Optimization of nursing services for percutaneous coronary interventional therapy based on clinical nursing pathway
10.3760/cma.j.cn111325-20230118-00045
- VernacularTitle:基于临床护理路径的经皮冠状动脉介入治疗护理服务项目优化
- Author:
Shiyu WANG
1
;
Zhaohui LI
;
Yuyang ZHANG
;
Jian WEI
;
Shuyao WANG
;
Yang YUAN
;
Yu MENG
;
Qingyin LI
Author Information
1. 中国医学科学院阜外医院护理部，北京 100037
- Keywords:
Nursing services;
Clinical pathway;
Percutaneous coronary intervention;
Delphi method;
Resource-based relative value scale;
Diagnosis related group
- From:
Chinese Journal of Hospital Administration
2023;39(5):392-398
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To optimize the clinical nursing pathway, service program and evaluation parameters of percutaneous coronary intervention(PCI), for references for the cost accounting and compensation mechanism of nursing program in public hospitals.Methods:After literature analysis and group discussion, the initial templates were constructed for the PCI clinical nursing pathway, nursing service projects, and their evaluation parameters. 15 experts were consulted by two rounds of Delphi method to optimize PCI nursing path, nursing service items and their evaluation parameters (basic labor consumption, basic time consumption, technical difficulty and risk degree).Results:Two rounds of Delphi method finally determined the PCI clinical nursing path and 27 nursing service items, and adjusted the evaluation parameters of 10 nursing service items. The new projects for PCI clinical nursing services included adjustment and review of dual antiplatelet therapy plans, postoperative rehabilitation nursing, and key project verification. The three nursing service projects with the highest level of technical difficulty and risk were intravenous blood transfusion, gastric catheterization, and gastrointestinal decompression. The two items with the highest importance assigned were high pump assisted arterial/venous infusion (blood) and invasive continuous arterial blood pressure monitoring.Conclusions:The PCI clinical nursing pathway and nursing service project constructed in this study could closely integrate with clinical practice, highlight the integrated nursing service model, and reflect the labor value of nurses.
