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, 王衛, 夏志鵬, 等. 日間手術全程管理模式探索及實踐. 中國醫院, 2023, 27(8): 99-101.
2.	李小芳, 姚麗, 蔡鵬, 等. 基于 Donabedian 模型的護理敏感質量指標研究的系統評價. 護理研究, 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.	崔金銳, 陳英. 護理敏感性質量指標研究進展. 護理學雜志, 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.	張華芳, 黃麗華. 護理質量敏感性指標的研究進展. 中華護理雜志, 2014, 49(8): 991-993.
7.	馬旭東, 王建偉, 張超黎, 等. 我國單病種質量管理工作回顧及思考. 中國衛生質量管理, 2022, 29(7): 前插 1, 1-4.
8.	楊思思, 梁偉鳳, 黃秋鴻, 等. 基于 Delphi 法構建髖關節置換術單病種護理敏感指標. 重慶醫學, 2023, 52(17): 2700-2705.
9.	王寧, 呂琳, 耿晨, 等. 傷口造口專科護理敏感質量指標研究進展及改進策略. 護理學報, 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.	張雨晨, 戴燕, 宋應寒. 日間手術護理質量敏感指標體系的構建. 華西醫學, 2021, 36(2): 220-224.
12.	柳玉林, 曲華, 杜金庫, 等. 老年性白內障日間手術手術室護理質量指標的構建. 天津護理, 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.	應波, 張曉雪, 陳麗鷗, 等. 日間手術護理質量客觀評價指標體系的構建. 護士進修雜志, 2022, 37(12): 1070-1074.
19.	胡燕華. 基于三維質量結構模式構建日間手術中心護理質量評價指標體系. 南充: 川北醫學院, 2021.
20.	嚴喆, 張要雄, 朱建萍, 等. 日間手術中心護理質量評價指標體系的構建. 中國實用護理雜志, 2019, 35(32): 2509-2513.
21.	Shnaider I, Chung F. Outcomes in day surgery. Curr Opin Anaesthesiol, 2006, 19(6): 622-629.
22.	國際日間手術學會. 日間手術發展與實踐. 中國日間手術合作聯盟, 譯. 北京: 北京人民衛生出版社, 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.	蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
28.	成月佳, 沈兵, 李群, 等. 基于加速康復外科的市級醫院日間手術評價指標體系研究. 華西醫學, 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.	張夢林. 吞咽障礙患者護理質量敏感指標的構建和應用評價研究. 武漢: 長江大學, 2022.
42.	丁慧, 宋瑰琦, 朱艷, 等. 我國護理質量敏感指標研究的文獻計量學分析. 中國衛生質量管理, 2022, 29(2): 55-59.

1. 夏萍, 王衛, 夏志鵬, 等. 日間手術全程管理模式探索及實踐. 中國醫院, 2023, 27(8): 99-101.
2. 李小芳, 姚麗, 蔡鵬, 等. 基于 Donabedian 模型的護理敏感質量指標研究的系統評價. 護理研究, 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. 崔金銳, 陳英. 護理敏感性質量指標研究進展. 護理學雜志, 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. 張華芳, 黃麗華. 護理質量敏感性指標的研究進展. 中華護理雜志, 2014, 49(8): 991-993.
7. 馬旭東, 王建偉, 張超黎, 等. 我國單病種質量管理工作回顧及思考. 中國衛生質量管理, 2022, 29(7): 前插 1, 1-4.
8. 楊思思, 梁偉鳳, 黃秋鴻, 等. 基于 Delphi 法構建髖關節置換術單病種護理敏感指標. 重慶醫學, 2023, 52(17): 2700-2705.
9. 王寧, 呂琳, 耿晨, 等. 傷口造口專科護理敏感質量指標研究進展及改進策略. 護理學報, 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. 張雨晨, 戴燕, 宋應寒. 日間手術護理質量敏感指標體系的構建. 華西醫學, 2021, 36(2): 220-224.
12. 柳玉林, 曲華, 杜金庫, 等. 老年性白內障日間手術手術室護理質量指標的構建. 天津護理, 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. 應波, 張曉雪, 陳麗鷗, 等. 日間手術護理質量客觀評價指標體系的構建. 護士進修雜志, 2022, 37(12): 1070-1074.
19. 胡燕華. 基于三維質量結構模式構建日間手術中心護理質量評價指標體系. 南充: 川北醫學院, 2021.
20. 嚴喆, 張要雄, 朱建萍, 等. 日間手術中心護理質量評價指標體系的構建. 中國實用護理雜志, 2019, 35(32): 2509-2513.
21. Shnaider I, Chung F. Outcomes in day surgery. Curr Opin Anaesthesiol, 2006, 19(6): 622-629.
22. 國際日間手術學會. 日間手術發展與實踐. 中國日間手術合作聯盟, 譯. 北京: 北京人民衛生出版社, 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. 蔣麗莎, 馬洪升. 日間手術評價與監控指標初探. 華西醫學, 2019, 34(2): 202-205.
28. 成月佳, 沈兵, 李群, 等. 基于加速康復外科的市級醫院日間手術評價指標體系研究. 華西醫學, 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. 張夢林. 吞咽障礙患者護理質量敏感指標的構建和應用評價研究. 武漢: 長江大學, 2022.
42. 丁慧, 宋瑰琦, 朱艷, 等. 我國護理質量敏感指標研究的文獻計量學分析. 中國衛生質量管理, 2022, 29(2): 55-59.

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