Measuring quality in community nursing: a mixed-methods study

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A study by Harrocks et al (2018) aimed to establish which Quality Indicators (QIs) are selected for community nursing; how these are selected and applied; and their usefulness to service users, commissioners and staff.



The study showed a wide range of indicators in use nationally, most of which were focused on organisation of care. Case study participants agreed that the current measures do not reflect the quality of community care accurately, as they do not measure the aspects (continuity, kindness, respect) valued highly by nurses, patients and carers. The authors concluded that the current QIs for community nursing are of limited use. Indicators will be enhanced by involving service users and front-line staff in identification of suitable measures. Workshop delegates (commissioners, provider managers, front-line staff and service users, n = 242) endorsed the findings and drafted good practice guidance.