Study On Establishing The Acute Stroke Nursing Quality Sensitive Indicators On The Basis Of Evidence-based

Objective:The study aimed at establishing sensitive, scientific, exercisable nursing quality evaluation indicators of the stroke which will help to evaluate and monitor nursing quality of the stroke 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 nursing quality indicators, their calculation formulas and data collection methods were summed up. Using Delphi 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 46 Zhejiang experts, the sensitive 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 and the harmonization coefficient W were used to examine the reliability and representation of expert consultation.Results:The 17 items of nursing-sensitive quality indicators with connotation, calculation formulas, and data collection methods were established, which include swallowing function evaluation rate, rate of aspiration risk assessment, early rehabilitation evaluation rate, incidence of incontinent dermatitis and so on. After 2 rounds of expert consultation, the Enthusiasm Coefficient of experts was 81.48% and 82.35%(>60%). The Authority Coefficient of experts was 0.85 (>0.7). The Coefficients of variation of the importance of all items ranged from 0.09 to 0.27, those of reasonability of calculation formulas of all items ranged from 0.11 to 0.25, those of operability to collect data of all items ranged from 0.10 to 0.26 (<0.30).Conclusions:The 17 items of nursing-sensitive quality indicators of stroke 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.