Qiuyue W
Sichuan University, China
Scientific Tracks Abstracts: Adv Practice Nurs
Statement of the Problem: Nursing Sensitive Indicators (NSI) are the basic elements for scientifically and effectively evaluating
and improving the quality of care and play a guiding role in nursing management. In recent years, based on the experience of
foreign NSI constructed, the construction of China's localized NSI has been initially explored.
Aim: The objective of this study is to summarize and analyze the universal NSI constructed in China and provide reference for
the development and improvement of the national NSI.
Method and Findings: Review literature. The Delphi method, in conjunction with literature review or evidence-based methods
are widely used to construct the indicators and theoretically based on the Donabedianâ??s structure- process-outcome model.
The sets of universal NSI having been constructed in China mainly include 13 to 20 indicators. Among these indicators,
the following nine indicators are widely used: Nurse-to-patient ratio, nursing staff qualification ratio, patient identification
accuracy, the implementation rate of grading nursing, the incidence of pressure ulcer, the incidence of falls, the incidence of
medication error, patient satisfaction and nurse satisfaction. The sets of indicators, however, differ greatly in the number and
content, so that they have no universality and popularity across the country. In addition, the definition of some indicators
is inconsistent or uncertain and the calculation formulas and data collection methods are not unified, resulting in the poor
operability and practicability.
Conclusion & Significance: The universal NSI in China are still immature and the research of assessing nursing quality is
still in the preliminary exploration period. Recommendations based on the analysis of the literatures include conducting indepth
and extensive research to revise and improve NSI, building the national database of nursing quality indicators of China,
selecting certain pilot hospital to practice and finally extending the indicators nationwide.
Qiuyue W is currently pursuing her Postgraduate degree in West China Hospital of Sichuan University, majoring in Nursing Management.
E-mail: tjwuqiuyue0825@163.com
Journal of Advanced Practices in Nursing received 410 citations as per Google Scholar report
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