Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care

• Published in: Revista española de enfermedades digestivas Vol. 105; no. 5; pp. 262 - 271
• Main Authors: Torrejón, Antonio, Oltra, Lorena, Hernández-Sampelayo, Paloma, Marín, Laura, García-Sánchez, Valle, Casellas, Francesc, Alfaro, Noelia, Lázaro, Pablo, Vera, María Isabel
• Format: Journal Article
• Language: English
• Published: Spain Sociedad Española de Patología Digestiva 01-06-2013; Aran Ediciones
• Subjects: Calidad del manejo; Cuidados de enfermería; Delphi Technique; Enfermedad inflamatoria intestinal; Estándares; Gastroenterology & Hepatology; Geriatrics & Gerontology; Humans; Infectious Diseases; Inflammatory Bowel Diseases - nursing; Método Delphi; Oncology; Pathology; Pharmacology & Pharmacy; Quality Indicators, Health Care; Quality of Health Care - standards; Radiology, Nuclear Medicine & Medical Imaging; Surgery; Surveys and Questionnaires; Inflammatory bowel disease; Nursing care; Cuidados de enfermería; Delphi technique; Standard of care; Método Delphi; Enfermedad inflamatoria intestinal; Total quality management; Calidad del manejo; Estándares
• ISSN: 1130-0108
• DOI: 10.4321/S1130-01082013000500004

nursing management of inflammatory bowel disease (IBD) is highly relevant for patient care and outcomes. However, there is evidence of substantial variability in clinical practices. The objectives of this study were to develop standards of healthcare quality for nursing management of IBD and elaborate the evaluation tool "Nursing Care Quality in IBD Assessment" (NCQ-IBD) based on these standards.
a 178-item healthcare quality questionnaire was developed based on a systematic review of IBD nursing management literature. The questionnaire was used to perform two 2-round Delphi studies: Delphi A included 27 IBD healthcare professionals and Delphi B involved 12 patients. The NCQ-IBD was developed from the list of items resulting from both Delphi studies combined with the Scientific Committee´s expert opinion.
the final NCQ-IBD consists of 90 items, organized in13 sections measuring the following aspects of nursing management of IBD: infrastructure, services, human resources, type of organization, nursing responsibilities, nurse-provided information to the patient, nurses training, annual audits of nursing activities, and nursing research in IBD. Using the NCQ-IBD to evaluate these components allows the rating of healthcare quality for nursing management of IBD into 4 categories: A (highest quality) through D (lowest quality).
the use of the NCQ-IBD tool to evaluate nursing management quality of IBD identifies areas in need of improvement and thus contribute to an enhancement of care quality and reduction in clinical practice variations.