Feasibility of the McIntyre audit tool for haemodialysis nurses

IF 1.5 4区医学 Q3 NURSING Journal of renal care Pub Date : 2023-07-26 DOI:10.1111/jorc.12477

David McIntyre MN, NP, Amanda McGuire RN, PhD, Ann Bonner RN, PhD

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Abstract

Background

Nurse-sensitive indicators (NSI) assess the quality of nursing care provided to patients. These indicators assess the structures (supportive measures), processes (nursing actions) and outcomes of care. The McIntyre Audit Tool (MAT) was developed to measure haemodialysis NSIs.

Objectives

The objective of this study is to evaluate the feasibility and utility of the MAT in measuring haemodialysis NSIs in clinical practice.

Design

Multisite nonrandomized feasibility study.

Participants

A convenience sample of nurses (n = 30) were recruited from two haemodialysis units in Australia.

Measurements

Participants completed the MAT once daily for 1 week, to measure the extent the clinical indicators were being met. Feasibility data including utility and acceptability of the tool was collected once from each participant. Data were analysed descriptively.

Results

Participants completed a total of 97 audits. Results revealed the majority of structural (75%) and process indicators (73%) were being achieved although some variation between sites was observed. Results for the outcome indicators showed more variation (5.9%–94.1). Feasibility results found most nurses (79%) took <5 min to complete the MAT and found the tool easy to use (91.7%). Most participants (83.3%) reported audits could be completed during a shift and auditing was easily implemented (79.2%).

Conclusion

Use of the MAT in clinical practice is a feasible and acceptable way of auditing the quality of haemodialysis nursing practice. The tool could be used to establish minimum standards and improve the quality of nursing care in haemodialysis units, also enabling benchmarking between services.

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血液透析护士使用麦金太尔审核工具的可行性。

背景：护士敏感指标（NSI）评估为患者提供的护理质量。这些指标评估护理的结构（支持性措施）、过程（护理行动）和结果。麦金太尔审核工具 (McIntyre Audit Tool, MAT) 是为测量血液透析 NSI 而开发的：本研究旨在评估 MAT 在临床实践中测量血液透析 NSI 的可行性和实用性：设计：多站点非随机可行性研究：从澳大利亚的两家血液透析单位招募护士（n = 30）：参与者每天完成一次 MAT，持续 1 周，以衡量临床指标的达标程度。向每位参与者收集一次可行性数据，包括工具的实用性和可接受性。对数据进行描述性分析：结果：参与者共完成了 97 次审核。结果显示，大多数结构指标（75%）和流程指标（73%）都已达到，但不同地点之间仍存在一些差异。结果指标的结果显示出更大的差异（5.9%-94.1）。可行性结果显示，大多数护士（79%）接受了结论：在临床实践中使用 MAT 是审核血液透析护理实践质量的一种可行且可接受的方法。该工具可用于制定最低标准，提高血液透析室的护理质量，还可用于服务之间的基准比较。

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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来源期刊

Journal of renal care Nursing-Advanced and Specialized Nursing

CiteScore

3.50

自引率

5.30%

发文量

期刊介绍： The Journal of Renal Care (JORC), formally EDTNA/ERCA Journal, is the official publication of the European Dialysis and Transplant Nursing Association/European Renal Care Association (EDTNA/ERCA). The Journal of Renal Care is an international peer-reviewed journal for the multi-professional health care team caring for people with kidney disease and those who research this specialised area of health care. Kidney disease is a chronic illness with four basic treatments: haemodialysis, peritoneal dialysis conservative management and transplantation, which includes emptive transplantation, living donor & cadavaric transplantation. The continuous world-wide increase of people with chronic kidney disease (CKD) means that research and shared knowledge into the causes and treatment is vital to delay the progression of CKD and to improve treatments and the care given. The Journal of Renal Care is an important journal for all health-care professionals working in this and associated conditions, such as diabetes and cardio-vascular disease amongst others. It covers the trajectory of the disease from the first diagnosis to palliative care and includes acute renal injury. The Journal of Renal Care accepts that kidney disease affects not only the patients but also their families and significant others and provides a forum for both the psycho-social and physiological aspects of the disease.