Indicadores de cuidado de enfermería hospitalario orientados por modelo de práctica profesional

Indicators of hospital nursing care guided by a professional practice model

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Beatriz Sánchez Herrera

Resumen

Objetivo Diseñar y validar indicadores de cuidado de enfermería a partir de la orientación de un modelo de práctica profesional en un hospital universitario de Colombia, 2018 – 2021. Material y Método: Esta es una “Investigación metodológica en enfermería” desarrollada por fases: 1) revisión de los procesos de calidad institucional. 2) revisión de literatura sobre indicadores hospitalarios de enfermería. 3) propuesta de indicadores con orientación del modelo institucional de práctica profesional de enfermería 4) validación de los indicadores mediante criterio de expertos y 5) evaluación de la efectividad preliminar en campo durante 8 meses. Resultados: Los 21 indicadores de cuidado de enfermería propuestos presentaron alta comprensibilidad y validez facial, una razón de validez de contenido (RVC) entre .74 y .96, y un índice de validez de contenido (IVC) de 0.83. Conclusión: Los indicadores de cuidado de enfermería diseñados bajo la orientación de un modelo de práctica profesional y validados mediante el criterio de expertos, mostraron una efectividad preliminar positiva para medir y mejorar los procesos y resultado del cuidado de enfermería de acuerdo con las personas implicadas en la recepción y suministro de dicho cuidado.  Estos indicadores pueden ser empleados en hospitales con plataformas estratégicas similares.

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Referencias

Fitzpatrick, B., Bloore, K., & Blake, N. (2019). Joy in work and reducing nurse burnout: From triple aim to quadruple aim. AACN Advanced Critical Care, 30(2), 185–188.

Alejandro, J. Lessons learned through nursing theory. Nursing, Feb 2017, Vol.47(2), p.41.

Karnick, P M. Evidence-Based Practice and Nursing Theory. Nursing Science Quarterly, Oct 2016, Vol.29(4), pp.283-284.

Jacqueline Fawcett, P. S. (hon), R. F. A. (2017). Applying Conceptual Models of Nursing: Quality Improvement, Research, and Practice. Springer Publishing Company.

Báo Ana Cristina Pretto, Amestoy Simone Coelho, Moura Gisela Maria Schebella Souto de, Trindade Letícia de Lima. Quality indicators: tools for the management of best practices in Health. Rev. Bras. Enferm. [Internet]. 2019 Apr [cited 2020 July 20]; 72(2): 360-366. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200360&lng=en. Epub Apr 18, 2019. https://doi.org/10.1590/0034-7167-2018-0479.

Santana M, Ahmed S, Lorenzetti D, et alMeasuring patient-centred system performance: a scoping review of patient-centred care quality indicators BMJ Open 2019;9: e023596. doi: 10.1136/bmjopen-2018-023596

Stalpers, J., Dewi ; Van Der Linden, J., Dimitri ; Kaljouw, J., Marian ; Schuurmans, J., Marieke. Using Publicly Reported Nursing-Sensitive Screening Indicators to Measure Hospital Performance: The Netherlands Experience in 2011. Nursing Research, 2016, Vol.65(5), p.362-370

Chang, L. Y., Yu, H. H., & Chao, Y. C. (2019). The Relationship Between Nursing Workload, Quality of Care, and Nursing Payment in Intensive Care Units. The journal of nursing research: JNR, 27(1), 1–9. https://doi.org/10.1097/jnr.0000000000000265

Liu, X., Zheng, J., Liu, K., Baggs, J. G., Liu, J., Wu, Y., & You, L. (2018). Hospital nursing organizational factors, nursing care left undone, and nurse burnout as predictors of patient safety: A structural equation modeling analysis. International journal of nursing studies, 86, 82-89.

Breyer, Juliana & Giracodazole, Juliana & Kuhmmer, Regina & Lima, Karine & Hammes, Luciano & Ribeiro, Rodrigo & Kops, Natália & Falavigna, Maicon & Wendland, Eliana. (2019). Hospital quality indicators: a systematic review. International Journal of Health Care Quality Assurance. 32. 00-00. 10.1108/IJHCQA-04-2018-0091.

Ribeiro, O., Ferreira Pereira da Silva Martins, M. M., Rizatto Tronchin, D. M., & Almeida Ventura da Silva, J. M. (2018). Professional nursing practice grounded in the theoretical framework of the discipline: reality or utopia. Revista de Enfermagem Referência, 4(19), 39–48

Arroyo-Marlés LP, Guevara-Lozano M, Pérez-Giraldo B, Sánchez-Herrera B. Commitment and a sense of humanity for the adaptation of patients during hospital care. J Nurs Manag. 2017 Dec 26. doi: 10.1111/jonm.12581.

Organización Panamericana de la Salud, Organización Mundial de la Salud y Centro Latinoamericano y del Caribe de Información en Ciencias de la Salud. (s.f.). Estudios de Factibilidad. Biblioteca Virtual de Salud-Descriptores en Ciencias de la Salud. http://decs2020.bvsalud.org/cgi-bin/wxis1660.exe/decsserver/

Radbron, E., McCance, T., Middleton, R., & Wilson, V. (2021). Maintaining momentum in action research. Nurse Researcher, 29(3), 15–21.

Tristán A. Modificación al modelo de Lawshe para el dictamen cuantitativo de la validez de contenido de un instrumento objetivo. Avances en Medición. 2008; 6:37---48. Disponible en: http://www.humanas.unal.edu.co/psicometria/files/8413/8574/6036/Articulo4_Indice_de_validez_de_contenido_37-48.pdf

Caram CS, Peter E, Brito MJ. Invisibility of the self: Reaching for the telos of nursing within a context of moral distress. Nurs Inq. 2019;26(1): e12269. doi:10.1111/nin.12269

Marx, M., Nitschke, C., Nafula, M., Nangami, M., Brodowski, M., Marx, I., Prytherch, H., Kandie, C., Omogi, I., Paul-Fariborz, F., & Szecsenyi, J. (2018). If you can’t measure it- you can’t change it – a longitudinal study on improving quality of care in hospitals and health centers in rural Kenya. BMC Health Services Research: BMC Series – Open, Inclusive and Trusted, 18(1).

Piggott, T., Langendam, M., Parmelli, E., Adolfsson, J., Akl, E. A., Armstrong, D., Braithwaite, J., Brignardello-Petersen, R., Brozek, J., Gore-Booth, J., Follmann, M., Leś, Z., Meerpohl, J. J., Neamţiu, L., Nothacker, M., Qaseem, A., Giorgi Rossi, P., Saz-Parkinson, Z., van der Wees, P., & Schünemann, H. J. (2021). Bringing two worlds closer together: a critical analysis of an integrated approach to guideline development and quality assurance schemes. BMC Health Services Research, 21(1).

Seiffert Leila Soares, Wolff Lillian Daisy Gonçalves, Ferreira Maria Manuela Frederico, Cruz Elaine Drehmer de Almeida, Silvestre Alexandra Lunardon. Indicators of effectiveness of nursing care in the dimension of patient safety. Rev. Bras. Enferm. [Internet]. 2020 [cited 2020 Oct 03]; 73(3): e20180833. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672020000300177&lng=en. Epub Apr 22, 2020. https://doi.org/10.1590/0034-7167-2018-0833.

Dubois, C‐A, D'amour, D, Brault, I, et al. Which priority indicators to use to evaluate nursing care performance? A discussion paper. J Adv Nurs. 2017; 73: 3154– 3167. https://doi.org/10.1111/jan.13373

Beck SL, Dunton N, Berry PH, Brant JM, Guo J-W, Potter C, et al. Dissemination and Implementation of Patient-centered Indicators of Pain Care Quality and Outcomes. Medical care [Internet]. 2019 Feb [cited 2020 Oct 3];57(2):159–66. Available from: https://search-ebscohost-com.ez.unisabana.edu.co/login.aspx?direct=true&AuthType=ip&db=cmedm&AN=30570589&lang=es&site=eds-live&scope=site

Alejandro, J. Lessons learned through nursing theory. Nursing, Feb 2017, Vol.47(2), p.41.

Jacqueline Fawcett, P. S. (hon), R. F. A. (2017). Applying Conceptual Models of Nursing: Quality Improvement, Research, and Practice. Springer Publishing Company.

Slatyer, Susan ; Coventry, Linda L ; Twigg, Di ; Davis, Sue. Professional practice models for nursing: a review of the literature and synthesis of key components. Journal of nursing management, March 2016, Vol.24(2), pp.139-50.

Báo Ana Cristina Pretto, Amestoy Simone Coelho, Moura Gisela Maria Schebella Souto de, Trindade Letícia de Lima. Quality indicators: tools for the management of best practices in Health. Rev. Bras. Enferm. [Internet]. 2019 Apr [cited 2020 July 20]; 72(2): 360-366. Available from: http://www.scielo.br/scielo.php?script=sci_arttext&pid=S0034-71672019000200360&lng=en. Epub Apr 18, 2019. https://doi.org/10.1590/0034-7167-2018-0479.

Bekbergenova Z, Derbissalina G, Umbetzhanova A, Koikov V. [Key Indicators of Performance as a Method for Monitoring Nursing Service]. Georgian medical news [Internet]. 2020 Feb [cited 2020 Oct 3] ;(299):151–7. Available from: https://search-ebscohost-com.ez.unisabana.edu.co/login.aspx?direct=true&AuthType=ip&db=cmedm&AN=32242864&lang=es&site=eds-live&scope=site

Stalpers, J., Dewi ; Van Der Linden, J., Dimitri ; Kaljouw, J., Marian ; Schuurmans, J., Marieke. Using Publicly Reported Nursing-Sensitive Screening Indicators to Measure Hospital Performance: The Netherlands Experience in 2011. Nursing Research, 2016, Vol.65(5), p.362-370

Merkley J, Amaral N, Sinno M, et al. Developing a Nursing Scorecard Using the National Database of Nursing Quality Indicators®: A Canadian Hospital's Experience. Nursing Leadership (Toronto, Ont.). 2018 Dec;31(4):82-91. DOI: 10.12927/cjnl.2019.25752.

Fitzpatrick, B., Bloore, K., & Blake, N. (2019). Joy in work and reducing nurse burnout: From triple aim to quadruple aim. AACN Advanced Critical Care, 30(2), 185–188.

Clare Lynette Harvey, Christophe Baret, Christian M. Rochefort, Alannah Meyer, Dietmar Ausserhofer, Ruta Ciutene, & Maria Schubert. (2018). Discursive practice – lean thinking, nurses’ responsibilities and the cost to care. Journal of Health Organization and Management, 32(6), 762–778.