Construction and application evaluation of a quality sensitive indicator system for eye, ear, nose and throat specialized nursing in Operating Rooms
10.3760/cma.j.cn115682-20230825-00691
- VernacularTitle:手术室眼耳鼻喉专科护理质量敏感指标体系的构建及应用
- Author:
Jieru CHEN
1
;
Wei HUA
;
Yanqiu PANG
;
Yiwen YANG
Author Information
1. 复旦大学附属眼耳鼻喉科医院手术室，上海 200031
- Keywords:
Operating Room;
Eye, Ear, Nose and Throat Department;
Nursing sensitive indicators;
Three dimensional quality evaluation mode;
Delphi method;
Nursing quali
- From:
Chinese Journal of Modern Nursing
2024;30(13):1713-1719
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct and apply the quality sensitive indicator system for eye, ear, nose and throat specialized nursing in Operating Rooms, in order to provide a basis for evaluating the quality of nursing work in specialized Operating Rooms.Methods:Using the three-dimensional quality evaluation model of "structure-process-result", a preliminary framework for quality sensitive indicators of eye, ear, nose, and throat specialty nursing in the Operating Room was developed using literature search and expert interviews. The final indicator system and weight were determined through two rounds of Delphi expert inquiry. In January 2023, targeted training was conducted in the Operating Room of Eye & ENT Hospital of Fudan University based on the established quality indicator system. The difference of outcome indicators in the sensitive index system of nursing quality in Operating Room of our hospital in December 2022 (before training) and February 2023 (after training) were compared.Results:The final version of the quality sensitive indicator system for eye, ear, nose and throat specialty nursing in the Operating Room included three primary indicators, 10 secondary indicators and 36 tertiary indicators. The positive coefficients of the two rounds of consultation with experts were both 100.00%, and the authoritative coefficients were 0.917 and 0.931. After applying the quality indicator system, the failure rate of emergency drills related to difficult airways among nursing staff in the Operating Room of the Eye, Ear, Nose and Throat Department decreased from 4.86% to 0.54% ( P<0.05). The failure rate of specialized theoretical and operational skills assessment decreased from 6.49% to 1.08% ( P<0.01). The number of unqualified nursing quality cases in the two groups decreased to different degrees ( P< 0.05). Among the occurrence of adverse events in the two groups, the incidence of intraoperative counting accidents decreased from 1.85% to 0 ( P<0.05), and the incidence of iatrogenic head and face stress injuries of surgical patients decreased from 2.47% to 0.31% ( P<0.05) . Conclusions:The sensitive indicator system for the quality of eye, ear, nose and throat specialized nursing in the Operating Room constructed in this study is scientifically sound and applicable, which can effectively reduce nursing risks in specialized Operating Rooms and improve the quality of nursing work in specialized Operating Rooms.
