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Nursing Quality Indicators in Emergency Nursing: A Scoping Review

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J Nurs Care Qual. 2024 Jul 4. doi: 10.1097/NCQ.0000000000000790. Online ahead of print.

ABSTRACT

BACKGROUND: Nursing quality indicators (NQIs) are essential for evaluating and managing care, yet few validated NQIs exist for emergency nursing. The dynamic nature of this field demands specific, validated indicators.

PURPOSE: The purpose of this review was to identify NQIs in adult emergency nursing using Donabedian’s quality categories (structure, process, outcome) and explore their validation.

METHODS: A scoping review was conducted including articles from 2010 to February 2023, using the Cumulative Index to Nursing and Allied Health Literature and Medline (Ovid) databases.

RESULTS: Among 936 screened articles, 18 were included, identifying 85 NQIs across structure (n = 14), process (n = 45), and outcome (n = 26) in emergency nursing. However, the validation of these NQIs was limited.

CONCLUSIONS: NQIs evaluate emergency nursing quality, primarily in process assessment. Future work should validate the NQIs identified in this review for adult emergency nursing and search for potential new ones.

PMID:39024652 | DOI:10.1097/NCQ.0000000000000790

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