Development of nursing quality indicators for patients with continuous renal replacement therapy in ICU
Yunfang Chen, Na Chen, Yang Xiang, Yanhua Hao, Dan Lyu · The Journal of practical nursing · 2018
Objective To develop a nursing quality index system for patients with continuous renal replacement therapy (CRRT) in ICU. Methods Based on evidence-based analysis, semi-structured interview, Delphi method and AHP method were adopted to determine the nursing quality indicator and indicators′weight in CRRT. Results The index system consisted of 8 first-level indicators, 22 second-level indicators, and 51 third-level indicators. After two rounds expert advisory, the effective response rates were 100.0%, 93.3%; authority coefficients were 0.84, 0.86; coefficients of concordance for first-level, second-level, third-level indicators were 0.686, 0.359, 0.196 at first round, and those were 0.688, 0.454, 0.273 at second round, and P values were all less than 0.01. Conclusion The nursing quality index system are scientific, comprehensive and practical, which can be applied to guarantee the implementation of CRRT treatment and patient safety. Key words: Intensive care units; Continuous renal replacement therapy; Quality indicators