Construction and discussion of sensitive quality index of blood purification nursing
Yi Li · The Journal of practical nursing · 2019
Objective To establish a sensitive quality index system for blood purification nursing, providing reference for the evaluation and monitoring of nursing safety quality in the blood purification room, and providing quality control targets and basis for nursing managers. Methods Set up a research team to analyze the patient data, nursing bad events, draw on the data of the National Nursing Quality Control Center and other research results of nursing experts at home and abroad. The research team conducted analysis and discussion, expert meeting consultation(discussed by professional nursing experts in Beijing and Inner Mongolia), expert letters, screening and final determination of nursing sensitive quality indicators. Results Finally, a set of 13 sensitive quality indicators for specialized care for blood purification was constructed, including 3 structural indicators, 10 outcome indicators and 100% effective recovery rates for the two rounds of expert questionnaires. The indicators for consultation are 0.12-0.17 and 0.10-0.14, respectively, and the expert authoritative coefficients are 0.786 and 0.807, respectively, which are statistically significant (P< 0.01). Conclusion The system of sensitive quality index of blood purification nursing is in conformity with the principles of science, reliability and practicality, and can be used as a tool for evaluating the quality of blood purification room nursing safety. Key words: Hemodialysis; Quality index; Delphi