title: Development of quality standards in inflammatory bowel disease management and design of an evaluation tool of nursing care.
abstract: OBJECTIVE
  nursing management of inflammatory bowel disease (IBD) is highly relevant for patient care and outcomes. However, there is evidence of substantial variability in clinical practices. The objectives of this study were to develop standards of healthcare quality for nursing management of IBD and elaborate the evaluation tool "Nursing Care Quality in IBD Assessment" (NCQ-IBD) based on these standards.
  
  
  METHODS
  a 178-item healthcare quality questionnaire was developed based on a systematic review of IBD nursing management literature. The questionnaire was used to perform two 2-round Delphi studies: Delphi A included 27 IBD healthcare professionals and Delphi B involved 12 patients. The NCQ-IBD was developed from the list of items resulting from both Delphi studies combined with the Scientific Committee´s expert opinion.
  
  
  RESULTS
  the final NCQ-IBD consists of 90 items, organized in13 sections measuring the following aspects of nursing management of IBD: infrastructure, services, human resources, type of organization, nursing responsibilities, nurse-provided information to the patient, nurses training, annual audits of nursing activities, and nursing research in IBD. Using the NCQ-IBD to evaluate these components allows the rating of healthcare quality for nursing management of IBD into 4 categories: A (highest quality) through D (lowest quality).
  
  
  CONCLUSIONS
  the use of the NCQ-IBD tool to evaluate nursing management quality of IBD identifies areas in need of improvement and thus contribute to an enhancement of care quality and reduction in clinical practice variations.
authors: Antonio
authors: A
authors: Torrejón
authors: Lorena
authors: L
authors: Oltra
authors: Paloma
authors: P
authors: Hernández-Sampelayo
authors: Laura
authors: L
authors: Marín
authors: Valle
authors: V
authors: García-Sánchez
authors: Francesc
authors: F
authors: Casellas
authors: Noelia
authors: N
authors: Alfaro
authors: Pablo
authors: P
authors: Lázaro
authors: María Isabel
authors: MI
authors: Vera
mesh_terms: D003697:Delphi Technique; D006801:Humans; D015212:Inflammatory Bowel Diseases / Q000451:nursing*; D019984:Quality Indicators, Health Care; D011787:Quality of Health Care / Q000592:standards*; D011795:Surveys and Questionnaires