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Journal of Intensive and Critical Care Nursing | Volume 2
October 24-25, 2019 | Zurich, Switzerland
2nd European
Nursing Congress
International Conference on
Clinical Nursing & Practice
Joint Event
&
J Intensive Crit Care Nurs, Volume 2
Nurse-sensitive outcomes as indicators to assess the variation in the quality of Nursing
care in ambulatory chemotherapy services
Attallah D
Fakeeh College for Medical Sciences, Kingdom of Saudi Arabia
Background:
The quality of patient care is a universal concern
among healthcare managers, policymakers, and consumers.
Quality indicators are essential to measuring performance,
benchmark, examine variations in care, allocate resources,
and inform policymakers. However, the literature search
revealed there is little literature on measures of Nurse-
sensitive outcomes (NSOs) in ambulatory care settings,
and that this is significantly more limited when focusing on
NSOs in ambulatory chemotherapy settings (ACSs). In order
to assess the variation in the quality of Nursing care in ACSs
and demonstrate the impact of high-quality care provided,
it was essential to use valid and reliable indicators, specific
to chemotherapy-related symptoms and experiences of
supportive care. This study builds on previous work by
Arms et al. (2014), who developed the Patient-Reported
Chemotherapy Indicators of Symptoms and Experience (PR-
CISE).
Aims:
This study aims to explore a range of methodological
and feasibility issues that relate to the development and
implementation of Nurse-Sensitive Outcome indicators and
associated tools in the Kingdom of Saudi Arabia (KSA). In
addition to establishing whether variability exists in NSOs
amongst ACSs in the KSA.
Methods:
This study employed a descriptive, cross-sectional
survey with two preparation stages. Survey data were
collected from five ACSs located in the two largest regions in
the KSA.
Results:
This study successfully developed, adapted, and
tested the Arabic PR-CISE indicators and associated tools.
The indicators were acceptable and may be used to generate
evidence about NSOs in ACSs in the KSA and inform future
policy and practice. In practice, these indicators can be used to
measure, report, and improve the quality of care provided in
ACSs. A large-scale survey of NSOs is feasible, acceptable and
recommended, and can be largely implemented as planned.
Significant differences were observed in the distribution of
the severity of symptoms between ACSs in six out of seven
studied symptoms.
e
:
Dena.attalah@gmail.comNotes: