Development and validation of process indicators of the quality of nursing care for the elderly

Main Article Content

Flavia Aparecida Dias Marmo
Zenewton André da Silva Gama
http://orcid.org/0000-0003-0818-9680
Darlene Mara dos Santos Tavares
http://orcid.org/0000-0001-9565-0476

Abstract

Introduction: Quality indicators are important for service management. However, in primary care, there is a shortage of indicators specifically regarding the elderly population. Objective: To build and validate process indicators of the quality of nursing care for the elderly. Methods: This is a methodological research, and the steps are based on proposals from the National Database of Nursing Quality Indicators and the Agency for Healthcare Research and Quality. The indicators were evaluated according to the criteria of face validity, terminology, necessity, content validity, reliability, viability, utility, and usability. Nine nurses participated in the expert panel, including professionals who provided primary care assistance, researchers in the area of health care for the elderly, and members of Brazilian health-related organizations. The Adequacy Method developed by Research and Development at the University of California Los Angeles was used. Data were analyzed using the median, Content Validity Index, and Kappa. Results: Twenty-two indicators were validated. All measures were considered appropriate, with content validity, and reached an agreement on terminology and necessity. Of the 22 indicators, only four were considered unavailable and impractical to collect. Thirteen indicators were not considered useful for determining the reception of financial incentives. In the assessment of usability to compare public reports, six indicators had relatively low scores. Conclusion: Indicators can contribute to monitoring the quality of care for the elderly, identifying opportunities for improvement in actions performed by nurses in primary care.

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How to Cite
Marmo, F. A. D., Gama, Z. A. da S., & Tavares, D. M. dos S. (2021). Development and validation of process indicators of the quality of nursing care for the elderly. ABCS Health Sciences, 46, e021209. https://doi.org/10.7322/abcshs.2019149.1415
Section
Original Articles
Author Biographies

Flavia Aparecida Dias Marmo, Curso de Enfermagem, Departamento de Enfermagem em Educação e Saúde Comunitária, Universidade Federal do Triângulo Mineiro (UFTM) – Uberaba (MG), Brazil.

Enfermeira. Doutora em Atenção à Saúde. Docente da Universidade Federal do Triângulo Mineiro (UFTM), Curso de Graduação em Enfermagem, Departamento de Enfermagem em Educação e Saúde Comunitária. Uberaba-MG, Brasil.

Zenewton André da Silva Gama, Departamento de Saúde Coletiva, Universidade Federal do Rio Grande do Norte (UFRN) – Natal (RN), Brazil.

Doutor. Universidade Federal do Rio Grande do Norte (UFRN), Departamento de Saúde Coletiva. Natal-RN, Brasil.

Darlene Mara dos Santos Tavares, Curso de Enfermagem, Departamento de Enfermagem em Educação e Saúde Comunitária, Universidade Federal do Triângulo Mineiro (UFTM) – Uberaba (MG), Brazil.

Doutora em Enfermagem. Universidade Federal do Triângulo Mineiro (UFTM), Curso de Graduação em Enfermagem, Departamento de Enfermagem em Educação e Saúde Comunitária. Uberaba-MG, Brasil.

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