Promoting person-centred practice within children’s hospital services through the use of key performance indicators: an international study

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Presenter: Ms Susan  Dyer¹, Ms Kathryn  Coombe¹, Ms Val Wilson², Ms Tanya McCance³

¹Women’s and Children’s Health Network, North Adelaide, Australia, ²University of Technology Sydney; Sydney Children’s Hospital Network, Sydney, Australia, ³University of Ulster, Ulster, United Kingdom

 Date of presentation: 28th October 2016

Abstract

Aim

The Paediatric International Nursing Study (PINS) focuses on the measurement of eight core Nursing & Midwifery key performance indicators (KPIs) to support the development of person centred nursing in paediatric settings. A medical ward within a tertiary paediatric hospital was one of 12 participating children’s hospitals. The aims are to:

• Implement KPI’s and use the outcomes to benchmark Children’s Hospital services internationally.

1. Establish how the KPIs can be used to support staff in using evidence to inform their practice and in undertaking localised practice change and innovation
2. Collaboration with consumers to achieve a person centred model of paediatric care.

Method

Data collection included both qualitative and quantitative methodologies such as surveys, patient stories, observations of practice, review of records and interviews with staff. Data is collected, analysed and fed back to staff over a 10 week period.

Results

Three 10 week data collection cycles have been completed over the last two years with each cycle generating an action plan which has been developed, implemented and audited by ward staff. The action plans have primarily focused on improvements for KPI 1 (consistent delivery of information to patient/parent) and KPI 8 (understanding what is important to the patient and family). Actions have included the increased use of whiteboards in patient rooms and improving compliance with bedside handover at all shift times.

Conclusions

The Person Centred KPI methodology has now been implemented in other acute ward areas to support person centred practice development. A fourth data collection cycle will commence in April.