Nursing-Sensitive Outcomes among Patients Cared for in Paediatric Intensive Care Units: A Scoping Review
Measuring the effectiveness of nursing interventions in intensive care units has been established as a priority. However, little is reported about the paediatric population. The aims of this study were (a) to map the state of the art of the science in the field of nursing-sensitive outcomes (NSOs) i...
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| Published in: | International journal of environmental research and public health Vol. 18; no. 18; p. 9507 |
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| Format: | Journal Article |
| Language: | English |
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| Abstract | Measuring the effectiveness of nursing interventions in intensive care units has been established as a priority. However, little is reported about the paediatric population. The aims of this study were (a) to map the state of the art of the science in the field of nursing-sensitive outcomes (NSOs) in paediatric intensive care units (PICUs) and (b) to identify all reported NSOs documented to date in PICUs by also describing their metrics. A scoping review was conducted by following the framework proposed by Arksey and O’Malley. Fifty-eight articles were included. Publications were mainly authored in the United States and Canada (n = 28, 48.3%), and the majority (n = 30, 51.7%) had an observational design. A total of 46 NSOs were documented. The most reported were related to the clinical (n = 83), followed by safety (n = 41) and functional (n = 18) domains. Regarding their metrics, the majority of NSOs were measured in their occurrence using quantitative single measures, and a few validated tools were used to a lesser extent. No NSOs were reported in the perceptual domain. Nursing care of critically ill children encompasses three levels: improvement in clinical performance, as measured by clinical outcomes; assurance of patient care safety, as measured by safety outcomes; and promotion of fundamental care needs, as measured by functional outcomes. Perceptual outcomes deserve to be explored. |
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| AbstractList | Measuring the effectiveness of nursing interventions in intensive care units has been established as a priority. However, little is reported about the paediatric population. The aims of this study were (a) to map the state of the art of the science in the field of nursing-sensitive outcomes (NSOs) in paediatric intensive care units (PICUs) and (b) to identify all reported NSOs documented to date in PICUs by also describing their metrics. A scoping review was conducted by following the framework proposed by Arksey and O’Malley. Fifty-eight articles were included. Publications were mainly authored in the United States and Canada (
n
= 28, 48.3%), and the majority (
n
= 30, 51.7%) had an observational design. A total of 46 NSOs were documented. The most reported were related to the clinical (
n
= 83), followed by safety (
n
= 41) and functional (
n
= 18) domains. Regarding their metrics, the majority of NSOs were measured in their occurrence using quantitative single measures, and a few validated tools were used to a lesser extent. No NSOs were reported in the perceptual domain. Nursing care of critically ill children encompasses three levels: improvement in clinical performance, as measured by clinical outcomes; assurance of patient care safety, as measured by safety outcomes; and promotion of fundamental care needs, as measured by functional outcomes. Perceptual outcomes deserve to be explored. Measuring the effectiveness of nursing interventions in intensive care units has been established as a priority. However, little is reported about the paediatric population. The aims of this study were (a) to map the state of the art of the science in the field of nursing-sensitive outcomes (NSOs) in paediatric intensive care units (PICUs) and (b) to identify all reported NSOs documented to date in PICUs by also describing their metrics. A scoping review was conducted by following the framework proposed by Arksey and O’Malley. Fifty-eight articles were included. Publications were mainly authored in the United States and Canada (n = 28, 48.3%), and the majority (n = 30, 51.7%) had an observational design. A total of 46 NSOs were documented. The most reported were related to the clinical (n = 83), followed by safety (n = 41) and functional (n = 18) domains. Regarding their metrics, the majority of NSOs were measured in their occurrence using quantitative single measures, and a few validated tools were used to a lesser extent. No NSOs were reported in the perceptual domain. Nursing care of critically ill children encompasses three levels: improvement in clinical performance, as measured by clinical outcomes; assurance of patient care safety, as measured by safety outcomes; and promotion of fundamental care needs, as measured by functional outcomes. Perceptual outcomes deserve to be explored. |
| Author | Palese, Alvisa Danielis, Matteo Mattiussi, Elisa Castellano, Adele |
| AuthorAffiliation | Department of Medical Sciences, School of Nursing, University of Udine, Viale Ungheria 20, 33100 Udine, Italy; adele.castellano1@gmail.com (A.C.); elisa.mattiussi@uniud.it (E.M.); alvisa.palese@uniud.it (A.P.) |
| AuthorAffiliation_xml | – name: Department of Medical Sciences, School of Nursing, University of Udine, Viale Ungheria 20, 33100 Udine, Italy; adele.castellano1@gmail.com (A.C.); elisa.mattiussi@uniud.it (E.M.); alvisa.palese@uniud.it (A.P.) |
| Author_xml | – sequence: 1 givenname: Matteo orcidid: 0000-0002-7417-3452 surname: Danielis fullname: Danielis, Matteo – sequence: 2 givenname: Adele surname: Castellano fullname: Castellano, Adele – sequence: 3 givenname: Elisa surname: Mattiussi fullname: Mattiussi, Elisa – sequence: 4 givenname: Alvisa orcidid: 0000-0002-3508-844X surname: Palese fullname: Palese, Alvisa |
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| Cites_doi | 10.1007/s00063-018-0484-0 10.1177/0148607105029003176 10.1111/wvn.12370 10.1097/NNA.0b013e3181da3f71 10.1080/1364557032000119616 10.1038/s41598-021-84248-z 10.1097/00006199-200603001-00012 10.1136/bmjpo-2017-000241 10.1097/PCC.0000000000001425 10.1111/jpc.15381 10.21037/tp.2018.09.10 10.1097/NNR.0000000000000271 10.1136/archdischild-2020-320962 10.1001/jama.2014.18399 10.1016/j.aucc.2017.08.007 10.4037/ccn2018947 10.1590/s1980-220x2018016303486 10.1097/01.PCC.0000257485.67821.77 10.1177/0969733013484483 10.1177/1367493520976300 10.1016/j.ijnurstu.2019.103491 10.1097/PCC.0000000000001268 10.7326/M18-0850 10.1055/s-0037-1601337 10.1016/j.athoracsur.2016.03.019 10.1097/CCM.0000000000003863 10.1007/s00134-019-05922-5 10.3389/fped.2018.00049 10.1111/j.1547-5069.1996.tb00377.x 10.1155/2020/5171790 |
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| Copyright | 2021 by the authors. Licensee MDPI, Basel, Switzerland. This article is an open access article distributed under the terms and conditions of the Creative Commons Attribution (CC BY) license (https://creativecommons.org/licenses/by/4.0/). Notwithstanding the ProQuest Terms and Conditions, you may use this content in accordance with the terms of the License. 2021 by the authors. 2021 |
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| Title | Nursing-Sensitive Outcomes among Patients Cared for in Paediatric Intensive Care Units: A Scoping Review |
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