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J Clin Nurs. 2018 Jun;27(11-12):2481-2488. doi: 10.1111/jocn.14308. Epub 2018 Apr 6.

Building the foundation to generate a fundamental care standardised data set.

Author information

1
Keenan Research Centre of the Li Ka Shing Knowledge Institute, St. Michael's Hospital, Toronto, ON, Canada.
2
Lawrence S. Bloomberg Faculty of Nursing, Institute of Health, Policy, Management and Evaluation, University of Toronto, Toronto, ON, Canada.
3
Department of Emergency Care and Internal Medicine, Uppsala University, Uppsala, Sweden.
4
Department of Medical Sciences, Uppsala University, Uppsala, Sweden.
5
Department of Public Health and Caring Sciences/Health Services Research, Uppsala University, Uppsala, Sweden.
6
Adelaide Nursing School, University of Adelaide, Adelaide, SA, Australia.
7
Department of Health Policy and Management, University of California, Los Angeles Fielding School of Public Health, Los Angeles, CA, USA.
8
Oxford Institute of Nursing, Midwifery & Allied Health Research, Oxford University, Oxford, UK.
9
College of Nursing and Health Sciences, Flinders University.

Abstract

AIM AND OBJECTIVES:

This paper provides an overview of the current state of performance measurement, key trends and a methodological approach to leverage in efforts to generate a standardised data set for fundamental care.

BACKGROUND:

Considerable transformation is occurring in health care globally with organisations focusing on achieving the quadruple aim of improving the experience of care, the health of populations, and the experience of providing care while reducing per capita costs of health care. In response, healthcare organisations are employing performance measurement and quality improvement methods to achieve the quadruple aim. Despite the plethora of measures available to health managers, there is no standardised data set and virtually no indicators reflecting how patients actually experience the delivery of fundamental care, such as nutrition, hydration, mobility, respect, education and psychosocial support.

CONCLUSIONS:

Given the linkages of fundamental care to safety and quality metrics, efforts to build the evidence base and knowledge that captures the impact of enacting fundamental care across the healthcare continuum and lifespan should include generating a routinely collected data set of relevant measures.

RELEVANCE TO CLINICAL PRACTICE:

This paper provides an overview of the current state of performance measurement, key trends and a methodological approach to leverage in efforts to generate a standardised data set for fundamental care. Standardised data sets enable comparability of data across clinical populations, healthcare sectors, geographic locations and time and provide data about care to support clinical, administrative and health policy decision-making.

KEYWORDS:

cost of care; health services research; integrated care; nurse-patient relationship

PMID:
29446500
DOI:
10.1111/jocn.14308
[Indexed for MEDLINE]

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