Construction of nursing-sensitive quality indicators system of perioperative pulmonary rehabilitation on the basis of evidence-based approach
10.3760/cma.j.cn211501-20200226-00656
- VernacularTitle:基于循证构建围手术期肺功能康复护理质量敏感指标体系
- Author:
Xiumei CHU
1
;
Haiqing ZHOU
;
Ruoyun MA
;
Minghua ZHANG
;
Lei LIU
;
Juan DU
;
Mingxue WANG
Author Information
1. 青岛大学附属医院胸外科 266000
- From:
Chinese Journal of Practical Nursing
2020;36(29):2268-2274
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct nursing-sensitive indicators system of perioperative pulmonary rehabilitation for patients in thoracicsurgery, so as to provide scientific monitoring standards for nursing quality of pulmonary rehabilitation.Methods:Based on the theory of enhanced recovery after surgery (ERAS) , evidence synthesis was conducted based on Johns Hopkins evidence-based nursing method for laying the foundation for nursing-sensitive quality indicators system of perioperative pulmonary rehabilitation.Based on the analysis results of the quality of nursing in the past two years, and though group discussion, appropriate indicators feasible to application were determined, and nursing-sensitive quality indicators, calculation formulas were preliminarily decided. Through two rounds of experts consultation, the nursing-sensitive quality indicators system of pulmonary rehabilitation was improved and established.Results:After two rounds of expert consultations, the constructed nursing-sensitive quality indicators system of pulmonary rehabilitation included 3 first-class indicators, 6 second-class indicators, and 31 third-class indicators. Positive coefficients of two rounds of expert consultation were both 100%, authority coefficients were 0.827 and 0.861, respectively, and the coordination coefficients were 0.309 and 0.372.Conclusion:The nursing-sensitive quality indicators system was scientific and practical and it was beneficial to regulate the behavior of nurses and improve the nursing quality of pulmonary rehabilitation.