Het inzichtelijk maken van verpleegkundige zorg

Summary

Creating a clear picture of nursing care
Renate Kieft

AIM: To obtain a proper picture of how the quality of nursing care can be made clear.
METHOD: The majority of the studies are qualitative, descriptive and exploratory in nature.
FINDINGS: Nurses’ work environments seem to focus on control and productivity. Working on quality of care seems to be insufficiently integrated into the work environment. The methodological quality of the indicators can be improved. Accordingly, quantifying the unique contribution of nursing care to outcomes of care is a challenge for the nursing profession. However, nurses feel they have enormous influence on patient problems in some of the investigated categories. These patient problems are defined as a core set of 119 patient problems and are mapped to related concepts of three classifications. The aim was to create a scientific foundation for the recording of unambiguous patient problems.
CONCLUSION: Documenting scientifically supported nursing-sensitive indicators is a challenge for the nursing profession. Furthermore, nurses rarely get feedback on the results of measurements of patients’ experiences. If nurses monitor the quality of their care and the quality improvements, then the work environment must take this into consideration. Furthermore, a scientific foundation for a futureproof nursing information model has been created for nurses in the Netherlands.

Keywords: Nurses, quality indicator, SNOMED CT, work environment