For this reason, systematic literature reviews on the most popular nursing‐sensitive indicators such as hospital‐acquired infections, mortality, failure to rescue, patient, falls, pressure ulcer, medication administration errors, length of stay, patient satisfaction, nurse satisfaction are needed to view the implications of nursing care from a complete perspective (Lankshear et al., 2005). Although considerable research has been devoted to the evaluation of nursing care, the literature generally consists of empirical studies focusing on one or a few criteria (Aiken et al., 2002 Dunton et al., 2004, 2007 Needleman et al., 2011 Park et al., 2014 Sujijantararat et al., 2005). These indicators are specific to nursing and have become an area of intense interest since the middle of the 1990s (Montalvo, 2007). The use of nursing‐sensitive indicators affects the outcomes of nursing care by defining the structure and processes of nursing care (Furukawa et al., 2011 Garcia & Fugulin, 2012).
Nursing‐sensitive indicators have been increasingly adopted as valid and reliable tools due to their features such as objective assessment, improvement of clinical practice, evaluation of nursing care quality and performance, and informed decision‐making capability for patients in selecting a hospital to receive care (Bazzoli et al., 2003 Doran et al., 2011 Heslop & Lu, 2014 Patrician et al., 2010). Nursing‐sensitive indicators are the criteria for changes in health status that nursing care can directly affect (Joint Commission International, 2014 Nakrem et al., 2009).
This systematic review addresses the niche by reviewing 20 years of literature and summarizing the findings. Therefore, there is a need for an updated, comprehensive systematic review that provides encompassing evidence on the implications of nursing‐sensitive indicators. All of the other systematic reviews had a specific focus, such as nurse staffing (Kane et al., 2007 Lang et al., 2004 Lankshear et al., 2005), nurse education (Liao et al., 2016) or nurse‐to‐patient ratios (Driscoll et al., 2018). The other comprehensive review, however, focused on nursing‐sensitive indicators only in stand‐alone high acuity areas (Myers et al., 2018). In this context, one of the most comprehensive two reviews that aimed to generate a pool of nursing‐sensitive indicators included studies through 2008 (Dubois et al., 2013). In the international literature, it is seen that academics examine this subject in various parts of the world, such as Australia, Canada, China, UK and USA (Driscoll et al., 2018 Dubois et al., 2013 Kane et al., 2007 Lang et al., 2004 Lankshear et al., 2005 Liao et al., 2016 Myers et al., 2018).
#Nurse turnover definition how to#
In this respect, nursing research has led to the question of whether nurses make a difference in patient care, what these differences are, and how to ameliorate these differences based on evidence (Alexander, 2007 Patrician et al., 2010).Įxamining the care indicators is an important pre‐condition before evaluating the quality of nursing care (Burston et al., 2013). For this reason, the evidence of quality care is increasingly being questioned, and the nurses, like all health professionals, thrust to demonstrate the value of their care (Haberfelde et al., 2005). While policymakers plan more investment in qualified nurses in some areas of the world as part of the strategy to improve quality of care, in other parts, they chose to replace a skilled nursing workforce with less paid staff assistants (Lankshear et al., 2005).
The demand for efficiency in health care has led to significant and frequent changes, such as the restructuring of hospital care through staffing strategies (Duffield et al., 2007 Kane et al., 2007 Montalvo, 2007).Ĭonsidering that a large part of the health expenditure is attributed to staffing costs and nurses constitute the majority of healthcare workers, it is imperative to understand the relationship between cost and quality. There has been growing interest in the implications of evidence‐based nursing care on patient outcomes, which are essential in highlighting the value of nursing care (Blegen et al., 2011 Dubois et al., 2013 Needleman et al., 2007 Patrician et al., 2010).
0 kommentar(er)
