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How do they measure up? Differences in stakeholder perceptions of quality measures used in English community nursing

Pollard, Katherine; Horrocks, Sue; Duncan, Lorna; Petsoulas, Christina; Allen, Pauline; Cameron, Ailsa; Cook, Jane; Gibbard, Emma; Harland, Lizanne; Husband, Pete; Loydon, Geoff; McDonald, Ruth; Wye, Lesley; Salisbury, Chris

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Authors

Sue Horrocks Susan.Horrocks@uwe.ac.uk
Occasional Associate Lecturer - CHSS

Lorna Duncan

Christina Petsoulas

Pauline Allen

Ailsa Cameron

Jane Cook

Emma Gibbard

Lizanne Harland

Pete Husband

Geoff Loydon

Ruth McDonald

Lesley Wye

Chris Salisbury



Abstract

© The Author(s) 2019. Objectives: To establish how quality indicators used in English community nursing are selected and applied, and their perceived usefulness to service users, commissioners and service providers. Methods: A qualitative multi-site case study was conducted with five commissioning organizations and their service providers. Participants included commissioners, provider organization managers, nurses and service users. Results: Indicator selection and application often entail complex processes influenced by wider health system and cross-organizational factors. All participants felt that current indicators, while useful for accountability and management purposes, fail to reflect the true quality of community nursing care and may sometimes indirectly compromise care. Conclusions: Valuable resources may be better used for comprehensive system redesign, to ensure that patient, carer and nurse priorities are given equivalence with those of other stakeholders.

Journal Article Type Article
Acceptance Date Jul 18, 2019
Online Publication Date Oct 8, 2019
Publication Date Jul 1, 2020
Deposit Date Jul 23, 2019
Publicly Available Date Aug 2, 2019
Journal Journal of Health Services Research and Policy
Print ISSN 1355-8196
Electronic ISSN 1758-1060
Publisher SAGE Publications
Peer Reviewed Peer Reviewed
Volume 25
Issue 3
Pages 142-150
DOI https://doi.org/10.1177/1355819619868506
Keywords Quality indicators, community care, Clinical Commissioning Groups, nurses
Public URL https://uwe-repository.worktribe.com/output/1670190
Additional Information Copyright(c)2019 Reprinted by permission of SAGE publications.
Contract Date Jul 23, 2019

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Copyright Statement
Creative Commons Non Commercial CC BY-NC: This article is distributed under the terms of the Creative Commons Attribution-NonCommercial 4.0 License (http://www.creativecommons.org/licenses/by-nc/4.0/) which permits non-commercial use, reproduction and distribution of the work without further permission provided the original work is attributed as specified on the SAGE and Open Access pages (https://us.sagepub.com/en-us/nam/open-access-at-sage).








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