Talk Description
166Q - Research Paper
Abstract
Aim:
This multi-phase study sought to: i) develop haemodialysis nurse sensitive indicators (HD-NSIs), ii) create an audit tool to measure these indicators; and iii) test the validity and feasibility of measuring the quality of HD nursing care.
Method:
Study 1 used a Delphi iterative research process to attain consensus from an expert panel. Study 2 tested the validity of the McIntyre Audit Tool (MAT). A panel of (n=13) nurses participated in two focus groups. Nurses (n=10) then rated each item, and the overall scale level content. Testing feasibility involved nurses (n=30) completing the MAT for each shift they worked over a period of 1 week, followed by a short questionnaire.
Results:
Study one identified 26 HD-NSIs, study 2 reduced these to 20. The MAT demonstrated excellent scale-content validity index average of 0.92. During study 3, 97 audits were completed, and most nurses completed this within 5 minutes (79%). Furthermore, the MAT was easy to complete (91.7%), could be conducted during a normal shift (83.3%), and nurses would complete audits (79.2%).
Conclusion:
It is feasible to evaluate the quality of nursing care using HD-NSIs. Each unit can establish internal benchmarks to improve the quality of care provided to patients by monitoring MAT scores. Furthermore, it assists with demonstrating the staffing levels needs to achieve quality outcomes. Lastly, local, and national benchmarking could be possible to promote improved practice.
Abstract
Aim:
This multi-phase study sought to: i) develop haemodialysis nurse sensitive indicators (HD-NSIs), ii) create an audit tool to measure these indicators; and iii) test the validity and feasibility of measuring the quality of HD nursing care.
Method:
Study 1 used a Delphi iterative research process to attain consensus from an expert panel. Study 2 tested the validity of the McIntyre Audit Tool (MAT). A panel of (n=13) nurses participated in two focus groups. Nurses (n=10) then rated each item, and the overall scale level content. Testing feasibility involved nurses (n=30) completing the MAT for each shift they worked over a period of 1 week, followed by a short questionnaire.
Results:
Study one identified 26 HD-NSIs, study 2 reduced these to 20. The MAT demonstrated excellent scale-content validity index average of 0.92. During study 3, 97 audits were completed, and most nurses completed this within 5 minutes (79%). Furthermore, the MAT was easy to complete (91.7%), could be conducted during a normal shift (83.3%), and nurses would complete audits (79.2%).
Conclusion:
It is feasible to evaluate the quality of nursing care using HD-NSIs. Each unit can establish internal benchmarks to improve the quality of care provided to patients by monitoring MAT scores. Furthermore, it assists with demonstrating the staffing levels needs to achieve quality outcomes. Lastly, local, and national benchmarking could be possible to promote improved practice.