Initier une démarche d’analyse de la performance des services infirmiers
In the province of Quebec, nurses are part of the largest group of health care professionals and have a direct impact on the quality of care and patient safety. Unfortunately, the influence of the nursing practice on patient outcomes is often taken for granted, underestimated and undervalued, both in the literature and by healthcare organizations. The purpose of this report is to present an internship experience in nursing administration, which aims to initiate a process of analyzing the performance of nursing services.  The internship took place in an outpatient hemodialysis clinic and a pre-dialysis clinic, in a university-affiliated establishment, the Maisonneuve-Rosemont Hospital. The conceptual model used as a reference for this project is the Nursing Care Performance Framework by Dubois, D'Amour, Pomey, Girard & Brault (2013), which conceptualizes nursing care performance as resulting from three nursing subsystems that interact to achieve three key functions: acquiring, deploying and maintaining nursing resources; transforming nursing resources into relevant nursing services; and producing positive changes in patients’ conditions. Various activities were completed during the internship: a documentation review, participation in clinical-administrative meetings, observation of nursing work (clinical nurses, nurse practitioner and nurse managers), observation of the clinical setting, individual discussions and ultimately a reflection group with key stakeholders.   This project seeks to achieve benefits for the nursing practice such as: encouraging a discussion about the concept of nursing care performance, helping dispel the myths surrounding the concept of nursing care performance,  determining how the nursing care performance fits into the daily clinical practice and nursing process, encouraging an administrative-participatory approach by encouraging idea-sharing between colleagues, supporting managers and clinicians in the development of their understanding of the concept of nursing care performance, highlighting the concept of best care practices among professionals and making the contribution of the nursing profession in the Quebec healthcare system more visible.
Nursing performance Care analysis Nursing administration Nursing Care Performance Framework