Nurse-sensitive outcomes in district nursing care: A Delphi study

To determine nurse-sensitive outcomes in district nursing care for community-living older people. Nurse-sensitive outcomes are defined as patient outcomes that are relevant based on nurses' scope and domain of practice and that are influenced by nursing inputs and interventions. A Delphi study...

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Bibliographic Details
Published in:PloS one 2021-05, Vol.16 (5), p.e0251546-e0251546
Main Authors: Veldhuizen, Jessica D, van den Bulck, Anne O E, Elissen, Arianne M J, Mikkers, Misja C, Schuurmans, Marieke J, Bleijenberg, Nienke
Format: Article
Language:English
Subjects:
Activities of Daily Living
Adult
Aged
Aged patients
Aging
Care and treatment
Chronic illnesses
Clinical outcomes
Complexity
Delphi method
Delphi Technique
Female
Grey literature
Health care
Health services
Humans
Independent Living
Indicators
Life sciences
Male
Medical research
Medicine and Health Sciences
Middle Aged
Netherlands
Nurses
Nursing
Nursing Care
Older people
Patient outcomes
People and Places
Population
Primary care
Professionals
Public health
Quality of Health Care
Questionnaires
Research and Analysis Methods
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Summary:To determine nurse-sensitive outcomes in district nursing care for community-living older people. Nurse-sensitive outcomes are defined as patient outcomes that are relevant based on nurses' scope and domain of practice and that are influenced by nursing inputs and interventions. A Delphi study following the RAND/UCLA Appropriateness Method with two rounds of data collection. District nursing care in the community care setting in the Netherlands. Experts with current or recent clinical experience as district nurses as well as expertise in research, teaching, practice, or policy in the area of district nursing. Experts assessed potential nurse-sensitive outcomes for their sensitivity to nursing care by scoring the relevance of each outcome and the ability of the outcome to be influenced by nursing care (influenceability). The relevance and influenceability of each outcome were scored on a nine-point Likert scale. A group median of 7 to 9 indicated that the outcome was assessed as relevant and/or influenceable. To measure agreement among experts, the disagreement index was used, with a score of
ISSN:1932-6203
1932-6203
DOI:10.1371/journal.pone.0251546