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

Sally Wilson

Research output: ThesisDoctoral Thesis

Abstract

[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 (
LanguageEnglish
QualificationDoctor of Philosophy
StateUnpublished - 2013

Fingerprint

Quality of Health Care
Nursing Care
Nursing
Pediatrics
Pediatric Nursing
Delphi Technique
Diagnosis-Related Groups
Patient Safety
Quality Improvement
Reproducibility of Results
Population
Hospitalization
Research

Cite this

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title = "Indicators of quality nursing care in an Australian paediatric setting: identification and validation of nursing-sensitive outcomes",
abstract = "[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 (",
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PY - 2013

Y1 - 2013

N2 - [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 (

AB - [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 (

KW - Nursing-sensitive outcomes

KW - Paediatric

KW - Clinical indicators

KW - Nursing

KW - Administrative data

KW - Data linkage

KW - Delphi study

KW - Systematic review

M3 - Doctoral Thesis

ER -