Objective To build a standardized nursing system for medical oncology and provide a basis for promoting the standardization,refinement and procedural operation of oncology specialist nursing work.Methods Using the three-di-mensional structural model of system engineering as the theoretical framework,the first draft of a standardized nursing system for anti-tumor treatment patients in the oncology department was drafted through literature research and repeated discussions among project team members.Twenty-four experts in the field of oncology medical nursing and related fields from 12 tertiary hospitals in Jiangsu Province were selected for two rounds of Delphi expert consultation.Both rounds cal-culated the positive coefficient of expert inquiry,the authority of expert opinions,and the Kendall coordination coeffi-cient.The research group compiled the results of expert consultations,analyzed the indicator structure and items,and de-termined the standardized nursing system for anti-tumor treatment patients in the oncology department.Results The final construction included 3 primary indicators(time dimension,knowledge dimension,logic dimension),15 secondary indi-cators,and 105 tertiary indicators for the standardized anti-tumor treatment patient care system in the oncology depart-ment.After two rounds of expert inquiries,the average assigned values of the importance of each indicator were 3.88-4.96,and the coefficient of variation was 0.041-0.244.The effective response rates for both rounds of expert consulta-tion questionnaires were 100.0％.The expert authority coefficients were 0.876 and 0.885,respectively.The Kendall co-ordination coefficients were 0.216 and 0.198,respectively(P＜0.001).Conclusion The construction method of stand-ardized nursing system based on the three-dimensional structural model in the medical oncology is scientific and the items are reliable,which can provide path guidance for the comprehensive and standardized practice of clinical nursing in medi-cal oncology.
Medical oncologyAnti-tumor therapyStandardized nursingNursing qualitySystem construction
维普
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