1.Construction of ICU-acquired weakness training program for ICU nurses based on Gagne learning theory
Lingchen ZHANG ; Juan NI ; Aiqin ZHANG ; Xianfang ZUO
Chinese Journal of Modern Nursing 2022;28(11):1456-1461
Objective:To construct an ICU-acquired weakness training program for ICU nurses based on Gagne learning theory.Methods:From March to August 2021, the ICU-acquired weakness training program for ICU nurses was constructed through literature review, semi-structured interview, and Delphi expert consultation.Results:Among two rounds of expert consultation, 16 and 20 valid questionnaires were recovered respectively, and the expert authority coefficients were 0.897 and 0.903, and the Kendall harmony coefficients were 0.312 and 0.323, respectively, and the differences were all statistically significant ( P<0.01) . The ICU-acquired weakness training program for ICU nurses included 3 first-level indicators (training objectives, training process and content, training form) , 16 second-level indicators, and 41 third-level indicators. Conclusions:The ICU-acquired weakness training program for ICU nurses based on Gagne learning theory is scientific and reliable, and can provide a reference for ICU nurses' ICU-acquired weakness training.
2.Construction of stratified nursing and prevention strategies for delirium in ICU patients
Xianfang ZUO ; Aiqin ZHANG ; Lingchen ZHANG
Chinese Journal of Modern Nursing 2022;28(4):485-489
Objective:To construct a stratified nursing prevention strategy for delirium in ICU patients to provide reference for the prevention of delirium in ICU patients.Methods:Preliminary items were screened based on evidence-based medicine method. After discussion by the research group, the first draft of stratified nursing prevention strategy for ICU patients with delirium was formed. Using the Delphi method, a total of two rounds of correspondence with 15 experts were conducted. Combined with expert opinions, a stratified nursing prevention strategy for delirium in ICU patients was constructed.Results:The effective recovery rates of the two rounds of questionnaires were 93.75% and 100.00%, respectively. The expert authority coefficients were respectively 0.893 and 0.897, and the Kendall's harmony coefficients of indicators at all levels were 0.203-0.213 ( P<0.01) . Finally, a delirium stratified nursing prevention strategy for ICU patients was formed, including 5 first-level indicators, 12 secondary indicators and 28 tertiary indicators. Conclusions:The stratified nursing prevention strategy constructed in this study is based on evidence-based and Delphi method, which is scientific, reliable, practical and targeted. It can provide reference for the prevention of delirium in ICU patients.