Evidence map›Paper›PMID 31892335›Full record

ArticleBMC health services research2019

Significant influencing factors and practical solutions in improvement of clinical nursing services: a Delphi study.

Sarieh Poortaghi, Abbas Ebadi, Mahvash Salsali, Afsaneh Raiesifar, Nayyereh Davoudi, Nima Pourgholamamiji

Abstract read
In one paragraph

Article in BMC health services research, 2019. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Cited by 3 papers.

0numbers the graph read from it
0cells of the map it votes in
3citing papers in PubMed
–field-weighted citation impact
1 · What the graph read from it

What it found

Each row is one number read from the abstract, on the scale the paper reported it, with its interval. Left of the dashed line favours the treatment, right favours the comparator. Under each row is the sentence it came from. New to these charts? A ten-minute tutorial.

The abstract states no effect estimate the extractor could read, or names no intervention and outcome on the map, so this paper lights no cell and moves no belief. It is still indexed, cited and linked below.

2 · The registry

The trial behind it

Trials whose registry record cites this paper, or whose number appears in the abstract. A trial that started after this paper was published is citing it as background, not reporting it.

Neither the registry nor the abstract names a trial number. If this is a trial report, that itself is worth knowing.

3 · Its place in the literature

Who cites it

3 citing papers in PubMed.

  1. Article
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4 · The record

Corrections and comments

PubMed lists nothing against this paper. Absence here is not a guarantee, only a check that was made.

5 · Who and what money

Authors and funding

6 authors.

Sarieh PoortaghiDepartment of Community Health Nursing, School of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Abbas EbadiBehavioral Sciences Research Center, Life Style Institute, Baqiyatallah University of Medical Sciences, Tehran, Iran.
Mahvash SalsaliSchool of Nursing and Midwifery, Tehran University of Medical Sciences, Tehran, Iran.
Afsaneh RaiesifarSchool of Nursing and Midwifery, Ilam University of Medical Sciences, Ilam, Iran. a.raiesifar@gmail.com.
Nayyereh DavoudiNursing and Midwifery Care Research Center, Mashhad University of Medical Sciences, Mashhad, Iran.
Nima PourgholamamijiNursing Care Research Center (NCRC), School of Nursing and Midwifery, Iran University of Medical Sciences, Tehran, Iran.

Funding

Tehran University of Medical Sciences and Health Services 92 / S / 130/1422
6 · The paper itself

Abstract

backgroundClinical services evaluation with specific indicators are very helpful to identify improvable points. This study was conducted to analyze the factors affecting the quality of clinical nursing services and offer practical solutions for accreditation of clinical nursing services.

methodsThe present study was conducted using Delphi method with two rounds. At the beginning of the study a questionnaire was prepared using results of another project (clinical nursing services audit). This questionnaire was sent to 47 nursing and accreditation professionals. After the first round, causes and solutions were categorized. Then participants were asked to comment on the significance of each strategy on the prepared questionnaire.

resultsIn the first round of Delphi in response to the question about the main causes and solutions of low quality of nursing clinical services, 394 causes and 212 solutions were mentioned by the participants. In the second round, considering moralists and specialization in the selection of nursing managers, staffing according to workload and attendance in comprehensive exam after graduation and before entering clinical fields attained the most importance.

conclusionMismatch of human resources with workload and lack of clarity with regard to duties have maximum correlation with poor quality of care. Organizational structure and communication program categories gained the highest and lowest importance respectively. This information could be used by nursing managers and policy makers to plan programs in order to improve the quality of clinical nursing services.

Indexed as

Quality of Health CareAccreditationAttitude of Health PersonnelDelphi TechniqueFemaleHumansMaleNurse AdministratorsNurse CliniciansNursing ServicesQuality ImprovementSurveys and QuestionnairesWorkloadAccreditationClinical servicesDelphi studyNursing practiceQuality improvement

Identifiers

PMID31892335
PMCPMC6937807

What OpenQuestion holds

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LicenceCC BY
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Registered trials

None linked

Read under generation 80e0d062 · epoch 390. Bibliography from PubMed, PubMed Central and OpenAlex; grants from NIH RePORTER; trial links from ClinicalTrials.gov; estimates, votes and beliefs from the OpenQuestion graph.