Construction of nursing quality evaluation index system for hemodialysis vascular access
10.3760/cma.j.cn115682-20230801-00294
- VernacularTitle:血液透析血管通路护理质量评价指标体系的构建
- Author:
Lin CHEN
1
;
Yingjun ZHANG
;
Qiao LI
;
Li LIU
;
Mei SHI
Author Information
1. 四川大学华西医院肾脏内科血透中心/四川大学华西护理学院，成都 610041
- Keywords:
Hemodialysis;
Vascular access;
Nursing quality;
Evaluation index;
Delphi method
- From:
Chinese Journal of Modern Nursing
2024;30(5):604-609
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct the nursing quality evaluation index system of hemodialysis vascular access, so as to provide reference for the evaluation and improvement of vascular access quality.Methods:Using the Donabedian three-dimensional structural quality evaluation tool, combined with literature search, semi-structured interviews, and Delphi method, expert consultation forms were sent via email, WeChat, and other means. Two rounds of consultation were conducted with 15 experts in clinical nursing, nursing management and medical work in the field of hemodialysis vascular access from 9 provinces and municipalities in China to determine the evaluation index system. The enthusiasm of experts was expressed by the effective response rate of the questionnaire, the degree of coordination of expert opinions was expressed by the coordination coefficient and coefficient of variation, and the degree of expert authority was expressed by the expert authority coefficient.Results:The effective response rates of the two rounds of expert inquiry questionnaires were both 100.00% (15/15). The judgment coefficient of expert consultation was 0.900, familiarity coefficient was 0.827, the authority coefficient was 0.864, and the coordination coefficients of the first, second, and third level indicators were 0.280, 0.267, and 0.206, respectively ( P<0.05). The final quality evaluation index system for hemodialysis vascular access nursing includes 3 primary indicators, 11 secondary indicators, and 39 tertiary indicators. Conclusions:The nursing quality evaluation index system for hemodialysis vascular access is reasonably set, the construction process is rigorous, and it has high scientificity and reliability. It can provide objective and quantifiable reference basis for the nursing quality evaluation of hemodialysis vascular access.
