The New Zealand development and trial of mental health nursing clinical indicators--a bicultural study.
This paper describes the development and validation of bicultural clinical indicators that measure achievement of mental health nursing practice standards in New Zealand (ANZMCHN, 1995, Standards of practice for mental health nursing in New Zealand. ANZCMHN, Greenacres). A four-stage research design was utilised including focus groups, Delphi surveys, a pilot, and a national field study, with mental health nurses and consumers as participants. During the national field study, consumer files (n=327) from 11 District Health Boards, and registered nurses (n=422) completed an attitude questionnaire regarding the regularity of specific nursing and service activities. Results revealed a variation in the mean occurrence of the clinical indicators in consumer case notes of 18.5-89.9%. Five factors with good internal consistency, encompassing domains of mental health nursing required for best practice, were derived from analysis of the questionnaire. This study presents a research framework for developing culturally and clinically valid, reliable measures of clinical practice.
O'Brien
Anthony P
AP
School of Health Sciences, College of Humanities and Social Sciences, Massey University, Private Bag 11222, Palmerston North, New Zealand. clinicalind@bigpond.com
O'Brien
Anthony J
AJ
Hardy
Derrylea J
DJ
Morrison-Ngatai
Erina
E
Gaskin
Cadeyrn J
CJ
Boddy
Julie M
JM
McNulty
Neil
N
Ryan
Tom
T
Skews
Georgina
G
D001291:Attitude of Health Personnel; D019985:Benchmarking; D002983:Clinical Competence / Q000592:standards*; D003697:Delphi Technique; D005163:Factor Analysis, Statistical; D017144:Focus Groups; D019983:Guideline Adherence / Q000592:standards; D006801:Humans; D009520:New Zealand; D024802:Nurse's Role; D009731:Nursing Audit; D015403:Nursing Evaluation Research; D009740:Nursing Staff / Q000193:education / Q000523:psychology; D010865:Pilot Projects; D017410:Practice Guidelines as Topic; D011568:Psychiatric Nursing / Q000592:standards*; D019984:Quality Indicators, Health Care / Q000592:standards*; D011795:Surveys and Questionnaires; D016746:Transcultural Nursing / Q000592:standards*