Construction of a practical program for interhospital transfer of critically ill children
10.3761/j.issn.0254-1769.2023.22.001
- VernacularTitle:危重症患儿院际转运实践方案的构建
- Author:
Beibei WANG
1
;
Ying GU
;
Jing HU
;
Guoping LU
;
Ye CHENG
;
Weijie SHEN
;
Weiming CHEN
;
Yang LI
Author Information
1. 201102 上海市 复旦大学附属儿科医院重症医学科
- Keywords:
Critical Illness;
Inter-Hospital Transfer;
Delphi Technique;
Pediatric Nursing
- From:
Chinese Journal of Nursing
2023;58(22):2693-2702
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop an evidence-based,localized practice protocol for the interhospital transfer of critically ill children.Methods Through a comprehensive evidence summary and semi-structured interviews,a preliminary inter-hospital transfer practice protocol for critically ill children was formulated.A panel of 31 experts from 12 hospitals in China participated in 2 rounds of expert correspondence between May and July 2022,facilitating meticulous revision of the protocol entries.Results The response rate for both rounds of questionnaires was 100%,and the expert authority coefficients ranged from 0.926 to 0.931.In the second round of consultation,the coefficient of variation for the importance score of each entry ranged from 0.036 to 0.226,and the Kendall's W was determined to be 0.201(P＜0.001).Additionally,the coefficient of variation for the feasibility score of each entry fell within the range of 0.070 to 0.314,with Kendall's W of 0.124(P＜0.001).Ultimately,the final interhospital transfer protocol for critically ill children comprised 8 level Ⅰ entries,16 level Ⅱ entries,and 75 level Ⅲ entries.Conclusion The interhospital transfer protocol constructed in this study is grounded in scientific evidence and exhibits practical feasibility.It serves as a valuable reference for organizing and implementing interhospital transfers of critically ill children.
