{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,6]],"date-time":"2026-07-06T13:38:58Z","timestamp":1783345138180,"version":"3.54.6"},"reference-count":57,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T00:00:00Z","timestamp":1738022400000},"content-version":"vor","delay-in-days":0,"URL":"http:\/\/creativecommons.org\/licenses\/by\/4.0\/"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Renal Care"],"published-print":{"date-parts":[[2025,3]]},"abstract":"<jats:title>ABSTRACT<\/jats:title><jats:sec><jats:title>Background<\/jats:title><jats:p>Nursing sensitive indicators are a way of measuring aspects of patient care that are most affected by the actions of the nurse. Despite the existence of nursing sensitive indicators, these are largely not suitable to measure peritoneal dialysis nursing practice.<\/jats:p><\/jats:sec><jats:sec><jats:title>Objective<\/jats:title><jats:p>This project aimed to co\u2010develop a set of peritoneal dialysis nursing\u2010sensitive indicators.<\/jats:p><\/jats:sec><jats:sec><jats:title>Design<\/jats:title><jats:p>Informed by the Donabedian quality framework (structure, process, outcome), a multinational co\u2010production consensus design was used.<\/jats:p><\/jats:sec><jats:sec><jats:title>Participants and Measurements<\/jats:title><jats:p>First, an expert panel of seven professionals proposed potential indicators from clinical expertise and examining peer\u2010reviewed articles and clinical guidelines. Next, the expert panel undertook a consensus building process involving face\u2010to\u2010face meetings and online discussion to refine the indicators. Lastly indicator confirmation was undertaken using a 5\u2010point rating scale involving delegates at a major conference.<\/jats:p><\/jats:sec><jats:sec><jats:title>Results<\/jats:title><jats:p>The initial indicator proposal, based on evidence and clinical experience, identified 65 potential indicators (20 structural, 22 process and 23 outcome). The consensus process involved discussion and negotiation to reduce the potential indicators to 28 (eight structural, 12 process and eight outcome). Confirmation involved 25 nurses with all 28 indicators supported (all &gt;\u20093.5\/5). Indicators highly supported were patient satisfaction, fluid balance assessment, peritoneal dialysis catheter exit\u2010site, clinical signs measurement, peritonitis investigation, peritoneal dialysis catheter complications referral and infection rates.<\/jats:p><\/jats:sec><jats:sec><jats:title>Conclusion<\/jats:title><jats:p>Following further validity, reliability and feasibility testing, these nursing sensitive indicators can be used to measure the quality of peritoneal dialysis nursing care provided for patients and families.<\/jats:p><\/jats:sec>","DOI":"10.1111\/jorc.70008","type":"journal-article","created":{"date-parts":[[2025,1,28]],"date-time":"2025-01-28T07:23:43Z","timestamp":1738049023000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":1,"title":["Co\u2010Producing Peritoneal Dialysis Nursing Sensitive Indicators for Quality Care: A Multinational Consensus Building Design"],"prefix":"10.1111","volume":"51","author":[{"ORCID":"https:\/\/orcid.org\/0000-0002-4592-7286","authenticated-orcid":false,"given":"Jessica","family":"Baillie","sequence":"first","affiliation":[{"name":"School of Healthcare Sciences Cardiff University Cardiff UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-9920-6743","authenticated-orcid":false,"given":"Ann","family":"Bonner","sequence":"additional","affiliation":[{"name":"School of Nursing and Midwifery Griffith University, Australia and Aarhus University Gold Coast Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-3642-0317","authenticated-orcid":false,"given":"Sonia","family":"Guillouet","sequence":"additional","affiliation":[{"name":"Health Training and Research Centre University of Caen Caen France"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Cornelia","family":"Mikut","sequence":"additional","affiliation":[{"name":"Home Dialysis Division KfH, Kuratorium f\u00fcr Dialyse und Nierentransplantation Neu\u2010Isenburg Germany"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Sally","family":"Punzalan","sequence":"additional","affiliation":[{"name":"Renal Home Therapies Imperial College Healthcare NHS Trust London UK"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Anna","family":"Kaczmarek","sequence":"additional","affiliation":[{"name":"Medical Affairs, Baxter Zurich Switzerland"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"given":"Lawrence Climaco","family":"Wenzyl","sequence":"additional","affiliation":[{"name":"Peritoneal Dialysis AKH University Hospital Vienna Vienna Austria"}],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2646-0227","authenticated-orcid":false,"given":"Jeanette","family":"Finderup","sequence":"additional","affiliation":[{"name":"Department of Renal Medicine Aarhus University Hospital Aarhus Denmark"}],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2025,1,28]]},"reference":[{"key":"e_1_2_12_2_1","unstructured":"Standardised Outcomes in Nephrology. 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