PINS – patient experience KPIs for nursing
Rosie Kelly
Clinical Manager, Acute Children’s
Services, SET
How we got here
• 2008 – Regional Workshops to determine KPIs
• 2009 Pilot study – 3 clinical areas in SET, BHSCT
• and Dublin
• 2012/13 – 2 PINS workshops (1 in Belfast, 1 in NSW)
to agree project and sign up participants
• 2013/14 PINS Project
Final 8 top ranked KPIs
Key Performance Indicator
1. Consistent delivery of nursing/midwifery care against identified need
2. Patient’s confidence in the knowledge and skills of the nurse/midwife
3. Patient’s sense of safety whilst under the care of the nurse/midwife
4. Patient involvement in decisions made about his/her nursing/midwifery care
5. Time spent by nurses/midwives with the patient
6. Respect from the nurse/midwife for patient’s preference and choice
7 Nurse/midwife’s support for patients to care for themselves, where appropriate
8 Nurse/midwife’s understanding of what is important to the patient
Organisational Context
Organisational
Indicators
EXAMPLES
•Reported
number of falls
•Pressure ulcer
incidence
•Nurse facilitated
discharge rates
•Compliance with
hand hygiene
Patient/
Client
EXAMPLES
•Patient’s confidence in the knowledge & skills of the nurse
•Nurse’s understanding of what is important to the patient
•Time spent by nurses with the patient
•Involvement of patients in decisions about their nursing care
EXAMPLES
•Performance against
supervision standard
•Attendance –
management rates
•Management of
salaries & wages
budget incl Bank,
Agency & overtime
Data Collection & Analysis Timeframe
1
2
3
4
5
6
7
8
9
10
Survey
Survey
Survey
Survey
Survey
Survey
Survey
Observation
Analysis
Feedback
Stories
Stories
Transcribe
Analysis
Document
•
•
•
•
Survey – distributed to all patients on discharge (over 7 weeks)
Stories – 3 family stories over 1 week and 3 patient stories over 1 week
Document – review patient record in conjunction with asking staff about patient
goals (10 reviews over 1 week)
Observation – of nursing presence in a specified bay over a 30 minute time
period (3 over 1 week)
Measurement framework
Strongest Source
of Evidence
Data Collection Methods
Asking patient
• Survey
• Patient Stories
Observing practice
• Observations of practice
Asking nurses/midwives
• Interview
Reviewing
documentation/data
• Reviewing the patient
record
Observations of Practice
Will measure the following
KPIs:
KPI 5: Time spent by
nurses and midwives with the
patient.
Reviewing the Patient Record
Will measure the following KPIs:
KPI 1: “ Consistent delivery of care
against identified need”
KPI 8: “ Nurse / Midwife
understanding of what is important
to the patient”
This will be undertaken in conjunction
with asking questions of staff
SET Experience
•
•
•
•
•
Staff engagement is key
Triangulation added weight to findings
Time consuming to embed in practice
Ownership
Action Planning a bonus this time
Challenges
• Time out for staff
• Using new data collection tools
• Recognising action plans as positive tools
Using the KPIs to change and improve practice
Diagnostics
(& evaluation)
Changing practice
Interventions
underpinned by
participatory
collaborative
approaches