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

Sean Paul Teeling, Carmel Davies, Marlize Barnard, Laserina O’Connor, Alice Coffey, Veronica Lambert, Martin McNamara, Dympna Tuohy, Timothy Frawley, Catherine Redmond, Suja Somanadhan, Mary Casey, Yvonne Corcoran, Owen Doody, Denise O’Brien, Maria Noonan, Rita Smith, Carmel Bradshaw, Sylvia Murphy, Liz Dore, Rosemary Lyons, Máire McGeehan and Anne Gallen
Additional contact information
Sean Paul Teeling: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Carmel Davies: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Marlize Barnard: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Laserina O’Connor: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Alice Coffey: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Veronica Lambert: School of Nursing, Psychotherapy and Community Health, Dublin City University (DCU), 620 Collins Avenue Extension, Whitehall, D09 X984 Dublin 9, Ireland
Martin McNamara: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Dympna Tuohy: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Timothy Frawley: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Catherine Redmond: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Suja Somanadhan: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Mary Casey: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Yvonne Corcoran: School of Nursing, Psychotherapy and Community Health, Dublin City University (DCU), 620 Collins Avenue Extension, Whitehall, D09 X984 Dublin 9, Ireland
Owen Doody: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Denise O’Brien: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Maria Noonan: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Rita Smith: Health Sciences Centre, School of Nursing Midwifery and Health Systems, University College Dublin (UCD), 4 Stillorgan Road, Belfield, D04 V1W8 Dublin, Ireland
Carmel Bradshaw: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Sylvia Murphy: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Liz Dore: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Rosemary Lyons: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Máire McGeehan: Department of Nursing and Midwifery, North Bank Campus, University of Limerick (UL), Health Science Building, UL, V94 T9PX Limerick, Ireland
Anne Gallen: HSE Nursing & Midwifery Planning & Development, Dublin Mid Leinster, Mill Lane, Palmerstown, D20 HY57 Dublin, Ireland

IJERPH, 2021, vol. 18, issue 22, 1-18

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 (search for similar items in EconPapers)
JEL-codes: I I1 I3 Q Q5 (search for similar items in EconPapers)
Date: 2021
References: View complete reference list from CitEc
Citations: View citations in EconPapers (3)

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