How do they measure up? Differences in stakeholder perceptions of quality measures used in English community nursing

Katherine Pollard, Sue Horrocks, Lorna Duncan, Christina Petsoulas, Pauline Allen, Ailsa Cameron, Jane Cook, Emma Gibbard, Lizanne Harland, Pete Husband, Geoff Loydon, Ruth McDonald, Lesley Wye, Chris Salisbury

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Abstract

Objectives
To establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers.

Methods
A qualitative multi-site case study was conducted with five commissioning organizations and their service providers. Participants included commissioners, provider organization managers, nurses and service users.

Results
Indicator selection and application often entail complex processes influenced by wider health system and cross-organizational factors. All participants felt that current indicators, while useful for accountability and management purposes, fail to reflect the true quality of community nursing care and may sometimes indirectly compromise care.

Conclusions
Valuable resources may be better used for comprehensive system redesign, to ensure that patient, carer and nurse priorities are given equivalence with those of other stakeholders.
Original languageEnglish
Pages (from-to)142-150
Number of pages9
JournalJournal of Health Services Research and Policy
Volume25
Issue number3
Early online date8 Oct 2019
DOIs
Publication statusPublished - 15 Jun 2020

Keywords

  • clinical commissioning groups
  • community care
  • nurses
  • quality indicators

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    Pollard, K., Horrocks, S., Duncan, L., Petsoulas, C., Allen, P., Cameron, A., Cook, J., Gibbard, E., Harland, L., Husband, P., Loydon, G., McDonald, R., Wye, L., & Salisbury, C. (2020). How do they measure up? Differences in stakeholder perceptions of quality measures used in English community nursing. Journal of Health Services Research and Policy, 25(3), 142-150 . https://doi.org/10.1177/1355819619868506