Construction of nutritional nursing quality evaluation system for patients at department of gastroenterology
Objective To construct a nutritional nursing quality evaluation system for patients at department of gastroenterology by the 3D quality structure mode,and to provide some standardized and guiding references for improving nutritional nursing quality.Methods The databases of the European Society for Endenteric Nutrition,the China Guide Network,the American Society for Endenteric Nutrition,CNKI,Wanfang,VIP,and JBI were systematically searched.The literatures were systematically screened and evaluated,and the comprehensive evidences were obtained.Combined with the actual situation of the patients in Department of Gastroenterology,Ansai District People's Hospital,the initial nutritional nursing quality questionnaire was made.The Delphi method was used to carry out 2 rounds of correspondence on 27 experts from Beijing,Shanghai,Guangzhou,and Zhengzhou.All the experts were female.They were(47.28±5.79)years old.The experts'degree of authority was expressed by the authority coefficient.The experts'coordination degree was described by coefficient of variation and Kendall's concordance coefficient.The importance of each index was clarified.The weight level of each item was established by the analytic hierarchy process.Results The judgment coefficient of the first round expert correspondence was 0.97;the degree of familiarity with the research content was 0.89;the degree of authority was 0.93.The judgment coefficient of the second round was 0.89;the degree of familiarity with the research content was 0.87;the degree of authority was 0.88.Finally,3 primary indicators(construction indicators,process indicators,and outcome indicators),6 secondary indicators(environment and equipment,human resource,clinical service,nutritional nursing procedure,risk management,and service results),and 21 tertiary indicators were formed.Conclusions It is scientific to construct the nutritional nursing quality evaluation system for patients at department of gastroenterology.It can reflect the clinical nursing needs and provide reference basis for improving nursing quality,and have guiding effect on continuously improving the nursing quality of department of gastroenterology.
Department of gastroenterologyNutritional nursing qualitySensitive indicators
万方数据
维普
