La realizzazione di una metodologia per la misurazione delle performance dei coordinatori infermieristici in un ospedale per intensità di cura di alta specializzazione attraverso l’approccio del PDCA

Journal title MECOSAN
Author/s Carlotta Patrone, Lucia Cassettari, Francesca Giovannini, Isabella Cevasco
Publishing Year 2019 Issue 2018/106 Language Italian
Pages 17 P. 111-127 File size 601 KB
DOI 10.3280/MESA2018-106006
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Background: the complexity of nurse managers’ role is gradually changed from assistance to management. The aim of this study is to implement an innovative indicator to globally evaluate the features, the professional skills and their performance is described. Methods: the authors found out the features of a valuable nurse managers through an interview to the directors of all the nurses. The method individuated three different aspects (qualitative, quantitative and relational) that were transformed in a single indicator. The approach used by the authors is the PDCA. Results: A total of 18 nurse managers were evaluated in this study. All the results confirmed the judgment of the Healthcare Professions Structure head. Conclusion: This assessment method, validated with these tests, is able to evaluate the nurse manager’s ability to manage personnel, resources and patients.

Keywords: Indicator, PDCA, performance, nurse manager, healthcare, management.

  1. Le Boterf G. (1998). Evaluer les competences. Quels jugements? Quels criteres? Quelles instances. Education permanente, 135(2): 143-151.
  2. Batalden P. (1992). Building knowledge for improvement- an introductory guide to the use of FOCUSPDCA.
  3. Nashville, TN: Quality Resource Group, Hospital Corporation of America. Bresciani P. G., Moon J. A., Lipari D., Reggio P., Righetti E., Foglia A., & Meghnagi S. (1997). Le competenze. Approcci e modelli di intervento. Professionalita, (38).
  4. Borgonovi E. (2000). La spesa sanitaria: investimento per lo sviluppo o consumo. L’industria, 21(3): 427-448.
  5. Borgonovi E., Rondo Brovetto P. (1994). Management challenges and markets. The International Journal of Health Planning and management, 9(1): 25-38.
  6. Boyatzis R. E. (1982). The competent manager: A model for effective performance. John Wiley & Sons.
  7. Campbell S.M., Braspenning J., Hutchinson A., Marshall M.N. (2003). Improving the quality of health care. Research methods used in developing and applying quality indicators in primary care. BMJ, 326: 816-9.
  8. Chase (2010). Nurse manager competencies. PhD (Doctor of Philosophy) thesis. University of Iowa.
  9. Cortellazzi S., Pais I. (2005). Il posto della competenza, persone, organizzazioni, sistemi formativi. Milano: FrancoAngeli.
  10. Deming WE (1991). Out of the crisis, 1986. Cambridge, MA: Massachusetts Institute of Technology Center for Advanced Engineering Study, xiii, 1991, 507.
  11. Donabedian A. (1980). Explorations in quality assessment and monitoring. Vol 1. The definition of quality and approaches to its assessment. Ann Arbor, MI: Health Administration Press.
  12. Donabedian A. (2010). Il Maestro e la margherite. La qualità dell’assistenza sanitaria secondo Avedis Donabedian. Roma: Il Pensiero Scientifico Editore.
  13. Drucker P. (2004). The practice of management, 1st edn. New York: HarperCollins Publishers Inc.
  14. Fisher C., Anema H.A., Klazinga N.S. (2011). The validity of indicators for assessing quality of care: a review of the European literature on hospital readmission rate. European Journal of Public Health, 22(4): 484-491.
  15. Fillingham D. (2008). Lean Healthcare. Easthampnett. Chichester, UK: Kingsham Press.
  16. Guion R. M. (1991). Personnel assessment, selection, and placement.
  17. Gunawan J., Aungsuroch Y. (2017). Managerial competence of first-line nurse managers: a concept analysis. Int J Nurs Pract., 23: e12502.
  18. Imai M. (1986). The key to Japan’s competitive success. New York: McGraw-Hill.
  19. Klemp Jr G. O. (1980). The Assessment of Occupational Competence. Final Report: I. Introduction and Overview.
  20. Langley G.J. (1996). The improvement guide: a practical approach to enhancing organizational performance. 1st edn. San Francisco: Jossey-Bass Publishers.
  21. Levati W., Sarao M. V. (2003). Il Modello delle Competenze. Milano: FrancoAngeli.
  22. Mainz J. (2003). Defining and classifying clinical indicators for quality improvement. International Journal for Quality in Health Care, 15(6): 523-530.
  23. Mintzberg H. (1996). Managing government, governing management. Harvard Business Review, 74(3): 75-83.
  24. Mintzberg H. (2010). Il lavoro manageriale. Milano: FrancoAngeli. Mintzberg H. (2014). Il lavoro manageriale in pratica. Milano: FrancoAngeli.
  25. Mochi Sismondi C. (2010). La riforma Brunetta nella sanita: cosa cambia e per chi. L’infermiere, 2.
  26. Moretto G., Gardini A., Maurizio Fedel E. (2006). Lo sviluppo delle competenze per la sicurezza degli assistiti. Ruolo del coordinatore infermieristico in un’ottica di qualita. Atti del COLLEGIO PROVINCIALE INFERMIERI PROFESSIONALI ASSISTENTI SANITARI – VIGILATRICI D’INFANZIA di Gorizia, -- disponibile all’indirizzo
  27. Musto G. (2018). Il sistema di valutazione della performance. Legge Brunetta: luci e ombre. Il mio libro.
  28. Ovretveit J. (1992). Health Service Quality: an introduction to quality methods for health services. Oxford: Blackwell Special Project.
  29. Prahalad C., & Hamel G. (1990). The core competence of the corporation. Harvard Business Review, May-June, 68(3): 79-91.
  30. Quaglino G. P. (1990). Appunti sul comportamento organizzativo. Tirrenia Stampatori.
  31. Santric Milicevic M.M., Bjegovic-Mikanovic V.M., Terzic-Supic Z.J., Vasic V. (2010). Competencies gap of management teams in primary health care. European Journal of Public Health, 21(2): 247-253.
  32. Sarchielli G. (1996). Le abilita di base e il ruolo attivo del soggetto nella costruzione di prestazioni professionali competenti. Risorsa Uomo.
  33. Skytt B., Ljunggren B., Sjoden P., Carlsson M. (2008). The roles of the first-line nurse manager: perceptions from four perspectives. Journal of Nursing Management, 16: 1012-1020.
  34. Spencer L. M., Spencer S. (1993), Competence at Work. Models for Superior Performance, John Wiley, New York.
  35. Surakka T. (2008). The nurse manager’s work in the hospital environment during the 1990s and 2000s: responsibility, accountability and expertise in nur sing leadership. Journal of Nursing Management, 16: 525-534.
  36. Taylor M.J., McNicholas C., Nicolay C., et al. (2014). Systematic review of the application of the plan-do-study-act method to improve quality in healthcare. BMJ Qual Saf, 23: 290-298.
  37. The World Health Organization (2000). Health systems: improving performance – the World Health Report. Geneva: World Health Organization.
  38. Thrall T.H. (2006). Nurturing your nurse managers. Hospitals and Health Network, 80: 71-72, 74, 72.
  39. Vona R., Di Paola N. (2014). Lean thinking in sanita: il caso della logistica degli approvvigionamenti e della distribuzione ospedaliera dei farmaci. Mecosan, (91): 105-122.
  40. Waring, J.J. and Bishop S. (2010). Lean healthcare: rhetoric, ritual and resistance. Social Science & Medicine, 71(1): 1332-1340.
  41. Womack J.P., Jones D.T. and Roos D. (1990). The Machine that Changed the World. New York, NY: Rawson Associates.
  42. Womack S.P., Jones D.T. (1996). Lean Thinking: Banish Waste and Create Wealth in Your Organisation. New York: Simon and Schuster.
  43. Woodruffe C. (1993). What is meant by a competency?. Leadership & organization development journal, 14(1): 29-36.

  • Indagine sul fenomeno del re-ricovero nel reparto Area a Conduzione Infermieristica (ACI) in un ospedale organizzato per intensità di cura Carlotta Patrone, Alessio Nicoli, Pasqualino Squillace, Matteo Puntoni, Isabella Cevasco, in MECOSAN 115/2021 pp.29
    DOI: 10.3280/MESA2020-115003

Carlotta Patrone, Lucia Cassettari, Francesca Giovannini, Isabella Cevasco, La realizzazione di una metodologia per la misurazione delle performance dei coordinatori infermieristici in un ospedale per intensità di cura di alta specializzazione attraverso l’approccio del PDCA in "MECOSAN" 106/2018, pp 111-127, DOI: 10.3280/MESA2018-106006