Areas for Improvement and Barriers Identified in Measuring the Quality of Nursing Care: Perceptions of Patients and Professionals.

IF 2.4 Q1 NURSING Nursing Reports Pub Date : 2024-10-09 DOI:10.3390/nursrep14040211
Maria Consuelo Company-Sancho, Manuel Rich-Ruiz, Marta Guillen Toledano, Luis-Miguel Cairós-Ventura, Josefa D Gil Perez, Ana María de Pascual Y Medina, María Pilar Peláez Alba, Ana Isabel Barreno Estévez, María Emma Alonso Poncelas, Carolina Rodríguez Orihuela, Pedro Ruyman Brito-Brito
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Abstract

Background: Quality indicators in healthcare are essential to raising awareness about the appropriateness of nursing care. However, identifying the key indicators continues to pose a challenge, above all if one wants to include users and professionals.

Aim: Identify which aspects of nursing care should be measured to assess the results of nursing care and how to do so.

Methodology: Interpretive qualitative exploratory study. The participants were users and professionals of an autonomous regional health service in Spain. The information was collected by means of two focus groups and eight semi-structured interviews conducted between November 2022 and March 2024. The data were analysed thematically using the Braun and Clarke process.

Results: The users and professionals agreed on the need to measure emotional skills and attitudes such as empathy, respect, and warmth when dealing with patients. The professionals highlighted workload and inefficiency of the current record system as barriers to adequately reflecting their work. They proposed improvements in the recording tool and the need for more human resources, as well as leadership that is more focused on quality.

Conclusions: It is crucial to develop indicators that reflect both the emotional and technical aspects of nursing care. The participation by patients and professionals alike in this design and selection will make it possible to improve the quality of care and advances in the nursing profession. This study was not registered.

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在衡量护理质量方面发现的有待改进的领域和障碍:病人和专业人员的看法。
背景:医疗质量指标对于提高人们对护理工作适当性的认识至关重要。然而,确定关键指标仍是一项挑战,尤其是如果要将用户和专业人员包括在内的话。目的:确定应衡量护理的哪些方面,以评估护理结果,以及如何做到这一点:解释性定性探索研究。参与者为西班牙一个自治区医疗服务机构的使用者和专业人员。在 2022 年 11 月至 2024 年 3 月期间,通过两个焦点小组和八次半结构化访谈收集信息。采用布劳恩和克拉克方法对数据进行了专题分析:结果:用户和专业人员一致认为,在与病人打交道时,需要衡量情感技能和态度,如同理心、尊重和热情。专业人员强调,当前记录系统的工作量和低效率阻碍了他们充分反映自己的工作。他们建议改进记录工具,需要更多的人力资源以及更加注重质量的领导层:制定能反映护理工作中情感和技术两方面的指标至关重要。病人和专业人员共同参与设计和选择,将有可能提高护理质量和护理专业的进步。本研究未经注册。
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来源期刊
Nursing Reports
Nursing Reports NURSING-
CiteScore
2.50
自引率
4.20%
发文量
78
期刊介绍: Nursing Reports is an open access, peer-reviewed, online-only journal that aims to influence the art and science of nursing by making rigorously conducted research accessible and understood to the full spectrum of practicing nurses, academics, educators and interested members of the public. The journal represents an exhilarating opportunity to make a unique and significant contribution to nursing and the wider community by addressing topics, theories and issues that concern the whole field of Nursing Science, including research, practice, policy and education. The primary intent of the journal is to present scientifically sound and influential empirical and theoretical studies, critical reviews and open debates to the global community of nurses. Short reports, opinions and insight into the plight of nurses the world-over will provide a voice for those of all cultures, governments and perspectives. The emphasis of Nursing Reports will be on ensuring that the highest quality of evidence and contribution is made available to the greatest number of nurses. Nursing Reports aims to make original, evidence-based, peer-reviewed research available to the global community of nurses and to interested members of the public. In addition, reviews of the literature, open debates on professional issues and short reports from around the world are invited to contribute to our vibrant and dynamic journal. All published work will adhere to the most stringent ethical standards and journalistic principles of fairness, worth and credibility. Our journal publishes Editorials, Original Articles, Review articles, Critical Debates, Short Reports from Around the Globe and Letters to the Editor.
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