Development of the nursing handover index for patients undergoing hip/knee arthroplasty with downward referral
Objective:To develop the nursing handover index for patients undergoing hip/knee arthroplasty with downward referral in order to ensure the comprehensive and scientific contents of the handover,and to optimize the referral process.Methods:Guided by the ISBAR communication model,the index system and the weight of each index were determined by literature review,Delphi method and analytic hierarchy process.Results:The recovery rates for the first and second rounds of the study were 96.7%and 92.3%,respectively.The expert judgment coefficient was 0.98,the expert familiarity was 0.86,and the expert authority was 0.92,respectively.Finally,the index system for downward referral of hip/knee replacement patients included 5 first-level indicators,17 second-level indicators and 59 third-level indicators.Conclusion:The nursing handover index of downward referral for hip/knee arthroplasty patients established in this study can provide scientific and comprehensive downward referral reference for clinical nurses,and provide theoretical basis for the construction of a referral platform for outpatients.
hip replacementknee replacementmedical uniondownward referralnursing handoverindex