ArticleAnales del sistema sanitario de Navarra2026
[Nurses' perceptions of the integration of patient-reported experience measures and patient-reported outcome measures for care improvement: A multicenter qualitative study].
Article in Anales del sistema sanitario de Navarra, 2026. The graph could read no effect estimate from its abstract, so it casts no vote on the map. Not yet cited in PubMed.
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6 authors.
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Abstract
backgroundPatient-reported experience measures (PREMs) and patient-reported outcome measures (PROMs) are increasingly recognized as valuable tools for evaluating healthcare quality. This study aims to explore nurses' perceptions across diverse clinical settings regarding the usefulness of PREMs and PROMs for identifying opportunities to improve care and informing quality improvement initiatives. MATERIALS AND
methodsInterpretive, exploratory, multicenter qualitative study conducted between November 2025 and February 2026. Five focus groups were held with 32 nurses recruited through purposive sampling from inpatient wards, adult and neonatal intensive care units, emergency departments, operating rooms, and oncology units across four HM hospitals in Madrid. Data were collected using a semi-structured interview guide and analyzed through inductive thematic analysis.
resultsSix themes emerged: 1) communication, therapeutic relationship, and humanized care as key determinants of patient experience; 2) holistic care, particularly comfort, patient safety, and pain management; 3) clinical information and patient education to reduce uncertainty and improve continuity of care; 4) positive perceptions of PREMs and PROMs despite their limited systematic implementation; 5) organizational constraints, workload, and time pressure as major barriers; and 6) opportunities for innovation through humanization strategies, technology integration, and advanced nursing practice.
conclusionsNurses perceive PREMs and PROMs as valuable resources for improving patient-centered case and supporting quality improvement. However, their integration into routine clinical practice remains limited by organizational and structural barriers. Addressing these challenges may facilitate the systematic use of patient-reported measures to enhance care quality and patient outcomes.
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