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Construction of Quality Evaluation Index System for Surgical Positioning: A Delphi Method
1Department of Nursing, Tongji Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan, China.
Aim:
To establish a set of scientific and practical surgical positioning quality evaluation indicators for the operating room in China.
Design:
A mixed-methods study with a quantitative component.
Methods:
Literature review and expert group discussions were conducted to identify the potential surgical positioning quality evaluation indicators for the operating room. Then, Delphi surveys were used to collect opinions from experts in the field of surgical positioning. The consistency of the consultation results formed the basis on which we conducted the next rounds of consultation. Based on the importance given to each indicator by the consulted experts in the previous round, we determined the weight coefficient of each indicator with the analytic hierarchy process.
Results:
The questionnaire recovery rates of the two rounds of correspondence were 82.61% and 73.91%, and the average authoritative coefficients were 0.94 and 0.92. The Kendall W values ranged from 0.155 to 0.270 (p < 0.001). The weight coefficients for the first-level, second-level and third-level indicators were 0.157-0.576, 0.046-0.292 and 0.014-0.210, respectively. Consensus was reached on 3 primary indicators, 7 secondary indicators and 19 tertiary indicators.
No Patient Or Public Contribution:
This study did not involve patients or the public; data were derived from expert consultations and literature analysis.

