Integrating Key Nursing Measures into a Comprehensive Healthcare Performance Management System: A Tuscan Experience

• Published in: International journal of environmental research and public health Vol. 19; no. 3; p. 1373
• Main Authors: Barchielli, Chiara, Rafferty, Anne Marie, Vainieri, Milena
• Format: Journal Article
• Language: English
• Published: Switzerland MDPI AG 26.01.2022; MDPI
• Subjects: Accountability; Climatic data; Comprehensive Health Care; Delivery of Health Care; Design; Focus Groups; Health care; Health services; Humans; Nurses; Nursing; Nursing care; Organizational aspects; Pandemics; Patient Reported Outcome Measures; Patients; Performance evaluation; Performance management; Population; Public sector; Qualitative research; Workforce planning; Italy; evaluation; safety; focus group; integration; nursing; consensus process; quality
• ISSN: 1660-4601; 1661-7827; 1660-4601
• DOI: 10.3390/ijerph19031373

This paper addresses the evaluation of nursing quality and safety beyond nursing tasks in specific healthcare settings and sets it in a context that conveys the sense of complexity and multifaceted nature of the contribution that nursing makes to the whole system. The paper describes research conducted in Tuscany during 2019 involving regional managers and heads of nursing departments. This research has led to the development of an integrated evaluation framework through focus groups and consensus process with the latter, which includes Performance Organizational climate data, Patient-Reported Experience Measures (PREMs), and Patient-Reported Outcome Measures (PROMs). This integrated framework aims at both making sense of extant measures as key performance indicators shared among different professionals while recognizing the important role of nursing care by adding specific measures and can be seen as a tool that boosts the sense of "teamness" in healthcare.