Indicators of quality nursing care in an Australian paediatric setting: identification and validation of nursing-sensitive outcomes

Research output: ThesisDoctoral Thesis



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[Truncated abstract] Background: Although nursing-sensitive indicators have been established for use in acute care adult settings, few have been identified for use in paediatrics and none are used in Australia. Using adult indicators for quality care measures in children's nursing has inherent problems. Due to different case mix and risk profiles, nursing-sensitive indicators used in adult patients may not be applicable to paediatric patients. To contribute to quality improvement and patient safety in the paediatric population, it is essential to identify and validate indicators that will be useful for this population. Aims: The aims of this doctoral research were to identify potential paediatric nursing-sensitive indicators and validate the subset of indicators that were nursing-sensitive outcomes using Australian administrative hospital data. Methodology: A modified Delphi technique was used to establish consensus for a list of clinical indicators as to their validity, reliability, feasibility and suitability for use as nursingsensitive indicators in paediatrics. Linked administrative hospital data were used to validate algorithms for the resulting 17 nursing-sensitive outcomes that could be measured in administrative data. The dataset included all hospitalisation records during a 10 year period for Western Australian (WA) children (
Original languageEnglish
QualificationDoctor of Philosophy
StateUnpublished - 2013

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