Lumbar Disc Herniation Perioperative Nursing Workload Measurement Project Screening Study

Objective To screen nursing workload items in the perioperative period of lumbar disc herniation by using Delphi method for providing scientific basis in order to establish its project framework of measuring nursing workload, which can provide objective basis for the further nursing care cost accounting of the single disease.Methods On the basis of literature review and field research and experts group discussions, the experts" consultation table of the perioperative period of lumbar disc herniation were designed preliminarily by reference to the routine of perioperative nursing and practical orthopedic care.Then two rounds of consultations were made with experts by using the Delphi method. The project framework of measuring its nursing workload in perioperative period were established by collecting the experts" consultation table and analyzing the related data statisticallyResults The two rounds of consultations were made with 39 experts who come from 12 three A-level hospitals in 5 regions and work in the field of care management, care education and the clinical care.Valid questionnaires collected back were 35 and 37, respectively, accounting for 89%and 94%in the two rounds of consultations with the experts, by which fully reflected the support of experts on the study. The average number of authoritative coefficients in the two rounds of consultations with the experts was respectively 0.79/0.88,which indicated high reliability of the consulting.The overall coordination index for care items in the preoperative/intraoperative/postoperative period of consulting experts respectively was 0.265/0.305/0.359 and 0.435/0.316/0.425 and (P< 0.01),which indicated the good coordination among the experts advice in determining the nursing care items and the desirability of the results. And it also indicated sufficiently that the items which were determined through screening were effective and statistical significance.Conclusion Measurement items of nursing workload in perioperative period of lumbar disc herniation had been screened scientifically and reliably, which could accurately measure the nursing workload of the disease and lay the foundation for further accounting of nursing care cost.