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Table 8 Consensus list of nursing-sensitive quality indicators in every expert groupa

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

Scientific expertsb

Clinical expertsc

Experts of experienced

Ranking ordera of the quality indicators

Ranking ordera of the quality indicators

Ranking ordera of the quality indicators

1

Pain

1

Pain

1

Systematic medication review

1

Dehydration

1

Pressure ulcers

1

Urinary tract infection

1

Urinary tract infection

1

Systematic medication review

1

Fecal impaction

1

Use of aids that inhibit freedom of movement

4

Behavioral symptoms affecting others

1

Participation in activities of interest

5

Systematic medication review

4

Oral and/or dental health problem

5

Symptoms of depression

6

Pressure ulcers

4

Fecal impaction

6

Pressure ulcers

6

Behavioral symptoms affecting others

7

Symptoms of depression

7

Dehydration

8

Participation in social activities

8

Dehydration

8

Behavioral symptoms affecting others

9

Oral and/or dental health problem

9

Falls

9

Oral and/or dental health problem

10

Weight loss

10

Use of aids that inhibit freedom of movement

10

Hearing loss without the use of hearing aids

11

Decline in ADL

11

Participation in activities of interest

11

Pain

12

Participation in activities of interest

12

Decline in ADL

12

Participation in social activities

13

Falls

12

Weight loss

13

Decline in ADL

13

Hearing loss without the use of hearing aids

14

Participation in social activities

14

Weight loss

15

Symptoms of depression

15

Established toilet routines

15

Falls

16

Fecal impaction

16

Hearing loss without the use of hearing aids

16

Established toilet routines

17

Established toilet routines

17

Urinary tract infection

17

Use of aids that inhibit freedom of movement

18

Bladder and bowel incontinence

18

Bedfast residents

18

Bladder and bowel incontinence

19

Bedfast residents

19

Indwelling urinary catheter

19

Indwelling urinary catheter

20

Indwelling urinary catheter

20

Bladder and bowel incontinence

20

Bedfast residents

  1. Bold font: consensus
  2. Italics: NO consensus
  3. Abbreviation: ADL Activities of Daily Living
  4. aRanking order according to the following procedure: 1) Consensus; 2) Median value; 3) Percent of rating between two adjoining values (6 and 7); 4) Interquartile range; 5) Range
  5. bResearchers
  6. cRegistered Nurses and Licensed Practical Nurses working in nursing homes
  7. dNext-of-kin of nursing home residents