Construction of an evaluation index system of nursing quality for pressure injury in Operating Room
10.3760/cma.j.issn.1674-2907.2020.01.009
- VernacularTitle:手术室压力性损伤护理质量评价指标体系的构建
- Author:
Yuan CHEN
1
;
Qianjian QIAN
;
Liming QIAN
;
Jiefang SHEN
;
Wei WANG
Author Information
1. 上海交通大学医学院附属瑞金医院手术室，上海 200025
- Keywords:
Operating Room;
Pressure injury;
Nursing quality;
Evaluation index;
Delphi methods;
Expert consultation;
Three-dimensional quality assessment model
- From:
Chinese Journal of Modern Nursing
2020;26(1):45-49
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct an evaluation index system of nursing quality for pressure injury in Operating Room based on Donabedian structure-process-outcome three-dimensional quality assessment model to provide a reference for nursing quality assessment by nursing managers in Operating Room.Methods:From March to July 2018, we selected 18 experts such as chairman of Committee of Operating Room of Shanghai Nursing Association, head nurses of Operating Room at ClassⅢ Grade A general hospitals in Shanghai, nurse specialist of pressure injury management team, by purposive sampling as subjects. The consultation form was designed based on search of operation related pressure injury at home and abroad as well as Donabedian structure-process-outcome three-dimensional quality assessment model. Delphi method was used to 2 rounds of expert consultation. Items in all levels were deleted, merged and revised according to expert opinions and to define the evaluation indexes in all levels of nursing quality for pressure injury in Operating Room as well as the weight.Results:This study carried out 2 rounds of expert consultation, with 0.989 for the expert judgment coefficient, 0.956 for the expert familiarity coefficient and 0.973 for the expert authority coefficient. The variation coefficients of second-level indexes and third-level indexes ranged from 0.109 to 0.138 in 2 rounds of expert consultation. The evaluation index system of nursing quality for pressure injury in Operating Room included 3 first-level indexes, 9 second-level indexes and 28 third-level indexes.Conclusions:This study constructs a scientific and reasonable evaluation index system of nursing quality for pressure injury in Operating Room with the method of Delphi which can be used to nursing quality assessment for pressure injury in Operating Room and is in favor of continuous quality improvement of nursing in Operating Room.
