| Objective:This study constructs a scientific and reliable set of intraoperative hypothermia nursing quality sensitive indicators on an evidence-based basis,providing reference for nursing managers to evaluate the quality of intraoperative hypothermia nursing.Methods:1.This study systematically searched for relevant literature,evaluated the sources of evidence based on the Johns Hopkins Evidence Level and Quality Assessment Policy in the United States,and extracted evidence related to the research topic to form a set of sensitive indicators for intraoperative hypothermia nursing quality.After discussion in the research group,a preliminary draft of the indicators will be formed.2.The Delphi expert consultation method was used to solicit expert opinions on the importance of indicators in the initial draft of indicators,the rationality of calculation formulas,and the operability of data collection methods.The final quality sensitive indicators for intraoperative hypothermia care were determined by 26 experts with deep expertise in hypothermia nationwide.The reliability of the inquiry results is tested using expert positivity coefficient,authority coefficient,importance mean,and importance full score ratio.3.Apply the priority chart method to determine the weights of various indicators,in order to clarify the importance and role of each indicator.Result:1.Finally included 8 documents,including 4 guides,3 expert consensus,and 1 best practice recommendations.Among them,there are 3 articles at level IVA(37.5%)and 5articles at level IVB(62.5%).The research group organized and analyzed the evidence in the literature to form an indicator set.After discussion by the research group,a preliminary set of sensitive indicators for intraoperative hypothermia nursing quality,including 3 primary indicators,8 secondary indicators,and 37 tertiary indicators,has been formed.2.The results showed:(1)The effective response rates of the two rounds of inquiry were 100% and 96.3%,respectively,and Cr coefficients were 0.90,indicating that experts’ enthusiasm and authority were favorable.(2)The average score of the importance of the first round of the mean score is 3.50～5.0,the standard deviation is0～0.171,and the full score rate is 14.81%～100%;The average of important scores of the second round of mean score is 3.65～4.96,the standard deviation is 0.196～1.26,and the full score rate is 23.07%～96.15%.(3)The W coefficient of the two rounds were between 0.12 and 0.23(P<0.001),after two rounds of correspondence,the coefficient of variation was both<0.2,which means the consistency of expert opinions was acceptable.The final indicator framework consists of 3 primary indicators,4 secondary indicators,and 12 tertiary indicators,as well as indicator calculation formulas and data collection methods..3.The weights of the structure,process,and outcome were 0.3013,0.3590,and0.3394,respectively.The weights of the four second-level indicators were equipment and facilities(0.3013),temperature monitoring(0.1864),thermal insulation measures(0.1726),and outcomes(0.3394).The top three of the 12 third-level indicators were the incidence of Intraoperative Hypothermia(0.1958),the completion rate of intraoperative heating equipment(0.1738),and the incidence of postoperative shivering(0.1436).Conclusions:This study constructed a set of 12 sensitive indicators for intraoperative hypothermia care quality,including calculation formulas for indicators and data collection methods.By analyzing data such as expert positivity coefficient,authority coefficient,importance mean,and importance full score ratio,it is proven that the research results are reliable.The weights and combination weights of indicators at all levels were determined through the priority chart method,ensuring that the content of the indicators is comprehensive while highlighting the key points. |
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