lrsing

fered

8.- .r ,,din, N- Fxull, of Numi". Rh or Saw Ulinnll ,

Yd, b g k U , 90112, ihailml

urn*", #-. R.",,? ar Mdk+m Rlnee dsoqll. U.i*rn,*

Y* Saw, 80110, Th-

.I Nunlnl, - U.hrsi,Y. US*

.II: pnV.u. tepaor . lh

quality care indicators for elderly patients who have

stroke

.

of

identify nurrina qurlily cam mdkaors fa d h l y

group. Clring elduly W u m w prian ~ h o have ruff& srmke, a mmbinaion

h iR hwo their Wing marly pdukt mlh 1 -,,d inlavkw, fwus gmup intariew and w p h i

Phsn 1 : S e m i - m u d facat inwiew

used la idenlily thc nuning pspcclr. Thne umgc p n i s i p h Ihc

gmups pmicipmts w m ehorm prposive rampling kes rscuning elderly

lrchniqw Ihey w a c I ) sir mn-surgiul clderly pstivu. o srmti"lzF lhe sars for

mesruremenl e l the h.d r u N d ruote and family munbvs were inlcrvied;

h a brcn widely the potenlial panicipmntr me1 !he inclurion criteria 1hn

ring lheq uallry a,-ng required them k able vrrbslly eanmvnieuc pmvids

p,irna is uncomman in cvuy Smi- d¶a nd u, bc available intetvmv. S ! rtmkc p ienu who

lhs, of n"raing -fw induding fwr rpaurr two drugh1.r.. lwo phyficiens

-idly sMerly p u p . lwo nurses rm the inclurion ai ls ia rclaling the

vning is inlriutcly elderly expdc"oe wilh h o r p i u l d elduly umke urc a1 Icul

ho h.veruN& nmke. N u n u nd nueadminir- flvc y- wen inlavicvvod. a) twcnry-lwo n u n a

a porilian to mure thu Ihc care plienlr w i v e rm #he i m l w h dcr* rcluing lo Ihe expukrcc poviding

quality md -priue Qsir needs md mear wrokc plisnts hmpilnl w i n g a 1-1 five

n q ~ b . " ' " m b r , mureud quauify yun participated four focus grwp imwiewr. Ihe main

d v n d s p i d fedlure~afnurringurr, quality quaions lhst were uk lhe aakehldu.' m i o n

wue Ihe mmnt nursing am, u p a e d -, the rignili- are quarrilstivr nW3WW cant nuning sctivity, md the gmd and pcd -. Dm

adminir- were coilwed the iwspitai seolring u hc NW- rmnim, a d cvdvur

logw lwitulian -four mauhr wdio-tap mrdinp. ravicu.'""Usinpqlulily ran indi-

After lhc m i - u n r t u d focw gmup inluviewr

i d i t o n they "ad, rvslegla

collming infomion, adopl apposEha

wing the da~..'' However, qualily

viewcd diffemllv bv dif fwnl raoole!* lime-

wken place, lhe lranruipr wac rranscribcd vmmtim.

Subwquonlly, lhe mreo l snllyrir nmhcd" w u spplied to

discover the qudily w ~ u . adcr auun

edibility and accuracy, lhne -ha's m l l q l m

Mm idu*ifying quaUty indicaaon fn &ly wau i"dcpuderrly rcvkwed lk mder nd the t h . Ihc wlu

hpd a stmke, - ,a Lmw aboul lbespoa. of this pharc w m lo mnslucl quainuire

c m fmrn nJ;&ld.r.s p i n w i v e . M o m , Phwe 2.

wat inluded la alahlish ~ievlpoinu quality h 2: &aim the e x p r u ' cawMu3 ngsrding

upocl, and idcn~ify a wc d nursing quaby indie*- Ihe qualily are i n d i u l o ~ f a rbkrly plienu

m.fa eldnly prienlr have suffend stroke. have ruffend nmke, tedlniqw war

To

of aha age for of mi-

away d-

war quality in

of by in

who

far six

Comes to to lo

for

and 2)

in the is limited!' and who la

involved in string for for

and who

in in

high lo for in for

To in

used lo

the

nuns

in , the qudily of

with

m d

develop lor

and

the of

be

had

nursing care in to

of the . . . .

used the Delphi in

1

on the To

then nuning who

who a the Delphi wed.

Delphi lechnique rr a mum ertnaing md

mmbining Ur whims m g m q af w. It hu bctn

darribed m a mahod m u r i n $ n p u p for mmmuni-

miw -. It ianivc mulu-a- - dorm

m ~ U r o p i n j m r o l U r u p m , w i h h t i o l d ~ v i ~

cmmms qinion, judgmon choiora'"'

wchniiquc cmritu the ynmuic w h i m md combining

o f i J ~ j w d p = u h a n a p a a c i . l l y l r p c ~ d ~ p a t r

o n r p e c i r r ~ m d i r m ~ m d ~ b o r n o r r d I o d a l

wiL ma. ud lim limiwioru.n"'

lkpd a f u p m w u rc*ard pmpsiw mnpling

wiq.c;" Ihcr. included -iqiru, me g m -

lolapist, ar plurmr', m s s n insluron, eiJn

hsad nwvr mi five dil nu- han various h-mpita.

w a r divided h m lhrsc ucu afaxpnire: rwclve

h.d expenbe rlmkc plo, M y w e md q d i l y

mum. nm h inelwian aiwk thu - bving

srp.iarc dmir am for a Inn five y-.

Rwnd m: lhe axpMs unrr u k a l indicae Ibeir

hi ol.yamant m Iwo mnlinuous, acvm-sun sales thsl

rvrd Ih iraporum Md lhe fasibility wu ly - f i ve

pc-daamkd qWily - Whlas u n k nursing qualily

en upm pmid Uw alrholda *in lk initial

phr Smm mltged han - or 10, the l o w 1 lo s

o a a O f l f C , U r ~

R a u r d r w o : U r 1 0 5 ~ i n m n d o n e b s u n c I h e

upru mvnd two, m Ule e rpnr mvnd

~ S l ~ a r u p n d i d n * ~ I h e ~ m c q m -

,hmdm T h e u p n r - P M l o r r - R o a s h - ~ w

&ian tothe impmxemd lrrribilhy using mm-

ilm~lplin.lkmudIwoquaI~rrmriarddrony-

Ava-iadirrmdsixqmalily-MFeciI, ~ ~ c n c

udjeuan rug(oacd thr upm mpndmu aw.

p n h e d i n a p ~ h a d i m n d h a m t h c o l h a o r p n r , ~

wukedmupllinllr~lalhi.. Hmmar,lhey

the oppmMlily c h y lbair 0-. quaimlu*

mund w u n u b oflwary-sewn qlulily are indi

six quality crra npau.

Far muad quuionnire, lbe upnr vac li thc chance 10 sdd mw qualily indicuan md wac a m u n

lo include CMnmcnK M Ik md c v q qud€W&F2

crilerian add* n m ~ hd imon sh w ba on L c n u m b wggcniaor mads by expenr. m

Uun urn r u w l c d the rsmc i n d i r , n w u then

mlia ach quailly i.c

mshsn, imcr-quMik w e ad ndrundudiaim u

daaibad. ' h e upem' mnrwur rating 01 ewh <

i a d d o r w n -idued e a b k when ovu

upnr waad bmh impon- d luribility care hd i

mare 1h.n 5. nddilion, any indiutara

iIncrquMile m o p equal to I+u than -I p

ol upfm ryocd an 1h.l indieua.

-ply e h i a l conrManr. nudy

sppmvod lNliluthrul Review Bolrd 01

Frulty Rim Son&Is Univmily ud 01 Ihc R.

Neumlogkal IIWINC, md the d i m o n 01 H n Yai Haaf

Songkhlr Hmpiul. The a h i u l ism wae .Lro ta

inlo mnridcruin thmrghau the whok p- the nu

M d m i i i l y was gwmmcod wah #he yeo f nunmid md

Ihe dua mllstod.

~mansgedtheS6Dclph iupcmum48.6ya

52.896 had working upriurt mxc lh lwmy w; 8674 td .Raacn 'o rdmmldqPe %r,mlkdup

Ihr r r r p ~ 1 % Uu nwnba of numu Mi vprar :

r n m b s d m + ~ m h r * ~ l o r ~ & p i

QEh ue p- m Tabk

h: Uu rrrpmdcn(r m u d lunr I&

becunatheupmuinmudlhne T h e n u m b u d u p n r i n

LbmuadwnrSBbccaurotwoh.dmtiadthepeviauqm- R m l U

tiantuire ba*r, round Uw three lypr O f f d k k . Ihe Thmvgh mnlonl mdysu. six nuning qualily

vorrr and Ur LwmquMik mnge rwo. w LdmW in TMt Afimwds .-ty-live ear Wicvon m q orpa's quarionnaim. lhis mud, upem weae \~lrmwagiw p l ~ t u n i t ( I 6 irdksm), nvnhga

sked m mnli i tbcir ash iad ior . Uley qudir- ( I 1 -), nmhg an mivii im

The of

of

for

is an

of or The Delphi

of

by

four

nuns

They ash

in

All

in

36 m

of the

six

P by. I

In number of in his

in by the

by in m u d

m The

this up

ton of

ash

of

for in m u d

of the I f

3

The of i n d i i a ,

man,

on the

5074 of

of

tor I n having

or 1.5 the

To with this ,

by the the Nun

of of

and of

of

lor

.

in round 1.

Round in a m

lo this c

2.

ash In the They

opinion of I f (15

T.bl.8 - - - I*MDlt lO.r

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~ r ~ " " l h r i p m d ~ ~ ~ ~ w 4 4 --, , , m i d m r m ~ d Y W s h-,."~Iih.P.IM

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OII.Y,.,'II hi,,- ?" - Nml .~m* . in . .~ *b~ .p .unu , YNI,..

m, - . * - l *nu*ws* l i " ,~d,mwwc&d

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d PYII."I Y. &dm. d .Ye.. 16.,,.1 w.li. *I

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.

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4.8 ~ d I Y N l I ~ d D v y i - v b o p n k i p w d h h c N0-m

-=d=Jdw-w='J "I q-&u f m m i ! k l a d r n rpndiq hc ni* with - - b f a b'4lilG.?qfrn to q..d dm Carrn cmnvu i n&p .mdp6a inpa ibw- lo rWy&smim

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aiddinrforML.dbchwddWy.DL.wlmu C=.===U - s . r ~ p l M ~ l o r = J d w m b p a c m r d L d r f . I d r i / c- ~ o -

Dlllinn cemiw nbabil*.lon wb+-, &ty

lm ai l , lik f d n a , - Mkaka pmm4 Lor

6p.lia

S . a N r r p p . 6 o d k d l k . a d - ' i m b e k , e h c d r h a - - ddWy=-lrdrti

Nrupwidm d- m * M y mb ptiam/I.nikw Earrru Cmww

a q h a f a p a l d . l a k d W y m b p " i m m " h -

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5 . 6 ~ d ~ ' b . k e p * a . . i , = . n d ~ ~ ~ - - 6 . 7 P r r q . d d d w l y m b p l i - a r h ~ m l v k e No -

nPld.lnoRiUdW 6.8 &My mb @md Lmvledle d d f - a dw dbchge cc.,m,“4,

6 . e I w m l - k ~ y m c t o ~ . . i , = . ~ f k ' b . k e - - 6.10 aotepli-, lbdr f d I * I / - 6.11 N u a b * d W y m b p c * n * i h i d - m g w # ~ ~

n l d a l l l b - ~ i h c m m m d y No-

6.1% N a k d . L d r r h s m k e p 6 a o . w b m m m n h m ~ No-

lohcbqierl

a,---: 8.1 nsi.* ,".-& rue Cmww - 0.a - lmkrtla me - - a . s R a n * o r m - (hill

Id- d h - - 01.1 6.S w m * - Olrr .

Dq.i"...~

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4.8 .

4.4

M Y - -

4.5 dm *@, in

5.1

m

6.4

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No

*-lor- ~ NO-

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6.4

6.8

6.7 -

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redeaP.).babub..lr*rd *- Plo-

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no-

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w&&-

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I & T - y b Nurtt sdmina(agn' pfrapi~

p r f i r r b l d i c m n o f ~ c r a h w l d ' m

I-: Uairmiry low ZOO%

I@.!&seM. T h e ~ l ~ a M R e e d i ~ . A W J

NM 191*1:12-28.

t o . ~ C F , ~ O e . L e a E M-mMui"nul

-11. fd aL PhilrdslpMa: Em% 1991.

21. Lilaloae W M . The DclpLi WM: trdrni

a d ql)ic&ar. A&bm-Wadq I*: 1

22. Hurrm F, K m y S, YlcKana Duurch guY

fer lb Delphi mq rtslmiquc. Adv P(on 2000;

1 m - 1 5 .

PS.~I3 ,MehanPf ,Hunl~Armkapnpa h a ;

~ l d " l b i d s r i m ' % f ~ ~ ~ l a n U n t . l ~

wmbgpclh AwNewZo.JHmHahhWun

2WrX9:II-I.

Is%. BYIES OTOW S. p n a k e w s h rrrra

C L b m m ~ S , - 1, Chub- no &, niri, nrd lrrilirrtirm. I.&. N m Y< u*yris.ndsfmbsriadrmaurhinLaprua *h.d

caebrcvvulnreidf*&lheir~ronbTlmOsld W.B. Smnda; W 1 .

E v . l r a j o r a W ~ o f r w d i c . l e -ms~19aa-moo--l~ --: )*lM M m ,& Lw,4:IB,-6. F r d y of Nmiag, RioadSMglrla Univdy ; 08(ta.

IS. l dmn E, awl;= L, ~ a m r i n B. ~ r a i indimom 27'Domw6 lhodefi*mdqu'tily.nd~

climb1 ..I.*.: I n v b m &the hemwe. Adv Nu. inasesmm. Arm Adminmn

1$31;25:6-If.

Lin P, Wlltdy 8, Sbnm K Ex- ~ m e r ' *ripe-

n*edmkecne. b S u n W;19:99-1.

16. &J. Qulilrhdason:-lillla~hiylou-

aat. L l y.1 Wkb CP. !2004;16:11-2.

16. lb b*ul m i s s t o m Acnc(i(alir* GI k 8 l l h Care

O r p b h . Qlu l l y imdicaws Imonop$sh Ihc

banurl. W u L i q m DC: Th. k i . 1 Coa,bim ACE*

r i w i o a o f H c W C I F C ~ W Z O C d L b P y 1 1 .

A w W s Imm: h l y J f w n r . w s b . ~ c m i " ~

M i l l a d J q u ~ ~ c n t c n t M m I

Srirm&l mtirsu S. Unnnoj T&&j C.

TaarrtL S. f b @ a l qualily iadiE*ws. NonnSuFoc:

HoDpiKd Accpcb*al~ k&Rq 2000.

Prcrr; 1 w .

28.ALa RK. t h e l e f t E.9. Ppraaa RE, Jsrjour. (

Wicksmm CO, W&b& u at. Dwdopinp a rw u D i l ~ m c l o " * - f o r e & r S ~ m d " "

d m . AIR GCTimSa 2003;51:1W-I.

29. Notsa M, noln I. Smkc pnP! w e h un

rrhlbiuINia. Bric Wur 198%6:116-22.

80. Divisjars .Ilbsr Medid Ikpmml, I b n L

of M c bl*. Nmrsing qul i ly iMmh?r b p i

Ih@sL: Sam-QBIO. P&c&

S Kawnnw W, Anan R, Shnphm Qonavw

N.1IPlrpntR,FanuponO. -ofqua

d n ~ e n n i n ~ JAdrNrn2001;36:11

84.

W.

d

F.A.

HA,

MA;

H.

J

25. N, The d IS. P.

26.-A.

in

J

14.

J

on

I f . J, Y.

AJ,

J

a

J

in

2004.

I. W,