Construction of nursing-sensitive quality indicators system of enteral nutrition on the basis of evidence-based approach

doi:10.3761/j.issn.0254-1769.2019.03.004

Abstract

Abstract:

Objective To construct nursing-sensitive indicators system of enteral nutrition for hospitalized adult patients,so as to provide scientific,objective and quantitative monitoring standards for nursing quality of enteral nutrition.Methods Evidence synthesis was conducted based on Johns Hopkins evidence-based nursing method for laying the foundation for nursing-sensitive quality indicators system of enteral nutrition. Through group discussion,appropriate indicators feasible to application were determined,and nursing-sensitive quality indicators,calculation formulas and data collection methods were preliminarily decided. Through two rounds of expert consultation,the nursing-sensitive quality indicators system of enteral nutrition was improved and established.Results The constructed nursing-sensitive quality indicators system of enteral nutrition included 3 first-class indicators,6 second-class indicators,and 17 third-class indicators. Positive coefficients of two rounds of expert consultation were 92% and 100%,authority coefficients were 0.915 and 0.925,respectively,and the coordination coefficients were 0.124~0.242.Conclusion The nursing-sensitive quality indicators system was scientific and practical and it was beneficial to improve the nursing quality of enteral nutrition.

Key words: Enteral Nutrition, Quality of Care, Sensitivity Index, Evidence-Based Nursing

摘要：

目的构建住院成人患者肠内营养护理质量敏感指标体系,为监测临床肠内营养护理质量提供科学、客观及量化的依据。方法运用约翰霍普金斯循证护理方法进行证据综合,为构建肠内营养护理质量敏感指标体系奠定基础;采取小组讨论法获取符合具体实践的指标内容,初步拟订肠内营养护理质量敏感指标及其计算公式和资料收集方法;再通过2轮专家函询,改进并确立肠内营养护理质量敏感指标体系。结果最终构建了包含3项一级指标、6项二级指标、17项三级指标在内的肠内营养护理质量敏感指标体系;2轮函询专家积极系数为92%与100%,权威系数为0.915与0.925,协调系数为0.124~0.242。结论构建的肠内营养护理质量敏感指标体系科学、实用,有利于肠内营养护理质量的改进。

关键词: 肠道营养, 护理质量, 敏感指标, 循证护理

ZHAO Shiyu,YU Jiaohua,WANG Huan,LI Yao,LIU Xinghong,ZHANG Xuehui,MI Yuanyuan,LI Mengyuan,LIU Yunfang,YAN Rong. Construction of nursing-sensitive quality indicators system of enteral nutrition on the basis of evidence-based approach[J]. Chinese Journal of Nursing, 2019, 54(3): 344-349.

赵诗雨,喻姣花,汪欢,李瑶,刘兴红,张学辉,米元元,李梦圆,刘云访,晏蓉. 基于循证构建肠内营养护理质量敏感指标体系[J]. 中华护理杂志, 2019, 54(3): 344-349.

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