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Consensus on nurse-sensitive indicators for adult intensive care units in South Africa
Dissertation (MCur (Health Sciences))--University of Pretoria, 2022.
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| Format: | Thesis |
| Language: | English |
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University of Pretoria
2023
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| _version_ | 1867613573316870144 |
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| access_status_str | Open Access |
| author2 | Coetzee-Prinsloo, Isabel |
| author_browse | Coetzee-Prinsloo, Isabel |
| author_facet | Coetzee-Prinsloo, Isabel |
| collection | Thesis |
| dc_rights_str_mv | © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. |
| description | Dissertation (MCur (Health Sciences))--University of Pretoria, 2022. |
| format | Thesis |
| id | oai:repository.up.ac.za:2263/91077 |
| institution | University of Pretoria (South Africa) |
| language | English |
| last_indexed | 2026-06-10T12:38:17.431Z |
| license_str | Other — see source repository |
| provenance_str_mv | Harvested via OAI-PMH from UPSpace — University of Pretoria Institutional Repository |
| publishDate | 2023 |
| publishDateRange | 2023 |
| publishDateSort | 2023 |
| publisher | University of Pretoria |
| publisherStr | University of Pretoria |
| record_format | dspace |
| source_str | UPSpace — University of Pretoria Institutional Repository |
| spelling | oai:repository.up.ac.za:2263/91077 Consensus on nurse-sensitive indicators for adult intensive care units in South Africa Coetzee-Prinsloo, Isabel arokellof@yahoo.co.uk Heyns, Tanya Okello, Rose UCTD Critical care nursing Nurse-sensitive indicators Intensive care units Delphi technique Consensus Health sciences theses SDG-03 Health sciences theses SDG-17 Dissertation (MCur (Health Sciences))--University of Pretoria, 2022. Background: Nurse-sensitive indicators (NSI) are tools specifically related to nursing care that can be used to measure nurses’ contribution to patients’ outcomes. NSI are important for demonstrating and evaluating quality of nursing care to ensure that patients receive efficient, effective, and safe care. In South Africa, where critical care faces challenges of resource scarcity and increased demand for Intensive Care Unit (ICU) services, there is a need to implement the use of nurse-sensitive indicators to monitor the quality of care critically ill patients receive. However, there are no published sets of nurse-sensitive indicators for adult ICUs in the country. Objective: The study aimed to develop and reach consensus on nurse-sensitive indicators for adult ICUs in South Africa. Methods: The study used a scoping literature review and two rounds of eDelphi technique among registered nurse specialists in critical care. Results: Thirty-four nurse-sensitive indicators were identified from 29 studies in the scoping review. In the first eDelphi round, a panel of 32 ICU nursing experts reduced the 34 indicators to 29 and added 3 others to obtain a set of 32 indicators which were grouped into 12 categories of systems or areas of use. These were then presented to a second panel of ICU experts in the second eDelphi round. All the 32 indicators obtained agreement of at least 85% in the second eDelphi round and were finalized for possible implementation in ICU in South Africa. The 12 categories included the respiratory, cardiovascular, neurological, gastrointestinal, integumentary, and urinary tract systems. Others were infection control, patient safety, nursing processes, workload, training and experience, and institution related. Conclusion: The study established consensus on a set of 32 nurse-sensitive indicators grouped into 12 categories suitable for use in adult ICUs in South Africa. However, there is need to establish validity, reliability, and burden of data collection by conducting pilot studies in actual ICU settings. em2026 Nursing Science MCur (Health Sciences) Unrestricted SDG-03: Good health and well-being SDG-17: Partnerships for the goals 2023-06-09T11:47:33Z 2023-06-09T11:47:33Z 2023-09-05 2022 Dissertation * S2023 http://hdl.handle.net/2263/91077 DOI: https://doi.org/10.25403/UPresearchdata.23261783.v1 https://doi.org/10.25403/UPresearchdata.23261783 en © 2023 University of Pretoria. All rights reserved. The copyright in this work vests in the University of Pretoria. No part of this work may be reproduced or transmitted in any form or by any means, without the prior written permission of the University of Pretoria. application/pdf University of Pretoria |
| spellingShingle | UCTD Critical care nursing Nurse-sensitive indicators Intensive care units Delphi technique Consensus Health sciences theses SDG-03 Health sciences theses SDG-17 Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title | Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title_full | Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title_fullStr | Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title_full_unstemmed | Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title_short | Consensus on nurse-sensitive indicators for adult intensive care units in South Africa |
| title_sort | consensus on nurse sensitive indicators for adult intensive care units in south africa |
| topic | UCTD Critical care nursing Nurse-sensitive indicators Intensive care units Delphi technique Consensus Health sciences theses SDG-03 Health sciences theses SDG-17 |
| url | http://hdl.handle.net/2263/91077 https://doi.org/10.25403/UPresearchdata.23261783 |