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Construction of nursing-sensitive quality indicators for haemodialysis using Delphi method
Ju-Lin Gao1, Xiao-Min Liu1, Wen-Fang Che2
1Department of Hemodialysis, The First Affiliated Hospital of Xi'an Jiaotong University, Xi'an, China.
Journal of Clinical Nursing
|July 4, 2018
Summary
This study developed 11 nursing-sensitive quality indicators (NSQIs) to evaluate clinical nursing in Chinese haemodialysis units. These indicators provide a crucial reference for improving patient care quality and safety in dialysis settings.
Area of Science:
- Nephrology
- Nursing Quality Improvement
- Healthcare Management
Background:
- Lack of objective indicators for assessing nursing care quality in Chinese haemodialysis units.
- Need for standardized tools to evaluate clinical nursing practices in haemodialysis.
Purpose of the Study:
- To establish a set of nursing-sensitive quality indicators (NSQIs) for evaluating clinical nursing quality in haemodialysis units.
- To develop a reliable framework for assessing haemodialysis nursing care in China.
Main Methods:
- Literature search (2006-2016) to identify potential NSQIs.
- Two rounds of Delphi surveys with independent experts.
- Consensus-based selection of 11 NSQIs from an initial pool.
Main Results:
- Eleven nursing-sensitive quality indicators (NSQIs) were identified and validated.
- Key indicators include nurse-to-patient ratio, infection rates, and complication incidences.
- Expert consensus confirmed the importance, rationality, and applicability of the selected NSQIs.
Conclusions:
- The developed NSQIs effectively evaluate clinical nursing quality in haemodialysis units.
- These indicators address importance, formula rationality, and data collection applicability.
- Provides a valuable reference for enhancing haemodialysis nursing quality and patient outcomes.
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