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Quality Improvement Checklist for Nurses in Critical Care Units: Development and Validation
Ritika Rajput1, Ashok Kumar Bishnoi1, Nipin Kalal1
1College of Nursing, All India Institute of Medical Sciences, Jodhpur, Rajasthan, India.
Journal of Caring Sciences
|May 20, 2025
Summary
A new quality improvement checklist for critical care units (CCUs) was developed. This validated and reliable tool helps nurses provide safe and efficient patient care in busy CCU environments.
Area of Science:
- Nursing
- Quality Improvement
- Healthcare Management
Background:
- Critical care units (CCUs) present complex patient needs and demanding environments.
- These conditions increase the risk of nursing errors, impacting patient safety.
- Quality checklists are essential for ensuring adequate, safe, and efficient client care.
Purpose of the Study:
- To develop a quality improvement checklist specifically for nurses in CCUs.
- To enhance the safety and efficiency of patient care in critical care settings.
Main Methods:
- A methodological study was conducted in phases to develop the checklist.
- Validity was assessed using face, content (Modified Delphi), and construct (factor analysis) methods.
- Reliability was evaluated through internal consistency and inter-rater assessments.
Main Results:
- The final checklist comprised 32 items.
- High reliability was demonstrated with Cronbach's alpha of 0.78 and Cohen's kappa of 0.88.
- Excellent content validity (CVI = 0.98) and construct validity (8 factors explaining 60.7% variance) were achieved.
Conclusions:
- The developed quality improvement checklist exhibits strong validity and reliability.
- This tool is suitable for evaluating and enhancing the quality of care provided in CCUs.
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