新生儿重症监护的护士驱动的质量指标:关于新生儿重症监护室家庭综合优先事项的德尔菲共识
Danmin Chen1, Zhangbin Yu, Mengna Li
1Author Affiliations: Department of Neonatology, Shenzhen Baoan Women's and Children's Hospital, Shenzhen, Guangdong, China (Mss Chen, Li, Hu, Cai, Yang and Zhang); and Department of Neonatology, Shenzhen People's Hospital (The Second Clinical Medical College, Jinan University; The First Affiliated Hospital, Southern University of Science and Technology), Shenzhen, Guangdong, China (Dr Yu).
这项研究开发了中国首个护士驱动的新生儿重症监护室 (NICU) 质量指标框架. 它提供了9个实用,基于证据的指标,以提高新生儿护理护理和效率.
科学领域:
- 新生儿护理新生儿护理
- 改善医疗保健质量 改善医疗保健质量
- 基于证据的实践.
背景情况:
- 护理敏感的质量指标 (NSQIs) 对于在多个维度上评估新生儿护理质量至关重要.
- 现有的NSQI框架往往缺乏临床实用性,并且未能纳入现代优先事项,如以家庭为中心的护理.
- 2017年中国的NSQI设置虽然实用,但在新生儿护理方面的全球进展方面已经过时.
研究的目的:
- 建立一个新的,护士驱动的NSQI框架,专门用于新生儿重症监护室 (NICU).
- 将国际证据与新生儿护理当前的临床需求相结合.
- 创建一个实用的工具来评估和提高新生儿护理的质量.
主要方法:
- 这是一项包含文献综合,专家小组审查和两轮e-Delphi调查的三阶段研究.
- 通过国际数据库搜索识别潜在的NSQI.
- 32名专家使用9分尺度对指标进行评估,共识定义为中位数≥7和分歧指数<1.1.
主要成果:
- 高响应率 (96.8%,100%) 和专家可靠性 (Cr = 0.855-0.865) 在Delphi轮中得到了实现.
- 反复选导致13个指标因可行性或相关性较低而被排除在外.
- 新生儿重症监护室 (NICU) 的9个指标在专家的强烈同意下得到了验证.
结论:
- 这项研究介绍了中国首个由护士驱动的NICUNSQI框架,包括9个基于证据的指标.
- 该框架将中国的护理重点与临床现实保持一致,将评估转向可行的实践.
- 这些指标促进了高效的NICU质量管理,特别是在资源有限的环境中,通过专注于高影响力的护理行动.
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