Research Article
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Nurse-sensitive quality indicators: A multicenter analysis

Year 2025, Volume: 16 Issue: 4, 575 - 583, 01.10.2025
https://doi.org/10.31067/acusaglik.1669100

Abstract

Purpose: The quality of nursing care is strongly related to patient safety and satisfaction. Although previous studies have reported various nurse-sensitive quality indicators, a gap still exists for some countries such as Türkiye regarding the definition and determination of the nurse-sensitive indicators, selecting the appropriate monitoring tools, the results, and using the results to enhance nursing practice. This study aimed to evaluate nurse-sensitive quality indicators and to explore the association between these indicators and nurse-staffing characteristics.
Methods: This multicenter retrospective study presents data from 528 hospital-month units by investigating digital nursing reports across 15 hospitals in Turkey. Variables related to nurse staffing and nurse-sensitive quality indicators, including falls, thrombophlebitis, pressure ulcers, and patient satisfaction, were examined with descriptive analysis.
Results: This study reveals that during the months with documented falls there were more patients and longer hospital stays but lower patient satisfaction. Conversely, during the months without thrombophlebitis, there were more nurses with higher education levels and higher patient satisfaction. Increased incidence of patients with thrombophlebitis was correlated with higher nurse-to-patient ratios. During the months with documented pressure ulcers, there were more patients and longer hospital stays.
Conclusion: The findings of this study suggest that certain nurse-sensitive quality indicators such as falls, pressure ulcers, and thrombophlebitis are associated with the profile of the nurse workforce.

Ethical Statement

The study protocol was approved by the Bahcesehir University Scientific Research and Publication Ethics Committee (Approval Date: November 27, 2019; session: 2019/10; approval number: 20021704-604.02)

Thanks

We would like to express our appreciation to Saliha Koç Aslan (Nursing Directorate of the hospitals) and all members of the administrative committees for their support during our study. We extend our sincere gratitude to Professor Meryem Yavuz Van Giersbergen for her significant contribution to the conceptual framework of our research through her extensive knowledge and experience. We would like to thank Enago English Editing Services, Expert Editing & Proofreading for the linguistic and grammatical editing of the manuscript.

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There are 29 citations in total.

Details

Primary Language English
Subjects Nursing Workforce, Nursing (Other)
Journal Section Research Articles
Authors

Nuran Ayşen Pamir Aksoy 0000-0002-0073-6267

Fatma Eti Aslan 0000-0003-0965-1443

Early Pub Date September 15, 2025
Publication Date October 1, 2025
Submission Date April 2, 2025
Acceptance Date May 29, 2025
Published in Issue Year 2025 Volume: 16 Issue: 4

Cite

EndNote Pamir Aksoy NA, Eti Aslan F (October 1, 2025) Nurse-sensitive quality indicators: A multicenter analysis. Acıbadem Üniversitesi Sağlık Bilimleri Dergisi 16 4 575–583.