Construction of sensitive indicators for quality of nursing care in internal medicine treatment for liver failure
Objective To construct a sensitive indicator system for the quality of nursing care in internal medicine treatment for liver failure.Methods The researchers reviewed the literatures in March 2022.By combining evidence-based literatures with expert interviews,and based on the structure-process-outcome model,a preliminary construction of nursing quality sensitive indicators of internal medicine treatment for liver failure was carried out.Two rounds of expert inquiries using the Delphi method were conducted;the indicators were revised and evaluated based on the experts'opinions;the best quality evaluation index system was constructed.The SPSS 26.0 software was used for the statistical analysis.The experts'general data were statistically described by frequency,proportion,and((x)±s).The experts'positive coefficient was expressed by the questionnaire recover rate.The experts'authority coefficient and degree were expressed as authority coefficient.The importance degree was weighed by importance scoring.Results The response rates for expert consultations were all 100%,with the expert authority coefficients for the first round being 0.958 and the second round 0.943,both over 0.700.The Kendall coordination coefficient ranged from 0.089 to 0.237(P<0.05).Finally,the sensitive indicators for the quality of nursing in internal medicine treatment for liver failure were constructed,including 3 primary indicators,13 secondary indicators,and 29 tertiary indicators.Conclusion The sensitive indicators for the quality of nursing in internal medicine treatment for liver failure constructed in this study have good reliability,scientificity,and a certain degree of specialized sensitivity,which can provide certain basis for the evaluation of the quality of medical treatment and nursing for liver failure.
Liver failureInternal medicine treatmentNursing qualitySensitive indicatorsConstruction