用德尔菲方法构建护理敏感的质量指标,以照顾使用倾斜位置通风的患者,使用德尔菲方法
Xiuwen Chen1,2,3, Peng Liao1,2, Yang Zhou4,5
1Teaching and Research Section of Clinical Nursing, Xiangya Hospital, Central South University, Changsha, China.
BMC nursing
|September 27, 2023
概括
这项研究开发了针对急性呼吸困扰综合征患者的倾斜位置通风 (PPV) 护理的新质量指标. 这些指标通过评估护理结构,过程和结果来提高患者安全和治疗效率.
科学领域:
- 关键护理护理 关键护理护理
- 患者安全 患者安全
- 改善医疗保健质量 改善医疗保健质量
背景情况:
- 俯卧式通风 (PPV) 是急性呼吸困扰综合征 (ARDS) 的辅助疗法,以改善氧化.
- 评估PPV患者护理的质量对于治疗疗效和患者安全至关重要.
- 目前,缺乏评估PPV护理服务质量的客观指标.
研究的目的:
- 确定PPV患者护理的科学,系统和临床适用的护理敏感的质量指标.
- 建立一个评估和监测PPV护理干预措施质量的框架.
主要方法:
- 用多纳贝迪的结构过程结果理论模型来开发指标.
- 采用了基于证据的方法,并与独立专家一起进行了两轮Delphi调查.
- 实现了高响应率 (100%和95%的问卷,80%和26.32%的专家意见) 和专家权威 (0.89).
主要成果:
- 该研究确定了一套全面的PPV护理服务质量指标.
- 最终的指标包括3个第一级,9个第二级和29个第三级指标.
- 专家们达成了共识,肯德尔的W值为0.110和0.133.
结论:
- 开发的指标为PPV护理服务的质量评估提供了一个科学,可靠和实用的框架.
- 这些指标涵盖了整个PPV流程,包括结构,流程和结果.
- 护理管理人员可以利用这些指标来提高临床护理质量和提高PPV患者的安全性.
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