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Volume 18
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10.3390/ijerph182211932
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Article

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

by
Sean Paul Teeling
1,*,
Carmel Davies
1,
Marlize Barnard
1,
Laserina O’Connor
1,
Alice Coffey
2,
Veronica Lambert
3,
Martin McNamara
1,
Dympna Tuohy
2,
Timothy Frawley
1,
Catherine Redmond
1,
Suja Somanadhan
1,
Mary Casey
1,
Yvonne Corcoran
3,
Owen Doody
2,
Denise O’Brien
1,
Maria Noonan
2,
Rita Smith
1,
Carmel Bradshaw
2,
Sylvia Murphy
2,
Liz Dore
2,
Rosemary Lyons
2,
Máire McGeehan
2 and
Anne Gallen
4add Show full author list remove Hide full author list
1
Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
2
Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
3
School of Nursing, Psychotherapy and Community Health, Dublin City University (DCU), 620 Collins Avenue Extension, Whitehall, D09 X984 Dublin 9, Ireland
4
HSE Nursing & Midwifery Planning & Development, Dublin Mid Leinster, Mill Lane, Palmerstown, D20 HY57 Dublin, Ireland
*
Author to whom correspondence should be addressed.
Int. J. Environ. Res. Public Health 2021, 18(22), 11932; https://doi.org/10.3390/ijerph182211932
Submission received: 30 September 2021 / Revised: 3 November 2021 / Accepted: 9 November 2021 / Published: 13 November 2021
(This article belongs to the Special Issue Whole Systems Approaches to Process Improvement in Health Systems)
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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.
Keywords: quality metrics; nursing; midwifery; implementation; realist; person; outcome measures quality metrics; nursing; midwifery; implementation; realist; person; outcome measures

Share and Cite

MDPI and ACS Style

Teeling, S.P.; Davies, C.; Barnard, M.; O’Connor, L.; Coffey, A.; Lambert, V.; McNamara, M.; Tuohy, D.; Frawley, T.; Redmond, C.; et al. A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice. Int. J. Environ. Res. Public Health 2021, 18, 11932. https://doi.org/10.3390/ijerph182211932

AMA Style

Teeling SP, Davies C, Barnard M, O’Connor L, Coffey A, Lambert V, McNamara M, Tuohy D, Frawley T, Redmond C, et al. A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice. International Journal of Environmental Research and Public Health. 2021; 18(22):11932. https://doi.org/10.3390/ijerph182211932

Chicago/Turabian Style

Teeling, Sean Paul, Carmel Davies, Marlize Barnard, Laserina O’Connor, Alice Coffey, Veronica Lambert, Martin McNamara, Dympna Tuohy, Timothy Frawley, Catherine Redmond, and et al. 2021. "A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice" International Journal of Environmental Research and Public Health 18, no. 22: 11932. https://doi.org/10.3390/ijerph182211932

APA Style

Teeling, S. P., Davies, C., Barnard, M., O’Connor, L., Coffey, A., Lambert, V., McNamara, M., Tuohy, D., Frawley, T., Redmond, C., Somanadhan, S., Casey, M., Corcoran, Y., Doody, O., O’Brien, D., Noonan, M., Smith, R., Bradshaw, C., Murphy, S., ... Gallen, A. (2021). A Rapid Realist Review of Quality Care Process Metrics Implementation in Nursing and Midwifery Practice. International Journal of Environmental Research and Public Health, 18(22), 11932. https://doi.org/10.3390/ijerph182211932

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