Identifying nurse sensitive indicators specific to haemodialysis nursing: A Delphi approach |
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| Affiliation: | 1. School of Nursing, Queensland University of Technology, Kelvin Grove, Australia;2. Kidney Health Service, Metro North Hospital and Health Service, Herston, Australia;3. Intensive Care Services, Royal Brisbane and Women’s Hospital, Herston, Australia;1. Emergency Department, Mudgee Health Service, Lewis Street, Mudgee, NSW 2850, Australia;2. Emergency Department, Hornsby Hospital, Palmerston Road, Hornsby, NSW 2077, Australia;3. The MORDUN Group, P.O. Box 532, Wagga Wagga, NSW 2650, Australia;4. Emergency and Trauma Centre, The Alfred Hospital, Commercial Road, Prahran, VIC 3004, Australia;1. Department of Surgical Nursing, Faculty of Nursing, Dokuz Eylul University, Izmir, Turkey;2. Department of Nursing, Faculty of Health Science, Mehmet Akif Ersoy University, Burdur, Turkey;3. Department of Business Administration, Faculty of Business, Izmir, Turkey;4. Dokuz Eylul University Information Center, Computer Engineering, Izmir, Turkey;1. University of Technology Sydney, Faculty of Health, Australia;2. Western Sydney University, School of Nursing and Midwifery, Australia;1. Institute of Forensic Psychiatric Ministry of Justice, Kongju, 1-21, South Korea;2. College of Nursing, Chungnam National University, 6 Moonhwa 1-dong, Jungu, Daejeon 301-747, South Korea;3. Department of Nursing Science, Ulsan College, Ulsan, South Korea |
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| Abstract: | BackgroundNurse sensitive indicators measure the quality of care that is specific to the practice of nurses. There are currently few indicators suitable to measure haemodialysis nursing practice.AimTo identify haemodialysis nurse sensitive indicators.MethodsThe Delphi technique, an iterative process, was used to attain consensus from a national expert panel of haemodialysis registered nurses. The panel rated their level of agreement, importance and frequency of nurse sensitive indicators using online surveys that included qualitative feedback. Results of each round shaped subsequent rounds. Consensus was set at greater than 70.0%.FindingsThe 38-member expert panel had a median haemodialysis experience of 17 years (IQR 8.5–22) and 89% had attained a specialist post-registration renal qualification. Round 1 assessed the suitability of 38 nurse sensitive indicators. Those indicators failing to achieve consensus were retested and removed after round 2 (n = 12). Round 3 assessed a modified list of 26 nurse sensitive indicators with all achieving consensus. The fourth and final round was used to both provide feedback to the expert panel and to elicit further qualitative feedback.DiscussionA comprehensive set of quality indicators to measure nursing-sensitive activities in the specialised context of haemodialysis have been developed.ConclusionThese 26 haemodialysis nurse sensitive indicators capture the structures, processes and outcomes which could measure the quality of nursing care provided to people receiving haemodialysis. |
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| Keywords: | Nursing Haemodialysis Sensitive Quality indicators Delphi |
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