Measurement and Validation of Primary Care Nursing Indicators Based on a Wound Care Tracer Condition

被引：7

作者：

Dufour, Emilie ^{[1
]}

Duhoux, Arnaud ^{[1
,2
]}

Contandriopoulos, Damien ^{[3
]}

机构：

[1] Univ Montreal, Fac Nursing, CP 6128, Montreal, PQ H3C 3J7, Canada

[2] Univ Sherbrooke, CR CSIS Ctr Rech Charles Le Moyne Saguenay Lac St, Longueuil, PQ, Canada

[3] Univ Victoria, Sch Nursing, Victoria, BC, Canada

来源：

JOURNAL OF NURSING CARE QUALITY | 2020年 / 35卷 / 01期

基金：

加拿大健康研究院;

关键词：

nurses performance evaluation; primary health care; quality indicators; wound care tracer; wounds; VENOUS LEG ULCERATION; SENSITIVE-INDICATORS; PATIENT OUTCOMES; COMMUNITY NURSES; AMBULATORY-CARE; MANAGEMENT; QUALITY; JUDGMENT;

D O I：

10.1097/NCQ.0000000000000403

中图分类号：

R47 [护理学];

学科分类号：

1011 ;

摘要：

Background: Access to both valid and reliable nursing-sensitive indicators is currently limited in primary care. Purpose: The objectives were to (1) measure primary care nursing indicators using a wound care tracer condition and (2) study the associations between process and outcome indicators. Methods: We conducted a longitudinal study in an ambulatory care clinic in Quebec, Canada. The sample included 482 episodes of care. We studied 5 indicators related to processes and 3 to outcomes. Results: Performance levels were moderately high for indicators of initial assessment and duration and low for those of continuity and education. Associations between nursing follow-up and continuity indicators and 3 outcome indicators were highly significant. Conclusion: Continuity and nursing follow-up are associated with improved outcomes. Increasing these indicators' performance level can improve both nursing processes and patient outcomes.

引用

页码：63 / 69

页数：7

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