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A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice

Author

Listed:
  • Sean Paul Teeling

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Carmel Davies

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Marlize Barnard

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Laserina O’Connor

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Alice Coffey

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Veronica Lambert

    (School of Nursing, Psychotherapy and Community Health, Dublin City University (DCU), 620 Collins Avenue Extension, Whitehall, D09 X984 Dublin 9, Ireland)

  • Martin McNamara

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Dympna Tuohy

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Timothy Frawley

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Catherine Redmond

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Suja Somanadhan

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Mary Casey

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Yvonne Corcoran

    (School of Nursing, Psychotherapy and Community Health, Dublin City University (DCU), 620 Collins Avenue Extension, Whitehall, D09 X984 Dublin 9, Ireland)

  • Owen Doody

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Denise O’Brien

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Maria Noonan

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Rita Smith

    (Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland)

  • Carmel Bradshaw

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Sylvia Murphy

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Liz Dore

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Rosemary Lyons

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Máire McGeehan

    (Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland)

  • Anne Gallen

    (HSE Nursing & Midwifery Planning & Development, Dublin Mid Leinster, Mill Lane, Palmerstown, D20 HY57 Dublin, Ireland)

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.

Suggested Citation

  • Sean Paul Teeling & Carmel Davies & Marlize Barnard & Laserina O’Connor & Alice Coffey & Veronica Lambert & Martin McNamara & Dympna Tuohy & Timothy Frawley & Catherine Redmond & Suja Somanadhan & Mar, 2021. "A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice," IJERPH, MDPI, vol. 18(22), pages 1-18, November.
    • Handle: RePEc:gam:jijerp:v:18:y:2021:i:22:p:11932-:d:678549
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    Citations

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    Cited by:

    1. Elaine Shelford Mead & Seán Paul Teeling & Martin McNamara, 2024. "A Realist Review Protocol into the Contexts and Mechanisms That Enable the Inclusion of Environmental Sustainability Outcomes in the Design of Lean Healthcare Improvement Interventions," IJERPH, MDPI, vol. 21(7), pages 1-16, July.
    2. Seán Paul Teeling & Jan Dewing & Deborah Baldie, 2022. "Developing New Methods for Person-Centred Approaches to Adjudicate Context–Mechanism–Outcome Configurations in Realist Evaluation," IJERPH, MDPI, vol. 19(4), pages 1-17, February.
    3. Martin McNamara & Marie Ward & Seán Paul Teeling, 2023. "Making a Sustainable Difference to People, Processes and Systems: Whole-Systems Approaches to Process Improvement in Health Systems," IJERPH, MDPI, vol. 20(7), pages 1-5, March.

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