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Table 5 Results for 20 nursing-sensitive quality indicators in Delphi round 1

From: Nursing-sensitive quality indicators for quality improvement in Norwegian nursing homes – a modified Delphi study

First round

Median / % of the ratings between two adjoining values (6–7) / Quartile deviation / Range (minimum and maximum score)

Quality indicatora

All experts

Scientific experts: Researchers

Clinical experts: Healthcare professionals

Experts of experience: Next-of-kin

1. Symptoms of depression

7/ 88.4/ 0.5/ 3-7b

6/ 77.0/ 1.0/ 3–7

7/ 94.1/ 0.5/ 4–7

7.0/ 92.3/ 0.5/ 4-7b

2. Behavioral symptoms affecting others

7/ 93.1/ 0.5/ 4–7

7/ 92.3/ 0.5/ 5–7

7/ 100/ 0.5/ 6–7

7.0/ 85.7/ 0.5/ 4–7

3. Participation in social activities

6/ 75.0/ 1.0/ 2–7

6/ 69.3/ 1.0/ 4–7

6/ 82.4/ 0.5/ 5–7

6.0/ 71.5/ 1.0/ 2–7

4. Participation in activities of interest

6/ 81.8/ 0.5/ 4–7

6/ 69.3/ 1.0/ 4–7

6/ 88.3/ 0.5/ 5–7

7.0/ 85.7/ 0.5/ 4–7

5. Decline in ADL

6/ 68.2/ 1.0/ 2–7

6/ 53.9/ 1.5/ 3–7

6/ 76.5/ 1.0/ 2–7

6.5/ 71.4/ 1.0/ 3–7

6. Use of aids that inhibit freedom of movement

7/ 77.5/ 0.5/ 2-7c

7/ 92.3/ 0.5/ 4–7

7/ 82.3/ 0.5/ 3–7

5.5/ 50.0/ 1.0/ 2-7c

7. Falls

6/ 81.4/ 0.5/ 4-7b

6/ 77.0/ 1.0/ 4–7

7/ 82.3/ 0.5/ 5–7

6.0/ 84.7/ 0.5/ 4-7b

8. Bedfast residents

5/ 41.9/ 1.0/ 1-7b

4/ 38.5/ 1.0/ 3–7

5/ 41.4/ 0.5/ 1–7

5.0/ 46.2/ 1.0/ 1-7b

9. Pressure ulcers

7/ 95.2/ 0.0/ 5-7d

7/ 92.3/ 0.5/ 5–7

7/ 100/ 0.0/ 6–7

7.0/ 91.7/ 0.5/ 5-7d

10. Bladder and bowel incontinence

5/ 43.2/ 1.5/ 1–7

6/ 53.9/ 1.5/ 3–7

5/ 23.5/ 0.5/ 1–7

6.0/ 57.2/ 1.0/ 3–7

11. Fecal impaction

7/ 79.1/ 0.5/ 3-7b

6/ 69.3/ 1.5/ 3–7

7/ 94.1/ 0.5/ 5–7

6.0/ 69.3/ 1.0/ 5-7b

12. Established toilet routines

6/ 68.1/ 1.0/ 1–7

6/ 53.9/ 1.5/ 1–7

6/ 82.4/ 0.5/ 5–7

6.5/ 64.3/ 1.0/ 3–7

13. Indwelling urinary catheter

5/ 48.8/ 1.0/ 3-7c

5/ 46.2/ 1.0/ 4–7

5/ 41.4/ 1.0/ 4–7

6.0/ 63.7/ 1.5/ 3-7c

14. Urinary tract infection

6/ 81.4/ 0.5/ 3-7b

7/ 100/ 0.5/ 6–7

6/ 64.7/ 1.0/ 3–7

6.0/ 84.7/ 0.5/ 5-7b

15. Pain

7/ 93.0/ 0.0/ 4-7b

7/ 100/ 0.5/ 6–7

7/ 100/ 0.0/ 6–7

7.0/ 76.9/ 0.5/ 4-7b

16. Weight loss

6/ 86.4/ 0.5/ 5–7

6/ 92.3/ 0.5/ 5–7

6/ 94.1/ 0.5/ 5–7

6.0/ 71.5/ 1.0/ 5–7

17. Dehydration

7/ 90.9/ 0.5/ 5–7

7/ 100/ 0.5/ 6–7

7/ 88.2/ 0.5/ 5–7

7.0/ 85.7/ 0.5/ 5–7

18. Oral and/or dental health problem

7/ 90.7/ 0.5/ 4-7b

7/ 84.6/ 0.5/ 4–7

7/ 100/ 0.5/ 6–7

7.0/ 84.6/ 0.5/ 5-7b

19. Hearing loss without the use of hearing aids

6/ 79.1/ 0.5/ 4-7b

6/ 77.0/ 1.0/ 4–7

6/ 76.5/ 1.0/ 4–7

7.0/ 84.6/ 0.5/ 4-7b

20. Systematic medication review

7/ 97.8/ 0.0/ 4–7

7/ 92.3/ 0.0/ 4–7

7/ 100/ 0.0/ 6–7

7.0/ 100/ 0.5/ 6–7

  1. Bold font: consensus
  2. Italics: NO consensus/resubmitted to the second Delphi round
  3. Abbreviation: ADL Activities of Daily Living
  4. aThe QIs are ranked in the order in which they are described in the questionnaire to the participants in the first Delphi round
  5. bMissing: n = 1
  6. cMissing: n = 3
  7. dMissing: n = 2