Expert consensus on sensitive indicators for assessment of the quality of nursing in operating theatre
10.3969/j.issn.1671-8283.2025.05.001
- VernacularTitle:手术室护理质量评价敏感指标专家共识
- Author:
Yangxi SHEN
;
Ping WANG
;
Xiaojun CHEN
;
Guiyuan LUO
;
Fengqiu GONG
;
Yun LI
;
Chenhui DENG
;
Yuqin SUN
;
Qin GUO
;
Jinyan LI
;
Shuyan ZENG
- Collective Name:Operating Theater Committee of Guangdong Nursing Association
- Publication Type:Journal Article
- Keywords:
nursing quality;
nursing in operating theatre;
quality assessment;
expert consensus
- From:
Modern Clinical Nursing
2025;24(5):1-9
- CountryChina
- Language:Chinese
-
Abstract:
Objective To develop the Expert Consensus on Sensitive Indicators for Assessment of the Quality of Nursing in Operating Theatre and provide a scientific and practical guidance for improving the quality of nursing in operating theatre.Methods The writing team established by the Operating Room Nursing Professional Committee of Guangdong Nursing Association conducted systematic literature retrieval and screening,and used the updated clinical Guidelines for Research and Evaluation Ⅱ in UK 2017.AGREE Ⅱ and the evidence evaluation system of the Australian JBI(Joanna Briggs Institute,JBI)Evidence-Based Health Care Center evidence level system(2016 Edition)comprehensively analyzed the evidence related to the sensitive indicators for evaluating the quality of operating room nursing and the suggestions of the writing group members.The first draft was formed based on the three-dimensional quality evaluation theoretical framework of"structure-process-result".Through the Delphi method,after two rounds of expert consultations and members'votes,the first draft was deeply revised and improved.Results Based on the three-dimensional quality evaluation theoretical framework of"structure-process-outcome"proposed by American scholar Donabedian,the expert consensus finally included five primary indicators:basic nursing quality,quality indicators of patient safety,quality indicators of hospital infection control,quality indicators of medication and safety management,and quality indicators of specialised nursing in operating theatre.The secondary indicators consisted of one structural indicator(management of commonly used instrument and equipment in operating theatre)and 17 process indicators(e.g.,infusion and blood transfusion management,body temperature management,etc.).The tertiary indicators included 26 process indicators and 11 outcome indicators(e.g.,incidence of adverse reactions of infusion during surgery,incidence of intra-operative hypothermia,etc.).Conclusion The evidence-and guideline-based Expert Consensus on Sensitive Indicators for Assessment of the Quality of Nursing in Operating Theatre based on eviclence and guidelines was established through rigorous evidence-based methods.It is operational and practical,and offers theoretical support and practical guidance for the managers of operating theatre to improve the quality of nursing.
