Background: Nursing plays a critical role in enabling care in the community, but there is no consensus on how to quantify public health nurses’ contributions to care and how to measure what they do to offer high-quality, safe care. With the goal of creating quality care process measurements for public health nursing care, as well as respective indicators that could quantify their distinctive and multidimensional contribution to care, a modified Delphi approach with an expert panel was devised. A four-round survey of 218 nurses, face-to-face discussions with a patient representative and key stakeholder holders within public health nursing services, and a final consensus conference with a panel of 29 expert nurses in the community were all part of this modified Delphi study. Results: Delphi rounds 1-4 resulted in a consensus on fourteen quality care process nursing metrics and sixty-nine associated indicators for the community care context, incorporating expert panellists’ ideas. Despite the Delphi rounds’ critical evaluation, at the final consensus meeting, in-depth discussions were held on all proposed measures and indicators. Conclusion: Using a modified Delphi technique, this research explains the development of a set of 14 quality care measures linked with a set of 69 comparable indicators via the lens of public health nursing. The next step is to put these quality care process indicators in place so that public health nurses’ distinctive and multifaceted contribution to patient-centered care can be measured in the community.
Author (s) Details
Professor L. O’Connor
UCD School of Nursing Midwifery and Health Systems, University College Dublin, Ireland.
Professor E. McAuliffe
UCD School of Nursing Midwifery and Health Systems, University College Dublin, Ireland
M. Casey
UCD School of Nursing Midwifery and Health Systems, University College Dublin, Ireland.
Dr. L. Rogers
UCD School of Nursing Midwifery and Health Systems, University College Dublin, Ireland.
Dr. A. Gallen
Nursing and Midwifery Planning Development Unit, National Lead for Nursing and Midwifery Quality Care Metrics Project, Health Service Executive, Ireland.
Professor M. E. Glasgow
School of Nursing, Duquesne University, Pittsburgh, USA.
Dr. C. White
Dublin City University, Ireland.
Ms. C. Buckley Nursing and Midwifery Planning Development Unit, HSE South, Cork, Ireland.
Dr. M. Giltenan
National University of Ireland, Galway, Ireland.
Dr. A. Lane
NMPDU Officer Health Service Executive, Ireland.
Ms. M. Barnard
UCD School of Nursing Midwifery and Health Systems, University College Dublin, Ireland.
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