Study On Establishing The Obstetric Nursing-sensitive Quality Indicators On The Basis Of Evidence-based

Objective:The study aimed at establishing sensitive, scientific, exercisable obstetric nursing quality evaluation indicators on the basis of evidence-based which will help to evaluate and monitor obstetric nursing quality in Chinese hospitals.Methods:Based on the rigorous retrieval strategy, using the Johns Hopkins level of evidence and quality evaluation method to analyse literatures, the obstetric nursing quality sensitivity indicators, their calculation formulas and data collection methods were summed up. Using improved Delphi method, according to the 5 Likert scale method, the initial formation of the importance of index entries, the rationality of the calculation formula and the operability of data collection methods were evaluated. By two rounds consultation of 43 experts of inside and outside Zhejiang, the sensitive obstetric nursing quality indicators with calculation formulas and data collection methods were established, which are suitable for China’s national condition. The enthusiasm coefficient of experts, the authority coefficient of experts, the coefficients of variation were used to examine the reliability and representation of expert consultation.Results:The 16 items of obstetric nursing-sensitive quality indicators with connotation, calculation formulas, and data collection methods were established, such as percentage of accompany delivery, percentage of vaginal delivery health infants and so on. After 2 rounds of expert consultation, the Enthusiasm Coefficient of experts was 87.8% and 97.7% (>60%). The Authority Coefficient of experts was 0.88 and 0.90 (>0.7). The Coefficients of variation of the importance of all items ranged from 0.06 to 0.22, those of reasonability of calculation formulas of all items ranged from 0.08 to 0.17, those of operability to collect data of all items ranged from 0.04 to 0.16 (<0.30).Conclusions:The 16 items of obstetric nursing-sensitive quality indicators with connotation, calculation formulas, and data collection methods were established. The reliability of the 2 rounds expert consultation showed that the expert consultations had good reliability and representation.