Study And Analysis On The Risk Of Nursing Interruption In The Delivery Of Oral Administration For Nurse

Objective:The purpose of this study was to preliminarily establish the risk assessment questionnaire of nursing interruption in the delivery of oral administration for nurse by searching the risk items pool that may contain,and to evaluate the effectiveness and stability of the scale to provide the scientific management tools of nursing interruption for nurses in oral administration.On the basic of this,The questionnaire was used to understand the current situation of nurses’ risk assessment about nursing interruption in the delivery of oral administration,and the influencing factors affecting were analyzed.Methods:By using the methods of literature review,expert interview and Delphi expert consultation method,the initial questionnaire items were established and completed.According to the questionnaire prepared by the preliminary determination of risk items,the pre-investigate about 150 nurses from a Third Grade Class A General Hospital in Shan xi province and examine its reliability and validity.On the basis of good reliability and validity,the questionnaire were formally used to investigate for443 nurse in 8 Third Grade Class A General Hospital in Shan xi province by convenient sampling method,the analysis influence link of oral nursing interruption safety risk score.Results:1.Preliminarily established the risk assessment questionnaire of nursing interruption in the delivery of oral administration.In this study,23 experts completed two rounds of expert consultation,and the effective recovery rate of the questionnaire was 85% and 100% respectively.Among them,there were 18 experts who proposed the change of opinions,indicating that the experts were highly motivated.According to the expert consultation results,the judgment(Ca)was 0.94,the familiarity(Cs)was 0.67,and the degree of authority(Cr)was 0.81,indicating the high degree of authority of the experts.The coefficient of variation(CV)of the two rounds of expert consultation was ≤0.25,and the coordination coefficient of the second round of consultation was 0.247 and 0.255(P <0.001),indicating that the expert opinions tend to be consistent.2.The reliability and validity test of the questionnaire of risk assessment of the nursing interruption in the delivery of oral administration.The analysis of the project shows that,except for items 13,17,26,41,45 and 49,the determination value of the remaining items(CR)was significant between3.205-11.226(P < 0.05).It was shown that 43 items of the pretest scale had the identification degree,which could test the reaction degree of different subjects.Reliability: the overall Cronbach’s alpha coefficient was 0.953,the split half coefficient was 0.782.Validity: The total content validity of the questionnaire S-CVI was 0.79 and good.The results of exploratory factor analysis showed that the cumulative contribution rate was 79.85% after extracting five common factor.the maximum variance after rotation,each level of entry has to reflect a single factor,its’ structure and expected results are basically identical.3.Preliminary application of the questionnaire about risk assessment of nursing interruption in the delivery of oral administration.The results of single factor analysis showed that age,the length service,professional title,training,the section type and the group leader had an impact on the risk assessment of nursing interruption in the delivery of oral administration.Multiple linear analysis regression showed that the length service,the group leader are the main factors,and the linear regression relationship.The length service have outstanding influence.Conclusion:1.Preliminarily formed the risk assessment questionnaire of nursing interruption in the delivery of oral administration,including 5 first-level items,15 second-level items and 49 third-level items.2.After item analysis,reliability and validity test,the questionnaire has good reliability and validity.3.The nursing staff’s age,the length service,professional title,training,the group leader and the section type are the factors that affect the risk assessment of nursing interruptions in the delivery of oral administration.And the length service,the group leader have a notable impact.