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Construction of sensitive quality indicators for rapid rehabilitation care of patients after combined pancreaticoduodenectomy.
- Source :
- BMC Nursing; 9/19/2024, Vol. 23 Issue 1, p1-15, 15p
- Publication Year :
- 2024
-
Abstract
- Aim: To construct evidence-based sensitive quality indicators for patients' rapid rehabilitation care after combined pancreaticoduodenectomy (PD) and to provide a reference for clinical nursing professionals to scientifically evaluate the quality of patients' rehabilitation post-PD. Background: Since PD is associated with higher surgical risk and anastomotic complications, it leads to higher complication rates and longer postoperative recovery cycles. This reiterates the need for rapid recovery of patients after PD; however, the evaluation of sensitive nursing care indicators regarding rapid recovery post-PD has not yet been established to date. Methods: Based on the Donabedian structure-process-result theory model, we used available literature, semi-structured interviews, the Delphi method, and hierarchical analysis to establish a sensitive indicator system for patients' rapid rehabilitation after PD and evaluate the importance of such indicators. Results: There were two rounds of expert correspondence, and the effective recovery rate of the questionnaires of these rounds was 100%. The expert authority coefficients, as well as the Kendall coordination coefficients of the expert opinions, were 0.859 and 0.872 as well as 0.423 and 0.431, with statistically significant differences (p < 0.05), respectively. Consequently, we developed a sensitive quality index system for patients' rapid rehabilitation care after combined PD, including 3 first-level, 12 s-level, and 23 third-level indexes, respectively. Conclusion: The constructed sensitive quality index system developed for patients' rapid rehabilitation nursing care after combined PD is standardized, practical, and aligned with the specialty characteristics. Furthermore, this might help greatly in improving the quality and safety of patients' rapid rehabilitation nursing care after combined PD, standardizing nursing management skills, and enhancing nursing quality. [ABSTRACT FROM AUTHOR]
- Subjects :
- NURSING audit
CLINICAL medicine
NURSES
MEDICAL information storage & retrieval systems
SCALE analysis (Psychology)
EVIDENCE-based nursing
MORTALITY
MEDICAL quality control
PATIENTS
RESEARCH funding
PATIENT safety
STRUCTURAL models
KEY performance indicators (Management)
INTERVIEWING
QUESTIONNAIRES
READABILITY (Literary style)
NURSING education
NURSING
JUDGMENT sampling
DESCRIPTIVE statistics
CHI-squared test
PANCREATICODUODENECTOMY
NURSING services administration
MEDLINE
MEDICAL rehabilitation
RESEARCH methodology
MEDICAL databases
STATISTICS
DELPHI method
ONLINE information services
PHENOMENOLOGY
DATA analysis software
REHABILITATION
Subjects
Details
- Language :
- English
- ISSN :
- 14726955
- Volume :
- 23
- Issue :
- 1
- Database :
- Complementary Index
- Journal :
- BMC Nursing
- Publication Type :
- Academic Journal
- Accession number :
- 179738131
- Full Text :
- https://doi.org/10.1186/s12912-024-02348-3