以质量求发展，以服务铸品牌

Journal of Nursing ›› 2022, Vol. 29 ›› Issue (8): 69-74.doi: 10.16460/j.issn1008-9969.2022.08.069

Previous Articles     Next Articles

Construction of Sensitivity Indicators of Specialized Nursing Quality of Nursing Perioperative Period of Children's Bronchoscopy

WANG Qi1a,1c,2, LIU La-mei1a,1c,2, CHEN Li-na1b,1c, QUE Xiao-ling1a,1c,2, SU Shao-yu1b,1c,2   

  1. 1a. Dept. of Pediatric Respiratory and Immunology Nursing; 1b. Dept. of Pediatric; 1c. Key Laboratory of Birth Defects and Related Diseases of Women and Children (Sichuan University), Ministry of Education,West China Second University Hospital, Sichuan University,Chengdu 610041, China;
    2. West China School of Nursing, Sichuan University, Chengdu 610041, China
  • Received:2021-12-29 Online:2022-04-25 Published:2022-05-11

PDF (PC)

69

Like

Abstract: Objective To construct a sensitive index of specialized nursing quality in perioperative period of children's bronchoscopy, so as to provide references for the quality management of specialized nursing in children's respiratory department. Methods Using Donabedian structure-process-result model as the theoretical framework, literature review and Delphi method were used to construct the sensitive indicators of perioperative nursing quality in children with bronchoscopy. Results The positive coefficient of experts was 100% and 94%, the authority coefficient was 0.880 and 0.910, the coordination coefficient of index importance was 0.151 and 0.203 (P<0.01), and the coordination coefficient of index feasibility was 0.222 and 0.232 (P<0.01). The final sensitive indicators of nursing quality include 1 structural indicator, 6 process indicators and 12 outcome indicators. Conclusion Based on Donabedian's theory and Delphi method, the sensitive index of nursing quality in children's bronchoscopy perioperative period is scientific, practical and feasible, which can provide references for nursing quality management in children's respiratory department.

Key words: pediatrics, bronchoscopy, perioperative period, nursing-sensitive indicators, Delphi method

CLC Number: 

  • R473.72
[1] 赵诗雨,喻姣花.专科护理质量敏感性指标研究进展[J].护理研究,2019,33(8):1342-1346. DOI:10.12102/j.issn.1009-6493.2019.08.014.
[2] Heslop L, Lu S, Xu X.Nursing-sensitive Indicators:A Concept Analysis[J].J Adv Nurs,2014,70(11):2469-2482. DOI:10.1111/jan.12503.
[3] 刘鑫鑫. 以Donabedian结构—过程—结果理论构建儿科护理敏感性质量指标评价体系[D].杭州:浙江大学,2017.
[4] Brenner M, Browne C, Gallen A, et al.Development of a Suite of Metrics and Indicators for Children’s Nursing Using Consensus Methodology[J]. J Clin Nurs,2019, 28(13-14):2589-2598. DOI:10.1111/jocn.14845
[5] 国家卫生健康委办公厅.国家卫生健康委办公厅关于印发药事管理和护理专业医疗质量控制指标(2020年版)[EB/OL]. (2020-08-05)[2021-4-27].http://www.gov.cn/zhengce/zhengceku/2020-08/05/5532636/files/f196b2d536ec4180a33
830944e1b0a0b.pdf .
[6] Donabedian A.Quality of Care: Problems of Measurement. Ⅱ.Some Issues in Evaluating the Quality of Nursing Care[J]. Am J Public Health Nations Health,1969,59(10):1833-1836. DOI:10.2105/ajph.59.10.1833.
[7] 管咏梅,楼建华.儿科护理敏感性质量指标的发展及应用[J].中国护理管理, 2014, 14(12):1345-1346. DOI:10.3969/j.issn.1672-1756.2014.12.033.
[8] Rybojad B, Aftyka A, Rudnicka-Drozak E.Nursing Activities in the Prevention and Treatment of Perioperative Complications after Airway Foreign Body Removal in Pediatric Patients[J]. J Perianesth Nurs,2016,31(1):49-55. DOI:10.1016/j.jopan.2014.07.013.
[9] Carlens J, Fuge J, Price T, et al.Complications and Risk Factors in Pediatric Bronchoscopy in a Tertiary Pediatric Respiratory Center[J]. Pediatr Pulmonol,2018,53(5):619-627. DOI:10.1002/ppul.23957.
[10] Jacomelli M, Margotto SS, Demarzo SE, et al.Early Complications in Flexible Bronchoscopy at a University Hospital[J]. J Bras Pneumol,2020,46(4):e20180125.DOI:10.36416/1806-3756/e20180125.
[11] Huang R, Lin W, Fan H, et al.Bronchoalveolar Lavage with Pediatric Flexible Fibreoptic Bronchoscope in Pediatric Haematopoietic Stem Cell Transplant Patients: Nursing Considerations for Operative Complication[J]. J Spec Pediatr Nurs,2019,24(2):e12236. DOI:10.1111/jspn.12236.
[12] Prager JD, Ruiz AG, Mooney K, et al.Improving Operative Flow During Pediatric Airway Evaluation: A Quality-improvement Initiative[J].JAMA Otolaryngol Head Neck Surg, 2015, 141(3):229-235. DOI:10.1001/jamaoto.2014.3279.
[13] José RJ, Shaefi S, Navani N.Sedation for Flexible Bronchoscopy: Current and Emerging Evidence[J]. Eur Respir Rev,2013,22(128):106-116.DOI:10.1183/09059180.00006412.
[14] Eber E, Antón-Pacheco JL, de Blic J, et al. ERS Statement: Interventional Bronchoscopy in Children[J]. Eur Respir J,2017,50(6):1700901. DOI: 10.1183/13993003.00901-2017.
[15] 中华医学会呼吸病学分会介入呼吸病学学组. 2019新型冠状病毒感染疫情防控期间开展支气管镜诊疗指引(试行)[J].中华结核和呼吸杂志,2020,43(3):199-202. DOI:10.3760/cma.j.issn.1001-0939.2020.03.012.
[16] Dexter F,Parra MC, Brown JR, et al.Perioperative COVID-19 Defense: An Evidence-based Approach for Optimization of Infection Control and Operating Room Management[J]. Anesth Analg, 2020,131(1):37-42.DOI:10.1213/ANE.0000000000004829.
[17] 国家卫生健康委员会人才交流服务中心儿科呼吸内镜诊疗技术专家组,中国医师协会儿科医师分会内镜专业委员会,中国医师协会内镜医师分会儿科呼吸内镜专业委员会,等.中国儿科可弯曲支气管镜术指南(2018年版)[J].中华实用儿科临床杂志,2018, 33(13):983-989. DOI:10.3760/cma.j.issn.2095-428X.2018.13.006.
[18] 董君. 层次分析法权重计算方法分析及其应用研究[J].科技资讯,2015,13(29):218-220. DOI:10.16661/j.cnki.1672-3791.2015.29.218.
[19] 马莹,叶君荣,黄昭君,等.基于循证构建精神科护理质量敏感性指标[J].护理学报,2020,27(9):27-32. DOI:10.16460/j.issn1008-9969.2020.09.027.
[20] 国家卫生计生委医院管理研究所护理中心护理质量指标研发小组.护理敏感质量指标实用手册(2016版)[M].北京:人民卫生出版社,2016:1-5.
[21] Vaismoradi M, Tella S, Logan PA, et al.Nurses’ Adherence to Patient Safety Principles: A Systematic Review[J]. Int J Environ Res Public Health,2020,17(6):2028.DOI: 10.3390/ijerph17062028.
[22] Leiten EO, Martinsen Einar MH, Bakke PS, et al.Complications and Discomfort of Bronchoscopy: A Systematic Review[J]. Eur Clin Respir J,2016,3(1):33324. DOI:10.3402/ecrj.v3.33324.
[23] Eber E,Antón-Pacheco Juan L,de BJ, et al. ERS Statement: Interventional Bronchoscopy in Children[J]. Eur Respir J,2017,50(6):1700901. DOI:10.1183/13993003.00901-2017.
[24] 刘敏杰,张兰凤,叶赟,等.结构-过程-结果模式在护理质量评价中的应用进展[J]. 中华护理杂志,2013,48(4):371-374. DOI:10.3761/j.issn.0254-1769.2013.04.030.
[25] Mouritsen JM, Ehlers L, Kovaleva J, et al.A Systematic Review and Cost Effectiveness Analysis of Reusable Vs. Single-use Flexible Bronchoscopes[J]. Anaesthesia,2020,75(4):529-540. DOI:10.1111/anae.14891.
[26] 徐秋香,马森,刘箐.麻醉恢复室护理质量敏感性指标的构建[J].护理学报,2021,28(3):6-9.DOI:10.16460/j.issn1008-9969.2021.03.006.
[27] 汤磊雯,叶志弘,潘红英.护理质量敏感指标体系的构建与实施[J].中华护理杂志,2013,48(9):801-803. DOI:10.3761/j.issn.0254-1769.2013.09.012.
[28] Diamond IR,Grant RC,Feldman BM,et al.Defining Consensus: A Systematic Review Recommends Methodologic Criteria for Reporting of Delphi Studies[J]. J Clin Epidemiol,2014,67(4):401-409. DOI:10.1016/j.jclinepi.2013.12.002.
[1] WANG Qiu-ting, WEI Lin, LIU Yang-chen, LIN Jing-xia, LIN Li-jun, HU Ping, ZHU Li-jia, LIN Mei-zhen. Development of Core Competence Evaluation Index System of Nursing Specialists of Chinese Medicine [J]. Journal of Nursing, 2022, 29(4): 1-6.
[2] BU Xiao-li, WANG Yan-hong, LI Hui-ju, SHI Su-jie, YANG Pu-rui. Establishment of Formative Assessment System of “Community Nursing” [J]. Journal of Nursing, 2022, 29(2): 7-10.
[3] REN Li, ZHAO Xiu-fang. Construction of Competency Model and Index System of New Nurses in Maternity and Children’s Hospital Based on Onion Model [J]. Journal of Nursing, 2021, 28(7): 21-25.
[4] ZHEN Yong-qi, YE Xiang-hong, WANG Ling-ling. Development of Nursing Rounds Checklist for Patients with Severe Abdominal Trauma [J]. Journal of Nursing, 2021, 28(3): 15-19.
[5] PENG Lei, CHEN Xue-mei, LIU Jian, SHI Hai-liu, XU Fang-lei. Construction of Quality Evaluation Index System of Emergency Nursing for Severe Trauma [J]. Journal of Nursing, 2021, 28(23): 20-24.
[6] Zhang Rui, Ye Xiang-hong, Zhao Ze-hua, Han Zhen, Xie Wen-hui, Wu Cui-li. Construction of Early Warning and Assessment Index System of Enteral Nutrition Intolerance for Patients with Abdominal Trauma [J]. Journal of Nursing, 2021, 28(23): 1-5.
[7] CHENG Xue, XU Cui-ping, ZHANG Min, WANG Jun-zhi, CHU Liang-liang, WU Yu, DING Kai-wen, LI Chang-e. Construction of Painless Labor Intention Self-rating Scale Based on Theory of Planned Behavior [J]. Journal of Nursing, 2021, 28(2): 5-9.
[8] XIONG Zhao-yu, LI Su-yun, YANG Sai, KE Hui, HUANG Hai-yan, ZHOU Hui-Min, YAN Rong, LIU Yun-Fang, LIU Tian-Yi. Construction of Evidence-based Early Warning Grading Standard and Interventions for Enteral Nutrition-related Constipation in Inpatients [J]. Journal of Nursing, 2021, 28(17): 70-75.
[9] YAO Xun-xia, ZHANG Li-xiang, CAO Jiao-yu, OU An-ping, HU Fang, WU Jin-yu. Construction of Evaluation Index System for Risk Factors of Vasoactive Drug-induced Phlebitis in Patients with Cardiovascular Diseases [J]. Journal of Nursing, 2021, 28(12): 65-70.
[10] FU Xiao-zhen, LI Zhi-fei, CHEN Li-jun, CHEN Qian. Practice of Consultation-guidance- segmentation Target Management in Department of Pediatrics [J]. Journal of Nursing, 2021, 28(10): 24-27.
[11] MA Ying, YE Jun-rong, HUANG Zhao-jun, XIA Zhi-chun, XU Dan, DENG Ai-ping, LIU Ming-he, LUO Si-li, ZHANG Jian-long. Construction of Evidence-based Sensitive Indicators of Psychiatric Nursing Quality [J]. Journal of Nursing, 2020, 27(9): 27-32.
[12] LIU Jiao-jiao, LI Yu-ling, YU Jing. Construction of Training and Certification Management Mode for Specialist Nurses of Intravenous Therapy [J]. Journal of Nursing, 2019, 26(9): 1-5.
[13] HE Jiao, LIU Yi-lan, WU Li-fen, JIN Shu-zhen, HU Xin-mei. Effect of Ashley De Model in Training of New Nurses in Department of Pediatrics [J]. Journal of Nursing, 2019, 26(7): 16-20.
[14] LIN Fang, GUO Jie-min, YANG Lu, CHEN Qian, WEI Xiu-hong. Construction of Evaluation Index System for Blended Teaching Quality of Nursing Courses [J]. Journal of Nursing, 2019, 26(23): 11-15.
[15] LI Xiao-fang, LI Yu-ling, Yu Jing. Construction of Nursing-sensitive Outcome Indicator System for Patients with PICC after Discharge [J]. Journal of Nursing, 2019, 26(20): 5-10.
Viewed
Full text


Abstract

Cited
  Shared   
[1] LIU Jin, LU Na, ZHANG Feng-wa, NIU Xiao-dan, YUAN Rong-jing, LI Wen-yan, WANG Ye-tong, WANG Yan-hong. Influence Factors of Cancer Recurrence Fear in Breast Cancer Patients：A Meta-analysis[J]. Journal of Nursing, 2021, 28(14): 1 -7 .
[2] FU A-dan, WANG Li, XU Li-wen, YANG Jing, ZHANG Xue-yu, ZENG Qian-jiao. Development and Practice of Chronic Refractory Ulcer Clinic with Doctor-nurse Collaboration[J]. Journal of Nursing, 2021, 28(14): 8 -11 .
[3] . [J]. Journal of Nursing, 2021, 28(14): 12 -16 .
[4] . [J]. Journal of Nursing, 2021, 28(14): 17 -21 .
[5] ZHANG Ying, WANG Xiao-ling, YANG Ting, YIN Zhuan-ye, HU Yan. Best Evidence Summary for Cuff Size Selection for Blood Pressure Measurement in Hospitalized Adult Patients[J]. Journal of Nursing, 2021, 28(14): 22 -25 .
[6] SUN Cai-yun, LIN Zheng, ZHOU Mei-jing, GU Zi-jun, WANG Mi, GU Jun-yi, ZHU Zhan-hui. Current Status of Benefit Finding among Patients with Inflammatory Bowel Diseases and Its Influence Factors[J]. Journal of Nursing, 2022, 29(6): 1 -6 .
[7] REN Peng-na, HU Xiao-yi, TANG Ai-ling, ZHANG Yue, XU Fang-lei. Construction of Evidence-based Nursing Plan for Discharge Preparation of Elderly Patients with Urinary Incontinence[J]. Journal of Nursing, 2022, 29(6): 7 -10 .
[8] WU Xiao-yun, BI Qing-quan, ZHOU Gui-qin, PAN Hai-feng. Mediating Effect of Psychological Resilience between Emotional Creativity and Post-traumatic Growth in Patients with Cornea Transplant[J]. Journal of Nursing, 2022, 29(6): 11 -14 .
[9] MI Yuan-yuan, HUANG Hai-yan, CHEN Hui, CHEN Han-zhen, MING Yao-hui, NIE Tao. Construction and Evaluation of Safety Management Project for Unplanned ICU Readmission[J]. Journal of Nursing, 2022, 29(6): 15 -19 .
[10] . [J]. Journal of Nursing, 2022, 29(6): 20 -25 .