Research progress on nursing quality sensitive indicators for day surgery_West China Medical Journal

Authors：

LI Caili , ZHANG Ying , JI Hongmiao , DAI Yan ,  HUANG Mingjun

Day Surgery Center, General Practice Medical Center, West China Hospital, Sichuan University / West China School of Nursing, Sichuan University, Chengdu, Sichuan 610041, P. R. China;

Corresponding author：

HUANG Mingjun, Email: hmj123123@126.com

Keywords：

Day surgery; nursing quality; sensitive indicator

DOI：

10.7507/1002-0179.202311148

Video：

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In the context of the burgeoning development of day surgery, the shortened hospital stay has led to a relative reduction in the professional care that patients receive. As a result, more stringent requirements for nursing quality management have emerged. Scientific and objective sensitive indicators can provide quantitative standards for monitoring and evaluating nursing quality. This article comprehensively reviews the definition, classification, construction steps, and methods of nursing quality sensitive indicators. Additionally, it delves into the current status of the construction and application of such indicators for day surgery both at home and abroad. Those insights can offer a scientific foundation for the management of nursing quality in day surgery settings.

Citation： LI Caili, ZHANG Ying, JI Hongmiao, DAI Yan, HUANG Mingjun. Research progress on nursing quality sensitive indicators for day surgery. West China Medical Journal, 2025, 40(2): 300-304. doi: 10.7507/1002-0179.202311148 Copy

1.	夏萍, 王卫, 夏志鹏, 等. 日间手术全程管理模式探索及实践. 中国医院, 2023, 27(8): 99-101.
2.	李小芳, 姚丽, 蔡鹏, 等. 基于 Donabedian 模型的护理敏感质量指标研究的系统评价. 护理研究, 2024, 38(19): 3468-3478.
3.	Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs, 2014, 70(11): 2469-2482.
4.	崔金锐, 陈英. 护理敏感性质量指标研究进展. 护理学杂志, 2014, 29(12): 88-91.
5.	Oner B, Zengul FD, Oner N, et al. Nursing-sensitive indicators for nursing care: a systematic review (1997-2017). Nurs Open, 2021, 8(3): 1005-1022.
6.	张华芳, 黄丽华. 护理质量敏感性指标的研究进展. 中华护理杂志, 2014, 49(8): 991-993.
7.	马旭东, 王建伟, 张超黎, 等. 我国单病种质量管理工作回顾及思考. 中国卫生质量管理, 2022, 29(7): 前插 1, 1-4.
8.	杨思思, 梁伟凤, 黄秋鸿, 等. 基于 Delphi 法构建髋关节置换术单病种护理敏感指标. 重庆医学, 2023, 52(17): 2700-2705.
9.	王宁, 吕琳, 耿晨, 等. 伤口造口专科护理敏感质量指标研究进展及改进策略. 护理学报, 2021, 28(13): 19-24.
10.	Connington ME, Dupuis P. Unit based nursing quality assurance: a patient centered approach. J Healthc Qual, 1993: 1-15.
11.	张雨晨, 戴燕, 宋应寒. 日间手术护理质量敏感指标体系的构建. 华西医学, 2021, 36(2): 220-224.
12.	柳玉林, 曲华, 杜金库, 等. 老年性白内障日间手术手术室护理质量指标的构建. 天津护理, 2023, 31(2): 161-167.
13.	Grace SL, Poirier P, Norris CM, et al. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol, 2014, 30(8): 945-948.
14.	Shen Z, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
15.	Wu Q, Huang LH, Xing MY, et al. Establishing nursing-sensitive quality indicators for the operating room: a cross-sectional Delphi survey conducted in China. Aust Crit Care, 2017, 30(1): 44-52.
16.	Gao JL, Liu XM, Che WF, et al. Construction of nursing-sensitive quality indicators for haemodialysis using Delphi method. J Clin Nurs, 2018, 27(21/22): 3920-3930.
17.	Lee J, Ji ES. Development of an evaluation instrument for service quality in nursing homes. J Korean Acad Nurs, 2011, 41(4): 510-519.
18.	应波, 张晓雪, 陈丽鸥, 等. 日间手术护理质量客观评价指标体系的构建. 护士进修杂志, 2022, 37(12): 1070-1074.
19.	胡燕华. 基于三维质量结构模式构建日间手术中心护理质量评价指标体系. 南充: 川北医学院, 2021.
20.	严喆, 张要雄, 朱建萍, 等. 日间手术中心护理质量评价指标体系的构建. 中国实用护理杂志, 2019, 35(32): 2509-2513.
21.	Shnaider I, Chung F. Outcomes in day surgery. Curr Opin Anaesthesiol, 2006, 19(6): 622-629.
22.	国际日间手术学会. 日间手术发展与实践. 中国日间手术合作联盟, 译. 北京: 北京人民卫生出版社, 2016: 267-278.
23.	Griffin KF, Swan BA. Linking nursing workload and performance indicators in ambulatory care. Nurs Econ, 2006, 24(1): 41-44.
24.	Rapin J, D’Amour D, Dubois CA. Indicators for evaluating the performance and quality of care of ambulatory care nurses. Nurs Res Pract, 2015, 2015: 861239.
25.	Mastal M, Matlock AM, Start R. Ambulatory care nurse-sensitive indicators series: capturing the role of nursing in ambulatory care--the case for meaningful nurse-sensitive measurement. Nurs Econ, 2016, 34(2): 92-97.
26.	Siaki LA, Patrician PA, Loan LA, et al. Ambulatory care nurse-sensitive indicators: a scoping review of the literature 2006-2021. J Nurs Care Qual, 2023, 38(1): 76-81.
27.	蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
28.	成月佳, 沈兵, 李群, 等. 基于加速康复外科的市级医院日间手术评价指标体系研究. 华西医学, 2023, 38(2): 214-219.
29.	Armes J, Wagland R, Finnegan-John J, et al. Development and testing of the patient-reported chemotherapy indicators of symptoms and experience: patient-reported outcome and process indicators sensitive to the quality of nursing care in ambulatory chemotherapy settings. Cancer Nurs, 2014, 37(3): E52-E60.
30.	Vessey JA, McCrave J, Curro-Harrington C, et al. Enhancing care coordination through patient- and family-initiated telephone encounters: a quality improvement project. J Pediatr Nurs, 2015, 30(6): 915-923.
31.	Esposito EM, Rhodes CA, Besthoff CM, et al. Ambulatory care nurse-sensitive indicators series: patient engagement as a nurse-sensitive indicator in ambulatory care. Nurs Econ, 2016, 34(6): 303-306.
32.	Seabra PRC, Amendoeira JJP, Sá LO. Testing nursing sensitive outcomes in out-patient drug addicts, with “nursing role effectiveness model”. Issues Ment Health Nurs, 2018, 39(3): 200-207.
33.	Griffiths P, Richardson A, Blackwell R. Outcomes sensitive to nursing service quality in ambulatory cancer chemotherapy: systematic scoping review. Eur J Oncol Nurs, 2012, 16(3): 238-246.
34.	Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
35.	McCullough K, Andrew L, Genoni A, et al. An examination of primary health care nursing service evaluation using the Donabedian model: a systematic review. Res Nurs Health, 2023, 46(1): 159-176.
36.	Niesen CR, Frost K. Meaningful measurement in ambulatory care nursing. AAACN Viewp, 2019, 41(1): 11-12.
37.	Battaglia R, Start R, Morin M. Ambulatory care nurse-sensitive indicators series: starting with low-hanging fruit: proposing the adaptation of health care measures to the role of the nurse in ambulatory care. Nurs Econ, 2016, 34(4): 199-205.
38.	Card E, Zanville N. Minding the details: the importance of assessment accuracy and consistency in managing nursing-sensitive indicator interventions. HCA Healthc J Med, 2024, 5(5): 615-622.
39.	McEvoy L, Richter M, Chen T, et al. Frailty among older surgical patients and risk of hospital acquired adverse events: the South-Western Sydney frailty and nurse sensitive indicators study. J Clin Nurs, 2023, 32(3/4): 477-484.
40.	Waugh SM, Bergquist-Beringer S. Methods and processes used to collect pressure injury risk and prevention measures in the national database of nursing quality indicators^® (NDNQI^®). J Nurs Care Qual, 2020, 35(2): 182-188.
41.	张梦林. 吞咽障碍患者护理质量敏感指标的构建和应用评价研究. 武汉: 长江大学, 2022.
42.	丁慧, 宋瑰琦, 朱艳, 等. 我国护理质量敏感指标研究的文献计量学分析. 中国卫生质量管理, 2022, 29(2): 55-59.

1. 夏萍, 王卫, 夏志鹏, 等. 日间手术全程管理模式探索及实践. 中国医院, 2023, 27(8): 99-101.
2. 李小芳, 姚丽, 蔡鹏, 等. 基于 Donabedian 模型的护理敏感质量指标研究的系统评价. 护理研究, 2024, 38(19): 3468-3478.
3. Heslop L, Lu S, Xu X. Nursing-sensitive indicators: a concept analysis. J Adv Nurs, 2014, 70(11): 2469-2482.
4. 崔金锐, 陈英. 护理敏感性质量指标研究进展. 护理学杂志, 2014, 29(12): 88-91.
5. Oner B, Zengul FD, Oner N, et al. Nursing-sensitive indicators for nursing care: a systematic review (1997-2017). Nurs Open, 2021, 8(3): 1005-1022.
6. 张华芳, 黄丽华. 护理质量敏感性指标的研究进展. 中华护理杂志, 2014, 49(8): 991-993.
7. 马旭东, 王建伟, 张超黎, 等. 我国单病种质量管理工作回顾及思考. 中国卫生质量管理, 2022, 29(7): 前插 1, 1-4.
8. 杨思思, 梁伟凤, 黄秋鸿, 等. 基于 Delphi 法构建髋关节置换术单病种护理敏感指标. 重庆医学, 2023, 52(17): 2700-2705.
9. 王宁, 吕琳, 耿晨, 等. 伤口造口专科护理敏感质量指标研究进展及改进策略. 护理学报, 2021, 28(13): 19-24.
10. Connington ME, Dupuis P. Unit based nursing quality assurance: a patient centered approach. J Healthc Qual, 1993: 1-15.
11. 张雨晨, 戴燕, 宋应寒. 日间手术护理质量敏感指标体系的构建. 华西医学, 2021, 36(2): 220-224.
12. 柳玉林, 曲华, 杜金库, 等. 老年性白内障日间手术手术室护理质量指标的构建. 天津护理, 2023, 31(2): 161-167.
13. Grace SL, Poirier P, Norris CM, et al. Pan-Canadian development of cardiac rehabilitation and secondary prevention quality indicators. Can J Cardiol, 2014, 30(8): 945-948.
14. Shen Z, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
15. Wu Q, Huang LH, Xing MY, et al. Establishing nursing-sensitive quality indicators for the operating room: a cross-sectional Delphi survey conducted in China. Aust Crit Care, 2017, 30(1): 44-52.
16. Gao JL, Liu XM, Che WF, et al. Construction of nursing-sensitive quality indicators for haemodialysis using Delphi method. J Clin Nurs, 2018, 27(21/22): 3920-3930.
17. Lee J, Ji ES. Development of an evaluation instrument for service quality in nursing homes. J Korean Acad Nurs, 2011, 41(4): 510-519.
18. 应波, 张晓雪, 陈丽鸥, 等. 日间手术护理质量客观评价指标体系的构建. 护士进修杂志, 2022, 37(12): 1070-1074.
19. 胡燕华. 基于三维质量结构模式构建日间手术中心护理质量评价指标体系. 南充: 川北医学院, 2021.
20. 严喆, 张要雄, 朱建萍, 等. 日间手术中心护理质量评价指标体系的构建. 中国实用护理杂志, 2019, 35(32): 2509-2513.
21. Shnaider I, Chung F. Outcomes in day surgery. Curr Opin Anaesthesiol, 2006, 19(6): 622-629.
22. 国际日间手术学会. 日间手术发展与实践. 中国日间手术合作联盟, 译. 北京: 北京人民卫生出版社, 2016: 267-278.
23. Griffin KF, Swan BA. Linking nursing workload and performance indicators in ambulatory care. Nurs Econ, 2006, 24(1): 41-44.
24. Rapin J, D’Amour D, Dubois CA. Indicators for evaluating the performance and quality of care of ambulatory care nurses. Nurs Res Pract, 2015, 2015: 861239.
25. Mastal M, Matlock AM, Start R. Ambulatory care nurse-sensitive indicators series: capturing the role of nursing in ambulatory care--the case for meaningful nurse-sensitive measurement. Nurs Econ, 2016, 34(2): 92-97.
26. Siaki LA, Patrician PA, Loan LA, et al. Ambulatory care nurse-sensitive indicators: a scoping review of the literature 2006-2021. J Nurs Care Qual, 2023, 38(1): 76-81.
27. 蒋丽莎, 马洪升. 日间手术评价与监控指标初探. 华西医学, 2019, 34(2): 202-205.
28. 成月佳, 沈兵, 李群, 等. 基于加速康复外科的市级医院日间手术评价指标体系研究. 华西医学, 2023, 38(2): 214-219.
29. Armes J, Wagland R, Finnegan-John J, et al. Development and testing of the patient-reported chemotherapy indicators of symptoms and experience: patient-reported outcome and process indicators sensitive to the quality of nursing care in ambulatory chemotherapy settings. Cancer Nurs, 2014, 37(3): E52-E60.
30. Vessey JA, McCrave J, Curro-Harrington C, et al. Enhancing care coordination through patient- and family-initiated telephone encounters: a quality improvement project. J Pediatr Nurs, 2015, 30(6): 915-923.
31. Esposito EM, Rhodes CA, Besthoff CM, et al. Ambulatory care nurse-sensitive indicators series: patient engagement as a nurse-sensitive indicator in ambulatory care. Nurs Econ, 2016, 34(6): 303-306.
32. Seabra PRC, Amendoeira JJP, Sá LO. Testing nursing sensitive outcomes in out-patient drug addicts, with “nursing role effectiveness model”. Issues Ment Health Nurs, 2018, 39(3): 200-207.
33. Griffiths P, Richardson A, Blackwell R. Outcomes sensitive to nursing service quality in ambulatory cancer chemotherapy: systematic scoping review. Eur J Oncol Nurs, 2012, 16(3): 238-246.
34. Bailey CR, Ahuja M, Bartholomew K, et al. Guidelines for day-case surgery 2019: guidelines from the Association of Anaesthetists and the British Association of Day Surgery. Anaesthesia, 2019, 74(6): 778-792.
35. McCullough K, Andrew L, Genoni A, et al. An examination of primary health care nursing service evaluation using the Donabedian model: a systematic review. Res Nurs Health, 2023, 46(1): 159-176.
36. Niesen CR, Frost K. Meaningful measurement in ambulatory care nursing. AAACN Viewp, 2019, 41(1): 11-12.
37. Battaglia R, Start R, Morin M. Ambulatory care nurse-sensitive indicators series: starting with low-hanging fruit: proposing the adaptation of health care measures to the role of the nurse in ambulatory care. Nurs Econ, 2016, 34(4): 199-205.
38. Card E, Zanville N. Minding the details: the importance of assessment accuracy and consistency in managing nursing-sensitive indicator interventions. HCA Healthc J Med, 2024, 5(5): 615-622.
39. McEvoy L, Richter M, Chen T, et al. Frailty among older surgical patients and risk of hospital acquired adverse events: the South-Western Sydney frailty and nurse sensitive indicators study. J Clin Nurs, 2023, 32(3/4): 477-484.
40. Waugh SM, Bergquist-Beringer S. Methods and processes used to collect pressure injury risk and prevention measures in the national database of nursing quality indicators^® (NDNQI^®). J Nurs Care Qual, 2020, 35(2): 182-188.
41. 张梦林. 吞咽障碍患者护理质量敏感指标的构建和应用评价研究. 武汉: 长江大学, 2022.
42. 丁慧, 宋瑰琦, 朱艳, 等. 我国护理质量敏感指标研究的文献计量学分析. 中国卫生质量管理, 2022, 29(2): 55-59.

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