Objective To construct a scientific and feasible nursing quality evaluation index for prone ventilation in a-wake patients,and to provide a comprehensive,standardized and quantifiable theoretical framework for evaluating the nursing quality of prone ventilation in awake patients.Methods Guided by Donabedian's"structure-process-result"three-dimensional quality structure model,the research group conducted literature analysis and semi-structured interview to gradually formulate the evaluation indexes for nursing quality during prone ventilation in awake patients.Objective sam-pling was adopted from November 2022 to January 2023.Two rounds of Delphi expert consultation were conducted on 25 nursing and public health experts with respiratory,acute and critical care experience from 5 tertiary hospitals in Shanxi,Shaanxi and Henan.After statistical processing,the evaluation indexes of nursing quality of prone ventilation for awake patients were finally established according to the importance scores and coefficient of variation of the indexes.Results The recovery rates for both rounds of expert correspondence consultation questionnaires were 100％.The expert authority coefficient was 0.960,and the Kendall harmony coefficient were 0.136 and 0.160(P＜0.01).The final evaluation in-dex of prone ventilation nursing quality for conscious patients was composed of 3 primary indexes,9 secondary indexes and 51 tertiary indexes.Conclusion The evaluation index of prone ventilation nursing quality for awake patients estab-lished in this study is highly reliable,scientific and practical.The weight of the index is set reasonably to provide a theo-retical reference for nursing managers to evaluate the nursing quality of clinical nurses implementing prone ventilation for awake patients.It also provide operational guidance and decision-making basis for comprehensively improving the nursing quality of clinical nurses implementing prone ventilation for awake patients.
Awake prone ventilationQuality of careDelphi methodThree-dimensional structureEvaluation index
维普
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