Abstract
Background
The quality indicators program has intended and unintended consequences that may affect
nurses’ professional performance and organisational outcomes.
Aims
To explore public health nurses’ knowledge, attitudes, and perceptions of the nursing-sensitive
quality indicators applied in mother–child health clinics and their associations with
organisational quality outcomes: quality of care, burnout, and communication.
Methods
A cross-sectional study with a convenience sample. In total, 177 public health nurses
completed a self-administered questionnaire measuring their knowledge, attitudes,
and perceptions of the quality indicators regarding their performance and organisational
outcomes. A structural equation modelling analysis was performed to describe the associations
between the variables and to identify the mediating variables.
Findings
The structural equation modelling analysis revealed that the intended (positive) impact
on the nurse's professional level was the mediating variable between the nurses’ knowledge
and attitudes towards the National Health Quality Measure program, their seniority,
and the unintended (negative) impact on the nurse's professional level, and the organisational
outcomes.
Discussion and conclusion
Public health nurses perceive quality indicators as contributing to and improving
their professional work, with a positive impact on organisational outcomes. Nursing
leaders and policymakers may promote good organisational outcomes by developing methods
that will emphasise the importance of quality indicators in nursing practice.
Keywords
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Article info
Publication history
Published online: October 26, 2022
Accepted:
October 11,
2022
Received in revised form:
September 6,
2022
Received:
June 3,
2022
Publication stage
In Press Corrected ProofIdentification
Copyright
© 2022 Australian College of Nursing Ltd. Published by Elsevier Ltd.
