 |
Development and Standardization of the Quality Indicators of Home Nursing for Aged with Lower Urinary Tract Dysfunction
Yuko Okamoto
※1
Ikuko Suzuki
※2
Shinobu Okada
※3
Kazuko Ishigaki
※3
Noriko Yamamoto-Mitani
※4
※1 Chiba University Graduate School of Nursing
※2 School of Nursing, Yamagata University Faculty of Medicine
※3 Chiba University School of Nursing
※4 Graduate School of Allied Health Sciences, Tokyo Medical and Dental University
The purpose of this study was to develop and standardize quality indicators（QIs） for the care of lower urinary tract dysfunction（LUTD） in home nursing for aged. First we developed the QIs based upon the literature review and expert panel consideration. Secondly, we conducted a national survey using the QIs in order to assess their applicability. Nurses were asked to answer each QI based on their clinical experiences. As a result, 31 QIs were developed. Indicators related to the assessment included assessing the symptoms of LUTD, activies of daily living, family/caregiver situation, etc. Indicators related to intervention included general care, specific care, care when a urinary catheter is used, etc. There were also indicators related to follow-up. In the national survey, 375（28.2%） out of 1330 nurses who received the QIs responded. There were only a few “no answers.” The average score was 26.3（SD＝4.1）. Seventy-three（19.5%） nurses yielded a perfect score. The score was moderately but not significantly related to the length of career as a home nurse（0.20 ; p＜0.01）, the length of career as a nurse（0.16 ; p＜0.01）, and age（0.12 ; p＜0.05）. Approximately 40% of nurses reported that many of the QIs were difficult to achieve due to lack of time or knowledge. On the other hand, 68.0% of nurses reported that many QIs were easy and common in their practice. The majority 80.2% of nurses reported that the QIs covered major important aspects of clinical practice. Most nurses stated that overall the QIs were very applicable. The association between QI score and the age and the length of career as a nurse might show certain aspects of validity of the QIs. The association between QI score and the length of career as a home nurse might also reflect their validity in a home nursing. Further research is necessary to assess the utility of the QIs.
|
|
|
|
|
|
