Realizing the importance of linking nursing's contribution to quality patient care, a pilot study was conducted to determine whether data regarding the quality indicators proposed by the American Nurses' Association (ANA) could be collected from five acute-care inpatient units at one medical center that is part of a multisite managed care system. Although it was determined that data regarding the ANA quality indicators could be collected at the study site, a variety of unanticipated findings emerged. These findings reflect both discrepancies and congruities between how the investigative team expected the ANA indicators to operate versus what was actually experienced. The lessons learned while collecting ANA indicator data are shared to assist future users and to advance the evolution of the ANA indicators.
Bonnie Mowinski Jennings, DNSc, RN, FAAN, bonnie email@example.com, Colonel, US Army Nurse Corps, TRICARE Management Activity, Health Program Analysis and Evaluation, Falls Church, Virginia,
Lori A. Loan, PhD, RNC, Chief, Nursing Research Service, Madigan Army Medical Center, Tacoma, Washington,
Debra DePaul, MSN, RN, Program Manager, TriService Nursing Research Program, Bethesda, Maryland,
Laura R. Brosch, PhD, RN, Lieutenant Colonel, US Army Nurse Corps, Chief, Nursing Research Service, Walter Reed Army Medical Center, Washington, DC,
Pamela Hildreth, MS, RN, Lieutenant Colonel (ret), US Army Nurse Corps, Community Services Quality Assurance Area Manager, Washington State Department of Social and Health Services, Olympia, Washington.
This report is from a study supported by the TriService Nursing Research Program, grant N97-011 When the work was conducted, all authors were members of the nursing staff at Madigan Army Medical Center, Tacoma, Washington.
The opinions expressed in this paper are entirely those of the authors and do not necessarily reflect the opinion of the Department of Defense, Department of the Army or the Army Medical Department.