{"status":"ok","message-type":"work","message-version":"1.0.0","message":{"indexed":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T05:02:32Z","timestamp":1785301352147,"version":"3.55.0"},"reference-count":28,"publisher":"Wiley","issue":"1","license":[{"start":{"date-parts":[[2026,7,28]],"date-time":"2026-07-28T00:00:00Z","timestamp":1785196800000},"content-version":"vor","delay-in-days":208,"URL":"https:\/\/creativecommons.org\/licenses\/by\/4.0\/"},{"start":{"date-parts":[[2026,1,1]],"date-time":"2026-01-01T00:00:00Z","timestamp":1767225600000},"content-version":"tdm","delay-in-days":0,"URL":"http:\/\/doi.wiley.com\/10.1002\/tdm_license_1.1"}],"content-domain":{"domain":["onlinelibrary.wiley.com"],"crossmark-restriction":true},"short-container-title":["Journal of Nursing Management"],"published-print":{"date-parts":[[2026,1]]},"abstract":"<jats:sec>\n                    <jats:title>Objective<\/jats:title>\n                    <jats:p>Nursing\u2010sensitive quality indicators (NSQIs) are essential for evaluating and improving the quality of hemodialysis (HD) care, yet long\u2010term monitoring of their trends and interrelationships remains limited. This study aimed to examine longitudinal trends and interrelationships among NSQIs in an HD unit and to apply analytical methods to support nursing quality management.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Methods<\/jats:title>\n                    <jats:p>A 4\u2010year longitudinal retrospective study was conducted in a tertiary hospital HD unit. Ten NSQIs (two structural indicators, three process indicators, and five outcome indicators) were monitored monthly from January 2022 to December 2025. Data were analyzed using descriptive statistics, correlation analysis, principal component analysis (PCA), and autoregressive integrated moving average (ARIMA) modeling.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Results<\/jats:title>\n                    <jats:p>\n                      Structural and process indicators remained generally stable or improved over the 4\u2009years. Among outcome indicators, incidence of hypotension in HD (O1) and patient satisfaction (O5) were stable; incidence of coagulation during extracorporeal circulation (O2) increased initially and then declined; dialysis period weight control success rate (O3) decreased and then partially recovered; incidence of central venous catheter infection (O4) decreased markedly. Spearman correlation showed a positive association between the ratio of blood purification specialist nurses to general nurses (S2) and O3, and an inverse relationship between process indicators and O4. PCA explained 49.5% of the total variance and revealed an annual evolution in the structure of nursing quality indicators. The final ARIMA models for O1\u2013O4 all passed the Ljung\u2013Box test (\n                      <jats:italic>p<\/jats:italic>\n                      &gt; 0.05). Six\u2010month forecasts indicated that O1 and O3 would remain nearly constant, O2 would increase initially and then stabilize, and O4 would rise slowly.\n                    <\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Conclusion<\/jats:title>\n                    <jats:p>Continuous monitoring of NSQIs helps identify actionable areas for quality improvement in HD care. The structure\u2013process\u2013outcome framework effectively captured dynamic trends in nursing quality, revealing distinct patterns across indicator types and highlighting areas requiring targeted intervention. Predictive modeling supports proactive management and adjustable interventions.<\/jats:p>\n                  <\/jats:sec>\n                  <jats:sec>\n                    <jats:title>Implications for Nurse Leaders<\/jats:title>\n                    <jats:p>Nurse leaders can use longitudinal NSQI data to guide staffing decisions, prioritize process\u2010centered quality improvement, and design targeted interventions based on outcome trends. Time\u2010series models help move from reactive to predictive management, making it easier to anticipate trend shifts, ultimately improving patient outcomes in HD care.<\/jats:p>\n                  <\/jats:sec>","DOI":"10.1155\/jonm\/8833031","type":"journal-article","created":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:35:44Z","timestamp":1785299744000},"update-policy":"https:\/\/doi.org\/10.1002\/crossmark_policy","source":"Crossref","is-referenced-by-count":0,"title":["Longitudinal Analysis and Predictive Modeling of Nursing\u2010Sensitive Quality Indicators in Hemodialysis"],"prefix":"10.1155","volume":"2026","author":[{"ORCID":"https:\/\/orcid.org\/0009-0001-5650-8132","authenticated-orcid":false,"given":"Sikai","family":"Tang","sequence":"first","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0000-6695-688X","authenticated-orcid":false,"given":"Qiao","family":"Li","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0009-0005-4742-7997","authenticated-orcid":false,"given":"Li","family":"Liu","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0003-2069-5201","authenticated-orcid":false,"given":"Li","family":"He","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0002-6292-8045","authenticated-orcid":false,"given":"Yingjun","family":"Zhang","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]},{"ORCID":"https:\/\/orcid.org\/0000-0001-8360-718X","authenticated-orcid":false,"given":"Lin","family":"Chen","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"author"}]}],"member":"311","published-online":{"date-parts":[[2026,7,28]]},"reference":[{"key":"e_1_2_15_1_2","doi-asserted-by":"publisher","DOI":"10.1038\/ki.2011.368"},{"key":"e_1_2_15_2_2","doi-asserted-by":"publisher","DOI":"10.1080\/0886022x.2024.2321320"},{"key":"e_1_2_15_3_2","first-page":"1382","article-title":"Application Status and Research Progress of Palliative Care in Patients With End-Stage Renal Disease","volume":"36","author":"Chen H.","year":"2023","journal-title":"Chinese Medical Ethics"},{"key":"e_1_2_15_4_2","doi-asserted-by":"publisher","DOI":"10.1159\/000514550"},{"key":"e_1_2_15_5_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2012.02.018"},{"key":"e_1_2_15_6_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.14840"},{"key":"e_1_2_15_7_2","doi-asserted-by":"publisher","DOI":"10.1111\/nuf.12207"},{"key":"e_1_2_15_8_2","doi-asserted-by":"publisher","DOI":"10.1111\/jan.12503"},{"key":"e_1_2_15_9_2","doi-asserted-by":"publisher","DOI":"10.1001\/jama.260.12.1743"},{"key":"e_1_2_15_10_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.654"},{"key":"e_1_2_15_11_2","doi-asserted-by":"publisher","DOI":"10.1111\/j.1471-6712.2010.00836.x"},{"key":"e_1_2_15_12_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.colegn.2019.06.003"},{"key":"e_1_2_15_13_2","doi-asserted-by":"publisher","DOI":"10.3760\/cma.j.issn.1672-7088.2019.35.011"},{"key":"e_1_2_15_14_2","doi-asserted-by":"publisher","DOI":"10.1111\/jocn.14607"},{"key":"e_1_2_15_15_2","doi-asserted-by":"publisher","DOI":"10.3870\/j.issn.1001-4152.2021.14.059"},{"key":"e_1_2_15_16_2","doi-asserted-by":"publisher","DOI":"10.12102\/j.issn.1009-6493.2024.14.024"},{"key":"e_1_2_15_17_2","doi-asserted-by":"publisher","DOI":"10.13912\/j.cnki.chqm.2022.29.10.06"},{"key":"e_1_2_15_18_2","doi-asserted-by":"publisher","DOI":"10.1002\/nop2.1349"},{"key":"e_1_2_15_19_2","doi-asserted-by":"publisher","DOI":"10.1093\/biomet\/76.2.297"},{"key":"e_1_2_15_20_2","doi-asserted-by":"publisher","DOI":"10.34067\/kid.0000112019"},{"key":"e_1_2_15_21_2","doi-asserted-by":"publisher","DOI":"10.3904\/kjim.2013.28.3.274"},{"key":"e_1_2_15_22_2","doi-asserted-by":"publisher","DOI":"10.1136\/bmjopen-2021-052899"},{"key":"e_1_2_15_23_2","doi-asserted-by":"publisher","DOI":"10.1016\/j.ijnurstu.2019.02.001"},{"key":"e_1_2_15_24_2","doi-asserted-by":"publisher","DOI":"10.12102\/J.issn.1009-6493.2019.01.026"},{"key":"e_1_2_15_25_2","doi-asserted-by":"publisher","DOI":"10.1002\/hsr2.89"},{"key":"e_1_2_15_26_2","doi-asserted-by":"publisher","DOI":"10.1053\/j.ajkd.2016.08.030"},{"key":"e_1_2_15_27_2","unstructured":"National Health Commission of the People\u2019s Republic of China Circular of the General Office of the National Health Commission on Printing and Distributing the National Healthcare Quality and Safety Improvement Goals for 2021: No. 76 of 2021 of the General Office of the NHC [A\/OL] 2021 https:\/\/www.nhc.gov.cn\/yzygj\/c100068\/202102\/116305f4cb174ef59b02be71ac826b6b.shtml."},{"key":"e_1_2_15_28_2","doi-asserted-by":"publisher","DOI":"10.1186\/s12889-022-13872-9"}],"container-title":["Journal of Nursing Management"],"original-title":[],"language":"en","link":[{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/8833031","content-type":"application\/pdf","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/full-xml\/10.1155\/jonm\/8833031","content-type":"application\/xml","content-version":"vor","intended-application":"text-mining"},{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/pdf\/10.1155\/jonm\/8833031","content-type":"unspecified","content-version":"vor","intended-application":"similarity-checking"}],"deposited":{"date-parts":[[2026,7,29]],"date-time":"2026-07-29T04:36:00Z","timestamp":1785299760000},"score":1,"resource":{"primary":{"URL":"https:\/\/onlinelibrary.wiley.com\/doi\/10.1155\/jonm\/8833031"}},"subtitle":[],"editor":[{"given":"Justin","family":"Fontenot","sequence":"additional","affiliation":[],"role":[{"vocabulary":"crossref","role":"editor"}]}],"short-title":[],"issued":{"date-parts":[[2026,1]]},"references-count":28,"journal-issue":{"issue":"1","published-print":{"date-parts":[[2026,1]]}},"alternative-id":["10.1155\/jonm\/8833031"],"URL":"https:\/\/doi.org\/10.1155\/jonm\/8833031","archive":["Portico"],"relation":{},"ISSN":["0966-0429","1365-2834"],"issn-type":[{"value":"0966-0429","type":"print"},{"value":"1365-2834","type":"electronic"}],"subject":[],"published":{"date-parts":[[2026,1]]},"assertion":[{"value":"2026-01-14","order":0,"name":"received","label":"Received","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-06-10","order":2,"name":"accepted","label":"Accepted","group":{"name":"publication_history","label":"Publication History"}},{"value":"2026-07-28","order":3,"name":"published","label":"Published","group":{"name":"publication_history","label":"Publication History"}}],"article-number":"8833031"}}