To construct nursing sensitive index system for patients with tracheotomy and dysphagia after brain injury based on evidence
10.3760/cma.j.cn211501-20240923-02622
- VernacularTitle:基于循证构建脑损伤后气管切开伴吞咽障碍患者护理敏感指标体系
- Author:
Delian AN
1
;
Yingjie ZHANG
;
Ping FAN
;
Hengfang RUAN
;
Xingyue HOU
;
Miaoxia CHEN
;
Huijuan LI
Author Information
1. 中山大学附属第三医院康复医学科，广州 510630
- Publication Type:Journal Article
- Keywords:
Tracheotomy;
Deglutition disorders;
Delphi technique;
Nursing quality;
Evidence-based nursing
- From:
Chinese Journal of Practical Nursing
2025;41(30):2366-2372
- CountryChina
- Language:Chinese
-
Abstract:
Objective:To construct a scientific, systematic, and clinically applicable evaluation system of quality-sensitive indicators for nursing care of patients with tracheostomy and swallowing disorders following brain injury, providing a basis for evaluating nursing care quality in this patient population.Methods:By reviewing the literature and qualitative studies, a draft evaluation indicator was formed based on nursing issues related to patients with swallowing disorders during their hospital stay, employing the "structure-process-outcome" three-dimensional quality management model as the theoretical foundation. Between July and September 2023, two rounds of Delphi method expert consultations were conducted to add, delete, and modify indicators, and the analytic hierarchy process was used to determine indicator weights.Results:A total of 18 experts participated in two rounds of consultations, with a questionnaire return rate of 18/18. All 18 experts were female, with an average age of (47.61 ± 8.17) years. The expert authority coefficients were 0.895 and 0.910, while the Kendall concordance coefficients were 0.304 and 0.138 (all P<0.001). The average importance values assigned to each level of indicators ranged from 4.28 to 5.00. The final nursing evaluation indicators for patients with tracheostomy and swallowing disorders following brain injury included 4 first-level indicators, 21 second-level indicators, and 45 third-level indicators. Conclusions:By combining evidence-based research, current situation surveys, qualitative studies, and the Delphi method, a successful nursing quality evaluation indicator system was established for patients with tracheostomy and swallowing disorders following brain injury. These indicators are scientific, systematic, and clinically operable, playing an important role in improving the quality of nursing care for patients with tracheostomy and swallowing disorders following brain injury.
