Community nursing indicators; Ministry of Public Health

Abstract

Abstract

This article aimed to review and define community nursing quality indicators, the Ministry of Public Health based on Donabedian’s Framework, comprising of structure, process, and outcome aspects. The development process consisted of five steps: (1) committee establishment; (2) community nursing quality indicators review; (3) indicators selection; (4) indicators drafting and public hearing; and (5) national community nursing quality indicators finalization.

The results identified 16 community nursing quality indicators:  (1) community nurses to population ratio; (2) community nurses to specialist nurses ratio; (3) hours of home visit; (4) target population home visit rate using tele-nursing services according to plan; (5) depression surveillance rate of at-risk populations; (6) pain assessment coverage and follow-up rate in palliative care patients; (7) toilet training rate of individuals with urinary/ fecal incontinence; (8) fall rate among home-based patients; (9) pressure ulcer rate among home-based patients; (10) urinary tract infection rate among home-based patients; (11) mental and behavioral symptoms rate among home-based psychiatric and substance abuse patients; (12) self-management capability rate among chronic disease patients; (13) quality of life rate among chronic disease patients; (14) fatigue rate among home-based caregivers; (15) satisfaction rate among community nursing service users; and (16) job satisfaction rate among community nurses.