Quality Indicators of Nursing Resources in Relation to Patient Outcomes

Monday, July 11, 2011

Huan-Fang Lee, RN
Institute of Allied Health Sciences/ Department of Nursing, National Cheng Kung University/Chi Mei Medical Center, Yung Kung, Taiwan
Miaofen Yen, PhD, RN
Department of Nursing & Institute of Allied Health Sciences, National Cheng Kung University, Tainan city, Taiwan

Learning Objective 1: The learner will be able to understand newly developed model regarding the variables and relationship among nursing resourced and patient outcomes at unit-base level.

Learning Objective 2: The learner will be able to understand the process of building Quality indicators of nursing resources in relation to patient outcomes.

Purpose:

   A comprehensive model of nursing resources and patient outcomes from unit-based perspective is lacking. Most researches investigate their relationships in a hospital level. The indicators of nurse recourses and patient outcomes need to be explored on a nursing unit level to better describe the relationships among nursing resources and patient outcomes. The purpose of this study was to identify a model of nursing resources and patient outcomes based on a nursing unit level. 

Methods:  

   A three phase research approach included a literature review, expert panel review and modified Delphi technique. In Phase I, a research team established the indicators, categories, and relationship based on a comprehensive literature review. In Phase II, nineteen administrative nurse experts provided suggestions for revisions. In Phase III, a 15 member Delphi panel rated the important of indicators.

Results:

   Six categories with 36 indicators were established by the research team in Phase I. Experts review meetings achieved the consensus in Phase II. Fifteen panels rated the important of indicators by Delphi technique, a model of nurse resources and patients outcomes including 7 categories and 34 indicators was identified in Phase III.

Conclusion:

Our findings support a newly developed model regarding the variables and relationship among nursing resourced and patient outcomes at unit-base level.