Construction of nursing quality evaluation index system of volume management in patients with heart failure
Objective:To construct a nursing quality evaluation index system of volume management in patients with chronic heart failure (CHF), and to provide references for evaluating the quality of system volume management in patients with CHF objectively.Methods:A pool of nursing quality indicators was established by integrating results of literature inquiry, semi-structured interviews and group discussion. The importance and weight of the indicators were evaluated after 2 rounds of Delphi expert consultation.Results:According to the index screening criteria, 15 items were finally deleted, 17 items were modified, and 2 indicators were added. The recovery rate of 2 rounds of expert consultation questionnaire was 100% (25/25) and 95.65% (24/25)respectively. The expert authority coefficient of two rounds of expert consultation was 0.822 and 0.834 respectively, and the harmony coefficient of Kendall of two rounds was 0.234 and 0.166 respectively. The nursing quality evaluation index system of the volume management care of CHF patients constructed in this study includes 3 first-level indicators, 9 second-level indicators and 61 third-level indicators.Conclusion:The nursing quality index system of volume management in patients with CHF constructed in this study is highly scientific and effective, with guiding significance for evaluating the quality of volume management in patients with CHF.