以质量求发展,以服务铸品牌

Journal of Nursing ›› 2024, Vol. 31 ›› Issue (1): 1-6.doi: 10.16460/j.issn1008-9969.2024.01.001

    Next Articles

Construction of nursing quality evaluation index system for prevention of perioperative hypothermia based on Structure-process-outcome model

KE Wen1,2, GAO Xing-lian1, YU Wen-jing1, FANG Min2, WANG Zeng-yan1   

  1. 1. Operating Room, Union Hospital, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430022, China;
    2. School of Nursing, Tongji Medical College, Huazhong University of Science and Technology, Wuhan 430030, China
  • Received:2023-08-30 Online:2024-01-10 Published:2024-02-19

Abstract: Objective To construct a nursing quality evaluation index system for the prevention of perioperative hypothermia based on structure-process-outcome model, and to provide reference for preventing hypothermia during operation. Method With Donabedian structure-process-outcome model and previous evidence-based research, the item pool of nursing quality evaluation index system for the prevention of perioperative hypothermia was formed. After the evidence-based team evaluated the evidence item by item according to FAME method, the expert consultation table was formed, and the indicators were adjusted, modified and confirmed after two rounds of expert consultation and group discussion. The final nursing quality evaluation index system for prevention of perioperative hypothermia was developed. Results The nursing quality evaluation index system for prevention of perioperative hypothermia contained 36 items of 14 structural indicators, 18 process indicators, and 4 outcome indicators. The recovery rate of two rounds of questionnaire was 100%; average judgment coefficient 0.955, average familiarity 0.758, and average authority coefficient 0.857. Kendall's harmony coefficient was 0.208 and 0.157, respectively (all P<0.001). Conclusion The nursing quality evaluation index system for the prevention of perioperative hypothermia based on Donabedian structure-process-outcome model is scientific and practical, which is worth to be popularized in clinical practice

Key words: perioperative, hypothermia, nursing quality, evidence-based nursing, index system

CLC Number: 

  • R472.3
[1] National Instituute for Health and Care Excellence. The management of inadvenent perioperative hypothermia in adults[EB/OL].(2018-08-29)[2022-03-01].http://www.nice.org.uk/guideance/cg65.
[2] Yi J, Lei Y, Xu S, et al.Intraoperative hypothermia and its clinical outcomes in patients undergoing general anesthesia: national study in China[J]. Plos One, 2017, 12(6): e177221. DOI:10.1371/journal.pone.0177221.
[3] 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.
[4] Burston S, Chaboyer W, Gillespie B.Nurse-sensitive indicators suitable to reflect nursing care quality: q review and discussion of issues[J]. J Clin Nurs, 2014,23(13/14):1785-1795. DOI:10.1111/jocn.12337.
[5] 马正良, 易杰. 围手术期患者低体温防治专家共识(2017)[J]. 协和医学杂志, 2017,8(6):352-358. DOI:10.3969/j.issn.1674-9081.2017.06.007.
[6] 魏鸿,郭硕.手术室护理敏感质量指标构建的研究进展[J].中华现代护理杂志,2019,25(3):392-397.DOI:10.3760/cma.j.issn.1674-2907.2019.03.030.
[7] Donabedian A.Evaluating the quality of medical care.1966[J]. Milbank Q,2005,83(4):691-729. DOI:10.1111/j.1468-0009.2005.00397.x.
[8] 余文静, 肖瑶, 胡娟娟, 等. 预防围手术期患者低体温的最佳证据总结[J]. 中华护理杂志, 2019,54(4): 589-594. DOI:10.3761/j.issn.0254-1769.2019.04.023.
[9] 肖瑶, 杨慧, 胡娟娟, 等. 围手术期低体温预防及管理的循证实践[J]. 中华护理杂志, 2019,54(9):1302-1307. DOI:10.3761/j.issn.0254-1769.2019.09.004.
[10] 李月仪,陈伟菊.德尔菲法在护理管理学中的应用现状[J].护理研究,2018, 32(21):3339-3341. DOI:10.12102/j.issn.1009-6493.2018.21.006.
[11] The Joanna Briggs Institute (JBI). Critical appraisal tools [EB/OL].(2017-07-15)[2022-03-10]. https://jbi.global/critical-appraisal-tools.
[12] 谢利民, 王文岳. 《临床指南研究与评价系统Ⅱ》简介[J]. 中西医结合学报, 2012, 10(2):160-165. DOI:10.3736/jcim20120206.
[13] Liu S, Pan Y, Zhao Q, et al.The effectiveness of air-free warming systems on perioperative hypothermia in total hip and knee arthroplasty:a systematic review and Meta-analysis[J]. Medicine (Baltimore), 2019,98(19): e15630. DOI: 10.1097/MD.0000000000015630.
[14] Link T.Guidelines in practice: hypothermia prevention[J]. AORN J, 2020,111(6): 653-666. DOI: 10.1002/aorn.13038.
[15] 章明阳, 杜李百合, 罗小平, 等. 术前患者预保温的最佳证据总结[J]. 护理学报,2020,27(6):17-22. DOI:10.16460/j.issn1008-9969.2020.06.017.
[16] 詹昱新,杨中善,李素云,等.基于循证构建住院患者肠内营养护理质量评价指标体系[J].护理学报,2019,26(10):26-31. DOI:10.16460/j.issn1008-9969.2019.10.026.
[17] 杨雪,张琳.层次分析法在护理管理领域中的应用进展[J].中国卫生产业,2018,15(16):193-194.DOI:10.16659/j.cnki.1672-5654.2018.16.193.
[18] 章明阳, 常后婵, 梁爱群, 等. 广东省85所医院手术室围手术期低体温管理的现状调查[J]. 中华护理杂志, 2020,55(7):1039-1044.DOI:10.3761/j.issn.0254-1769.2020.07.015.
[19] 冯慧婷, 马丽霞, 苏远香. 影响手术室护士术中低体温护理干预的相关因素[J]. 护理实践与研究, 2020,17(17): 63-65. DOI:10.3969/j.issn.1672-9676.2020.17.023.
[20] 朱红,刘争,王垭,等.基于三维质量评价模式构建住院患者非计划拔管风险管理质量评价体系[J]. 护理学报,2022,29(1):7-12. DOI:10.16460/j.issn1008-9969.2022.01.007.
[21] 敬洁,黄萌萌.手术室医院感染管理质量评价指标体系的构建[J].护理研究,2016,30(28):3503-3507. DOI:10.3969/j.issn.1009-6493.2016.28.014.
[22] 谭丽英. 手术室病人安全管理评价指标体系的构建[J]. 护理研究,2018,32(23):3725-3728.DOI:10.12102/j.issn.1009-6493.2018.23.018.
[23] 陈沅, 钱蒨健, 钱黎明, 等.手术室压力性损伤护理质量评价指标体系的构建[J].中华现代护理杂志,2020,26(1):45-49. DOI:10.3760/cma.j.issn.1674-2907.2020.01.009.
[24] 陈佳佳, 童莺歌, 刘苗苗,等. 术后疼痛管理质量评价指标体系的构建[J]. 中华现代护理杂志,2020,26(14):1821-1827. DOI:10.3760/cma.j.cn115682-20190826-03055.
[1] OU Yang-li, SHEN Jun, LI Miao, PENG Ying, LIAO Xiao-yan, ZHANG Hong, CHEN Li-yu. Best evidence summary for influencing factors of proactive health in disabled elderly people [J]. Journal of Nursing, 2024, 31(1): 58-63.
[2] YANG Yan, DONG Si-qin, ZHAO Bao-sheng, LI Zhen-xiang. Best evidence summary for exercise management for patients in early and middle stage of Parkinson's disease [J]. Journal of Nursing, 2023, 30(9): 37-42.
[3] ZHU Du-wei, JIANG Mei-ying, HU Shao-hua, ZHOU Juan-ting, LIU Yu-ni, ZHU Hong-mei, YU Feng. Construction of quality evaluation index system of emergency triage based on structure-process-outcome model [J]. Journal of Nursing, 2023, 30(9): 69-74.
[4] CHEN Jia-yin, GUO Jun, LIU Ning. Best evidence summary for prevention and management of nurses' occupational exposure [J]. Journal of Nursing, 2023, 30(7): 53-58.
[5] CHEN Yu-ping, PENG Gang-yi, ZHANG Li, HE Jin-yun, ZHENG Jing, LIN Qun-yan, WANG Lin-xiao, YANG Yan. Construction of evaluation index system of core competency of clinical infection control nurse specialists [J]. Journal of Nursing, 2023, 30(6): 15-21.
[6] LIANG Yue, DING Hong, ZHANG Guang-qing, WANG Li-mei, XIAO Lun-hua, CHEN Han-fei, FAN Zi-bo. Construction of core index system of nursing recording in post anesthesia care unit [J]. Journal of Nursing, 2023, 30(6): 36-41.
[7] LUO Li, HE Jiao, ZHANG Juan, ZHANG Lan, Yang Xue-jiao. Best evidence summary for prevention and management of diaper dermatitis [J]. Journal of Nursing, 2023, 30(6): 42-46.
[8] CAO Zhi-qin, ZHANG Wen-jin, DU Hai-liang, FU Yao, CHEN Xing-feng. Construction of training index system for nursing postgraduates of sexual medicine [J]. Journal of Nursing, 2023, 30(5): 1-6.
[9] XU Yan-hong, Wei Qing-feng, XIA Ye, ZHONG Yan. Construction of hospital-community management index system of patients with colorectal polyps after endoscopic resection based on screening platform [J]. Journal of Nursing, 2023, 30(5): 33-37.
[10] YANG Li-xiao, WU Yan-ni, ZHOU Chun-lan, OU Jie-xia, WANG Yan-fang, ZHAO Hui-hui, WANG Run, WANG Yi-ling. Construction of evaluation index system for clinical practice effect of Master of Nursing Specialist students [J]. Journal of Nursing, 2023, 30(3): 40-44.
[11] HUANG Li-hua, ZHAI Jin-guo, LIU Yi-jun, ZHANG Li, KONG Gan-xia, LIU Xuan-tian. Best evidence summary for management of carpal tunnel syndrome in pregnant women [J]. Journal of Nursing, 2023, 30(22): 50-55.
[12] FANG Min, GAO Xing-lian, KE Wen, WANG Ceng-yan, LIANG Yuan-yuan. Establishment of risk prediction model for intraoperative hypothermia in patients undergoing abdominal surgery of digestive system and its validation [J]. Journal of Nursing, 2023, 30(20): 58-62.
[13] LI Pu, WANG Mei, YU Li, LIU Min, LI Ping, ZHANG Hong,CHEN Yu, HU Yan, HU Shao-hua. Best evidence summary for early mobilization in children with severe neurological impairment [J]. Journal of Nursing, 2023, 30(2): 48-53.
[14] HOU Ya-tian, CHEN Si-nuo, LIU Meng-hui, ZHANG Bo-wen, AN Xiang, LIU Yun, XU Wen-qi, ZHANG Ming-yang. Best evidence summary for identification and prevention of silent aspiration in mechanically ventilated patients [J]. Journal of Nursing, 2023, 30(18): 36-41.
[15] NING Yan-jiao, XU Guo-hui, FENG Ya-jing, YANG Jia-qi, WANG Hua-rong, SHAN Wei-ying. Construction of evaluation index system for clinical practice ability of new nurses [J]. Journal of Nursing, 2023, 30(17): 11-15.
Viewed
Full text


Abstract

Cited

  Shared   
[1] . [J]. Journal of Nursing, 2023, 30(11): 47 -52 .
[2] CHEN Jian, WANG Yuan, CUI Yan-li, LUO Yan-si, LIAO Lin, YAN Ming-yu, ZHANG Xiao-mei. Development trajectory of oral intake function in patients with post-stroke dysphagia and its influencing factors[J]. Journal of Nursing, 2023, 30(24): 1 -6 .
[3] . [J]. Journal of Nursing, 2023, 30(24): 7 -11 .
[4] ZHANG Zeng-mei, WANG Yu, ZHAO Hai-yun, ZHANG Ying, JIN Zi, NIE Yun-fei. Anchor-based teaching combined with Gibbs' reflective cycle in training for nurse specialists in Operating Room[J]. Journal of Nursing, 2023, 30(24): 12 -15 .
[5] ZHU Fen-fen, WANG Ting, QIN Kang. Effect of expert demonstration-based high-fidelity simulation on clinical judgment of nursing students in higher vocational college[J]. Journal of Nursing, 2023, 30(24): 16 -19 .
[6] . [J]. Journal of Nursing, 2023, 30(24): 20 -23 .
[7] . [J]. Journal of Nursing, 2023, 30(24): 24 -26 .
[8] ZHOU Shuai, JIANG Jin-fang, CUI Hong, BIE Feng-gui, ZHOU Pei-ming, SUN Qiang, TAN Ye. Best evidence summary for prevention and management of intraoperative corneal abrasions in patients undergoing general anesthesia for non-ocular surgery[J]. Journal of Nursing, 2023, 30(24): 27 -32 .
[9] QIAN Li-juan, FANG Xi-ru, LUO Zhen-ni, CAI Shu-hui. Environment for implementation of prescriptive authority for nurses in China: a SWOT analysis[J]. Journal of Nursing, 2024, 31(1): 7 -11 .
[10] GAO Ruo-nan, WANG Cui-ling, LI Ting-yu, TIAN Mei-yu, ZHANG Nan, ZHENG Rui. Construction of a dietary management program for postoperative oesophageal cancer patients based on Pender's health promotion model[J]. Journal of Nursing, 2024, 31(1): 12 -16 .