Study Of NICU Nursing Quality Sensitive Indicators With Evidence-based Medicine

Objective:To set the NICU nursing quality sensitivity index accord with our national conditions, so as to provide reference for NICU nursing evaluation and monitoring.Methods:Based on the rigorous retrieval strategy, using the Johns Hopkins level of evidence and quality evaluation method to analyze literatures, the nursing quality sensitivity indicators, their calculation formulas and data collection methods were summed up. Using 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 consultation of NICU experts from 18 three-grade hospital of 6 provinces, 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 were used to examine the reliability and representation of expert consultation.Results:11 NICU nursing quality sensitivity index was set such as pain treatment rate, noise incidence rate, ROP incidence rate and so on, of which target connotation, calculation formula, document collection methods is included. For the two rounds of questionnaire,the valid rate of which is 95.12% and 97.44%(>60%), the authority scores is 0.86 and 0.87 (≥0.7), after the two rounds of questionnaire, coefficient of variation of the importance of index is 0.00-0.23, coefficient of variation of rationality of calculation is 0.03-0.27. For the operability of document collection, all the coefficient of variation is less than 0.3 except pain treatment rate which is 0.34, noise incidence rate which is 0.30.Conclusions:11 NICU nursing quality sensitivity index accord with our national conditions was established. The index connotation, the ways of calculation and document collection was set. The reliability of expert consultation showed that the expert consultations had good reliability and representation.