Development and Validation of a Preoperative Nursing Consultation Model: A Delphi Study.

IF 1.6 4区 医学 Q2 NURSING
Marco António Rodrigues Gonçalves, Maria Aurora Gonçalves Pereira, Natália de Jesus Barbosa Machado
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引用次数: 0

Abstract

Purpose: This study aimed to validate the structure and content of a preoperative nursing consultation model for elective general surgery patients.

Design: A Delphi study was conducted with experts to validate a five-dimension preoperative nursing consultation model.

Methods: A 2-round Delphi study was conducted in 2022 involved 20 experts. The experts were asked to complete an online 48-item questionnaire rated on a 5-point Likert scale, ranging from totally disagree to totally agree. Participants were ensured anonymity and confidentiality. Consensus was identified as 80% agreement. The experts also made suggestions or comments, based on which the questionnaire was reformulated for round 2. Data were analyzed using SPSS software, version 25.0 (IBM SPSS Statistics).

Findings: The response rate was 100% in round 1 and 95% in round 2. After round 1, a consensus was reached on 35 items. The experts submitted the following dimensions for analysis: Requirements for the consultation, Patient welcoming and assessment, Information for the patient (and family member or significant person, if applicable), Summary of the consultation, and Documentation of the consultation.

Conclusions: The consensus among the experts allowed for the development of a specific intervention in the form of a preoperative nursing consultation. The validated intervention should be implemented and its impact on the quality of care assessed, particularly in elective general surgery.

术前护理咨询模式的开发与验证:德尔菲研究。
目的:本研究旨在验证普外科择期手术患者术前护理咨询模式的结构和内容:与专家进行德尔菲研究,验证五维术前护理咨询模式:2022年,20位专家参与了两轮德尔菲研究。专家们被要求完成一份包含 48 个项目的在线问卷,问卷采用李克特五点量表评分,从完全不同意到完全同意不等。确保了参与者的匿名性和保密性。80%的同意即为达成共识。专家们还提出了建议或意见,并在此基础上重新制定了第二轮问卷。数据使用 SPSS 软件 25.0 版(IBM SPSS 统计)进行分析:第一轮的回复率为 100%,第二轮为 95%。第一轮后,就 35 个项目达成了共识。专家们提交了以下几个维度进行分析:会诊要求、患者欢迎和评估、为患者(和家属或重要人士,如适用)提供的信息、会诊摘要和会诊文件:专家们达成的共识有助于以术前护理咨询的形式制定具体的干预措施。应实施经过验证的干预措施,并评估其对护理质量的影响,尤其是在择期普外科手术中。
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来源期刊
CiteScore
2.20
自引率
17.60%
发文量
279
审稿时长
90 days
期刊介绍: The Journal of PeriAnesthesia Nursing provides original, peer-reviewed research for a primary audience that includes nurses in perianesthesia settings, including ambulatory surgery, preadmission testing, postanesthesia care (Phases I and II), extended observation, and pain management. The Journal provides a forum for sharing professional knowledge and experience relating to management, ethics, legislation, research, and other aspects of perianesthesia nursing.
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