Development of sensitive index system of nursing quality in enteral nutrition for neurocritical patients
10.3969/j.issn.1671-8283.2025.01.007
- VernacularTitle:神经重症患者肠内营养护理质量评价指标体系的构建
- Author:
Haiyan WANG
1
;
Hongshi CAO
;
Xinting ZHANG
;
Jingshu YANG
;
Yao WANG
;
Songyu WANG
;
Xiaotian DUAN
Author Information
1. 吉林大学第一医院乐群院区护理部,吉林 长春,130021
- Publication Type:Journal Article
- Keywords:
neurological disorder;
enteral nutrition;
nursing quality;
evaluation index;
Delphi method
- From:
Modern Clinical Nursing
2025;24(1):39-45
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop a scientific and reliable sensitive index system of nursing quality in enteral nutrition for neurocritical patients to ensure the effective implementation of enteral nutrition.Methods Literature on enteral nutrition for neurocritical patients were systematically retrieved from databases,such as BMJ Best Practice,UpToDate,Joanna Briggs Institute(JBI)Evidence-Based Healthcare Database,American Society for Parenteral and Enteral Nutrition(ASPEN),European Society for Clinical Nutrition and Metabolism(ESPEN),National Guideline Clearinghouse(NGC),Guidelines International Network(GIN),Medlive,the Cochrane Library,PubMed,Cumulative Index to Nursing and Allied Health Literature(CINAHL),SinoMed,and China National Knowledge Infrastructure(CNKI)and Wanfang Data.The initial questionnaire was formulated by using the quality evaluation model of"structure-process-outcome".The index system was established by using the Delphi method,and the index weight was determined by the analytic hierarchy process.Results A total of 11 papers were included,of which 5 were graded in A and 6 in B.The effective recovery rates of the two rounds of correspondence questionnaires were 100%(19/19),the expert authority coefficients was 0.864,and the Kendall harmony coefficients were 0.328 and 0.392(P<0.01),respectively.Consequently,a sensitive index system of nursing quality in enteral nutrition for neurocritical patients was established,which encompassed 3 primary indexes,10 secondary indexes and 28 tertiary indexes.Conclusion The index system developed in this study is scientific,reliable and clinically applicable.It conforms to the characteristics of clinical management and nursing,thereby it provides a reference for assessment of the nursing quality in enteral nutrition for neurocritical patients.
