Year 2013 / Volume 105 / Number 5
Original
Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care

pp. 262-271

Antonio Torrejón, Lorena Oltra, Paloma Hernández-Sampelayo, Laura Marín, Valle García-Sánchez, Francesc Casellas, Noelia Alfaro, Pablo Lázaro y María Isabel Vera

Abstract
Background and aims: 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.
Methods: 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.
Results: the final NCQ-IBD consists of 90 items, organized in
13 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).
Conclusion: 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.
Key words: Delphi technique. Inflammatory bowel disease. Nursing
care. Standard of care. Total quality management.
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Antonio Torrejón, Lorena Oltra, Paloma Hernández-Sampelayo, Laura Marín, Valle García-Sánchez, Francesc Casellas, Noelia Alfaro, Pablo Lázaro y María Isabel Vera. Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care. 262-271


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