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

doi:10.1177/1355819619868506

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

Research output: Contribution to journal › Article (Academic Journal) › peer-review

2 Citations (Scopus)

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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 language	English
Pages (from-to)	142-150
Number of pages	9
Journal	Journal of Health Services Research and Policy
Volume	25
Issue number	3
Early online date	8 Oct 2019
DOIs	https://doi.org/10.1177/1355819619868506
Publication status	Published - 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

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abstract = "ObjectivesTo establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers.MethodsA 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.ResultsIndicator 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.ConclusionsValuable 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.",

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

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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, vol. 25, no. 3, pp. 142-150 . https://doi.org/10.1177/1355819619868506

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T1 - How do they measure up?

T2 - Differences in stakeholder perceptions of quality measures used in English community nursing

AU - Pollard, Katherine

AU - Horrocks, Sue

AU - Duncan, Lorna

AU - Petsoulas, Christina

AU - Allen, Pauline

AU - Cameron, Ailsa

AU - Cook, Jane

AU - Gibbard, Emma

AU - Harland, Lizanne

AU - Husband, Pete

AU - Loydon, Geoff

AU - McDonald, Ruth

AU - Wye, Lesley

AU - Salisbury, Chris

PY - 2020/6/15

Y1 - 2020/6/15

N2 - ObjectivesTo establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers.MethodsA 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.ResultsIndicator 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.ConclusionsValuable 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.

AB - ObjectivesTo establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers.MethodsA 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.ResultsIndicator 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.ConclusionsValuable 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.

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