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A rapid realist review of quality care process metrics implementation in nursing and midwifery practice

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Show simple item record Teeling, Sean Paul Davies, Carmel Barnard, Marlize O'Connor, Laserina Coffey, Alice Lambert, Veronica McNamara, Martin Tuohy, Dympna Frawley, Timothy Redmond, Catherine Somanadhan, Suja Casey, Mary Corcoran, Yvonne Doody, Owen O'Brien, Denise Noonan, Maria Smith, Rita Bradshaw, Carmel Murphy, Sylvia Dore, Liz Lyons, Rosemary McGeehan, Máire Gallen, Anne 2021-12-08T09:16:44Z 2021-12-08T09:16:44Z 2021
dc.description peer-reviewed en_US
dc.description.abstract Quality measurement initiatives promote quality improvement in healthcare but can be challenging to implement effectively. This paper presents a Rapid Realist Review (RRR) of published literature on Quality Care-Process Metrics (QCP-M) implementation in nursing and midwifery practice. An RRR informed by RAMESES II standards was conducted as an efficient means to synthesize evidence using an expert panel. The review involved research question development, quality appraisal, data extraction, and evidence synthesis. Six program theories summarised below identify the key characteristics that promote positive outcomes in QCP-M implementation. Program Theory 1: Focuses on the evidence base and accessibility of the QCP-M and their ease of use by nurses and midwives working in busy and complex care environments. Program Theory 2: Examines the influence of external factors on QCP-M implementation. Program Theory 3: Relates to existing cultures and systems within clinical sites. Program Theory 4: Relates to nurses’ and midwives’ knowledge and beliefs. Program Theory 5: Builds on the staff theme of Programme Theory four, extending the culture of organizational learning, and highlights the meaningful engagement of nurses and midwives in the implementation process as a key characteristic of success. Program Theory 6: Relates to patient needs. The results provide nursing and midwifery policymakers and professionals with evidence-based program theory that can be translated into action-orientated strategies to help guide successful QCP-M implementation. en_US
dc.language.iso eng en_US
dc.publisher MDPI en_US
dc.relation.ispartofseries International Journal Environmental Research and Public Health;18, 11932
dc.subject quality metrics en_US
dc.subject nursing en_US
dc.title A rapid realist review of quality care process metrics implementation in nursing and midwifery practice en_US
dc.type info:eu-repo/semantics/article en_US
dc.type.supercollection all_ul_research en_US
dc.type.supercollection ul_published_reviewed en_US
dc.identifier.doi 10.3390/ijerph182211932
dc.contributor.sponsor HSE en_US
dc.relation.projectid 10990 en_US
dc.rights.accessrights info:eu-repo/semantics/openAccess en_US

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