NQuIRE®: Leveraging Technology for Evidence-Based Nursing-Care to Improve Health Outcomes
e-Health ePoster Library. Owusu Y. 06/06/17; 167127; EP05.05
Dr. Yaw Owusu
Dr. Yaw Owusu
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Purpose/Objectives: To meet accountability demands, health-care organizations are expected to invest in quality improvement initiatives and demonstrate their performance through various health-related indicators, which are predominately based on outcome indicator measurement. Such measures include minimal focus on the human resource (HR) related structures and evidence-based nursing practice interventions that greatly impact health outcomes. Therefore, this presentation will describe how the web-based innovative Nursing Quality Indicators for Reporting and Evaluation® (NQuIRE®) data system facilitates the evaluation of HR structure indicators, and best practice guideline-based process and outcome indicators, and how this interrelationship effects quality health care. The main learning objective of this session is to facilitate the understanding of leaders across the health-care continuum related to leveraging technology applications to generate and utilize evaluation indicator data to optimize evidence-based, safe, quality health care.

Methodology/Approach: RNAO's Best Practice Spotlight Organization® (BPSO®) designation is a globally recognized knowledge translation strategy that engages health-care organizations in a formal partnership to implement and evaluate the use of RNAO’s Best Practice Guidelines (BPG). The program promotes the spread of evidence-based nursing practice and quality patient care and to date encompasses over 500 health care organizations world-wide. To evaluate the guideline implementation efforts of BPSOs, RNAO has developed NQuIRE, a unique international data system of quality web-based indicators that collects, compares, and reports data on HR structure and guideline-based nursing-sensitive process and outcome indicators. Because of the inclusion of structure, process and outcome indicators, BPSOs can meet their targets on quality improvement initiatives, and demonstrate their performance on various health-related indicators focusing not only on outcome indicators, but also on the evidence-based process indicators and the human resources context. This unique and innovative international data system to *advance the evaluation* of the effects of human resources structures within health-care organizations, and evidence-based nursing care on patient outcomes and organizational and health system performance, provides sound information about the impact of evidence-based guidelines on practice and outcomes and the necessary human resources required. The growth and expansion of the NQuIRE data system participation globally in health-care sectors in Canada, Spain, Chile, Columbia, Australia, Italy, South Africa, and China will lead to cross country comparisons of: client outcomes, use of evidence-based practices and nursing's contribution.

Finding/Results: NQuIRE is a unique approach to quality improvement in that it includes performance measurement and helps to foster a culture of evidence-based practice within BPSOs. Its technology enabled features such as the auto-generated single and overlay indicator run charts with annotations, as well as the dashboards enable BPSOs to conduct within-BPSO comparisons of units/wards/programs. These features have greatly enhanced monitoring of performance indicators that are aligned with BPG implementation in local, national and international BPSOs across the care continuum and have shown to improve health outcomes

Conclusion/Implication/Recommendations: Health-care leaders in BPSOS globally are able to utilize their NQuIRE data to: a) determine the extent of evidence-based intervention uptake (b) identify how process indicators (nursing interventions) impact clinical outcomes and (c) demonstrate the impact of human resources on quality evidence-based practice and client outcomes.

140 Character Summary: This presentation describes how the innovative NQuIRE data system facilitates the evaluation of structure, process and outcomes indicators on health outcomes.
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