Table 3 Frequency and direction of reported indicators of HBH according to the NCPF
Subsystems, dimensions, and indicators from the NCPF | No. of systematic reviews and meta-analyses | ||
|---|---|---|---|
Positive indicators of HBH | Negative indicators of HBH | Neutral indicators of HBH | |
1. Acquiring, deploying and maintaining nursing resources | |||
Economic sustainability | |||
Cost of resources | 9 | - | 5 |
Use of hospital beds* | 1 | - | - |
New emergency consultations* | 2 | - | - |
Use of healthcare services* | 1 | ‑ | - |
Cost per case-mix or patient-day | 1 | - | - |
2. Transforming nursing resources into relevant nursing services | |||
Nursing processes | |||
Problem and symptom management | 3 | - | 1 |
Patient centrality in the nursing care delivery process | |||
Continuity (reactivity, timeliness, coordination) | 1 | - | - |
Patient/family involvement (self-care/information/education) | 1 | - | 1 |
Professional satisfaction | 2 | 1 | - |
3. Producing changes in patients’ conditions | |||
Risk outcomes and safety | |||
Medication management: errors and complications | - | 1 | 2 |
Pulmonary infections | - | 1 | - |
Pressure ulcers/skin integrity | - | 1 | - |
Urinary complications | 1 | - | - |
Bowel complications* | 1 | - | - |
Intravenous infections | - | 2 | - |
Patient comfort and quality of life related to care | |||
Symptom management (e.g., pain, nausea, dyspnea, fever) | 3 | - | - |
Comfort and quality of life (taken broadly) | 5 | - | 3 |
Patient functional status | |||
Physical functional capacity | - | 1 | - |
Cognitive and psychosocial functional capacity | 5 | - | 1 |
Functional capacity | 1 | - | 4 |
Nutritional status | 2 | - | - |
Patient and caregivers satisfaction | |||
Patient satisfaction/complaints | 11 | 1 | 2 |
Satisfaction of caregivers and complaints* | 4 | 2 | 3 |
Joint contribution of nursing with other care | |||
Hospital mortality | 5 | - | 7 |
Readmissions | 4 | - | 7 |
Length of stay | 6 | 1 | 2 |
Survival time* | - | - | 1 |