Abstract：
BACKGROUND: The Irish Office of Nursing & Midwifery Services Director (ONMSD) commissioned the development an updated suite of mental health nursing metrics and indicators for implementation in Irish mental health clinical settings. While measuring care processes does offer the potential to improve care quality, the choice of which mental health nursing metrics to measure presents a significant challenge, both in Ireland and internationally. The provision of safe and high-quality mental health nursing care stems from nurses\' expertise, skills and overall capacity to provide recovery focused care across a range of health care settings. Accordingly, efforts to measure what mental health nurses do depends on the identification of those care processes that contribute to mental health nursing practice. This paper reports on the identification, development and prioritisation of a national suite of Quality Care Metrics (QCM), along with their associated indicators, for mental health nursing care processes in Ireland.
METHODS: The study was undertaken over four phases; i) a systematic literature review to identify mental health care process metrics and their associated indicators of measurement; ii) a two-round, online Delphi survey of mental health nurses to develop consensus on the suit of mental health nursing care process metrics; iii) a two-round online Delphi survey of mental health nurses to develop consensus on the indicators to be used to measure the agreed metrics; and iv) a face-to-face consensus meeting with mental health nurses and service user representatives to develop consensus on the final suite of metrics and indicators.
RESULTS: Following these four phases 9 metrics and their 71 associated indicators were agreed for inclusion in the final suite of Mental Health Nursing QCM. These metrics are applicable across the life span and the range of mental health nursing health care settings.
CONCLUSIONS: The development of this suite of Mental Health Nursing QCM and their indicators represents an opportunity for the measurement of safe and high-quality mental health nursing care for application in Ireland and internationally. This initial development of metrics and indicators should be followed by a rigorous baseline review of QCM uptake and implementation amongst mental health nurses as part of an ongoing evaluation.
METHODS: The study was undertaken over four phases; i) a systematic literature review to identify mental health care process metrics and their associated indicators of measurement; ii) a two-round, online Delphi survey of mental health nurses to develop consensus on the suit of mental health nursing care process metrics; iii) a two-round online Delphi survey of mental health nurses to develop consensus on the indicators to be used to measure the agreed metrics; and iv) a face-to-face consensus meeting with mental health nurses and service user representatives to develop consensus on the final suite of metrics and indicators.
RESULTS: Following these four phases 9 metrics and their 71 associated indicators were agreed for inclusion in the final suite of Mental Health Nursing QCM. These metrics are applicable across the life span and the range of mental health nursing health care settings.
CONCLUSIONS: The development of this suite of Mental Health Nursing QCM and their indicators represents an opportunity for the measurement of safe and high-quality mental health nursing care for application in Ireland and internationally. This initial development of metrics and indicators should be followed by a rigorous baseline review of QCM uptake and implementation amongst mental health nurses as part of an ongoing evaluation.
摘要：
背景：爱尔兰护理和助产服务办公室主任（ONMSD）委托开发一套更新的心理健康护理指标和指标，以在爱尔兰心理健康临床环境中实施。虽然测量护理过程确实有可能提高护理质量，选择哪种心理健康护理指标来衡量是一个重大挑战，在爱尔兰和国际上。提供安全和高质量的心理健康护理源于护士的专业知识，在一系列医疗保健环境中提供以恢复为重点的护理的技能和整体能力。因此，衡量心理健康护士所做的工作取决于对有助于心理健康护理实践的护理过程的识别。本文报告了鉴定，制定和优先考虑一套国家质量护理指标(QCM)，以及它们的相关指标，爱尔兰的精神健康护理过程。
方法：该研究分为四个阶段；i）系统的文献综述，以确定精神保健过程指标及其相关的测量指标；ii）两轮，对心理健康护士进行在线Delphi调查，以就心理健康护理过程指标达成共识；iii）对心理健康护士进行两轮在线Delphi调查，以就用于衡量商定指标的指标达成共识；iv）与心理健康护士和服务用户代表进行面对面的共识会议，以就最终的指标和指标达成共识。
结果：在这四个阶段之后，同意将9项指标及其71项相关指标纳入心理健康护理QCM的最终套件。这些指标适用于整个生命周期和精神健康护理卫生保健设置的范围。
结论：这套心理健康护理QCM及其指标的发展为衡量在爱尔兰和国际上应用的安全和高质量的心理健康护理提供了机会。作为正在进行的评估的一部分，应在对心理健康护士的QCM吸收和实施进行严格的基线审查之后，对指标和指标进行初步开发。
方法：该研究分为四个阶段；i）系统的文献综述，以确定精神保健过程指标及其相关的测量指标；ii）两轮，对心理健康护士进行在线Delphi调查，以就心理健康护理过程指标达成共识；iii）对心理健康护士进行两轮在线Delphi调查，以就用于衡量商定指标的指标达成共识；iv）与心理健康护士和服务用户代表进行面对面的共识会议，以就最终的指标和指标达成共识。
结果：在这四个阶段之后，同意将9项指标及其71项相关指标纳入心理健康护理QCM的最终套件。这些指标适用于整个生命周期和精神健康护理卫生保健设置的范围。
结论：这套心理健康护理QCM及其指标的发展为衡量在爱尔兰和国际上应用的安全和高质量的心理健康护理提供了机会。作为正在进行的评估的一部分，应在对心理健康护士的QCM吸收和实施进行严格的基线审查之后，对指标和指标进行初步开发。
