A preliminary study on perioperative nursing-sensitive quality indicators of type A aortic dissection / 中国实用护理杂志

ABSTRACT

Objective:To establish evidence-based perioperative nursing quality indicators of TAAD which assess and monitor the quality of nursing care in Chinese hospitals.Methods:Based on the "structure-process-result" three dimensional quality evaluation model, the perioperative nursing quality sensitivity index of TAAD and its calculation formula as well as data collection method were extracted from domestic and foreign literature. The results were demonstrated and revised by using Delphi method.Results:Sixteen sensitive indicators of perioperative quality of care for TAAD such as pain relief rate, preoperative dissection rupture mortality,emergency surgery and incidence of transfusion reactions were constructed.After two rounds of expert consultation, the expert positive coefficients were 91.6% and 100%, the expert authority coefficients were 0.96 and 0.93, and the coefficients of variation were 0.000-0.278.Conclusion:The perioperative nursing quality sensitivity indicators of TAAD were scientific and reliable,which can be applied to clinical utilization,and to inspire the nursing team to formulate an efficient specialist nursing strategy.