Construction of nursing sensitive index system for limb blood circulation monitoring_West China Medical Journal

Authors：

HE Yongqin , YI Dekun , LI Yu , LAI Linyu ,  ZHANG Yumei

Department of Orthopedics, Second Affiliated Hospital, Army Medical University (Third Military Medical University), Chongqing 400037, P. R. China;

Corresponding author：

ZHANG Yumei, Email: zhangyumei19693@sina.com

Keywords：

Extremities; blood circulation; Delphi technique; quality index

DOI：

10.7507/1002-0179.202406161

Video：

Export PDF Favorites Scan Get Citation

Abstract Full text Figures/Tables Video References Cited by

Objective To construct a nursing sensitive index system for limb blood circulation monitoring, to guide clinical nursing practice, and provide a scientific basis for the evaluation and management of limb blood circulation monitoring nursing quality. Methods The Chinese and English databases such as China National Knowledge Infrastructure, Wanfang, VIP, PubMed, and Web of Science were searched from the establishment of the database to April 1st, 2024. Using the structure-process-outcome three-dimensional quality system model as the theoretical basis, and through semi-structured interviews, an expert letter consultation questionnaire containing 3 first-level indicators, 9 second-level indicators and 30 third-level indicators was developed. The final nursing sensitive index system of limb blood circulation monitoring were determined through two rounds of expert consultation. Results A total of 25 experts participated in the questionnaire survey. The positive coefficients of the two rounds of expert consultation were 96% (24/25) and 100% (24/24), respectively, the expert authority coefficient was 0.906. The final nursing sensitive index system included 3 first-level indicators, 6 second-level indicators and 21 third-level indicators. All the indicators were closely related to limb blood circulation monitoring, and the quality of specialized nursing work of limb blood circulation monitoring was comprehensively improved from the three dimensions of structural indicators, process indicators, and outcome indicators. Conclusion The nursing sensitive index system of limb blood circulation monitoring has strong specialty, it not only clarifies the specific content of limb blood circulation monitoring and nursing work, but also systematically constructs the requirements and standards of the quality management level of blood circulation monitoring, which is scientific and practical.

Citation： HE Yongqin, YI Dekun, LI Yu, LAI Linyu, ZHANG Yumei. Construction of nursing sensitive index system for limb blood circulation monitoring. West China Medical Journal, 2024, 39(10): 1606-1610. doi: 10.7507/1002-0179.202406161 Copy

1.	中华医学会骨科学分会外固定与肢体重建学组, 中国医师协会创伤外科医师分会创伤感染专业委员会, 中国医师协会骨科医师分会创伤专家工作委员会. 中国急性骨筋膜室综合征早期诊断与治疗指南(2020 版). 中华创伤骨科杂志, 2020, 22(8): 645-654.
2.	蒋琪霞, 朱玉玲, 祝文君, 等. “五点”皮瓣温度和“单点”皮瓣温度预测血管危象的准确性及临界值研究. 中国全科医学, 2023. doi: 10.12114/j.issn.1007-9572.2023.0580.
3.	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. 中华护理杂志, 2013, 48(9): 801-803.
4.	冯凤. 中医护理敏感质量指标的构建与应用. 中国护理管理, 2019, 19(增刊 1): 141-143.
5.	李黎, 郭骊莉. 专科护理敏感质量指标对于改善肝癌介入术后尿潴留患者的应用价值. 介入放射学杂志, 2022, 31(6): 613-615.
6.	戴巧艳, 何翠环, 郭雪梅, 等. 自制皮瓣血液循环监测尺在皮瓣移植术后患者的应用. 护理学杂志, 2019, 34(18): 33-35.
7.	陈连珍, 谭群芳, 关万香. 血氧饱和度仪在四肢骨折术后患者肢端血液循环监测中的应用. 现代临床护理, 2017, 16(4): 78-80.
8.	Crawford C. Johns-Hopkins nursing evidence-based practice model and guidelines. AORN J, 2009, 89(2): 426.
9.	霍冰清. 医院 PICC 护理质量评价指标体系的构建及应用. 中国卫生标准管理, 2020, 11(23): 144-146.
10.	Afaneh T, Abu-Moghli F, Ahmad M. Nursing-sensitive indicators: a concept analysis. Nurs Manag (Harrow), 2021, 28(3): 28-33.
11.	王琪, 刘腊梅, 陈莉娜, 等. 基于结构-过程-结果模型儿童支气管镜围术期专科护理质量敏感指标的构建. 护理学报, 2022, 29(8): 69-74.
12.	陈佳丽, 王立群, 宁宁, 等. 基于三维质量评价模型的关节外科专科护理质量标准的构建. 华西医学, 2023, 38(10): 1495-1502.
13.	桂玉芳, 张维霞, 吴晶晶. 基于结构-过程-结果的白血病患儿护理质量评价标准的构建. 护理实践与研究, 2021, 18(16): 2485-2488.
14.	Liu Y, Aungsuroch Y, Sha LY, et al. Construction of evaluation indexes of nursing students’ quality and safety competencies: a Delphi study in China. J Prof Nurs, 2021, 37(3): 501-509.
15.	Zhang M, Chen WP, Liu CP, et al. Nursing-sensitive quality indicators for pernicious placenta previa in obstetrics: a Delphi study based across Chinese institutions. Nurs Open, 2021, 8(6): 3461-3468.
16.	Shen ZY, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
17.	Dai FL, Wei K, Chen YH, et al. Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: a Delphi study. J Clin Nurs, 2019, 28(23/24): 4379-4388.
18.	王玉姣. 基于三维质量结构模式的持续质量改进对提高普外科护理管理质量的影响. 中国医药科学, 2020, 10(15): 200-204.
19.	沈美萍, 陈朔晖, 刘鑫鑫, 等. 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. 中国实用护理杂志, 2018, 34(26): 2035-2041.

1. 中华医学会骨科学分会外固定与肢体重建学组, 中国医师协会创伤外科医师分会创伤感染专业委员会, 中国医师协会骨科医师分会创伤专家工作委员会. 中国急性骨筋膜室综合征早期诊断与治疗指南(2020 版). 中华创伤骨科杂志, 2020, 22(8): 645-654.
2. 蒋琪霞, 朱玉玲, 祝文君, 等. “五点”皮瓣温度和“单点”皮瓣温度预测血管危象的准确性及临界值研究. 中国全科医学, 2023. doi: 10.12114/j.issn.1007-9572.2023.0580.
3. 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. 中华护理杂志, 2013, 48(9): 801-803.
4. 冯凤. 中医护理敏感质量指标的构建与应用. 中国护理管理, 2019, 19(增刊 1): 141-143.
5. 李黎, 郭骊莉. 专科护理敏感质量指标对于改善肝癌介入术后尿潴留患者的应用价值. 介入放射学杂志, 2022, 31(6): 613-615.
6. 戴巧艳, 何翠环, 郭雪梅, 等. 自制皮瓣血液循环监测尺在皮瓣移植术后患者的应用. 护理学杂志, 2019, 34(18): 33-35.
7. 陈连珍, 谭群芳, 关万香. 血氧饱和度仪在四肢骨折术后患者肢端血液循环监测中的应用. 现代临床护理, 2017, 16(4): 78-80.
8. Crawford C. Johns-Hopkins nursing evidence-based practice model and guidelines. AORN J, 2009, 89(2): 426.
9. 霍冰清. 医院 PICC 护理质量评价指标体系的构建及应用. 中国卫生标准管理, 2020, 11(23): 144-146.
10. Afaneh T, Abu-Moghli F, Ahmad M. Nursing-sensitive indicators: a concept analysis. Nurs Manag (Harrow), 2021, 28(3): 28-33.
11. 王琪, 刘腊梅, 陈莉娜, 等. 基于结构-过程-结果模型儿童支气管镜围术期专科护理质量敏感指标的构建. 护理学报, 2022, 29(8): 69-74.
12. 陈佳丽, 王立群, 宁宁, 等. 基于三维质量评价模型的关节外科专科护理质量标准的构建. 华西医学, 2023, 38(10): 1495-1502.
13. 桂玉芳, 张维霞, 吴晶晶. 基于结构-过程-结果的白血病患儿护理质量评价标准的构建. 护理实践与研究, 2021, 18(16): 2485-2488.
14. Liu Y, Aungsuroch Y, Sha LY, et al. Construction of evaluation indexes of nursing students’ quality and safety competencies: a Delphi study in China. J Prof Nurs, 2021, 37(3): 501-509.
15. Zhang M, Chen WP, Liu CP, et al. Nursing-sensitive quality indicators for pernicious placenta previa in obstetrics: a Delphi study based across Chinese institutions. Nurs Open, 2021, 8(6): 3461-3468.
16. Shen ZY, Qin W, Zhu L, et al. Construction of nursing-sensitive quality indicators for cardiac catheterisation: a Delphi study and an analytic hierarchy process. J Clin Nurs, 2022, 31(19/20): 2821-2838.
17. Dai FL, Wei K, Chen YH, et al. Construction of an index system for qualitative evaluation of undergraduate nursing students innovative ability: a Delphi study. J Clin Nurs, 2019, 28(23/24): 4379-4388.
18. 王玉姣. 基于三维质量结构模式的持续质量改进对提高普外科护理管理质量的影响. 中国医药科学, 2020, 10(15): 200-204.
19. 沈美萍, 陈朔晖, 刘鑫鑫, 等. 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. 中国实用护理杂志, 2018, 34(26): 2035-2041.

West China Medical Journal

Construction of nursing sensitive index system for limb blood circulation monitoring

Abstract Full text Figures/Tables Video References Cited by

Previous Article

Next Article

Format

Content