on the identification of those care processes that contribute to mental health nursing practice. This paper reports on the identification, development and prioritisation of a national suite of Quality Care Metrics (QCM), along with their associated indicators, for mental health nursing care processes in Ireland. Methods The study was undertaken over four phases; i) a systematic literature review to identify mental health care process metrics and their associated indicators of measurement; ii) a two-round, online Delphi survey of mental health nurses to develop consensus on the suit of mental health nursing care process metrics; iii) a two-round online Delphi survey of mental health nurses to develop consensus on the indicators to be used to measure the agreed metrics; and iv) a face-to-face consensus meeting with mental health nurses and service user representatives to develop consensus on the final suite of metrics and indicators. Results Following these four phases 9 metrics and their 73 associated indicators were agreed for inclusion in the final suite of Mental Health Nursing QCM. These metrics are applicable across the life span and the range of mental health nursing health care settings. Conclusion The development of this suite of Mental Health Nursing QCM and their indicators represents an opportunity for the measurement of safe and high-quality mental health nursing care for application in Ireland and internationally. This initial development of metrics and indicators should be followed by a rigorous baseline review of QCM uptake and implementation amongst mental health nurses as part of an ongoing evaluation.

scholarly journals Family health nursing care: weaknesses and strengths in the Unified Health System

2015 ◽  
Vol 49 (4) ◽  
pp. 0603-0609 ◽  
Author(s):  
Simone Santana da Silva ◽  
Marluce Maria Araújo Assis
Keyword(s):  
Health System ◽  
Nursing Care ◽  
Family Health ◽  
Care Process ◽  
Structured Interviews ◽  
Unified Health System ◽  
Care Processes ◽  
Health Strategy ◽  
Family Health Strategy ◽  
Health Nursing

OBJECTIVETo analyze the weaknesses and strengths of nursing care in the Family Health Strategy and its interfaces with the Unified Health System network.METHODA qualitative study performed by means of semi-structured interviews and systematic observations, with the participation of a nursing team of 15 people from October of 2012 to January of 2013.RESULTSStrengths that were emphasized: the nurse's versatility in conducting users within the unit and the health system, therefore directly acting upon access to these services. The nurse is the main subject that participates in the care processes for the person, family and social groups. Weaknesses that were highlighted: fragile embracement and low resolution of users' and families' problems.CONCLUSIONThe nursing care process in health units still lacks collective articulation, involvement of the team, and decentralization of the decisions.

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