The development of nursing-sensitive indicators: A critical discussion

IF 3.1 Q1 NURSING International Journal of Nursing Studies Advances Pub Date : 2024-07-24 DOI:10.1016/j.ijnsa.2024.100227

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Abstract

Discussion arguments

In a science-based profession, nurses must continuously monitor and evaluate the effectiveness of their care. However, data on what constitutes nursing care in practice and the delivery process is lacking. Insufficient evidence on how nurses contribute to patient care hampers the evaluation of nursing practice.

We discuss nursing-sensitive indicators, their origins, current applications, and challenges related to their use in evaluating the quality of nursing care. We analyse nursing-sensitive indicators in the context of criticisms levelled at the profession related to the lack of evidence to support their value in the larger healthcare environment.

Conclusions

We have a disjointed approach to evaluating nursing care. Current systems designed to monitor nursing care, such as metrics and data sets, are not adequate or effective for comprehensively evaluating nursing care, considering the fundamentals and values of the nursing profession.

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制定护理敏感指标：批判性讨论。

讨论论点作为一个以科学为基础的职业，护士必须不断监测和评估其护理工作的成效。然而，有关护理实践和实施过程的数据却十分匮乏。我们讨论了护理敏感指标、其起源、当前应用以及在评估护理质量时面临的挑战。我们分析了护理敏感性指标在医疗保健大环境中的价值，并结合对护理专业的批评，指出这些指标缺乏支持其价值的证据。考虑到护理专业的基本原理和价值，目前为监测护理而设计的系统（如度量标准和数据集）不足以或不能有效地全面评估护理。

本文章由计算机程序翻译，如有差异，请以英文原文为准。

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