Evaluating the impact of nursing and midwifery sensitive clinical quality indicators on practice

Citation

Smith A, Shepherd A, Jessiman WC & Scott J (2010) Evaluating the impact of nursing and midwifery sensitive clinical quality indicators on practice. NHS Highland.

Abstract
This narrative literature review aimed to examine the literature that identified clinical quality indicators (CQIs) in nursing and midwifery and that also measured the impact of nursing and midwifery practice on CQI implementation and outcome. Specifically, the review objectives were to: (a) examine the evidence that reviewed how quality indicators are being used to influence care delivered by nursing and midwifery practitioners, and (b) from the evidence reviewed, identify the quality indicators that are most readily applied to nursing and midwifery practice in NHS Highland. Nurse and midwifery sensitive CQIs are quantitative measures which reflect professional care standards that monitor and evaluate particular aspects of care for which nurses and midwives have key responsibility. This narrative literature review considered the nurse and midwifery CQIs that have been implemented in NHS Scotland and identified themes from these indicators which reflect the nurse or midwives' distinct professional contribution to CQI outcomes. Additionally, factors have been identified that have been shown to support successful implementation of nurse and midwife sensitive CQIs into clinical practice.

Keywords
Nursing and midwifery; Sensitive clinical quality; Clinical quality indicators; Nursing metrics; Patient safety; Nurse or midwifery led indicators; Indicators; Pressure sores; Falls; food; Fluid and nutrition

People

Mrs Julia Scott

Senior Teaching Fellow, Health Sciences Stirling

Professor Ashley Shepherd

Professor, Health Sciences Stirling

Dr Annetta Smith

Senior Lecturer, Health Sciences (Highland & W.Isles)