Construction of a sensitive index system for perioperative nursing quality of scoliosis

English Keywords:Scoliosis  Quality of care  Sensitive indicators  Delphi method

English Abstract:

  【Abstract】 Objectives: To establish an evidence-based sensitive index system for perioperative nursing quality of patients with scoliosis, so as to provide reliable basis for perioperative nursing quality management and evaluation of patients with scoliosis. Methods: According to the evidence-based method, the sensitive indicators of nursing quality were initially developed, and the literature databases of CNKI, Wanfang database, China biomedical database, PubMed, Up to Date, Cochrane Library, RNAO, OVID, Medline, and Web of Science were searched from their establishments to December 2019. Literature that is not related to this study, with incomplete or unusable data, with repetitive research contents and methods, defective research methods and data statistics problems were excluded. The evidence evaluation tool of Johns Hopkins evidence-based nursing practice (JHNEBP) model was used to evaluate the evidence and form the primary item pool of evaluation index system. With Donabedian model as the basic theoretical framework, the nursing quality evaluation index system was initially established. Delphi expert inquiry method was used for two rounds of expert inquiry, and AHP and percentage weight method were used to determine the weight of each index. Results: The sensitive index system of perioperative nursing quality of scoliosis was established, including 3 first level evaluation indexes (structure process result), 8 second level evaluation indexes (nursing measures, drug equipment management, operating room environment, nursing evaluation, nursing measures, patient outcomes), and 14 third level evaluation indexes. The coefficient of expert judgment, familiarity, authority and coordination were 0.78 and 0.90, 0.84 and 0.92, 0.81 and 0.91, 0.301-0.384 respectively, with statistical difference (P<0.05). Conclusions: A sensitive index system of perioperative nursing quality for patients with scoliosis was established, a joint quality monitoring mode of single disease and multiple departments was formed, so that continuous scientific quality improvement based on data guidance will be conducted.