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Measurement of Quality of Nursing Practice in Congenital Cardiac Care

2016; American Association of Critical-Care Nurses; Volume: 25; Issue: 2 Linguagem: Inglês

10.4037/ajcc2016708

1937-710X

Jean A. Connor, Sandra Mott, Aurora E. Green, Carol Larson, Patricia A. Hickey,

Patient Satisfaction in Healthcare

Pediatric Critical Care| March 01 2016 Measurement of Quality of Nursing Practice in Congenital Cardiac Care Jean Anne Connor, RN, PhD, CPNP; Jean Anne Connor, RN, PhD, CPNP Jean Anne Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, and clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sandra Mott is a nurse scientist research consultant, Boston Children's Hospital. Angela Green is vice president of performance improvement, Arkansas Children's Hospital, Little Rock, Arkansas. Carol Larson is a quality improvement consultant, Department of Cardiology, Boston Children's Hospital. Patricia Hickey is vice president, Cardiovascular and Critical Care Services, associate chief nursing officer, Department of Nursing Patient Services, Boston Children's Hospital, and assistant professor of pediatrics, Harvard Medical School. Corresponding author: Jean Anne Connor, rn, phd, cpnp, Farley 135.7, Boston Children's Hospital, 300 Longwood Ave, Boston, MA 02115 (e-mail: jean.connor@cardio.chboston.org). Search for other works by this author on: This Site PubMed Google Scholar Sandra Mott, RN, PhD; Sandra Mott, RN, PhD Jean Anne Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, and clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sandra Mott is a nurse scientist research consultant, Boston Children's Hospital. Angela Green is vice president of performance improvement, Arkansas Children's Hospital, Little Rock, Arkansas. Carol Larson is a quality improvement consultant, Department of Cardiology, Boston Children's Hospital. Patricia Hickey is vice president, Cardiovascular and Critical Care Services, associate chief nursing officer, Department of Nursing Patient Services, Boston Children's Hospital, and assistant professor of pediatrics, Harvard Medical School. Search for other works by this author on: This Site PubMed Google Scholar Angela Green, PhD, APN; Angela Green, PhD, APN Jean Anne Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, and clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sandra Mott is a nurse scientist research consultant, Boston Children's Hospital. Angela Green is vice president of performance improvement, Arkansas Children's Hospital, Little Rock, Arkansas. Carol Larson is a quality improvement consultant, Department of Cardiology, Boston Children's Hospital. Patricia Hickey is vice president, Cardiovascular and Critical Care Services, associate chief nursing officer, Department of Nursing Patient Services, Boston Children's Hospital, and assistant professor of pediatrics, Harvard Medical School. Search for other works by this author on: This Site PubMed Google Scholar Carol Larson, MPH; Carol Larson, MPH Jean Anne Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, and clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sandra Mott is a nurse scientist research consultant, Boston Children's Hospital. Angela Green is vice president of performance improvement, Arkansas Children's Hospital, Little Rock, Arkansas. Carol Larson is a quality improvement consultant, Department of Cardiology, Boston Children's Hospital. Patricia Hickey is vice president, Cardiovascular and Critical Care Services, associate chief nursing officer, Department of Nursing Patient Services, Boston Children's Hospital, and assistant professor of pediatrics, Harvard Medical School. Search for other works by this author on: This Site PubMed Google Scholar Patricia Hickey, RN, MBA, PhD Patricia Hickey, RN, MBA, PhD Jean Anne Connor is director of nursing research, Cardiovascular and Critical Care Services, Department of Nursing Patient Services, Boston Children's Hospital, Boston, Massachusetts, and clinical instructor of pediatrics, Harvard Medical School, Boston, Massachusetts. Sandra Mott is a nurse scientist research consultant, Boston Children's Hospital. Angela Green is vice president of performance improvement, Arkansas Children's Hospital, Little Rock, Arkansas. Carol Larson is a quality improvement consultant, Department of Cardiology, Boston Children's Hospital. Patricia Hickey is vice president, Cardiovascular and Critical Care Services, associate chief nursing officer, Department of Nursing Patient Services, Boston Children's Hospital, and assistant professor of pediatrics, Harvard Medical School. Search for other works by this author on: This Site PubMed Google Scholar Am J Crit Care (2016) 25 (2): 128–135. https://doi.org/10.4037/ajcc2016708 Views Icon Views Article contents Figures & tables Video Audio Supplementary Data Share Icon Share Facebook Twitter LinkedIn Email Tools Icon Tools Cite Icon Cite Get Permissions Citation Jean Anne Connor, Sandra Mott, Angela Green, Carol Larson, Patricia Hickey; Measurement of Quality of Nursing Practice in Congenital Cardiac Care. Am J Crit Care 1 March 2016; 25 (2): 128–135. doi: https://doi.org/10.4037/ajcc2016708 Download citation file: Ris (Zotero) Reference Manager EasyBib Bookends Mendeley Papers EndNote RefWorks BibTex toolbar search Search nav search search input Search input auto suggest search filter All ContentAmerican Journal of Critical Care Search Advanced Search BackgroundThe impact of nursing care on patients' outcomes has been demonstrated in adult and pediatric settings. However, limited attention has been given to standardized measurement of pediatric nursing care. A collaborative group, the Consortium for Congenital Cardiac Care Measurement of Nursing Practice, was formed to address this gap. The purpose of this study was to assess the current state of measurement of the quality of pediatric cardiovascular nursing in freestanding children's hospitals across the United States.MethodsA qualitative descriptive design was used to assess the state of measurement of nursing care from the perspective of experts in pediatric cardiovascular nursing. Nurse leaders from 20 sites participated in audiotaped phone interviews. The data were analyzed by using conventional content analysis.ResultsEach level of data coding was increasingly comprehensive. Guided by Donabedian's quality framework of structure, process, and outcome, 2 encompassing patterns emerged: (1) structure and process of health care delivery and (2) structure and process of evaluation of care. Similarities in the structure of health care delivery included program expansion and subsequent hiring of nurses with a bachelor of science in nursing and experienced nurses to provide safety and optimal outcomes for patients. Programs varied in how they evaluated care in terms of structure, measurement, collection and dissemination of data.ConclusionExternal factors and response to internal processes of health care delivery were similar in different programs; evaluation was more varied. Seven opportunities for measurement that address both structure and process of nursing care were identified to be developed as benchmarks. ©2016 American Association of Critical-Care Nurses2016 You do not currently have access to this content.