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Nursing-sensitive patient outcomes: An Australian case study on developing a data registry for measuring the quality and safety of nursing practice

Conference Paper


Abstract


  • Background: Nursing-sensitive

    patient indicators provide important

    data on the impact nursing practice has

    on patients.

    Aim: To describe the development,

    testing and implementation of a data

    registry of nursing-sensitive indicators for measuring the quality and safety

    of nursing practice in three hospitals

    in Australia using a multi-site, crosssectional

    design.

    Methods: Retrospective data were

    obtained in 2016 from administrative

    data sets (nurse staffing, patient flow

    and adverse events) in three hospitals in

    NSW, Australia. Periodic observational

    surveys were conducted on pressure

    injury prevalence, documentation

    of processes of care (pressure injury

    prevention, falls prevention, patient

    identification) and hand hygiene

    practices. Patients provided data on

    the caring attitudes/actions of nurses

    prior to discharge using the Caring

    Assessment Tool. The Nursing Work

    Index-Revised: Australian (NWI-R:A)

    was used to assess nurses’ perceptions

    of their practice environment. Patient

    experience/satisfaction was obtained

    from retrospective Press Ganey®

    surveys.

    Results: The development of

    the Australian Nursing Outcomes

    Collaborative (AUSNOC) occurred

    in three phases. Phase one involved

    development of data definitions and

    a data codebook; phase two involved

    the development and testing of data

    collection methods; and phase three

    involved development of data reports

    and data dissemination strategies. This

    presentation will provide an overview

    of these three phases and includes

    descriptive data from the indicator set.

    Discussion: Collection of data was

    focused on the following constructs:

    Care and Caring; Communication;

    Coordination and Collaboration;

    and Safety. Data was collected and

    disseminated at unit level. Wards

    that actively participated in data

    collection methods had higher levels

    of engagement with data reports and

    implemented quality improvement

    projects to improve nursing care

    processes.

    Conclusion: Nursing-sensitive

    patient outcomes provide important

    data at the unit level that nurses can

    use to improve patient outcomes.

    Data from AUSNOC can be feasibly

    collected and used to benchmark

    nursing performance, evaluate patient

    outcomes, and identify areas for

    practice improvement.

Publication Date


  • 2019

Citation


  • Sim, J., Joyce-McCoach, J., Gordon, R. & Kobel, C. (2019). Nursing-sensitive patient outcomes: An Australian case study on developing a data registry for measuring the quality and safety of nursing practice. RCN International Nursing Research Conference and Exhibition

Abstract


  • Background: Nursing-sensitive

    patient indicators provide important

    data on the impact nursing practice has

    on patients.

    Aim: To describe the development,

    testing and implementation of a data

    registry of nursing-sensitive indicators for measuring the quality and safety

    of nursing practice in three hospitals

    in Australia using a multi-site, crosssectional

    design.

    Methods: Retrospective data were

    obtained in 2016 from administrative

    data sets (nurse staffing, patient flow

    and adverse events) in three hospitals in

    NSW, Australia. Periodic observational

    surveys were conducted on pressure

    injury prevalence, documentation

    of processes of care (pressure injury

    prevention, falls prevention, patient

    identification) and hand hygiene

    practices. Patients provided data on

    the caring attitudes/actions of nurses

    prior to discharge using the Caring

    Assessment Tool. The Nursing Work

    Index-Revised: Australian (NWI-R:A)

    was used to assess nurses’ perceptions

    of their practice environment. Patient

    experience/satisfaction was obtained

    from retrospective Press Ganey®

    surveys.

    Results: The development of

    the Australian Nursing Outcomes

    Collaborative (AUSNOC) occurred

    in three phases. Phase one involved

    development of data definitions and

    a data codebook; phase two involved

    the development and testing of data

    collection methods; and phase three

    involved development of data reports

    and data dissemination strategies. This

    presentation will provide an overview

    of these three phases and includes

    descriptive data from the indicator set.

    Discussion: Collection of data was

    focused on the following constructs:

    Care and Caring; Communication;

    Coordination and Collaboration;

    and Safety. Data was collected and

    disseminated at unit level. Wards

    that actively participated in data

    collection methods had higher levels

    of engagement with data reports and

    implemented quality improvement

    projects to improve nursing care

    processes.

    Conclusion: Nursing-sensitive

    patient outcomes provide important

    data at the unit level that nurses can

    use to improve patient outcomes.

    Data from AUSNOC can be feasibly

    collected and used to benchmark

    nursing performance, evaluate patient

    outcomes, and identify areas for

    practice improvement.

Publication Date


  • 2019

Citation


  • Sim, J., Joyce-McCoach, J., Gordon, R. & Kobel, C. (2019). Nursing-sensitive patient outcomes: An Australian case study on developing a data registry for measuring the quality and safety of nursing practice. RCN International Nursing Research Conference and Exhibition