Hongyue Ge, Qiao Wang, Sibo Liu, Yanbin Tian, Jie Ma
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引用次数: 0
Abstract
Objective: This study aimed to develop and validate a standardized indicator system to assess clinical nursing process quality, leveraging a mobile nursing information system to enhance care efficiency and safety.
Methods: A Delphi method was employed, with indicator weights assigned via a precedence ordering chart. Data from three distinct clinical departments were analyzed to test the system, focusing on 20 indicators spanning assessment, execution, guidance, and management domains.
Results: Both rounds of expert consultation achieved 100% response rates, with high authority coefficients (0.89 and 0.90). Kendall's concordance coefficients indicated moderate agreement among experts (W = 0.21, P < 0.05; W = 0.129, P < 0.05). The mean importance scores for each indicator ranged from 3.85 to 5.00, with coefficients of variation ranging from 0.00 to 0.24. The final system included 4 primary indicators (assessment [weight: 0.438], execution [0.313], guidance [0.125], management [0.125]) and 44 secondary indicators. Significant variations emerged across departments. One department demonstrated significantly lower execution rates for subcutaneous, intradermal, intramuscular, and intravenous injections, nebulization inhalation, oral medication, and intravenous infusion compared to the other two departments (P < 0.05). Similarly, another department exhibited a significantly lower rate of timely submission of blood, urine, stool, and sputum specimens compared to the other departments (P < 0.05).
Conclusion: The indicator system developed for evaluating the quality of clinical nursing processes within a mobile nursing information system demonstrated scientific reliability and validity, with appropriately assigned indicator weights. This system shows promise as a potentially effective means of evaluating the quality of clinical nursing processes. Future research could build on the results of this study to further validate the timeliness and objectivity of this indicator system in assessing the quality of the nursing process.
期刊介绍：
The Journal of Multidisciplinary Healthcare (JMDH) aims to represent and publish research in healthcare areas delivered by practitioners of different disciplines. This includes studies and reviews conducted by multidisciplinary teams as well as research which evaluates or reports the results or conduct of such teams or healthcare processes in general. The journal covers a very wide range of areas and we welcome submissions from practitioners at all levels and from all over the world. Good healthcare is not bounded by person, place or time and the journal aims to reflect this. The JMDH is published as an open-access journal to allow this wide range of practical, patient relevant research to be immediately available to practitioners who can access and use it immediately upon publication.
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