Owen Doody1, Fiona Murphy2, Rosemary Lyons3, Anne Gallen4, Judy Ryan5, Johanna Downey6, Duygu Sezgin7. 1. Health Research Institute and Senior Lecturer, Faculty of Education and Health Sciences, Department of Nursing and Midwifery, University of Limerick, Castletroy, Limerick, Ireland. owen.doody@ul.ie. 2. Faculty of Education and Health Sciences, Department of Nursing and Midwifery, University of Limerick, Castletroy, Limerick, Ireland. 3. Lecturer, Faculty of Education and Health Sciences, Department of Nursing and Midwifery, University of Limerick, Castletroy, Limerick, Ireland. 4. Director of Nursing and Midwifery Planning Development Unit, National Lead for Nursing and Midwifery Quality Care Metrics Project, Health Services Executive Ireland North West, Bishop Street, Ballyshannon, Donegal, Ireland. 5. Director of Nursing and Midwifery Planning Development Unit, Intellectual Disability Services Work-stream Chairperson, Health Services Executive Ireland South East, Kilkenny, Ireland. 6. Quality Care Metrics Project Officer, National Lead for Intellectual Disability Services Workstream, Health Services Executive, Ireland South, Cork, Ireland. 7. Postdoctoral Researcher, College of Medicine, Nursing & Health Sciences, Clinical Sciences Institute, National University of Ireland Galway, Costello Road, Galway, Ireland.
Abstract
BACKGROUND: Nursing process quality care metrics and indicators are quantifiable measures of the nursing care delivered to clients. They can be used to identify and support nurses' contribution to high quality, safe, client care and are lacking in specialist intellectual disability nursing. In a national Nursing Quality Care-Metrics project for Irish intellectual disability services, a set of nursing quality care process metrics and associated indicators were established for intellectual disability services. METHODS: A two-stage design approach was undertaken; a broad scoping review of the literature and a modified Delphi consensus process. The Delphi included a four round e-Delphi survey and a consensus meeting. Four hundred one intellectual disability nurses working in Ireland were recruited for the surveys and 20 stakeholders attended the consensus meeting. RESULTS: From the review, 20 existing and 16 potential intellectual disability nursing metrics were identified for nurses to prioritise in the e-surveys. After the four survey rounds, 12 intellectual disability nursing metrics and 84 associated indicators were identified. Following the consensus meeting, these were reduced to 12 metrics and 79 indicators. CONCLUSIONS: This first set of intellectual disability nursing process metrics and associated indicators has been identified for implementation in practice. These metrics while developed in Ireland have international relevance and their application and appropriateness in practice needs to be evaluated.
BACKGROUND: Nursing process quality care metrics and indicators are quantifiable measures of the nursing care delivered to clients. They can be used to identify and support nurses' contribution to high quality, safe, client care and are lacking in specialist intellectual disability nursing. In a national Nursing Quality Care-Metrics project for Irish intellectual disability services, a set of nursing quality care process metrics and associated indicators were established for intellectual disability services. METHODS: A two-stage design approach was undertaken; a broad scoping review of the literature and a modified Delphi consensus process. The Delphi included a four round e-Delphi survey and a consensus meeting. Four hundred one intellectual disability nurses working in Ireland were recruited for the surveys and 20 stakeholders attended the consensus meeting. RESULTS: From the review, 20 existing and 16 potential intellectual disability nursing metrics were identified for nurses to prioritise in the e-surveys. After the four survey rounds, 12 intellectual disability nursing metrics and 84 associated indicators were identified. Following the consensus meeting, these were reduced to 12 metrics and 79 indicators. CONCLUSIONS: This first set of intellectual disability nursing process metrics and associated indicators has been identified for implementation in practice. These metrics while developed in Ireland have international relevance and their application and appropriateness in practice needs to be evaluated.
Entities:
Keywords:
Consensus; Delphi study; Indicators; Intellectual disability nursing; Nursing care process; Nursing metrics; Quality care; Vulnerable population
Authors: Andrew Hunter; Nora Barrett; Anne Gallen; Gillian Conway; Anne Brennan; Martina Giltenane; Louise Murphy Journal: BMC Health Serv Res Date: 2022-03-16 Impact factor: 2.655