TY - JOUR
T1 - Ambulatory Care Nurse-Sensitive Indicators
T2 - A Scoping Review of the Literature 2006-2021
AU - Siaki, Leilani A.
AU - Siaki, Leilani A.
AU - Patrician, Patricia A.
AU - Loan, Lori A.
AU - Matlock, Ann Marie
AU - Start, Rachel E.
AU - Gardner, Cubby L.
AU - McCarthy, Mary S.
N1 - Publisher Copyright:
© 2022 Wolters Kluwer Health, Inc. All rights reserved.
PY - 2023/1/1
Y1 - 2023/1/1
N2 - Background/Purpose: Meeting recommendations that nurses should partner in leading health care change is hampered by the lack of ambulatory care nurse-sensitive indicators (ACNSIs). This scoping review was conducted to identify evidence regarding ACNSI identification, development, implementation, and benchmarking. Methods: Following the PRISMA-ScR reporting guide, we performed PubMed/MEDLINE, CINAHL, and Cochrane Library searches for the period January 2006 to March 2021. Results: Twelve of the 1984 articles from 6 countries met inclusion criteria. All focused on identifying, developing/pilot testing indicators, and included structure, process, and outcome indicators. Seven articles were level II and all were at least grade B quality. Leverage points involved leadership support, automated data extraction infrastructure, and validating links between nurses' roles/actions and patient outcomes. Conclusions: While high-quality work is ongoing to identify clinically meaningful and feasible ACNSIs, knowledge in this field remains underdeveloped. Prioritizing this work is imperative to address gaps and facilitate national strategic health care goals.
AB - Background/Purpose: Meeting recommendations that nurses should partner in leading health care change is hampered by the lack of ambulatory care nurse-sensitive indicators (ACNSIs). This scoping review was conducted to identify evidence regarding ACNSI identification, development, implementation, and benchmarking. Methods: Following the PRISMA-ScR reporting guide, we performed PubMed/MEDLINE, CINAHL, and Cochrane Library searches for the period January 2006 to March 2021. Results: Twelve of the 1984 articles from 6 countries met inclusion criteria. All focused on identifying, developing/pilot testing indicators, and included structure, process, and outcome indicators. Seven articles were level II and all were at least grade B quality. Leverage points involved leadership support, automated data extraction infrastructure, and validating links between nurses' roles/actions and patient outcomes. Conclusions: While high-quality work is ongoing to identify clinically meaningful and feasible ACNSIs, knowledge in this field remains underdeveloped. Prioritizing this work is imperative to address gaps and facilitate national strategic health care goals.
KW - ambulatory care
KW - nurse-sensitive indicators
KW - quality indicators
KW - scoping review
UR - http://www.scopus.com/inward/record.url?scp=85142403490&partnerID=8YFLogxK
U2 - 10.1097/NCQ.0000000000000660
DO - 10.1097/NCQ.0000000000000660
M3 - Article
C2 - 36166653
AN - SCOPUS:85142403490
SN - 1057-3631
VL - 38
SP - 76
EP - 81
JO - Journal of Nursing Care Quality
JF - Journal of Nursing Care Quality
IS - 1
ER -