Table 2.
Results of the modified Delphi exercise to identify the most practice sensitive quality indicators *
| Quality indicator | Rank order of practice sensitive QIs † |
Number of times quality indicator chosen as
most
practice sensitive to nursing care, physician care, or policy
*
|
|||
|---|---|---|---|---|---|
| Nursing care n (%) | Physician care n (%) | Policy maker n (%) | Total ‡ | ||
|
Pressure ulcer |
1 |
13 (81) |
1 (1) |
2 (13) |
16 |
|
Worsening pain |
2 |
11 (69) |
4 (25) |
1 (1) |
16 |
|
Physical restraint use |
3.5 |
10 (63)± |
3 (19) |
7 (44) |
20 |
|
Antipsychotic use without psychosis |
3.5 |
5 (31) |
13 (81) |
3 (19) |
21 |
|
Indwelling catheter |
5 |
4 (25) |
10 (63) |
1 (1) |
15 |
|
Delirium |
6 |
4 (25) |
9 (56) |
0 |
13 |
|
Declining behavioral symptoms |
7 |
11 (69) |
1 (1) |
0 |
12 |
|
Urinary tract infections |
8.5 |
10 (63) |
2 (13) |
2 (13) |
14 |
|
Late loss ADL decline |
8.5 |
12 (75) |
0 |
0 |
12 |
|
Fallen last 30 days |
10 |
8 (50) |
2 (13) |
2 (13) |
12 |
|
Feeding tube |
11 |
2 (13) |
12 (75) |
4 (25) |
18 |
|
Decline in mood |
12.5 |
6 (38) |
2 (13) |
1(1) |
9 |
| Unexplained weight loss | 12.5 | 8 (50) | 2 (13) | 0 | 10 |
ADL, activities of daily living; QI, quality indicator.
*Rater sample size = 16 (Physicians = 4; Nurses = 8, Decision/Policy makers = 4).
† Where ties occurred during ranking process, the rank values are represented in decimal place form.
‡ Total counts of number of times QIs are seen as most practice sensitive can exceed the total sample size due to double rating.
±For example, physical restraint use was ranked most sensitive to nursing care by 10/16 raters, to physician care by 3/16 and policy makers by 7/16.
The bold numbers identify the indicators that are either sensitive to Nursing Care, Physician care, or Policy makers.